Patient safety culture among European cancer nurses—An exploratory, cross‐sectional survey comparing data from Estonia, Germany, Netherlands, and United Kingdom. (4th September 2019) - Sharp, Lena
Abstract: Aim: To explore the differences in perceived patient safety culture in cancer nurses working in Estonia, Germany, the Netherlands, and the United Kingdom. Design: An exploratory cross‐sectional survey. Methods: In 2018, 393 cancer nurses completed the 12 dimensions of the Hospital Survey on Patient Safety Culture. Results: The mean score for the overall patient safety grade was 61.3. The highest rated dimension was "teamwork within units" while "staffing" was the lowest in all four countries. Nurses in the Netherlands and in the United Kingdom, scored higher on "communication openness", the "frequency of events reported", and "non‐punitive response to errors", than nurses from Estonia or Germany. We found statistically significant differences between the countries for the association between five of the 12 dimensions with the overall patient safety grade: overall perception of patient safety, communication openness, staffing, handoffs and transitions and non‐punitive response to errors. Conclusion: Patient safety culture, as reported by cancer nurses, varies between European countries and contextual factors, such as recognition of the nursing role and education have an impact on it. Cancer nurses' role in promoting patient safety is a key concern and requires better recognition on a European and global level. Impact: Cancer Nursing Societies in any country can use these data as an indication on how to improve patient care in their country. Recognition of cancer nursing as a distinct specialty in nursing will help to improve patient safety. Abstract : 目的: 探讨在爱沙尼亚、德国、荷兰和英国工作的癌症护士对病人安全文化的认知差异。 设计: 探索性横向调查。 方法: 2018年, 393名癌症护士完成了医院患者安全文化调查的12个维度。 结果: 总体患者安全等级的平均分数为61.3。评分最高的维度是"单位内的团队合作", 而"人员配备"在所有四个国家中都是最低的。荷兰和英国的护士在"沟通开放性"、"事件报告频率"和"对错误的非惩罚性反应"方面得分高于爱沙尼亚和德国的护士。我们发现, 在12个维度中, 有5个维度与患者总体安全等级之间存在统计学上的显著差异:患者总体安全感知、沟通开放性、人员配备、交接和过渡以及对错误的非惩罚性反应。 结论: 癌症护士所报告的患者安全文化在欧洲国家之间存在差异, 而护理角色的认知和教育等环境因素也会对其产生影响。癌症护士在促进患者安全方面的作用是一个关键问题, 需要在欧洲和全球层面上得到更好的认识。 影响: 任何国家的癌症护理协会都可以利用这些数据作为改善本国患者护理的指示。认识到癌症护理是护理的一个独特的专业将有助于提高患者安全性。