Safety climate in dialysis centers in Saudi Arabia: a multicenter study
Autor: | Ayman Karkar, Khalid Al Saran, Faissal A.M Shaheen, Saadi Taher, Majdah Barahmien, Abdulla Al Sayyari, Mohamed H. A. Suleiman, Mohamed Jondeby, Fayez Hejaili |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty Safety Management Leadership and Management Cross-sectional study Attitude of Health Personnel Saudi Arabia Organizational culture Nurses Likert scale Patient safety Cronbach's alpha Renal Dialysis Physicians medicine Humans Intensive care medicine Response rate (survey) Medical Errors business.industry Public Health Environmental and Occupational Health Organizational Culture Leadership Cross-Sectional Studies Summative assessment Scale (social sciences) Family medicine Health Care Surveys Female Patient Safety business |
Zdroj: | Journal of patient safety. 10(2) |
ISSN: | 1549-8425 |
Popis: | Objective The aim of this study was to assess the safety climate as perceived by nurses and physicians in the dialysis units in Saudi Arabia. Methods This is a cross-sectional survey-based multicenter study using the Safety Climate Scale, which assesses the perception by staff of the prevailing climate of safety. We used 17 items in this survey. These could be further divided into 3 summative categories: (a) handling of errors and safety concerns (9 items), (b) leadership emphasis of safety (7 items), and (c) overall safety recommendation (1 item). The survey uses 5 Likert scale options (1, disagree strongly; 2, disagree slightly; 3, neutral; 4, agree slightly; and 5, agree strongly). Results There were 509 respondents--a response rate of 76.6% and 53.3% among nurses and physicians, respectively. The internal consistency using Cronbach α was 0.899. The overall mean (SD) of satisfaction with safety climate was higher among the nurses than the physicians (4.13 [1.1] and 4.05 [1.7], respectively; P = 0.029). The overall agreement rate was 73.8%, with more nurses than physicians agreeing that safety climate prevails the dialysis center (75.4% versus 72.1%, respectively; P = 0.047).The respondents perceived a stronger commitment to safety from their clinical area leaders than from senior leaders in the organization (76.2% and 72.4%, respectively). In addition, the physicians gave lower scores to more questions than the nurses particularly in 3 areas, namely, "leadership is driving us to be a safety-centered institution" (71.5% versus 76.5%; P = 0.037), "I am encouraged by my colleagues to report any patient safety concerns I may have" (67.4% versus 84.7%; P = 0.03), and "I know proper channels to ask questions about safety" (69.6% versus 87.2%; P = 0.002).The scores by the physicians in all the 3 summative categories were again less than the scores by the nurses, but this did not reach a statistical significance. Conclusions The nurses had higher perceptions of a prevailing safety climate than the physicians. There was a perception of a stronger commitment to safety from their clinical area leaders than from senior leaders in the organization. Senior management needs to relay their commitments to safety more effectively especially to physicians and to open clear and easily accessible channels for communication for safety issues. |
Databáze: | OpenAIRE |
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