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Patient Safety Culture Associated With Patient Safety Competencies Among Registered Nurses
Author(s) -
Cho Seon Mi,
Choi JiSun
Publication year - 2018
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/jnu.12413
Subject(s) - patient safety , teamwork , safety culture , organizational culture , nursing , medicine , health care , psychology , management , political science , law , economics , economic growth
Purpose To investigate the relationships between registered nurses’ ( RN s’) perceptions of the culture of patient safety in their workplace and their patient safety competency—attitudes, skills, and knowledge. Design A cross‐sectional study design was used. Data were collected by using a self‐reported survey from 343 RN s working in a university hospital in Seoul, South Korea. Methods Patient safety culture was measured using the Korean version of the Agency for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture (Hospital SOPSTM ). Patient safety competency was measured using the Patient Safety Competency Self‐Evaluation tool. Multiple regression analysis was performed using Stata version 14 to examine the relationships between patient safety culture and RN s’ patient safety competency, while adjusting for the RN s nested in their units. Findings Of the 10 specific aspects of patient safety culture, only teamwork within units was significantly related to overall safety competency. In relation to each of the three patient safety competencies, teamwork within and across units and supervisor or manager expectations were significantly related to attitudes, while teamwork within units and learning were significantly related to skills. Only organizational learning was significantly related to knowledge. Conclusions Although teamwork, leadership, and continuous learning in the nursing unit were major factors influencing RN s’ safety competency, the relationships of these factors to patient safety attitudes, skills, and knowledge among RN s were varied. Clinical Relevance Creating a unit‐specific patient safety culture that is tailored to the competencies of the unit's RN s in patient safety practice would be essential to enhance and maintain high levels of patient safety attitudes, skills, and knowledge among the unit's RN s, which would ultimately affect patient safety.