Nurses’ Perceptions of Patient Safety Culture in Three Hospitals in Saudi Arabia

Alquwez, Nahed; Cruz, Jonas Preposi; Almoghairi, Ahmed; Alotaibi, Raid Salman; Almutairi, Khalid Obaid; Alicante, Jerico G.; Colet, Paolo C.

doi:10.1111/jnu.12394

Cited by 76 publications

(113 citation statements)

References 36 publications

(65 reference statements)

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“…Therefore, a modest understanding of PS might affect the effectiveness of hospital delivery services. Similarly, an average PS perception result replicated this pattern in previous studies in Saudi Arabia (Al Sweleh, Al Saedan, & Al Dayel, ; Alquwez et al, ) and Germany (Sendlhofer, Wolfler, & Pregartner, ).…”

Section: Discussionsupporting

confidence: 84%

“…Most notably, ‘management support for patient safety’, ‘teamwork across unit’, ‘frequency of events reporting’, ‘communication openness’, ‘overall perception of patient safety’, ‘supervisor/manager expectations and actions promoting patient safety’, ‘staffing’, ‘hospital handoffs and transitions’ and ‘non‐punitive response to errors’ were described as the weakness dimensions in the study. Open and smooth communication and collaboration among CPs are essential to PS culture (Alquwez et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…The tool has acceptable reliability, with Cronbach's alpha ranging from 0.63–0.84 (Sorra & Dyer, ), and has acceptable construct validity when used by nurses in Saudi Arabia (Aboshaiqah & Baker, ). Alquwez et al () reported an acceptable internal consistency reliability among nurses in the country.…”

Section: Methodsmentioning

confidence: 99%

“…Thus, improving PS dynamics, such as infection control, equipment safety, safe clinical environment and safe medicine use, enhances the quality of patient care (Alayed, Loof & Johansson, ). Furthermore, determining how clinical practitioners (CPs) perceive PS is important as they are responsible for patient care (Alquwez et al, ; Cresswell, ). CPs ideally play a role in optimising patient care while reducing patients' risk and working with their families (Cresswell, ).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey

Alenezi

Pandaan

Almazan

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To assess the perceptions of clinical practitioners regarding the different dimensions of patient safety culture in their hospital and examine the work‐related predictors of patient safety culture perceptions. Background Patient safety is seen as a progressively critical focus in healthcare areas worldwide. Saudi Arabia aims to improve healthcare quality by providing access to healthcare for its increasing population. Hence, constantly assessing the patient safety culture of healthcare facilities in the country is imperative. Design One‐sample correlational survey design. Methods The Hospital Survey of Patients' Safety Culture was used to survey the total population sample of 181 healthcare practitioners in a Saudi hospital from December 2018–January 2019. Strengths and weaknesses on PS culture were identified as perceived by the clinical practitioners. Regression analysis was performed to identify the work‐related predictors of patient safety culture perceptions. The study followed the STROBE guideline. Results Nine of the 12 dimensions measured were identified as patient safety culture weaknesses, including ‘management support for patient safety’ (49.2%), ‘teamwork across unit’ (44.2%), ‘frequency of events reporting’ (43.1%), ‘communication openness’ (41.3%), ‘overall perception of patient safety’ (38.7%), ‘supervisor/manager expectations and actions promoting patient safety’ (32.9%), ‘staffing’ (23.7%), ‘hospital handoffs and transitions’ (19.6%) and ‘non‐punitive response to errors’ (15.8%). None of the dimensions were identified as strengths by the respondents. Working hours per week and staff position were identified as significant predictors. Conclusions The study underscores the urgent need to improve the patient safety culture of the hospital. Relevance to clinical practice Hospital administrators should highlight initiatives on positive patient safety impact plan for clinical practitioners and patients, such as monitoring, reporting and strictly adhering to hospital activities that reduce the risks associated with exposure to medical care.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey

Alenezi

Pandaan

Almazan

et al. 2019

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

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“…Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals (Alquwez et al, ; Colet et al, ; Stevanin et al, ). Patient safety was defined by WHO (, p. 3) as “the absence of preventable harm to a patient during the process of health care.” A concept analysis conducted by Kim, Lyder, McNeese‐Smith, Leach, and Needleman (, p. 2,497) presented that the most common defining attributes of patient safety in the literature are as follows: “prevention of medical errors and avoidable adverse events, protection of patients from harm or injury and collaborative efforts by individual healthcare providers and a strong, well integrated healthcare system.” Ensuring safety in healthcare settings requires improvements in both the academic trainings and clinical practice of professionals (Ammouri, Tailakh, Muliira, Geethakrishnan, & Al Kindi, ; Stevanin et al, ).…”

Section: Introductionmentioning

confidence: 99%

A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study

Alquwez

Cruz

Alshammari

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To assess the perceived patient safety competence during clinical training of Saudi nursing students. Background Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals. Experts stressed that shared patient safety culture must be of primary importance; they also emphasised the resolute need for theoretically driven research approaches for patient safety competence in healthcare organisations and educational institutions. Design Descriptive, cross‐sectional design. Methods This study was conducted in six government universities in Saudi Arabia. A sample of 829 nursing students was surveyed using the health professional education in patient safety survey. Descriptive and inferential statistics were used to analyse the data. The study adhered to the STROBE guideline for cross‐sectional studies (See Supporting Information Appendix S1). Results The percentage of agreement on the items of the health professional education in patient safety survey ranged from 61.5%–76.5%. The dimension “understanding human and environmental factors” received the highest perceived competence, whereas the dimension “working in teams” received the lowest competence. Significant differences in students’ patient safety competence from different universities were reported. Male students perceived their competence in “working in teams” higher than the female students. Students in their internship year had significantly higher levels of competence in all the six dimensions of the health professional education in patient safety survey than students in the third‐ and fourth‐year levels. Conclusions Saudi nursing students have positive perceptions towards their patient safety competencies. Significant differences were found in the patient safety competence of nursing students between universities, gender and year of study. Relevance to clinical practice The results provide valuable insights and guidance for improving the patient safety competence of nursing students. The findings can be used to guide the creation of policies and interventions that may ensure the continuous development of patient safety competence of nursing students as they navigate the clinical area.

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Patient Safety Culture and Speaking Up Among Health Care Workers

Lee¹,

Dahinten²,

Seo³

et al. 2023

Asian Nursing Research

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Nurses’ Perceptions of Patient Safety Culture in Three Hospitals in Saudi Arabia

Cited by 76 publications

References 36 publications

Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey

Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey

A multi‐university assessment of patient safety competence during clinical training among baccalaureate nursing students: A cross‐sectional study

Patient Safety Culture and Speaking Up Among Health Care Workers

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