The Relationship Between Perceived Quality of Care and the Patient Safety Culture of Turkish Nurses

10.1097/jnr.0000000000000505

Anita KARACA；Semiha AKIN；Arzu Kader HARMANCI SEREN

nursing care ； perceived quality of care ； patient safety ； patient satisfaction

The Journal of Nursing Research

30卷4期（2022 / 08 / 01）

1 - 11

英文

Background: Evaluating nurses' perceived quality of care and safety culture is an essential part of the nursing practice and critical to improving the quality of nursing care. Purpose: This study aimed to examine the relationship between perceived quality of care and Turkish nurses' patient safety culture. Methods: This was a descriptive cross-sectional study. The data were collected from a foundation university hospital in Istanbul. The sample consisted of 116 nurses, and data were collected using the Caring Behaviors Inventory-24 and Patient Safety Culture Scale. The nurses were asked to complete the questionnaires. Results: The mean age of participating nurses was 25.95 (SD = 6.72) years. The mean duration of professional experience of the participants was 6.37 (SD = 6.05) years. Most (72.4%) of the participants were women who had graduated from vocational high schools (52.6%) and were working in the neonatal intensive care unit (37.9%). The highest mean subdimension score on the Caring Behaviors Inventory-24 was 5.78 (SD = 0.43) for the knowledge and skills subdimension. The highest mean subdimension score on the Patient Safety Culture Scale was 3.55 (SD = 0.48) for the unexpected event and error reporting subdimension. Statistically significant correlations were found between Caring Behaviors Inventory-24 and Patient Safety Culture Scale scores (r = .553, p ＜ .01), with the lowest correlation found between the employee behavior and knowledge and skills dimensions (r = .305, p = .001). The highest statistically significant correlation coefficients that were found were between the Patient Safety Culture Scale total scores and the connectedness dimension of the Caring Behaviors Inventory-24 (r = .58, p ＜ .001). Conclusions/Implications for Practice: Nurses perceive patient care positively and have a positive perception of safety culture. Evaluating the perceived quality of care and patient safety culture perceptions will help prevent adverse events related to patient care and improve the quality of care.

1. Agency for Healthcare Research and Quality. (2019). Nursing and patient safety. https://psnet.ahrq.gov/primer/nursing-and-patient-safety
2. Akgün, Z. Ş.,Kardaş, F. Ö.(2015).Examination of the tendency for nursing malpractice and affecting factors.Koç University Journal of Education and Research in Nursing,12(3),210-214.
3. Aktaş, M. İ.(2015).Patient safety and health management world countries examples.The Journal of Academic Social Science,3(20),15-20.
4. Alemdar, D. K.,Aktaş, Y. Y.(2013).Medical error types and causes made by nurses in Turkey.TAF Preventive Medicine Bulletin,12(3),307-314.
5. Alemdar, D. K.,Yilmaz, G.(2020).Evaluation of the relationship between the patient safety culture and medical error attitudes of pediatric nurses.Clinical and Experimental Health Sciences,1,60-67.
6. Alhusban, M. A.,Abualrub, R. F.(2009).Patient satisfaction with nursing care in Jordan.Journal of Nursing Management,17,749-758.
7. Boga, S. M.,Sayilan, A. A.,Kersu, O.,Baydemir, C.(2020).Perception of care quality and ethical sensitivity in surgical nurses.Nursing Ethics,27(3),673-685.
8. Burtson, P. L.,Stichler, J. F.(2010).Nursing work environment and nurse caring: The relationship among motivational factors.Journal of Advanced Nursing,66(8),1819-1831.
9. Celik, G. K.,Taylan, S.,Guven, S. D.,Cakir, H.,Kilic, M.,Akoglu, C. A.(2019).The relationship between teamwork attitudes and caring behaviors among nurses working in surgical clinics: A correlational descriptive study.Nigerian Journal of Clinical Practice,22(6),849-854.
10. Cerit, B.,Coşkun, S.(2018).Patients' and nurses' perceptions relating to nursing care quality.Turkish Journal of Clinics and Laboratory,9(2),103-109.
11. Ciğerci, Y.,Özdemir, H.,Kılıç, İ.(2016).The patient safety culture perception of surgery nurses and its relationship with sociodemographic characteristics.Journal of Duzce University Health Sciences Institute,6(3),149-153.
12. Dinç, L.(2010).The concept of caring and its moral component.Hacettepe Üniversitesi Hacettepe University Faculty of Health Sciences Nursing Journal,17(2),74-82.
13. Ege, Y.,Kilic, D.,Yildiz, E.(2019).Patient safety culture: Evaluating Turkish nurses' attitudes and knowledge.International Journal of Caring Sciences,12(1),430-441.
14. Er, F.,Altuntaş, S.(2016).Determination of nurses' viewpoints about medical errors and their causes.Journal of Health and Nursing Management,3(3),132-139.
15. Erol, F.,Turk, G.(2019).Assessing the caring behaviours and occupational professional attitudes of nurses.Journal of the Pakistan Medical Association,69(6),783-787.
16. Fujita, S.,Wu, Y.,Iida, S.,Nagai, Y.,Shimamori, Y.,Hasegawa, T.(2019).Patient safety management systems, activities and work environments related to hospital-level patient safety culture: A cross-sectional study.Medicine,98(50),Article e18352.
17. Gonzalez, C. I. A.,Galletta, M.,Chessa, E.,Melis, P.,Contu, P.,Jimenez Herrera, M. F.(2019).Caring efficacy: Nurses' perceptions and relationships with work-related factors: Caring efficacy among nurses.Acta Bio Medica Atenei Parmensis,90(11-S),74-82.
18. Gorgich, E. A.,Barfroshan, S.,Ghoreishi, G.,Yaghoobi, M.(2016).Investigating the causes of medication errors and strategies to prevention of them from nurses and nursing student viewpoint.Global Journal of Health Science,8(8),220-227.
19. Gül, Ş.,Dinç, L.(2018).Investigation of nurses' and patients' perceptions regarding nursing care.Journal of Hacettepe University Faculty of Nursing,5(3),192-208.
20. Gunawan, D.,Hariyati, R. T. S.(2019).The implementation of patient safety culture in nursing practice.Enfermeria Clinica,29(2, Suppl.),139-145.
21. He, T.,Du, Y.,Wang, L.,Zhong, Z. F.,Ye, X. C.,Liu, X. H.(2013).Perceptions of caring in China: Patient and nurse questionnaire survey.International Nursing Review,60(4),487-493.
22. Health Quality Ontario(2017).Patient safety learning systems: A systematic review and qualitative synthesis.Ontario Health Technology Assessment Series,17(3),1-23.
23. Jafree, S. R.,Zakar, R.,Zakar, M. Z.,Fischer, F.(2017).Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan.Safety in Health,3(10),Article No. 10.
24. Karaca, A.,Arslan, H.(2014).A study for the evaluation of patient safety culture in nursing services.Journal of Health and Nursing Management,1(1),9-18.
25. Karahan, A.,Kav, S.(2018).Professional competency in nursing.Journal of Hacettepe University Faculty of Nursing,5(2),160-168.
26. Karlou, C.,Papadopoulou, C.,Papathanassoglou, E.,Lemonidou, C.,Vouzavali, F.,Zafiropoulou-Koutroubas, A.,Katsaragakis, S.,Patiraki, E.(2018).Nurses' caring behaviors toward patients undergoing chemotherapy in Greece: A mixed-methods study.Cancer Nursing,41(5),399-408.
27. Kömeağaç, A.,Yardımcı, F.(2020).Clinical inertia and its importance in patient safety.Advances in health sciences
28. Korhan, E. A.,Dilemek, H.,Mercan, S.,Yılmaz, D. U.(2017).Determination of attitudes of nurses in medical errors and related factors.International Journal of Caring Sciences,10(2),794-801.
29. Kurşun, Ş.,Kanan, N.(2012).Validity and reliability study of the Turkish version of Caring Behaviors Inventory-24.Journal of Anatolia Nursing and Health Sciences,15(4),229-235.
30. Merrill, K. C.(2015).Leadership style and patient safety: Implications for nurse managers.The Journal of Nursing Administration,45(6),319-324.
31. Nordin, A.,Theander, K.,Wilde-Larsson, B.,Nordström, G.(2013).Health care staffs' perception of patient safety culture in hospital settings and factors of importance for this.Open Journal of Nursing,3,28-40.
32. Ofuebe, J. I.,Okpoko, C.,Ozoemena, L. E.(2018).Factors contributing to medical errors in healthcare facilities in Nigeria: A survey of healthcare stakeholder's perspectives.Journal of Engineering and Applied Sciences,13(12),4314-4319.
33. Özşaker, E.,Tehçi, H.(2016).Investigation of the surgery nurses' opinions regarding patient safety culture.Turkiye Klinikleri Journal of Health Sciences,1(2),71-78.
34. Özsayın, F. S.,Özbayır, T.(2016).Attitudes of operating theater workers toward patient safety.International Journal of Antisepsis Disinfection Sterilization,1(1),1-6.
35. Petrova, E.,Baldacchino, D.,Camilleri, M.(2010).Nurses' perceptions of medication errors in Malta.Nursing Standard,24(33),41-48.
36. Rajalatchumi, A.,Ravikumar, T. S.,Muruganandham, K.,Thulasingam, M.,Selvaraj, K.,Reddy, M.M.,Jayaraman, B.(2018).Perception of patient safety culture among health-care providers in a tertiary care hospital, South India.Journal of Natural Science, Biology, and Medicine,9(1),14-18.
37. Rızalar, S.,Büyük, E. T.,Şahin, R.,Tülin, A. S.,Uzunkaya, G.(2016).Patient safety culture and influencing factors of nurses.Dokuz Eylul University E-Journal of Nursing Faculty,9(1),9-15.
38. Rizalar, S.,Topcu, S. Y.(2017).The patient safety culture perception of Turkish nurses who work in the operating room and intensive care unit.Pakistan Journal of Medical Sciences,33(2),374-379.
39. Sarp, N.(2018).Role and participation of patient in patient safety.Journal of Quality and Accreditation in Health,1(2),22-29.
40. Temiz, Z.,Ozbas, A.,Cavdar, I.,Tutuncu, S. G.,Ayoglu, T.,Akyuz, N.,Ozbay, S.(2020).Determining the patient safety culture of operating room nurses in Turkey.International Journal of Caring Sciences,13(1),708-715.
41. Türkmen, E.,Baykal, Ü.,Seren, Ş.,Altuntaş, S.(2011).Development of patient safety culture scale.Journal of Anatolia Nursing and Health Sciences,14(4),38-46.
42. Üzen Cura, Ş.,Kocatepe, V.,Yıldırım, D.,Küçükakgün, H.,Atay, S.,Ünver, V.(2020).Examining knowledge, skill, stress, satisfaction, and self-confidence levels of nursing students in three different simulation modalities.Asian Nursing Research,14(3),158-164.
43. Wang, X.,Liu, K.,You, L. M.,Xiang, J. G.,Hu, H. G.,Zhang, L. F.,Zheng, J.,Zhu, X. W.(2014).The relationship between patient safety culture and adverse events: A questionnaire survey.International Journal of Nursing Studies,51(8),1114-1122.
44. Wolf, Z. R.,Giardino, E. R.,Osborne, P. A.,Ambrose, M. S.(1994).Dimensions of nurse caring.Image: Journal of Nursing Scholarship,26(2),107-111.
45. Wu, Y.,Larrabee, J. H.,Putman, H. P.(2006).Caring behaviors inventory: A reduction of the 42-item instrument.Nursing Research,55(1),18-25.
46. Xingxing, Z.,Weiwei, L.,Yuanyuan, W.,Li, Z.(2017).Survey and analysis of patient safety culture in a county hospital.Family Medicine Community Health,5(4),299-310.
47. Yaprak, E.,Intepeler, S. S.(2015).Factors affecting the attitudes of health care professionals toward medical errors in a public hospital in Turkey.International Journal of Caring Sciences,8(3),647-655.
48. Yılmaz, A.,Duygulu, S.(2019).Investigation of nurses' perceptions of patient safety culture and effective factors.Journal of Health and Nursing Management,3(6),171-185.
49. Yılmaz, Ş.,Yalım, N. Y.(2020).The effect of medical error education on the knowledge and attitudes of nursing students.Suleyman Demirel University the Journal of Health Science,11(2),170-171.