Evaluation of Patient Safety Attitude Levels of Health Care Professionals Working in the Operating Room


Akbulut A. S.

16th International Congress on Quality in Healthcare, Accreditation and Patient Safety-QPS 2022, Antalya, Türkiye, 22 - 25 Mayıs 2022, ss.76

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.76
  • İnönü Üniversitesi Adresli: Evet

Özet

Aim: The aim of this study is to evaluate the patient safety perspectives of healthcare professionals working in the operating room with the "patient safety attitude scale (SAQ)".

Method: A cross-sectional study based on this questionnaire was conducted using face-to-face interview technique with healthcare professionals working as nurses and nurse anesthetists in two operating rooms of İnönü University, Faculty of Medicine, between February 2022 and March 2022. Before commencing the study, approval was obtained from the Non-invasive Clinical Studies Ethics Committee of Inonu University (Approval no: 2022/3115). In this study period, 120 nurses and anaesthesia technicians working in the operating rooms were determined as the universe. Confidence level (CL: 99%), confidence interval (CI: 2.5) and patient population (n:120) data were entered to https://www.surveysystem.com/sscalc.htm for sample size calculation and the minimum number of participants to be included in the study was calculated as 115. It was aimed to reach the whole universe, but this study was completed with 117 participants. For this study, a questionnaire consisting of 19 questions and a scale (SAQ) questioning the sociodemographic characteristics of the participants was used. SAQ scale consisting of 5-point Likert type questions (Cronbach's alpha: 0.93) for which Turkish validity and reliability studies were conducted consists of 6 sub-dimensions and a total of 46 items including job satisfaction (11 items), teamwork (12 items), safety climate (5 items), management mentality (7 items), defining stress (5 items) and working conditions (6 items). Ten items containing negative statements in the scale were reverse coded. The lowest score and the highest score that can be obtained from the scale is 46 and 230, respectively. As the total score increases, attitudes towards patient safety increase positively. SPSS version 25.0 was used for statistical analysis. Quantitative variables were given as median, interquartile range (IQR), and 95% confidence interval of the median. Qualitative variables were given as numbers and %. The Mann-Whitney U test was used to compare two independent groups. Chi-square tests were used to compare qualitative data. Cronbach's alpha coefficient was calculated for consistency between and within sub-dimensions. The relationship between subdimensions was measured with the Pearson correlation coefficient. 

Results: A total of 117 participants (nurse: 60, anaesthesia technician: 57) 41 (35%) male and 76 (65%) female, with a median age of 33 years (IQR: 11 95 % CI: 31-35) were included in this study. The participants' total SAQ score was 151 (IQR: 11 95 % CI: 142- 156). Differences were found between nurses and anaesthesia technicians in terms of job satisfaction (p=0.015) and total SAQ score (p=0.040). When analysed in terms of gender, differences were found between men and women in terms of smoking and defining stress (p=0.040). Then, the participants were compared by dividing into groups according to age (Conclusion: It has been shown that the patient safety attitudes of the healthcare professionals participating in this study are above the average, although they are not sufficient, the nurses' job satisfaction and total SAQ score are higher, and the stress identification score of women is higher.