Patient safety is crucial to health-care quality and is one of the major parameters monitored by all health-care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because of their intensity in caring patients and families.
Objectives
This study aimed to determine the impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia.
Methods
This study was designed as a quasi-experimental design in Indonesia. This program was conducted for three months with a five-day workshop (4 h for each day), followed by hanging up posters and handing out informative pamphlets to the experimental group's nurses and supervisors at their place of work in three common place that visited by nurses such as changing room, nurse station and near toilet.
Results
In the intervention group, patient safety culture practice score was significantly increased from 3.11(standard deviation [SD] = 1.43) before intervention to 4.89 (SD = 1.33) after three-month intervention (T2), with the t was 5.78, and p = .001. While in the control group, no significant increased score of patient safety culture practice before intervention and after three months intervention (3.05 ± 1.49 vs. 3.09 ± 1.25, t = 0.76, p = .516).
Conclusion
The implementation of this innovative empowerment program, which included nurses and supervisors, resulted in an increase in patient safety culture scores as well as growth in domain score. Therefore, this program can be used to advance these critical facets of patient safety culture, which are currently underdeveloped.
KheraRWangYBernheimSM, et al.Post-discharge acute care and outcomes following readmission reduction initiatives: national retrospective cohort study of Medicare beneficiaries in the United States. BMJ2020; 368: l6831.
4.
LiYZhaoYHaoY, et al.Perceptions of patient safety culture among healthcare employees in tertiary hospitals of Heilongjiang province in northern China: a cross-sectional study. Int J Qual Health Care2018; 30: 618–623.
5.
ZhouPBaiFTangH, et al.Patient safety climate in general public hospitals in China: differences associated with department and job type based on a cross-sectional survey. BMJ OpenPublished online2018; 8: e015604–11.
6.
NajjarSBaillienEVanhaechtK, et al.Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: a national cross-sectional study in Palestinian and Belgian hospitals. BMJ OpenPublished online2018; 8: e021504–11.
7.
WuHHLLewisSRMirkaC, et al.Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology: A European survey. Eur J AnaesthesiolPublished online2019; 36: 946–954.
8.
WillmottJD.Health Professionals’ Perception of Patient Safety and Quality in a Western Australian Hospital. 2018;(May).
9.
TouraniSHassaniMAyoubianA, et al.Analyzing and prioritizing the dimensions of patient safety culture in emergency wards using the TOPSIS technique. Glob J Health Sci2015; 7: 143–150.
10.
AlbrechtRM.Patient safety : the what, how, and when. Am J Surg2015; 210: 978–982.
11.
ArticleOGhahramanianARezaeiT, et al.Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health Promot Perspect2017; 7: 168–174.
12.
CarlesiKCToffolettoMCHenriquez-roldánC, et al.Patient safety incidents and nursing workload. Rev Lat Am Enfermagem2017; 25: e2841.
13.
AmiriMKhademianZ.The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ2018; 18: 158.
14.
ViitanenKGotchevaNRollenhagenC.Safety culture assurance and improvement methods in complex projects. Nordic Nuclear Safety Research NKS, 2017, pp. 1–60.
15.
PoloFCervaiSKantolaJ. Training culture: a new conceptualization to capture values and meanings of training in organizations. J Workplace Learn2018; 30: 162–173.
16.
LawatiMHALDennisSShortSD,et al.Patient safety and safety culture in primary health care: a systematic review. BMC Fam Pract2018; 19: 1–12.
17.
WangLDLLamWWTWuJT, et al.Chinese Immigrant parents’ vaccination decision making for children: a qualitative analysis. BMC Public Health2014; 14: 1–13.
18.
JemberAHailuMMesseleA, et al.Proportion of medication error reporting and associated factors among nurses: a cross sectional study. BMC Nurs2018; 17: 1–8.
19.
HiromiJOkuyamaHGalvaoTF,et al.Healthcare professional’s perception of patient safety measured by the hospital survey on patient safety culture: a systematic review and meta-analysis. Sci World J2018; 2018: 9156301-11 20.
20.
GalvãoTFElizeteMAraújoDA, et al.Patient safety culture in a university hospital. Rev Lat Am Enfermagem2018; 26: e3014.
21.
AmmouriAARnAKTRnmaJKM, et al.Patient safety culture among nurses. Int Nurs Rev2015; 62: 102–110.
22.
DirikHFIntepelerSS. The work environment and empowerment as predictors of patient safety culture in Turkey. J Nurs Manag2017; 25: 256–265.
23.
FriendMLSieloffCL. Empowerment in nursing literature: an update and look to the future. Nurs Sci Q2018; 31: 355–361.
24.
Abu-el-noorNIAbu-el-noorMKAbuowdaYZ, et al.Patient safety culture among nurses working in Palestinian governmental hospital : a pathway to a new policy. BMC Health Serv Res2019; 9: 1–11.
25.
WeaverSJBenishekLELeedsI, et al.. The relationship between teamwork and patient safety. Surg Pat Care2017; 6: 51–66.
26.
SchwappachDLBNiederhauserA.Speaking up about patient safety in psychiatric hospitals – a cross-sectional survey study among healthcare staff. Int J Ment Health NursPublished online2019: 1363–1373.
27.
AmiriMKhademianZNikandishR. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ2018; 18: 1–8.
28.
WeaverSJPhDDyS, et al.Chapter 33. Promoting a culture of safety how important is the problem? what is the patient safety practice? why should this patient safety practice work? safety culture versus safety climate ?Ann Intern Med2013; 158: 369–374.
29.
BhideAShahPSAcharyaG. A simplified guide to randomized controlled trials. Acta Obstet Gynecol Scand2018; 97: 380–387.
30.
Baron-CohenSAllenJGillbergC. Can autism be detected at 18 months?: the needle, the haystack, and the CHAT. Br J Psychiatry1992; 161: 839–843.
31.
SuryaniSNingsihEWNuraeniA. Knowledge, perception, and burden of family in treating patients with schizophrenia who experience relapse. Belitung Nurs J2019; 5: 162–168.
32.
LaleganiSAliakbariFMasoudiR. The effectiveness of patient safety empowerment program with the technique of failure mode and effects analysis and its impact on the safety culture of nurses in critical care units. Sci J Nurs Midwifery Paramed Fac2020; 5.
33.
RizalarSTopcuSY. The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit. Pak J Med Sci2017; 33: 374.
34.
AsemNSabryHAElfarE. Patient safety: knowledge, influence and attitude among physicians: an exploratory study. J Egypt Public Health Assoc2019; 94: 1–9.
35.
GoedhartNSvan OostveenCJVermeulenH. The effect of structural empowerment of nurses on quality outcomes in hospitals: a scoping review. J Nurs Manag2017; 25: 194–206.
36.
ThomasCBertramEJohnsonD. The SBAR communication technique teaching nursing students professional communication skills. Nurse Educ2009; 34: 176–180.
37.
HaigKSuttonSWhittingtonJ. SBAR: a shared mental model for improving communication between clinicians. Joint Comm J Qual Pat Safety / Joint Comm Res2006; 32: 167–175.
