Use of the Hospital Survey of Patient Safety Culture in Norwegian Hospitals: A Systematic Review

Abstract

This review aims to provide an overview of empirical studies using the HSOPSC in Norway and to develop recommendations for further research on patient safety culture. Oria, an online catalogue of scientific databases, was searched for patient safety culture in February 2021. In addition, three articles were identified via Google Scholar searches. Out of 113 retrieved articles, a total of 20 articles were included in our review. These were divided into three categories: seven perception studies, six intervention studies, and seven reliability and validation studies. The first study conducted in Norway indicated a need to improve patient safety culture. Only one intervention study was able to substantially improve patient safety culture. The validity of HSOPSC is supported in most studies. However, one study indicated poor quality in relation to the testing of criteria related to validity. This review is limited to Norwegian healthcare but has several relevant implications across the research field, namely that intervention studies should (1) validate dimensions more carefully, (2) avoid pitfalls related to both factor analysis methods and criteria validity testing, (3) consider integrating structural models into multilevel improvement programs, and (4) benefit from applying different, new versions of HSOPSC developed in Norway.

Factors Affecting Patient Safety Culture from Nurses’ Perspectives for Sustainable Nursing Practice

“…This could be attributed to the presence of management support for patient safety, the development of good communication between nurses and between nurses and their managers, as well as feedback about errors, nurses working as a team within hospital units, and continuous learning and improvement through attendance at training programs at both hospitals under study. This conclusion was consistent with and confirmed by Araújo et al (2022) [ 14 ], and Olsen & Leonardsen (2021) [ 21 ], who explained that the overall emphasis in quality and safety initiatives appears to be stressing features that change more at the unit level than at the hospital level. Furthermore, nurse leaders’ patient safety actions are related to how nurses evaluate their organizations and unit’s ability to provide safe patient care.…”

“…These findings are congruent with those published by Alsabri et al (2022) [ 22 ] and Wu et al (2022) [ 23 ], who found that the examined healthcare organizations had a higher overall sense of patient safety culture. This finding, on the other hand, contrasted with Arajo et al (2022), and Olsen & Leonardsen (2021) [ 21 ], who discovered that the overall perception of patient safety had a moderate percentage and was considered an area for improvement due to hospital management, which values patient safety problems to a certain extent.…”

Patient safety culture in Hungarian hospitals

“…Moreover, the new dimensions formed among the Hungarian sample (dimensions 2, 5, 11 and 12) had better reliability values than the dimensions formed by the original items. When comparing reliability with other EU countries, including Croatia (Brborović et al , 2014), Slovenia (Robida, 2013), Sweden (Nordin et al , 2013) and Norway (Olsen, 2008), lower Cronbach’s α values were also found in most dimensions (Table IV). Cultural differences between Europe and the USA should be considered when adapting the US HSOPSC as it is also indicated in the Croatian validation (Brborović et al , 2014).…”

The Impact of Business Leaders’ Formal Health and Safety Training on the Establishment of Robust Occupational Safety and Health Management Systems: Three Studies Based on Data from Labour Inspections

“…Another issue is the complexity of measures and the length of improvement programmes. Empirical research illustrates the difficulties of improving safety culture quickly, and that safety intervention could build on more refined theoretical models [39]. These issues should also be considered when developing OSH measures in organisations.…”