Safety culture in a nephrology service at a university hospital: A mixed method study

Oliveira, Nínive Pita Gomes de; Tavares, Joyce Martins Arimatea Branco; Fassarella, Cintia Silva; Souza, Priscilla Alfradique de; Lins, Silvia Maria de Sá Basílio

doi:10.1016/j.enfcle.2021.07.001

Cited by 3 publications

(7 citation statements)

References 7 publications

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“…Staff time constraints was a common reason provided for low response 36 37. Poor timing was particularly identified as an issue during the COVID-19 pandemic, with increased hospital staff workloads and additional ethical constraints in data collection at this time 38–40…”

Section: Resultsmentioning

confidence: 99%

“…42 This was particularly highlighted as an issue during COVID-19, a time when hospital staff faced additional workload pressures. [38][39][40] Another prominent factor in hospitals wis survey fatigue, 42 43 as a result of numerous questionnaires being run around the same time. 44 Questionnaire length was another contributing factor to low response.…”

Section: Discussionmentioning

confidence: 99%

“…(p. 62) In general, hospital staff are busy and thus difficult to recruit for participation in research 42. This was particularly highlighted as an issue during COVID-19, a time when hospital staff faced additional workload pressures 38–40. Another prominent factor in hospitals wis survey fatigue,42 43 as a result of numerous questionnaires being run around the same time 44.…”

Section: Discussionmentioning

confidence: 99%

“…39 This was raised as a particular issue for studies conducted during the COVID-19 pandemic. [38][39][40] Open access and questionnaire were significant negative predictors of response rate.…”

Section: Third Party Participant Recruitmentmentioning

confidence: 92%

“…36 37 Poor timing was particularly identified as an issue during the COVID-19 pandemic, with increased hospital staff workloads and additional ethical constraints in data collection at this time. [38][39][40] Other reasons suggested for low response rates were lack of incentives, questionnaire length, timing of distribution and survey fatigue. Table 1 provides a summary of the reasons used to explain low response rates.…”

Section: Response Rates and Contributing Factorsmentioning

confidence: 99%

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Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

et al. 2022

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Objectives Safety culture questionnaires are widely used in healthcare to understand how staff feel at work, their attitudes and views, and the influence this has on safe and high-quality patient care. A known challenge of safety culture questionnaires is achieving high response rates to enhance reliability and validity. This review examines predictors of response rates, explores reasons provided for low response rates and identifies strategies to improve those rates. Methods Four bibliometric databases were searched for studies assessing safety culture in hospitals from January 2008 to May 2022. Data were extracted from 893 studies that included a safety culture questionnaire conducted in the hospital setting. Regression was used to predict response rate based on recruitment and data collection methods (incentives, reminders, method of survey administration) and country income classification. Reasons for low response were thematically analysed and used to identify strategies to improve response rates. Results Of the 893 studies that used a questionnaire to assess safety culture in hospitals, 75.6% reported a response rate. Response rates varied from 4.2% to 100%, with a mean response rate of 66.5% (SD=21.0). Regression analyses showed that safety culture questionnaires conducted in low-income and middle-income countries were significantly more likely to yield a higher response rate compared with high-income countries. Mode of administration, questionnaire length and timing of administration were identified as key factors. Remote methods of questionnaire data collection (electronic and by post) were significantly less likely to result in a higher response rate. Reasons provided for low response included: survey fatigue, time constraints, and lack of resources. Conclusion This review presents strategies for researchers and hospital staff to implement when conducting safety culture questionnaires: principally, distribute questionnaires in-person, during meetings or team training sessions; use a local champion; and consider the appropriate time of distribution to manage survey fatigue.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Third Party Participant Recruitmentmentioning

confidence: 92%

Section: Response Rates and Contributing Factorsmentioning

confidence: 99%

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Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

et al. 2022

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The association between service experience in vaccination centers and expectation confirmation as a driver of future vaccination intentions: Results from a survey among users of a Swiss mass COVID-19 vaccination center

Mattes,

Dratva,

Schmelzer

et al. 2025

Vaccine

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Ocorrência de eventos adversos associados às práticas de enfermagem: revisão integrativa

et al. 2023

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Introdução: Os eventos adversos implicam dano ou lesão, podendo acarretar até mesmo a morte do paciente, e embora os eventos com dano não sejam reservados ao exercício da enfermagem, configuramos para essa discussão foco nos eventos presentes nas ações da categoria. Objetivo: Analisar as evidências científicas sobre a ocorrência de eventos adversos associados às práticas assistenciais de enfermagem. Métodos: Revisão integrativa com busca nas bases de dados Medline, Embase, Lilacs, Cinahl e Web of Science, a partir dos descritores em ciências da saúde drug-related side effects and adverse reactions, adverse drug reaction, side effects, medication errors, team nursing, nursing care. Resultados: Foram selecionados oito estudos para compor a análise da ocorrência dos eventos adversos na enfermagem. Evidenciaram-se cinco principais eventos adversos associados às práticas de enfermagem, relacionados à medicação, quedas, lesões por pressão, infecções associadas aos cuidados em saúde e perda acidental de dispositivos de saúde. Conclusão: As evidências reconhecem que a maioria dos eventos adversos revelados na busca foram classificados como evitáveis, ou seja, passíveis de prevenção por meio da adoção de medidas mais seguras.

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Safety culture in a nephrology service at a university hospital: A mixed method study

Cited by 3 publications

References 7 publications

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis

The association between service experience in vaccination centers and expectation confirmation as a driver of future vaccination intentions: Results from a survey among users of a Swiss mass COVID-19 vaccination center

Ocorrência de eventos adversos associados às práticas de enfermagem: revisão integrativa

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