A baseline assessment of patient safety culture and its associated factors from the perspective of critical care nurses: Results from 10 hospitals

• Published in: Australian critical care 2021-07, Vol.34 (4), p.363-369
• Main Authors: Tlili, Mohamed Ayoub, Aouicha, Wiem, Sahli, Jihene, Zedini, Chekib, Ben Dhiab, Mohamed, Chelbi, Souad, Mtiraoui, Ali, Said Latiri, Houyem, Ajmi, Thouraya, Ben Rejeb, Mohamed, Mallouli, Manel
• Format: Article
• Language: English
• Subjects: Critical care; Intensive care units; Nursing; Nursing care; Patient safety; Patient safety culture; Quality of care
• ISSN: 1036-7314; 1878-1721
• DOI: 10.1016/j.aucc.2020.09.004

Critical care nurses are considered the key to patient safety improvement and play a vital role in enhancing quality of care in intensive care units (ICUs) where adverse events are frequent and have severe consequences. Moreover, there is recognition of the importance of the assessment and the development of patient safety culture (PSC) as a strategic focus for the improvement of patient safety and healthcare quality, notably in critical care settings. This study aimed to assess critical care nurses' perception of PSC and to determine its associated factors. This cross-sectional study was conducted among nurses working in the ICUs of the Tunisian centre (six Tunisian governorates). The study instrument was the French validated version of the Hospital Survey on Patient Safety Culture questionnaire, comprising 10 dimensions and a total of 50 items. A total of 249 nurses from 18 ICUs participated in the study, with a participation rate of 87.36%. The dimensions scores ranged between 17.2% for the dimension “frequency of events reported” and 50.1% for the dimension “teamwork within units”. Multivariable logistic regression indicated that respondents who worked in private hospitals were five times more likely to have a developed PSC (adjusted odds ratio [AOR]: 5.34; 95% confidence interval [CI], [2.28, 12.51]; p