THE EFFECT OF PATIENT SAFETY CULTURE ON THE TENDENCY TO MEDICAL ERRORS OF NURSES

Asiye Tuncay; Meryem Kılıç

Makale detayları

THE EFFECT OF PATIENT SAFETY CULTURE ON THE TENDENCY TO MEDICAL ERRORS OF NURSES

Yazarlar:

Asiye Tuncay | Meryem Kılıç

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 3, pp.557-574

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001299490

pISSN:

2148-9041

Anahtar kelimeler:

Özet:

 The aim of this study was to determine the effect of patient safety culture on the tendency to make medical errors of nurses. The type of the study was descriptive and cross-sectional. The sample of the study consisted of 320 nurses who met the criteria for participation in the study and completed the data collection form completely. Data were collected between December 2020 and March 2021 using the Nurse Descriptive Characteristics Form, the Patient Safety Culture Scale, and the Medical Error Tendency Scale in Nursing. Data were analyzed by number, percentage distribution, t test, ANOVA, Pearson correlation and linear regression test. The mean age of the nurses was 29.307.36 years, 63.8 were female and 36.3 were male. Nurses working in intensive care units were more likely to make medical errors than those working in internal and surgical units, and nurses working in surgical units were more likely to make medical errors than those working in internal units p0.05. Nurses with 8 patients and female nurses had a higher tendency to make medical errors related to falls p0.05. It was determined that the tendency to make medical errors increased as the number of patients under care increased p0.05 and the tendency to make medical errors decreased as the patient safety culture increased p0.001. According to the results of regression analysis, it was determined that patient safety culture had an effect on the tendency to make medical errors p0.001 and patient safety culture explained 14.4 of the total variance. As a result, patient safety culture is important in reducing medical errors. Accordingly, it is recommended to develop management attitudes that aim to learn by taking lessons from mistakes, that are not punitive, that aim to find system-related problems in unwanted events, and to improve the working environments of nurses.

 The aim of this study was to determine the effect of patient safety culture on the tendency to make medical errors of nurses. The type of the study was descriptive and cross-sectional. The sample of the study consisted of 320 nurses who met the criteria for participation in the study and completed the data collection form completely. Data were collected between December 2020 and March 2021 using the Nurse Descriptive Characteristics Form, the Patient Safety Culture Scale, and the Medical Error Tendency Scale in Nursing. Data were analyzed by number, percentage distribution, t test, ANOVA, Pearson correlation and linear regression test. The mean age of the nurses was 29.307.36 years, 63.8 were female and 36.3 were male. Nurses working in intensive care units were more likely to make medical errors than those working in internal and surgical units, and nurses working in surgical units were more likely to make medical errors than those working in internal units p0.05. Nurses with 8 patients and female nurses had a higher tendency to make medical errors related to falls p0.05. It was determined that the tendency to make medical errors increased as the number of patients under care increased p0.05 and the tendency to make medical errors decreased as the patient safety culture increased p0.001. According to the results of regression analysis, it was determined that patient safety culture had an effect on the tendency to make medical errors p0.001 and patient safety culture explained 14.4 of the total variance. As a result, patient safety culture is important in reducing medical errors. Accordingly, it is recommended to develop management attitudes that aim to learn by taking lessons from mistakes, that are not punitive, that aim to find system-related problems in unwanted events, and to improve the working environments of nurses.

 The aim of this study was to determine the effect of patient safety culture on the tendency to make medical errors of nurses. The type of the study was descriptive and cross-sectional. The sample of the study consisted of 320 nurses who met the criteria for participation in the study and completed the data collection form completely. Data were collected between December 2020 and March 2021 using the Nurse Descriptive Characteristics Form, the Patient Safety Culture Scale, and the Medical Error Tendency Scale in Nursing. Data were analyzed by number, percentage distribution, t test, ANOVA, Pearson correlation and linear regression test. The mean age of the nurses was 29.307.36 years, 63.8 were female and 36.3 were male. Nurses working in intensive care units were more likely to make medical errors than those working in internal and surgical units, and nurses working in surgical units were more likely to make medical errors than those working in internal units p0.05. Nurses with 8 patients and female nurses had a higher tendency to make medical errors related to falls p0.05. It was determined that the tendency to make medical errors increased as the number of patients under care increased p0.05 and the tendency to make medical errors decreased as the patient safety culture increased p0.001. According to the results of regression analysis, it was determined that patient safety culture had an effect on the tendency to make medical errors p0.001 and patient safety culture explained 14.4 of the total variance. As a result, patient safety culture is important in reducing medical errors. Accordingly, it is recommended to develop management attitudes that aim to learn by taking lessons from mistakes, that are not punitive, that aim to find system-related problems in unwanted events, and to improve the working environments of nurses.

 Bu çalışmanın amacı, hemşirelerde hasta güvenliği kültürünün tıbbi hata yapma eğilimine etkisini belirlemektir. Çalışmanın türü tanımlayıcı ve kesitseldir. Araştırmanın örneklemini, araştırmaya katılma kriterlerini karşılayan, veri toplama formunu eksiksiz dolduran 320 hemşire oluşturdu. Veriler, Aralık 2020 - Mart 2021 tarihlerinde, Hemşire Tanıtıcı Özellikler Formu, Hasta Güvenliği Kültürü Ölçeği, Hemşirelikte Tıbbi Hataya Eğilim Ölçeği kullanılarak toplandı. Veriler sayı, yüzde dağılımı, t testi, ANOVA, pearson korelasyonu ve lineer regresyon testi ile analiz edildi. Hemşirelerin yaş ortalaması 29,307,36, 63,8i kadın ve 36,3ü erkektir. Yoğun bakımda çalışan hemşirelerin dahili ve cerrahi birimde çalışanlara göre, cerrahi birimde çalışan hemşirelerin dahili birimde çalışanlara göre tıbbi hata yapma eğilimi daha yüksekti p0,05. Bakım verilen hasta sayısı 8 olan ve kadın hemşirelerin düşme ile ilgili tıbbi hata yapma eğilimi daha yüksekti p0,05. Bakım verilen hasta sayısı arttıkça tıbbi hata yapma eğiliminin arttığı p0,05 ve hasta güvenliği kültürü arttıkça tıbbi hata yapma eğiliminin azaldığı tespit edildi p0,001. Regresyon analizi sonucuna göre; hasta güvenliği kültürünün tıbbi hata yapma eğilimini etkilediği p0,001 ve hasta güvenliği kültürünün toplam varyansın 14,4ünü açıkladığı belirlendi. Sonuç olarak tıbbi hataların azaltılmasında hasta güvenliği kültürü önemlidir. Bu doğrultuda hatalardan ders çıkararak öğrenmeyi hedefleyen, cezalandırıcı olmayan, istenmeyen olaylarda sistem kaynaklı sorunları bulmayı hedefleyen yönetim tutumlarının geliştirilmesi ve hemşirelerin çalışma ortamlarının iyileştirilmesi önerilmektedir.

Makale detayları

THE EFFECT OF PATIENT SAFETY CULTURE ON THE TENDENCY TO MEDICAL ERRORS OF NURSES

Yazarlar:

Asiye Tuncay | Meryem Kılıç

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 3, pp.557-574

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001299490

pISSN:

2148-9041

Nurse

patient safety

patient safety culture

medical error

malpracticeHemşire

hasta güvenliği

hasta güvenliği kültürü

tıbbi hata

malpraktis

Sayı

Makale detayları

Yazarlar: Asiye Tuncay | Meryem Kılıç

Yayıncı: Hacettepe University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 3, pp.557-574

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001299490

pISSN: 2148-9041

Sayı

Yazarlar:

Asiye Tuncay | Meryem Kılıç

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 3, pp.557-574

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001299490

pISSN:

2148-9041