Nurses’ Perception of Patient Safety Culture in a Referral Hospital: A Cross-Sectional Study

Eva María Sosa-Palanca, Carlos Saus-Ortega (), Vicente Gea-Caballero (), Joaquín Andani-Cervera, Pedro García-Martínez and Rafael Manuel Ortí-Lucas
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Eva María Sosa-Palanca: PhD School, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain
Carlos Saus-Ortega: Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain
Vicente Gea-Caballero: Faculty of Health Science, International University of Valencia, 46002 Valencia, Spain
Joaquín Andani-Cervera: Faculty of Medicine and Health Sciences, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain
Pedro García-Martínez: Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain
Rafael Manuel Ortí-Lucas: Research Group on Public Health and Patient Safety, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain

IJERPH, 2022, vol. 19, issue 16, 1-15

Abstract: Healthcare systems are becoming increasingly complex which is helping to promote a ‘culture of safety’ within them based on the best scientific evidence available. Indeed, creating a positive institutional culture of patient safety is reflected in health outcomes. The aim of this present study was to describe the perception of culture of safety by nurses in adult inpatient units in a tertiary hospital and to analyze adverse events reporting. It was a cross-sectional study in which 202 nurses from adult hospitalization units of the Hospital Universitario y Politécnico La Fe in Valencia (Spain) participated. The perception of safety culture was measured using the Hospital Survey on Patient Safety questionnaire version 1.0, which consists of 42 items distributed in 12 dimensions that are considered strengths or weaknesses. In addition, adverse events related to nursing care during the study period and those reported in the official hospital registry were collected. Finally, the association between safety culture and sociodemographic and labor variables was explored. A total of 148 responses to the questionnaire were analyzed (Cronbach’s alpha = 0.94), where seven dimensions and 25 items were identified as weaknesses. Two hundred and fourteen events were identified and none were reported in the official registry. Years of experience were significantly ( p < 0.05) associated with safety culture. It is necessary to establish strategies to improve the perception of the safety culture of nurses, as well as to make nurses aware of the importance of notifying adverse events derived from health care.

Keywords: patient safety; safety culture; nurses; adverse events (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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