Prehospital nursing students' experiences of patient safety culture in emergency medical services—A qualitative study

Venesoja, Anu; Lindström, Veronica; Castrèn, Maaret; Tella, Susanna

doi:10.1111/jocn.16396

Cited by 7 publications

(5 citation statements)

References 58 publications

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“…This suggests that there are various factors that may influence the score of unsafe behaviors, such as the cultural differences between countries and the individual differences of emergency medical workers that can affect their decision-making and behavior [ 11 , 43 ]. Other similar studies [ 5 , 26 , 35 ] showed that whatever employees report more unsafe behaviors, safety incidents will be more frequent in that profession. This indicates that compliance with the rules, work procedures, and safety regulations is appropriate to prevent the risk of harming the health of oneself, coworkers, or patients.…”

Section: Discussionmentioning

confidence: 86%

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Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study

Asadi-JabehDar,

Dashti-Kalantar,

Mehri

et al. 2024

BMC Emerg Med

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Background Emergency Medical Services (EMS) staff often encounter various safety incidents. Work-related factors can lead to unsafe behaviors and safety incidents. This study assessed unsafe behaviors and their relationship with work-related factors among EMS staff. Methods This descriptive-correlational study used census sampling method to select 284 EMS staff in Ardabil Province, northwest of Iran, from April to June 2023. The data collection tools were demographic and occupational information form, Mearns Unsafe Behavior Scale, Cohen Perceived Stress Scale, Michielsen Fatigue Scale, and Patterson Teamwork Scale. The data were analyzed using the SPSSv-16, descriptive statistics, Pearson correlation, and multiple linear regression. Results The mean of unsafe behavior, fatigue, perceived stress, non-conflict of teamwork, and conflict of teamwork were 15.80 (± 4.77), 20.57 (± 6.20), 16.10 (± 6.13), 117.89 (± 17.24), and 40.60 (± 9.59), respectively. Multiple linear regression analysis showed that “partner trust and shared mental models (PTSMM),” “physical fatigue,” “age,” “type of shift,” “employment status,” and “overtime hours per month” were predictors of general unsafe behavior (P < 0.001) and “mild task conflict (MTC),” “employment status,” “partner trust and shared mental models (PTSMM)” were predictors of unsafe behavior under incentives EMS staff (P < 0.001). Conclusion The present study showed that some work-related factors were predictors of unsafe behaviors. The negative consequences of unsafe behaviors should be considered, and long-term planning should be done to reduce them. Developing specific guidelines for addressing unsafe behaviors, implementing measures to reduce fatigue, managing overtime hours in the workplace, and Establishing a system where novice staff work with experienced staff during their first year can be beneficial in reducing these behaviors among EMS staff.

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Section: Discussionmentioning

confidence: 86%

“…The conditions of the EMS work environment are very complex and challenging [ 3 ]. EMS staff provide services to patients with critical conditions and in complex situations and often encounter various safety incidents while performing their duties [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study

Asadi-JabehDar,

Dashti-Kalantar,

Mehri

et al. 2024

BMC Emerg Med

View full text Add to dashboard Cite

show abstract

“…61,62 Patient safety events are often underreported and are most likely associated with issues in communication, checking/verification processes, and teamwork. 63 The primary shortcoming of EMS is the lack of receiving meaningful feedback that aims to improve both practice and system-focused interventions. 64,65 Inadequate documentation and the improper utilization of information are primarily attributed to healthcare professionals and organizations as technical issues.…”

Section: Dovepressmentioning

confidence: 99%

An Integrative Systematic Review of Promoting Patient Safety Within Prehospital Emergency Medical Services by Paramedics: A Role Theory Perspective

Strandås,

Vizcaya-Moreno,

Ingstad

et al. 2024

JMDH

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Timely and effective prehospital care significantly impacts patient outcomes. Paramedics, as the frontline providers of emergency medical services, are entrusted with a range of critical responsibilities aimed at safeguarding the well-being of patients from the moment they initiate contact in the out-of-hospital environment to the time of handover at healthcare facilities. This study aimed to understand the multifaceted roles of paramedics in promoting patient safety within the context of prehospital emergency medical services. A systematic review with an integrative approach using the Whittemore and Knafl's framework was performed examining qualitative, quantitative, and mixed-methods research, then conducting data assessment, quality appraisal, and narrative research synthesis. Literature search encompassed PubMed (including MEDLINE), Scopus, Cinahl, ProQuest, Web of Science, and EMBASE, with the aim of retrieving studies published in English in the last decade from 2013 to 2023. To conceptualize the roles of paramedics in ensuring patient safety, the review findings were reflected to and analyzed through the role theory. The preliminary exploration of the database yielded 2397 studies, ultimately narrowing down to a final selection of 16 studies for in-depth data analysis and research synthesis. The review findings explored facilitators and obstacles faced by paramedics in maintaining patient safety in terms of role ambiguity, role conflict, role overload, role identity, and role insufficiency in the dynamic nature of prehospital care. It also highlighted the diverse roles of paramedics in ensuring patient safety, which encompassed effective communication and decision making for the appropriate management of life-threatening emergencies. The effectiveness of paramedics in playing their roles in promoting patient safety relies on acknowledging the contributions of paramedics to the culture of patient safety; training and educational initiatives focused on enhancing their decision-making abilities and both their non-technical and technical competencies; developing relevant guidelines and protocols; improving collaboration between paramedics and other healthcare peers; optimizing environmental conditions and equipment; fostering a supportive work environment.

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“…Among the dimensions of public culture, patient safety culture has emerged as a top priority for healthcare facilities. Its essence lies in the prevention, improvement, and rectification of adverse events stemming from the healthcare delivery process [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of the Persian version of Emergency Medical Services- Safety Attitudes Questionnaire (EMS-SAQ)

Norouzinia,

Aghabarary,

Rahmatpour

2024

BMC Emerg Med

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Aim This study aimed to conduct a psychometric evaluation of the Persian adaptation of the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ). Methods In this cross-sectional study, the validity and reliability of the EMS-SAQ were assessed among 484 Iranian pre-hospital emergency department employees between February and June 2023. Results Five factors were extracted namely safety climate, teamwork, job satisfaction, stress management, and working conditions with explained 38.75% of the total variance. The goodness of fit indexes confirmed the model (χ2 = 409.031, DF = 196, χ2 /df = 2.087, CFI = 0.900, IFI = 0.901, PCFI = 0.763 and PNFI = 0.701, and RMSEA = 0.069 [CI90% 0.059–0.078]). Conclusion The Persian version of the SAQ-EMS, comprising 22 items across five factors, demonstrated good validity and reliability. It is recommended to undertake qualitative studies focusing on the concept of patient safety in pre-hospital settings, considering diverse contexts and cultural nuances to develop more robust assessment tools.

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Prehospital nursing students' experiences of patient safety culture in emergency medical services—A qualitative study

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 7 publications

References 58 publications

Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study

Assessing unsafe behaviors and their relationship with work-related factors among EMS staff in Iran: a cross-sectional study

An Integrative Systematic Review of Promoting Patient Safety Within Prehospital Emergency Medical Services by Paramedics: A Role Theory Perspective

Psychometric evaluation of the Persian version of Emergency Medical Services- Safety Attitudes Questionnaire (EMS-SAQ)

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