INTRODUCTION: Nurses represent the largest group of healthcare professionals and are responsible for improving patient safety, including reporting adverse events. However, adverse events are underreported due to the many barriers that compromise patient safety in the hospital setting. AIM: The study aimed to investigate the barriers to reporting adverse events as perceived by nurses working in intensive care units (ICUs). METHODS: The exploratory sequential mixed-method study design was used. Data were collected between January 2022 and March 2023 in intensive care units of one selected university hospital in the Slovak Republic. The quantitative phase was carried out using a specific instrument to explore barriers to reporting adverse events and included 111 nurses from the ICU. The qualitative phase was conducted using semi-structured face-to-face interviews and consisted of 10 nurses from the ICU. RESULTS: In terms of quantitative aspect, fear of liability, lawsuits, or sanctions was the most significant barrier to reporting adverse events among ICU nurses. As a result of qualitative thematic analysis, four significant barriers to reporting adverse events were identified: negative attitude toward reporting adverse events; lack of knowledge and experience in reporting adverse events; time scarcity; fear. CONCLUSION: Based on the results of the study, it is evident that only effective and regular reporting of adverse events leads to the minimization of adverse events. To improve patient safety in hospitals, education and management practices must be implemented to overcome barriers to reporting adverse events. The most important approach to overcoming barriers to reporting adverse events is to implement a culture of no blame and a positive culture of patient safety.
- MeSH
- bezpečnost pacientů * MeSH
- chybná zdravotní péče MeSH
- dospělí MeSH
- jednotky intenzivní péče * MeSH
- lidé středního věku MeSH
- lidé MeSH
- ošetřovatelská péče o pacienty v kritickém stavu MeSH
- personál sesterský nemocniční MeSH
- postoj zdravotnického personálu * MeSH
- řízení rizik MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Aim: To investigate the perception of patient safety culture of nursing students on their clinical placement during the Covid-19 pandemic. Design: A cross-sectional study. Methods: Data were collected using the online form of the Hospital Survey on Patient Safety Culture for Nursing Students, between January and March 2021. The respondents were 248 nursing students from the Czech Republic. Results: Although overall level of patient safety was high in nursing students, the recommended limit of over 75% was not achieved in any dimension. Factors that influenced assessment of individual dimensions included age, student status, form of study, current clinical placement, and clinical supervision. Overall level of patient safety was found to be a predictor of the values of individual dimensions. Conclusion: The role of nursing students during the Covid-19 pandemic was invaluable. However, it is important to raise awareness about adverse events in nursing students in the Czech Republic.
- MeSH
- bezpečnost pacientů * statistika a číselné údaje MeSH
- COVID-19 * MeSH
- lidé MeSH
- postoj MeSH
- průzkumy a dotazníky MeSH
- studenti ošetřovatelství statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND: Nursing students are required to spend a significant portion of their educational preparation in clinical practice. Because of the prevalence of missed or rationed care, it seems irrefutable that students are exposed to rationed care during their practice placement, or that they contribute to its prevalence either actively or passively. OBJECTIVES: The study aimed to discover how nursing students interpret the concept of rationed care, and their experiences of rationing in practice. DESIGN: A descriptive qualitative study. PARTICIPANTS: Eighteen final year nursing students from three universities within the Slovak Republic. METHODS: Semistructured face-to-face interviews were conducted (n = 18). Data were analyzed using thematic analysis which resulted in the development of themes and subthemes. RESULTS: We identified three meaningful themes focused on the phenomenon of rationed care from the perspective of nursing students, namely Incomplete care is normalized; Provision of impersonal patient care; and the Existence of a hidden curriculum for practice placements. CONCLUSIONS: Student nurses were quite demanding about the learning experience during their clinical training. They are often frustrated by inconsistencies between their theoretical preparation and the realities of practice. They recognise difficulties for registered nurses in providing safe, high quality care in constrained circumstances, and although they are critical of this, they acknowledge their own acceptance of the situation. Based on this, students must establish an understanding of the theory behind, and reasons for rationed care before commencing clinical placement. A greater understanding would enable students to develop strategies for coping with inconsistencies and voicing concerns.
- MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- ošetřovatelská péče * MeSH
- přidělování zdravotní péče MeSH
- studenti ošetřovatelství * MeSH
- studium ošetřovatelství bakalářské * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
Introduction: Patient safety culture is described as employees' shared values, attitudes, and behaviours in a healthcare organization. Its main goal is to improve patient safety. Assessment of patient safety culture in the hospital environment is most often carried out using self-assessment tools. Although several of these tools have been developed, their comprehensive overview is lacking in literature. Aim: To provide an overview of instruments measuring patient safety culture in a hospital setting. Methods: The study has a character of a narrative literature review. The search was performed in the scientific databases Scopus, ProQuest, and PubMed in January 2021. The search produced a total of 1,767 studies and was limited to language (English). The search and the retrieval process reflected PRISMA's recommendations. The content analysis method was used in the data synthesis. Results: We identified 24 tools for assessing the patient safety culture in a hospital setting, of which seven were developed for specific workplaces; others are considered general. Eighteen tools might be utilized by all healthcare professionals within the hospital setting and only three were designated explicitly for nurses. The most commonly used instruments were the Hospital Survey on Patient Culture and the Safety Attitudes Questionnaire. Conclusion: Assessing a patient safety culture is considered one of the strategies for improving patient safety while increasing care quality. An appropriate tool's choice depends on the target population, the instrument's validity and reliability, and other aspects. Awareness of the various assessment tools can help hospitals choose the one that best suits their circumstances.
- MeSH
- bezpečnost pacientů * statistika a číselné údaje MeSH
- lidé MeSH
- nemocnice statistika a číselné údaje MeSH
- personál nemocniční psychologie statistika a číselné údaje MeSH
- přehledová literatura jako téma MeSH
- průzkumy a dotazníky MeSH
- řízení bezpečnosti metody statistika a číselné údaje MeSH
- zdravotní péče - kvalita, dosažitelnost a hodnocení MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Introduction: Nursing students spend a meaningful part of their professional training in clinical practice. However, to a significant extent, they actively or passively contribute to the occurrence of rationed nursing care in clinical practice. Therefore, it is crucial that they actively participate in implementing targeted strategies to reduce rationed nursing care. Aim: To explore nursing students′ experience with strategies focusing on the reduction of rationed nursing care. Methods: We chose a qualitative secondary analysis to address unpublished data related to nursing students′ experience with strategies focusing on reducing rationed nursing care. The data included a set comprising of 148 pages with transcribed verbatim of 18 semi-structured interviews. The data were analyzed by a deductive content analysis. Results: Based on the outcome of the secondary analysis, we identified two meaningful categories: Preventive strategies in clinical practice and Importance and meaning of preventive strategies. These two categories reflected nursing students′ experience with targeted strategies to reduce rationed nursing care in clinical practice. Conclusion: Proposal and subsequent implementation of preventive strategies are essential for reducing rationed nursing care phenomenon from the clinical practice environment. The perspective of nursing students is vital due to their intensive perception of rationed nursing care in clinical practice. Students may identify areas that work-place staff may not explicitly focus on and consider important but jeopardize the quality of care or patient safety.
Aim: To validate the Czech version of the Delirium Observation Scale and the Nursing Delirium Screening Scale as screening instruments for detecting of delirium in a traumatology department. Design: A prospective cohort study. Methods: The study included 400 patients hospitalized in the traumatology department, University Hospital, Olomouc. The receiver operating characteristics analysis, sensitivity and specificity values and positive and negative predictive values for the screening delirium symptoms were calculated. Results: The average duration of delirium was 2.78 days. The Delirium Observation Scale (DOS) screening instrument produced the best predictive validity values (sensitivity 97.6%, specificity 96.2%), followed by the Nursing Delirium Screening Scale (Nu-DESC) (sensitivity 92.7%, specificity 96.5%). Both screening instruments have comparable psychometric properties as well as features in the area of the already mentioned feasibility. The largest differences between the psychometric features of the screening instruments were detected in the Nu-DESC instrument in the area of sensitivity. Conclusion: The benefit of the research lies in obtaining the predictive validity values for the DOS and Nu-DESC screening instruments in patients with locomotive apparatus trauma, having had surgical or conservative treatment. Our results may support a systematic and evidence-based implementation of the screening instruments for detecting of delirium in a clinical setting.
Introduction: Safety climate consists of individual dimensions that might be assessed using specific instruments, e.g., the Hospital Survey on Patient Safety Culture (HSOPS). Establishing the safety climate in healthcare facilities leads to improvements in patient safety. Aim: To assess the safety climate at university hospitals in the Slovak Republic from the nurses' perspective and to determine the relationship between organisational variables and the particular components of the safety climate. Methods: The study has a cross-sectional design. Data were collected using the HSOPS between December 2017 and July 2018. Two university hospitals participated in the study and overall 280 respondents were included. Respondents were recruited through the purposive sampling method. Data were analysed by descriptive and inductive statistics in the statistical programme SPSS 25.0.Results: Results indicate that in the university hospitals there is a low-level of safety climate. The significant relationship was proved between organisational variables such as the experience in the current position, leaving intention, overtime, perception of staff adequacy, unit type, nurse-patient ratio, and the particular components of the safety climate. Conclusion: Our findings may help hospital management to raise the awareness of the safety climate and to gain a sophisticated overview of the particular components of the safety climate. Adding new organisational variables may help to assess the safety climate from multiple perspectives and, thus, identify areas contributing to patient safety
- MeSH
- bezpečnost pacientů * statistika a číselné údaje MeSH
- kvalita zdravotní péče statistika a číselné údaje MeSH
- lidé MeSH
- nemocnice fakultní * organizace a řízení MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- řízení bezpečnosti metody statistika a číselné údaje MeSH
- zdravotní sestry MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Slovenská republika MeSH
AIM: To examine variations in the safety climate reported by nurses in Slovak hospitals and to analyse the association between dimensions of the patient safety climate and demographic and organisational factors. BACKGROUND: A deeper understanding of how safety climate varies across hospitals can be useful in determining areas with a potential for improvement. Staffing and non-punitive response to errors were identified in recent research syntheses as the weakest dimensions of safety climate that require strengthening. METHODS: The sample consisted of 1,429 nurses working in public and private hospitals in Slovakia. The Hospital Survey on Patient Safety Culture questionnaire was used for data collection, and descriptive analysis was carried out to examine relationships between variables. RESULTS: Nurses working in general private hospitals with a bed capacity of less than 500 beds were more positive about their hospital safety climate than other nurses working in differently organised hospitals. The lowest number of positive responses was scored in the domain of 'Non-Punitive Response to Error'. This result came from a blame-free error-reporting atmosphere. CONCLUSIONS: Nurses perceived a higher level of patient safety when they had experienced better sharing of information on event reporting and had better learning opportunities. IMPLICATIONS FOR NURSING MANAGEMENT: The results revealed strengths and weaknesses of the patient safety climate in the network of Slovak hospitals from the perspective of nurses working in these hospitals. This knowledge can enable nurse managers to instigate supportive strategies for just reporting, and learning from events, within an enhanced safety culture.
- MeSH
- bezpečnost pacientů * MeSH
- lidé MeSH
- nemocnice soukromé MeSH
- nemocnice veřejné MeSH
- organizační kultura MeSH
- postoj zdravotnického personálu MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- řízení bezpečnosti MeSH
- zdravotní sestry v řízení a kontrole * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
There are several networks represent the nursing profession in an international context. The European Network of Nursing in higher Education is one of them. It includes 14 partners from European countries. The main goal of ENNE is to support quality improving innovations in nursing education and broaden students’ horizons to the European workfield. ENNE offers a lot of possibilities: different strategies to serve nursing students as well as teachers, project leaders and researchers, organization of coordinators meeting and student conference, promo-tion and support to students and teacher exchange, ... The COVID-19 pandemic has offered new challenges for any international network, but for ENNE in particular.
There are several networks represent the nursing profession in an international context. The European Network of Nursing in higher Education is one of them. It includes 14 partners from European countries. The main goal of ENNE is to support quality improving innovations in nursing education and broaden students' horizons to the European workfield. ENNE offers a lot of possibilities: different strategies to serve nursing students as well as teachers, project leaders and researchers, organization of coordinators meeting and student conference, promo-tion and support to students and teacher exchange, ... The COVID-19 pandemic has offered new challenges for any international network, but for ENNE in particular.
