The quality and safety culture in general hospitals: patients', physicians' and nurses' evaluation of its effect on patient satisfaction

Kagan, Ilya; Porat, Nurit; Barnoy, Sivia

doi:10.1093/intqhc/mzy138

Cited by 14 publications

(18 citation statements)

References 33 publications

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“…The safety and quality climate of the ward was evaluated by a previously validated tool in Hebrew (Kagan et al, 2019) that was based on sections from well-known and validated surveys measuring quality and patient safety climate: the Stanford/Patient Safety Center of Inquiry Culture Survey (Singer et al, 2003) and the Agency for Healthcare Research and Quality quality and safety climate tool (Sorra & Nieva, 2004). The tool in this study comprised 44 items examining six domains:…”

Section: Part II Safety and Quality Climate Of The Wardmentioning

confidence: 99%

The Association Between Quality and Safety Climate of a Hospital Ward, Family Members’ Empowerment, and Satisfaction With Provided Care

Burlakov

Rozani

Bluvstein

et al. 2021

J of Nursing Scholarship

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Purpose: This study was designed to examine the perceptions of ward quality and safety held by family members and nurses, and investigate its impact on family members' empowerment, and satisfaction with patient hospitalization. Design: A cross-sectional study on two study groups was conducted at a large public hospital in Israel. The first group comprised 86 family members of patients hospitalized for more than 72 hours in acute critical condition in intensive care units (ICU) or general wards (GW). The second group included 101 registered nurses who treated the patients in the ICU or GW. Methods: Data were collected by a validated self-administered structured questionnaire. All participants voluntarily signed an informed consent and answered questions related to their demographic characteristics, perceptions, and attitudes toward quality and safety climate, empowerment, and satisfaction with the patients' hospitalization. Pearson correlations coefficient, t-test for independent samples, and a multiple regression model were performed to analyze the data. Findings: The mean age of family members was 51.4 ± 14.1 years and of nurses was 40.9 ± 9.9 years. A significant positive association was found between ward quality and safety climate and empowerment of the family member (r = .716; p < .001); empowerment of the family member and family members' satisfaction with the patients' hospitalization (r = .695; p < .001); and ward safety and quality climate and family members' satisfaction with the patients' hospitalization (r = .763; p <.001). Family members ranked ward quality and safety climate (M = 4.20 ± 0.60 vs. M = 3.61 ± 0.40), and their satisfaction with the patients' hospitalization (M = 4.49 ± 0.69 vs. M = 4.07± 0.54), which were significantly (p < .001) higher than the nurses' estimate. The significant predictors for family members' satisfaction with patients' hospitalization were commitment to quality leadership (b = .210; p = .027); implementing a quality improvement (b = .547; p < .001); and hand-off communication (b = .299; p = .001). Conclusions: Positive relationships between quality and safety climate, empowerment, and satisfaction with patients' hospitalization suggest that by improving the ward quality and safety climate, and family empowerment, we may also improve family satisfaction. Although family members reported being satisfied with hospitalization in the ICU and GW, quality leadership and implementing a quality improvement among the nurses and hand-off communication between nurses and patients' families, will be targeted to improve family satisfaction with the patients' hospitalization.

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Section: Part II Safety and Quality Climate Of The Wardmentioning

confidence: 99%

The Association Between Quality and Safety Climate of a Hospital Ward, Family Members’ Empowerment, and Satisfaction With Provided Care

Burlakov

Rozani

Bluvstein

et al. 2021

J of Nursing Scholarship

Self Cite

View full text Add to dashboard Cite

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“…However, empirical research on patient safety and patient safety climate in medical settings still lags far behind the theoretical literature on these topics (Zaheer et al., 2015). A previous study explored the disparities between the perceptions of patients and health care workers on the quality and safety culture, and the relationship between patient perceptions and engagement in, and satisfaction with their care and treatments (Kagan et al., 2019). It is essential to continuously improve health care quality through the implementation of patient safety culture.…”

Section: Introductionmentioning

confidence: 99%

Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan

et al. 2020

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Aim To clarify perceptions of nurses towards patient safety climate and quality of health care in Japan. Background Nurses' perceptions of patient safety climate and quality of health care services are not well‐known. Method The survey was conducted at general hospitals with 200 beds or more using the Patient Safety Climate Scale and the Modified multiple‐item scale for consumer perceptions of health care service quality. Results Significant positive correlations were found among nurses’ perception towards patient safety and health care service quality. The experience of nurses as members of the committee on patient safety and their employment position did not show any significant difference in the perception towards patient safety and health care services quality. Perceptions of health care service quality were lower among those with 6– to 10‐year experience than with over 21 years. Conclusion In the perception of nurses and nurse managers’ continuous improvement, perceptions towards patient safety were related to reliability, assurance, responsiveness and empathy in health care service quality. Implications for Nursing Management Generalist nurses with 21 years or more experiences in multiple departments showed high perception towards health care service quality. Experienced nurses’ perceptions of activities to improve patient safety and quality of health care services are important.

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“…In the same way, it was expected that the evaluations of the professionals of the smaller centers would have the lowest evaluation for two reasons: (1) the information was not disseminated with the same intensity; and (2) the actions started at the larger centers, which resulted in a greater volume of activities. In several studies conducted in a different setting, front-line professionals were found to usually complain more about actions proposed by the directive staff [6]. Also, some studies have shown the sensibility of the safety culture measures to discriminate against the impact of positive actions to improve safety [19] In this case, we observe a similar pattern, although, curiously, there were not greater differences when comparing safety culture measures between quality coordinators and professionals working in smaller centers.…”

Section: Discussionmentioning

confidence: 99%

“…The involvement of front-line professionals in safety is a prerequisite for the achievement of an increased quality environment for patients [3]. Healthcare providers’ attitudes, viewpoints, and behaviors in quality, and particularly their safety culture, are crucial for the transformation of healthcare organizations in order to achieve their quality targets, including patients’ satisfaction [4,5,6]. …”

Section: Introductionmentioning

confidence: 99%

Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis

Manzanera¹,

Moya²,

Guilabert

et al. 2018

IJERPH

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Objective: To analyze whether the results on quality assurance and safety culture in a healthcare organization are related to and affected by the actions implemented. Setting: Health Insurance of Work-related Accidents and Occupational Diseases. Methods: The study was conducted as a longitudinal observational study that analyzed the relationship of the Safety Culture and Quality Assurance measurements. Participants who were involved came from small centers with less than eight workers (N = 52), big centers (eight and more workers) (N = 707), and those centers with quality coordinators (N = 91). Data were collected during the years 2015 and 2016. Results: A total of 595 healthcare professionals responded in 2015 and 491 in 2016. The scores showed a positive progression both in Quality Assurance (T-test = 3.5, p = 0.001) and in Safety Culture (T-test = 5.6, p < 0.0001). Hence, the gradient of improvement in quality (average 5.5%) was greater compared to that of the safety culture (2.1%). Conclusions: The assessments of the quality assurance goals were consistent with the safety culture assessment. Hence, the results on Safety Culture were observed to be more stable over time.

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The quality and safety culture in general hospitals: patients', physicians' and nurses' evaluation of its effect on patient satisfaction

Abstract: Patients have sufficient experience and understanding to form an opinion of the quality and safety of their care. The lower evaluation of the quality and safety culture expressed by health care workers might stem from their more realistic expectations.

Cited by 14 publications

References 33 publications

The Association Between Quality and Safety Climate of a Hospital Ward, Family Members’ Empowerment, and Satisfaction With Provided Care

The Association Between Quality and Safety Climate of a Hospital Ward, Family Members’ Empowerment, and Satisfaction With Provided Care

Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan

Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis

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