Nurses' perceptions of patient safety culture : a mixed-methods study
Granel, Nina (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Manresa Domínguez, Josep Maria (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Watson-Badia, Carolina Eva (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Gomez Ibañez, Rebeca (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Bernabeu Tamayo, Maria Dolores (Universitat Autònoma de Barcelona. Departament d'Infermeria)

Date:	2020
Abstract:	There are relatively few qualitative studies concerning patient safety culture. We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participant observations. Sixty-two percent of the nursing staff rated patient safety as "Acceptable" but was not higher because of work pressure and lack of resources as perceived by staff. "Teamwork within units" had the highest rate of positive responses, and "Staffing" had the lowest rate. Emergency units showed more negative results than the other two units. Safety incidents are not always reported due to fear of punishment, reflecting a lack of positive safety culture. It is necessary to design and implement strategies that promote a positive culture to avoid punitive responses and apply and evaluate these changes.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Nursing care management ; Organizational culture ; Patient safety ; Safety management
Published in:	BMC health services research, Vol. 20 (june 2020) , ISSN 1472-6963

DOI: 10.1186/s12913-020-05441-w
PMID: 32590990

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