糖心原创

Nurses' perception and practices on patient safety at the Philippine Children's Medical Center: A basis for developing a training plan

Amelinda Magno

Discipline: medicine by specialism

 

Abstract:

This study was conducted to determine the perception and practices of nurses on patient safety in the clinical areas of Philippine Children's Medical Center, and explore its relationship with their demographic profile. It also identified the differences in the nurses’ perception and practices on patient safety and their demographic profile. Data and information were gathered through a survey questionnaire answered by one hundred forty five (145) participants. Data yielded from the survey-questionnaire was supplemented and verified by interviews, records review and observation checklist conducted by the researcher. The researcher utilized the descriptive survey research method to measure the perception and practices of the nurses on patient safety in their respective work area and analyzed the relationship between the perception and practices of nurses on patient safety and demographic profile, in which a structured questionnaire is used to assess peoples’ beliefs, attitudes, and self reports of behavior. Surveys also provided information for correlation research. The biggest number of participants are those below 25 years old, however all age brackets were all fairly represented. The participant nurses are dominantly bachelor's degree holders, 130 of them and only 14 are master's degree holders. The positions in the nursing service organization, from staff nurse to supervisory and managerial levels, were fairly represented in the study. Forty nine percent (49%) of the total population of two hundred ninety six (296) nurses participated in the study. Majority of the participants render direct care to the patients. All of the nursing clinical areas of the hospital were represented in the study. Fifty percent (50%) of the participants have worked as a nurse in the hospital and in their current units for one to three years. Seventy percent (70%) of the nurse participants are working forty hours a week. The resuits of the study showed that nurses’ perception is entirely true and acceptable on patient safety dimension of Teamwork within and across the units. The nurses’ perception is partly true on the patient safety dimension of overall perception of safety in the work unit/area, non-punitive response to error, communication, the hospital management support to patient safety, frequency of event reporting and patient safety rating. The resuits showed low weighted means on Staffing and Supervisors actions in promoting patient safety. On the nurses’ practices on the patient safety dimensions, the results indicated that the practices occur in many times on the following; overall patient safety practices in the work area/unit, teamwork within and across the units, non-punitive response to error, Supervisor/ Managers' actions in promoting patient safety, communication, hospital management supportto patient safety, and frequency of event reporting . However practices on staffing occurs in the work area but not often as expected. The data generated concerns on balance staffing. The results showed differences on the patient safety dimensions; Supervisor/Managers' actions in promoting patient safety, communication, frequency of event reporting, and hospital management support to patient safety andthe position of nurses in the organization, and their units of assignment. The results also showed that there are differences on the perception of supervisors and subordinates and the cancer center and other clinical areas. There are significant differences on the participants’ practices on patient safety dimensions; Supervisor/Managers' actions in promoting patient safety, Communication, Frequency of event reporting, non-punitive response to error and the participants’ age, position in the organization, units of assignment, years of experience in the unit, in the hospital and as a professional nurse. There is also a significant difference on teamwork within and across the units and the working hours of participant nurses. The statistical results showed that there is a gap between the older nurses and younger nurses, and on the supervisors and subordinates in terms of their patient safety practices in the dimensions mentioned beforehand. There is also a gap in the practices of the specialty areas particularly the intensive care units, cancer center and the service wards in terms of their patient safety practices. There is a significant relationship between the participants’ perception and practices of patient safety in all the six clustered dimensions. A proposed training plan on Patient safety Dimensions, Behaviors and Practices for Nurse Managers, supervisors, and Head nurses.