Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia

Patient safety culture is an important working culture among healthcare professionals to provide quality care to patients. Low levels of patient safety culture are associated with a series of serious medical errors such as medication error, hospital-acquired infection and fal...

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Main Author:	Tan, Goek Eng
Format:	Thesis
Language:	English
Published:	2019
Subjects:	Patient Safety Patient Care - methods - Malaysia Safety Management - methods
Online Access:	http://psasir.upm.edu.my/id/eprint/89868/1/FPSK%28m%29%202020%2027%20%20-%20ir.pdf
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id	my-upm-ir.89868
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spelling	my-upm-ir.898682021-12-06T07:32:14Z Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia 2019-10 Tan, Goek Eng Patient safety culture is an important working culture among healthcare professionals to provide quality care to patients. Low levels of patient safety culture are associated with a series of serious medical errors such as medication error, hospital-acquired infection and fall. As nurses are always in contact with patients to provide nursing care, high levels of patient safety culture can minimize or prevent medical errors. To the best of knowledge, limited study has explored the perceptions of patient safety culture among Malaysian nurses. Thus, this study is aimed to examine the perceptions of patient safety culture among nurses working in Muar Hospital. The data were collected from 250 nurses working at Hospital Muar by using stratified simple random sampling. Respondents were registered nurses, assistant nurses (jururawat masyarakat), nurse educators, nursing managers (sisters) and senior nursing managers (matrons) from various clinical settings, including both acute and non-acute setting. Hospital Survey on Patient Safety Culture (HSPSC) was utilised to measure the perceptions of patient safety culture among nurses. Descriptive statistics were analysed to identify the demographic characteristics of the sample and to examine the average positive response of each patient safety domain. Pearson’s correlation was utilized to examine the bivariate correlations among variables and multiple regression was used to identify the predictors of overall perceptions of patient safety and frequency of events reported. Results showed that the mean age of respondents was 36.2 ± 7.89 years. The majority were Malay (99.6%) and women (96.8%). More than half of the subjects were registered nurses (79.2%). Descriptive analysis indicates that the dimension of “organizational learning— continuous improvement” was most practiced (78.4%) while “non-punitive response to errors” was least practiced (11.6%) by the nurses. Pearson’s correlation showed that “teamwork within units”, “supervisor/manager expectations and actions promoting patient safety”, “management support for patient safety”, “feedback and communication about error”, “teamwork across units”, “handoffs and transitions”, and the number of year(s) working as a nurse” were all positively correlated with the overall perception of patient safety (all r<0.3, p>0.05). Multiple regression analysis found that nurses in the acute setting had higher overall perceptions of patient safety culture. Furthermore, “supervisor/manager expectations and actions promoting patient safety”, “feedback and communication about error”, “handoffs and transitions”, and “communication openness” positively predicted the overall perceptions of patient safety culture with R² of 0.192. On the other hand, “feedback and communication about error”, “handoffs and transitions”, “communication openness” and “staffing” were negatively predicted frequency of events reported with R² of 0.136. Thus, findings of this study suggest further investigation, especially in several dimensions that were found improve patient safety culture level among nurses. Patient Safety Patient Care - methods - Malaysia Safety Management - methods 2019-10 Thesis http://psasir.upm.edu.my/id/eprint/89868/ http://psasir.upm.edu.my/id/eprint/89868/1/FPSK%28m%29%202020%2027%20%20-%20ir.pdf text en public masters Universiti Putra Malaysia Patient Safety Patient Care - methods - Malaysia Safety Management - methods Soh, Kim Lam
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
advisor	Soh, Kim Lam
topic	Patient Safety Patient Care - methods - Malaysia Safety Management - methods
spellingShingle	Patient Safety Patient Care - methods - Malaysia Safety Management - methods Tan, Goek Eng Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia
description	Patient safety culture is an important working culture among healthcare professionals to provide quality care to patients. Low levels of patient safety culture are associated with a series of serious medical errors such as medication error, hospital-acquired infection and fall. As nurses are always in contact with patients to provide nursing care, high levels of patient safety culture can minimize or prevent medical errors. To the best of knowledge, limited study has explored the perceptions of patient safety culture among Malaysian nurses. Thus, this study is aimed to examine the perceptions of patient safety culture among nurses working in Muar Hospital. The data were collected from 250 nurses working at Hospital Muar by using stratified simple random sampling. Respondents were registered nurses, assistant nurses (jururawat masyarakat), nurse educators, nursing managers (sisters) and senior nursing managers (matrons) from various clinical settings, including both acute and non-acute setting. Hospital Survey on Patient Safety Culture (HSPSC) was utilised to measure the perceptions of patient safety culture among nurses. Descriptive statistics were analysed to identify the demographic characteristics of the sample and to examine the average positive response of each patient safety domain. Pearson’s correlation was utilized to examine the bivariate correlations among variables and multiple regression was used to identify the predictors of overall perceptions of patient safety and frequency of events reported. Results showed that the mean age of respondents was 36.2 ± 7.89 years. The majority were Malay (99.6%) and women (96.8%). More than half of the subjects were registered nurses (79.2%). Descriptive analysis indicates that the dimension of “organizational learning— continuous improvement” was most practiced (78.4%) while “non-punitive response to errors” was least practiced (11.6%) by the nurses. Pearson’s correlation showed that “teamwork within units”, “supervisor/manager expectations and actions promoting patient safety”, “management support for patient safety”, “feedback and communication about error”, “teamwork across units”, “handoffs and transitions”, and the number of year(s) working as a nurse” were all positively correlated with the overall perception of patient safety (all r<0.3, p>0.05). Multiple regression analysis found that nurses in the acute setting had higher overall perceptions of patient safety culture. Furthermore, “supervisor/manager expectations and actions promoting patient safety”, “feedback and communication about error”, “handoffs and transitions”, and “communication openness” positively predicted the overall perceptions of patient safety culture with R² of 0.192. On the other hand, “feedback and communication about error”, “handoffs and transitions”, “communication openness” and “staffing” were negatively predicted frequency of events reported with R² of 0.136. Thus, findings of this study suggest further investigation, especially in several dimensions that were found improve patient safety culture level among nurses.
format	Thesis
qualification_level	Master's degree
author	Tan, Goek Eng
author_facet	Tan, Goek Eng
author_sort	Tan, Goek Eng
title	Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia
title_short	Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia
title_full	Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia
title_fullStr	Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia
title_full_unstemmed	Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia
title_sort	perceptions and predictors of patient safety culture among nurses working in a hospital in muar, johor, malaysia
granting_institution	Universiti Putra Malaysia
publishDate	2019
url	http://psasir.upm.edu.my/id/eprint/89868/1/FPSK%28m%29%202020%2027%20%20-%20ir.pdf
_version_	1747813586864963584

Perceptions and predictors of patient safety culture among nurses working in a hospital in Muar, Johor, Malaysia

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