Perception of Front-line Healthcare Providers Toward Patient Safety: A Preliminary Study in a University Hospital in Egypt

Hanan Abdullah Ezzat Abbas, PhDN, MScN; Nora Ahmed Bassiuni, PhDN, MSN, BScN; Fatma Mostafa Baddar, PhDN, MSN, BScN

Disclosures

Topics in Advanced Practice Nursing eJournal. 2008;8(2) 

In This Article

Results

Four hundred respondents completed the survey. Nearly half of the participants (48.5%) were in their thirties and 59% of the targets were working in ICUs. Ten percent of the subjects were newly hired, and 14% had been working for more than 13 years ( Table 1 ).

Table 2 presents the relationship between front-line healthcare providers' perceptions toward patient safety and their job categories. Mean scores for perception of patient safety climate were significantly higher for physicians (3.69 ± 0.42) than for nursing personnel (3.47 ± 0.36) and paramedical personnel (3.51 ± 0 .25); the difference was statistically significant (X2 = 6.65, P < .05). Moreover, there was a statistically significant difference between perception of the 3 categories of respondents toward management commitment to patient safety, with scores of 3.93 ± 0.52, 3.68 ± 0.53, and 3.97 ± 0.29 for physicians, nursing personnel, and paramedical personnel, respectively (P < .05). The same was observed in relation to safety climate. Table 2 shows that physicians had the highest mean scores regarding safety climate (3.59 ± 0.52) and personnel commitment (3.61 ± 0.63).

Table 3 illustrates the relationship between front-line healthcare providers' perceptions toward patient safety and their work settings. It was observed that the participants in the ICUs had the highest overall mean score on patient safety items (3.57 ± 0.34), and there was no statistically significant difference between perceptions of the participants in the 3 work settings (P < .05). Table 3 also illustrates that a statistically significant difference was found among participants' work settings in relation to their perceptions of management commitment to patient safety (X2 = 17.233, P < .05).

Regarding the relationship between participants' years of experience and their perceptions toward patient safety, Table 4 points out that the total mean score of the participants' perceptions about patient safety decreased as their years of experience increased. Participants' perceptions of clinical staff commitment to patient safety fluctuated up and down as their years of experience increased. Those who worked in their jobs for less than a year recorded the highest overall mean scores (3.68 ± 0.41) compared with the groups with more years of job experience. Specifically, those who had worked less than 1 year showed the highest mean score in relation to all 3 items of patient safety: safety climate (3.41 ± 0.53), management commitment to patient safety (3.95 ± 0.47), and personnel commitment to patient safety (3.75 ± 0.61). In contrast, participants with more than 13 years of job experience showed the lowest overall mean scores related to patient safety (3.43 ± 0.57). Participants whose experience ranged from 3 to less than 8 years had the lowest total mean score on perception toward patient safety climate (3.30 ± 0.51).

Table 5 indicates the number and percent of front-line healthcare providers who perceived "patient safety" positively and negatively, as distributed by targeted variables. There were statistically significant differences among participants' perceptions among the 3 job categories (X 2 = 20.341, P < .05) and the 5 groups of years of job experiences (X 2 = 10.088, P < .05). Table 5 also shows that only 10.5% of participants had a positive perception toward patient safety compared with 89.5% with a negative perception.

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