Exploring the relationship between nurses’ communication satisfaction and patient safety culture

Noviyanti, Linda Wieke; Ahsan, Ahsan; Sudartya, Tita Sefti

doi:10.4081/jphr.2021.2225

Cited by 22 publications

(15 citation statements)

References 24 publications

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“…The Hospital Survey on Patient Safety Culture (HSOPSC) developed by the Agency for Healthcare Research and Quality (AHRQ) ( 41 ) was used in six (7.9%) of the 76 studies ( 50 , 63 , 64 , 76 – 78 ). The survey includes four items related to speaking up about patient safety in the “Communication” subscale.…”

Section: Resultsmentioning

confidence: 99%

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring?

Lainidi,

Jendeby,

Montgomery

et al. 2023

Front. Psychiatry

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The history of inquiries into the failings of medical care have highlighted the critical role of communication and information sharing, meaning that speaking up and employee silence have been extensively researched. However, the accumulated evidence concerning speaking-up interventions in healthcare indicates that they achieve disappointing outcomes because of a professional and organizational culture which is not supportive. Therefore, there is a gap with regard to our understanding of employee voice and silence in healthcare, and the relationship between withholding information and healthcare outcomes (e.g., patient safety, quality of care, worker wellbeing) is complex and differentiated. The following integrative review is aimed at addressing the following questions; (1) How is voice and silence conceptualized and measured in healthcare?; and (2) What is the theoretical background to employee voice and silence?. An integrative systematic literature review of quantitative studies measuring either employee voice or employee silence among healthcare staff published in peer-reviewed journals during 2016–2022 was conducted on the following databases: PubMed, PsycINFO, Scopus, Embase, Cochrane Library, Web of Science, CINAHL and Google Scholar. A narrative synthesis was performed. A review protocol was registered on the PROSPERO register (CRD42022367138). Of the 209 initially identified studies for full-text screening, 76 studies met the inclusion criteria and were selected for the final review (N = 122,009, 69.3% female). The results of the review indicated the following: (1) concepts and measures are heterogenous, (2) there is no unifying theoretical background, and (3) there is a need for further research regarding the distinction between what drives safety voice versus general employee voice, and how both voice and silence can operate in parallel in healthcare. Limitations discussed include high reliance on self-reported data from cross-sectional studies as well as the majority of participants being nurses and female staff. Overall, the reviewed research does not provide sufficient evidence on the links between theory, research and implications for practice, thus limiting how research in the field can better inform practical implications for the healthcare sector. Ultimately, the review highlights a clear need to improve assessment approaches for voice and silence in healthcare, although the best approach to do so cannot yet be established.

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Section: Resultsmentioning

confidence: 99%

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring?

Lainidi,

Jendeby,

Montgomery

et al. 2023

Front. Psychiatry

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“…The creation of a safe environment in inpatient psychiatric wards is influenced by perception, time pressure and workload in MHNs. Insufficient communication can result in negative consequences such as discontinuity of care, compromised patient safety and patient dissatisfaction (Vermeir et al, 2015; Wieke Noviyanti et al, 2021). Communication becomes especially important for patients with mental illness.…”

Section: Discussionmentioning

confidence: 99%

“…Due to time pressure and workload, MHNs in inpatient psychiatric wards face challenges in creating a safe environment. Inadequate communication can result in negative consequences such as compromised patient safety, discontinuity of care and patient dissatisfaction (Vermeir et al, 2015; Wieke Noviyanti et al, 2021). Effective communication is crucial for patients with mental illness, as it can assist MHNs in managing complex patients and promoting safety (Kanerva et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Exploring the safe environment provided by nurses in inpatient psychiatric wards: A mixed‐methods study

Maddineshat,

Khodaveisi,

Kamyari

et al. 2023

Psychiatric Ment Health Nurs

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IntroductionPrevious research has indicated that community‐based mental health services in Iran are restricted, leading to overcrowding in psychiatric wards. This overcrowding has been linked to a range of problems, such as violence, suicide and medical errors. Despite the abundance of research on patient safety, there is still a lack of understanding regarding how mental health nurses (MHNs) create a secure environment within these wards.AimThis study focused on exploring a safe environment provided by MHNs in inpatient psychiatric wards at Farshchian (Sina) Hospital, Hamadan, Iran.MethodAn explanatory mixed‐methods study was conducted. Initially, the Safe Environment Scale was distributed to all MHNs (n = 48) working in three wards at Farshchian (Sina) Hospital to evaluate the current status. The scale measured two dimensions, and descriptive statistics were used to analyse the collected data. Subsequently, 20 MHNs were selected for semi‐structured interviews using purposeful sampling at the same hospital to interpret and fill gaps in the quantitative findings. The data collected from the interviews were analysed using conventional content analysis.ResultsThe perception and engagement of MHNs in creating a safe environment in the inpatient psychiatric wards were found to be at a medium level, according to the Safe Environment Scale (mean ± SD, 14.67 ± 4.18 and 85.27 ± 17.57, respectively). The qualitative study identified several categories in the results, including ‘Hyper‐vigilance to safety and security environment’, ‘Therapeutic communication gap’, ‘Nurse burnout’, ‘Staff safety and security need’ and ‘Environmental safety hazards’.DiscussionMHNs employ a hyper‐vigilant strategy to guarantee a secure atmosphere within psychiatric wards. However, this approach may inadvertently impede the establishment of a safe environment and even diminish MHNs' perception and involvement in its maintenance.Implications for mental health nursingAccording to our research, it appears that MHNs need to improve their education and training in order to successfully implement the vigilance strategy for establishing a secure environment. Additionally, it is essential for them to prioritize therapeutic communication with patients, as this plays a vital role in promoting a safe environment within inpatient psychiatric wards.

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“…Safety Behaviour Scale : Using a scale revised by scholar Rong Yanfu (Wieke Noviyanti et al., 2021) in 2009, this scale consists of 12 items and is rated on a Likert 5‐level scale, ranging from 1 to 5 points, with 1 point indicating never and 5 points indicating always. The total score ranges from 12 to 60 points, and the higher the score, the better the individual's safety behaviour performance.…”

Section: The Studymentioning

confidence: 99%

Effects of burnout and work engagement in the relationship between self‐efficacy and safety behaviours—A chained mediation modelling analysis

Liu,

et al. 2023

Journal of Advanced Nursing

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AimsTo explore the current situation, influencing factors and pathways of safety behaviour of nurses in tumour specialized hospitals, in order to provide a theoretical basis for managers to manage and train nurses, improve their safety behaviour level and ensure medical safety.DesignAn anonymous cross‐sectional survey.MethodA total of 2147 nurses from Grade A cancer hospitals in 15 provinces of China were selected by a convenient sampling method. Questionnaires were collected through the Questionnaire Star platform. Nurses' safety behaviour was measured using the nurse Safety Behaviour Scale, Self‐efficacy by the General Self‐efficacy Scale, and nurses' occupational burnout was measured by the occupational Burnout Scale, and work engagement through the the Work Engagement Scale. Structural equation modelling was used to test the relationship among nurses' safety behaviour, general self‐efficacy, occupational burnout and work engagement. SPSS25.0 software was used to test the relationship among the safety behaviour of nurses, general self‐efficacy, occupational burnout and work engagement.ResultsThe total score of safety behaviour of nurses was 55.45 ± 6.879, the total score of general self‐efficacy was 31.39 ± 5.729, the total score of occupational burnout was 44.99 ± 26.587, and the total score of work engagement was 38.48 ± 13.433; the scores of the Nurse Safety Behaviour Scale, Self‐Efficacy Scale, and Work Engagement Scale were positively correlated (all p < .001); the occupational burnout scale was negatively correlated with the scores of self‐efficacy scale, work engagement scale and nurse safety behaviour scale (all p < .001); Structural equation model analysis shows that self‐efficacy and work engagement have a direct positive impact on nurse safety behaviour(β = .103, β = .096, all p < .001); Occupational burnout has a direct negative impact on self‐efficacy, work engagement and nurse safety behaviour(β = −.371, β = −.413, β = −.328 all p < .001). Bootstrap analysis showed that occupational burnout and job involvement had a significant chain mediating effect between self‐efficacy and the safety behaviour of nurses (95% CI: 0.148–0.21). The total effect of self‐efficacy on the safety behaviour of nurses was 0.283 (p < .001, 95% CI: 0.225–0.301), the direct effect was 0.096 (p < .001, 95% CI: 0.042–0.15), and the indirect effect was 0.179 (p < .001, 95% CI: 0.085–0.215), The mediating effect accounted for 63.3% of the total effect size.ConclusionOccupational burnout and work engagement play a partial mediating role between self‐efficacy and nurse safety behaviour. It is necessary to strengthen training on nurse safety culture awareness, improve the nurse self‐efficacy and work engagement, reduce nurse occupational burnout, and thereby improve the level of nurses' safety behaviour.

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Exploring the relationship between nurses’ communication satisfaction and patient safety culture

Cited by 22 publications

References 24 publications

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring?

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring?

Exploring the safe environment provided by nurses in inpatient psychiatric wards: A mixed‐methods study

Effects of burnout and work engagement in the relationship between self‐efficacy and safety behaviours—A chained mediation modelling analysis

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