Assessment safety climate in the pediatric surgery

Postgraduate Thesis uoadl:2837543 440 Read counter

Unit:
Κατεύθυνση Κλινική Παιδιατρική & Νοσηλευτική - Έρευνα
Library of the School of Health Sciences
Deposit date:
2018-12-12
Year:
2018
Author:
Amoutzia Morfo
Supervisors info:
Κουτελέκος Ιωάννης, Επίκουρος Καθηγητής, Νοσηλευτική, Πανεπιστήμιο Δυτικής Αττικής
Κυρίτση Ελένη, Ομότιμη Καθηγήτρια, Νοσηλευτική, Πανεπιστήμιο Δυτικής Αττικής
Βλάχου Ευγενία, Αναπληρώτρια Καθηγήτρια, Νοσηλευτική, Πανεπιστήμιο Δυτικής Αττικής
Original Title:
Εκτίμηση κλίματος ασφάλειας σε παιδιατρικά χειρουργεία
Languages:
Greek
Translated title:
Assessment safety climate in the pediatric surgery
Summary:
Introduction: Pediatric hospitals and especially in our surgery are of interest in factors that potentially increase the likelihood of error and make young patients more vulnerable to adult harm. In this context, the security climate embraces the common perceptions of employees regarding the importance of safety in the workplace. One practice is the assessment of the safety culture applied to the above organizations.
Aim: To appreciate the safety of the medical staff and to investigate the attitudes and factors that might affect the safety of the surgeries in the public pediatric hospitals in Athens.
Material-Method: The sample consisted of surgeons and nurses who worked as permanent staff in the operating rooms of three pediatric hospitals. An anonymous self-completed socio-demographic data questionnaire was used, as well as the measurement tool in the six-factor Safety Attitude Questionnaire (SAQ) version of the Greek Standards Safety Questionnaire. Ethical and ethical rules were respected and licensed by the corresponding pediatric hospitals. The statistical packet R was used to calculate the average response value, the standard deviation, as well as the difference between the two averages of the scores given by the pediatric surgeons and nurses (t-test), and a multiple regression analysis was performed, while the a minimum level of statistical significance was set at 5% (p≤0.05).
Results: 252 (94%) questionnaires were distributed and 181 (72%) respondents were repaired in total to the workers meeting the criteria. The mean age of the participants was 46.27 years with work experience in pediatric operating room 14.29 years. The inner coherence of the SAQ questionnaire with the 30 questions was very good and the Cronbach alpha correlation coefficient was α = 0.87. In the team work factor the results of the mean value fluctuated to a satisfactory level, between 60/100 and 75/100, well within the limits of the positive safety climate, the safety factor of the SAQ questionnaire was similarly satisfactory (61/100) , the work satisfaction factor was above (72/100) near the high levels, while with the factor of stress recognition in the questionnaire, the mean value fluctuated to relatively satisfactory levels (61/100), on the factor of management it was below average (48/100) and finally the working conditions factor, the mean was at relatively satisfactory levels (62/100).
In comparison to some important responses, surgeons ranked on average statistically significantly higher than the operative room nurses, the following SAQ questionnaire questions: "All the necessary information on diagnostic and therapeutic decisions is available to me on a daily basis" p = <0.001), " nurses' suggestions are taken into account in this operative room" (p = 0.004). Surgeons rated on average statistically significantly higher than the surgeons some of the following questions in the SAQ questionnaire: "I know the appropriate procedures to ask questions about patient safety in this operative room" (p = <0.001), "Staffing is adequate in this operative room that I work with regard to the number of patients" (p = 0.003). The results of the multiple regression analysis show mainly that the participants who wanted more teamwork at work were the older at the age (p = 0.009). The participants who wanted greater safety at their workplaces (operating room) were male (p <0.001), older (p <0.001), those with longer work experience in the hospital (p = 0.007), less experience in the operating room (p = (P <0.007), those who wanted to recommend their surgery as safe for young patients (p <0.001), were satisfied with their workload (p <0.001), those who were satisfied with their cooperation with surgeons (p = 0.004) ) and operative nurses (p = 0.010) in the operating room. Participants who were satisfied with their work were mainly those who had more experience at the hospital (p = 0.007). The participants with more stress were male (p = 0.004), the youngest (p <0.001), married (p = 0.001), operative room nurses surgeons (p <0.001), those with longer hospital service (p = (P = 0.001), more experience in the surgery (p = 0.001), those who were exhausted by their workload (p <0.001), and those who were personally involved in the quality of the operating room (p = 0.012). The participants who wanted more effective administration were those who were older (p = 0.002), had less experience in operating room (p = 0.010). The participants who wanted better conditions at their workplace (operating room) were those who were older (p <0.001), those with less experience in the operating room (p = 0.002), those who wanted to recommend their surgery as safe for young patients (p = 0.012), those who were satisfied with their surgery with the surgeons (p = 0.023) and operative nurses (p = 0.014) in the operating room.
Conclusions: This research was the first study of the kind that negotiated the safety climate in pediatric hospital operating rooms in Greece. The findings of this research have shown that the surgeons and operative room nurses in the pediatric hospital had difficulties to ensure an appropriate safety climate that satisfies the need for safe care for the young patients undergoing surgery. The need arises for interventions in the context of an integrated strategy aimed at improving the climate safety environment in the operating room facilities in pediatric hospitals.
Main subject category:
Health Sciences
Keywords:
Patient safety, Safety culture, Safety perceptions, Safety of hospitalized children, Pediatric surgery, High-reliability organizations
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
160
Number of pages:
132
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