A safe working environment in the health sector contributes significantly to employee and patient safety and supports positive patient outcomes. Nurses play an important role in improving the healthcare quality related to patient safety practices. This study aimed to investigate the effect of the emergency service work environment on nurses’ patient safety attitudes.
Methods
This cross-sectional study was conducted in the emergency departments of 15 tertiary public hospitals and university hospitals in Izmir, Turkey. 288 nurses who worked 6 months or more in emergency departments were included in the sample. The personal information form, safety attitudes questionnaire, and work environment scale were used in the data collection.
Results
The total mean score for the safety attitudes questionnaire was 136.69 ± 22.14, and the total mean score for Work Environment Scale was 84.51 ± 12.02. A positive correlation was detected between the Safety Attitudes Questionnaire total score and Work Environment Scale total score (r = 0.38, p < 0.001).
Conclusion
The patient safety attitudes of the emergency room nurses were moderately positive, the nurses evaluated the working environment positively, and positive work environments affected patient safety attitudes positively.
DursunSBayramNAytacS. Hasta Guvenligi Kulturu Uzerine Bir Uygulama. Manisa Celal Bayar Üniversitesi Sosyal Bilimler Dergisi2010; 8: 1–14.
2.
KorkmazerFYildizAEkingenE. An application for assessing patient safety culture perceptions of health personnel. Journal of Social Sciences of Muş Alparslan University2016; 4: 141–154.
3.
CirpiFDogan MerihYYasar KocabeyM. Nursing practices that are aims to patient safe and determining the nurses point view of this topic. Maltepe Üniversitesi Hemsirelik Bilim ve Sanatı Dergisi2009; 2: 26–34.
4.
YazıcıGOzhan ElbasN. Conceptions of nurses concerning safety of patient and nurse in emergency service working environment. Health Care Acad J2017; 4: 69–80.
5.
AbdouHASaberKM. A baseline assessment of patient safety culture among nurses at student university hospital. World Journal of Medical Sciences2011; 6: 17–26.
6.
ZakariN. Attitude of academic ambulatory nurses toward patient safety culture in Saudi Arabia. Life Sci J2011; 8: 230–237.
7.
MitchellPH. Defining Patient Safety and Quality Care. In: HughesRG (eds) Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality (US), 2008 Apr. Chapter 1. PMID: 21328780.
8.
BicerEKGucluelYNeymenA,et al.The effect of the arranged inservice training associated with patient safety on the knowledge levels of nurses. HEAD2013; 10: 14–20.
9.
BraithwaiteJHerkesJLudlowK,et al.Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open2017; 7: e017708.
10.
FarsaraeiAAghazadehAMLotfiM,et al.Patient safety culture from the perspective of emergency nurses. World Family Medicine2017; 10: 289–295.
11.
BayerEÇevikG. Hemşirelerin Hasta Güvenliği Tutumlarının Hasta Güvenliği Kültürü Üzerine Etkilerinin Araştırılması: bir Araştırma Uygulama Hastanesi Örneği. Hacettepe Sağlık İdaresi Dergisi2019; 22: 653–676.
12.
Solmaz, et al.The effects of safety culture on occupational accidents: an explanatory study in container terminals of Turkey. International Journal of Environment and Geoinformatics (IJEGEO2020; 7: 356–364.
13.
KanbayYUstunB. Determinaton of nurse’s workplace stress and coping methods in Artvin and Kars. DEUHYO ED2009; 2: 155–161.
14.
BaumannA. Internatıonal Councıl of Nurses. Positive Practice Environments: Quality Workplaces = Quality Patient Care. Developed by Andrea Bauman for the International Council of Nurses, 2007.
15.
DurgunHKayaH. The attitudes of emergency department nurses towards patient safety. Int Emerg Nurs2018; 40: 29–32.
16.
KebapciAAkyolcuN. The effects of the work environment on nurse burnout in emergency department. Tr J Emerg Med2011; 11: 59–67.
17.
CrillyJGreensladeJLincolnC,et al.Measuring the impact of the working environment on emergency department nurses: a cross-sectional pilot study. Int Emerg Nurs2017; 31: 9–14.
18.
CinarliTKocZAkdemirHU,et al.Factors affecting patient safety culture and medical error incidence in emergency services. SHYD2020; 7: 169–175.
SextonJBHelmreichRLNeilandsTB, et al.The safety attitudes questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res2006; 6: 44.
21.
SezginB. Kalite Belgesi Alan Hastanelerde Çalışma Ortamı ve Hemşirelik Uygulamalarının Hasta ve Hemşire Güvenliği Açısından Değerlendirilmesi. Doktora tezi. İstanbul, 2007.
22.
BlegenMAVaughnTPepperG, , et al.Patient and staff safety: voluntary reporting. Am J Med Qual2004; 19: 67–74. Work Environment Scale was developed by Blegen.
23.
BayarH. Acil Birimlerde Çalışan Hemşirelerin Hasta Güvenliğine Yönelik Bilgi ve Uygulamaları. Haliç Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik AD Yüksek Lisans Tezi. İstanbul, 2013.
24.
BlankFTobinJJaouenM,et al.Comparison of patient and nurse expectations regarding nursing care in the emergency department. J Emergency Nurs2013; 40: 317–322.
25.
UnaldıN. Acil Hemsirelerinin Çalısma Kosullarının Belirlenmesi. Yüksek lisans tezi. İstanbul, 2008.
26.
BalıkH. Acil Servislerde Çalışan Hemşirelerin Hasta Güvenliğine İlişkin Tutumları, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelikte Eğitim Anabilim dalı Hemşirelik Öğretimi Programı Yüksek Lisans Tezi, 2014.
27.
AlzahraniNJonesRAbdel-LatifME. Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals. BMC Health Serv Res2018; 18: 36.
MollaogluMFertelliTKTuncayFÖ. Hastanede çalışan hemşirelerin çalışma ortamlarına ilişkin algılarının değerlendirilmesi. Fırat Sağlık Hizmetleri Dergisi2010; 5: 17–30.
30.
RogersAEHwangW-TScottLD,et al.The working hours of hospital staff nurses and patient safety. Health Aff (Millwood)2004; 23: 202–212.
31.
HayashiRFujitaSIidaS,et al.Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: a cross-sectional study. BMC Health Serv Res2020; 20: 310.
TanMPolatHSahinZA. Assessing perception of nurses regarding work environments. Journal of Performance and Quality in Health2012; 4: 67–78.
34.
HarlinisariRChalidyantoDPermatasariRI. The effect of patient safety culture on the quality of nurses’ performance. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit2021; 10: 14–21.
35.
MardaniSTabibiSJRiahiL. Relationship between safety and staff performance in hospital. International Journal of Hospital Research2013; 2: 205–214.
36.
Ünsal AtanŞDönmezSDuranE. Investigation of patient safety culture of nurses working in the university hospital. Florence Nightingale Journal of Nursing2013; 21: 172–180.
37.
Ozbek YazıcıSKalaycıI. Evaluation of actıvıtıes of daily living in elderly patients. Suleyman Demirel University Journal of Engineering Sciences and Design2015; 3: 379–383.
38.
SaygılıMÇelikY. Hastane Çalışanlarının Çalışma Ortamlarına İlişkin Algıları ile İş Doyumu Düzeyleri Arasındaki İlişkinin Değerlendirilmesi. Hacettepe Sağlık İdaresi Dergisi2011; 14: 39–71.
39.
KaracaAArslanH. A study for evaluation of patient safety culture in nursing services. J Health Nurs Manag2014; 1: 9–18.
