Nurses' perceptions of patient safety culture: a mixed-methods study

There are relatively few qualitative studies concerning patient safety culture. We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participan...

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Bibliographic Details
Published in:BMC health services research 2020-06, Vol.20 (1), p.584-584, Article 584
Main Authors: Granel, Nina, Manresa-Domínguez, Josep Maria, Watson, Carolina Eva, Gómez-Ibáñez, Rebeca, Bernabeu-Tamayo, Maria Dolors
Format: Article
Language:English
Subjects:
Adult
Analysis
Attitude of Health Personnel
Consent
Corporate culture
Cross-Sectional Studies
Data collection
Emergency medical care
Female
Health services
Hospitals
Hospitals, Public
Humans
Industrial safety
Internal medicine
Interviews
Male
Medical research
Medicine
Methods
Mixed methods research
Nurses
Nursing
Nursing care management
Nursing research
Nursing Staff, Hospital - psychology
Organizational Culture
Patient care
Patient safety
Patient Safety - statistics & numerical data
Perceptions
Qualitative Research
Questionnaires
Response rates
Safety management
Safety Management - statistics & numerical data
Spain
Surgery
Surveys
Surveys and Questionnaires
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Summary:There are relatively few qualitative studies concerning patient safety culture. We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participant observations. Sixty-two percent of the nursing staff rated patient safety as "Acceptable" but was not higher because of work pressure and lack of resources as perceived by staff. "Teamwork within units" had the highest rate of positive responses, and "Staffing" had the lowest rate. Emergency units showed more negative results than the other two units. Safety incidents are not always reported due to fear of punishment, reflecting a lack of positive safety culture. It is necessary to design and implement strategies that promote a positive culture to avoid punitive responses and apply and evaluate these changes.
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-020-05441-w