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Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Örebro universitet.ORCID iD: 0000-0002-3964-196X
2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 9, article id e015607Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: A positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors' estimations of their staffs' attitudes to patient safety.

METHODS: A cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams. To evoke estimations from nurse managers and medical directors about staff attitudes to patient safety, a short questionnaire, based on SAQ, was used. Three OR departments at three different hospitals in Sweden participated. All licensed practical nurses (n=124), perioperative nurses (n=233), physicians (n=184) and their respective manager (n=22) were invited to participate.

RESULTS: Mean percentage positive scores for the six SAQ factors and the three professional groups varied, and most factors (safety climate, teamwork climate, stress recognition, working conditions and perceptions of management), except job satisfaction, were below 60%. Significantly lower mean values were found for perioperative nurses compared with physicians for perceptions of management (56.4 vs 61.4, p=0.013) and working conditions (63.7 vs 69.8, p=0.007). Nurse managers and medical directors' estimations of their staffs' ratings of the safety climate cohered fairly well.

CONCLUSIONS: This study shows variations and some weak areas for patient safety climate in the studied ORs as reported by front-line staff and acknowledged by nurse managers and medical directors. This finding is a concern because a weak patient safety climate has been associated with poor patient outcomes. To raise awareness, managers need to support patient safety work in the OR.

Place, publisher, year, edition, pages
2017. Vol. 7, no 9, article id e015607
Keywords [en]
Interprofessional Team, Managers, Operating Room, Safety Attitudes Questionnaire, Safety Climate
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-25958DOI: 10.1136/bmjopen-2016-015607ISI: 000412650700060PubMedID: 28864690OAI: oai:DiVA.org:du-25958DiVA, id: diva2:1138487
Available from: 2017-09-05 Created: 2017-09-05 Last updated: 2017-11-29Bibliographically approved

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Ehrenberg, Anna

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CiteExportLink to record
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