Analysis Dimension of Healthy Work Environment for Successful Patient Safety Incident Reporting: A Cross Sectional Study
DOI:
https://doi.org/10.18196/jmmr.v12i1.29Keywords:
Work environment, nurses, Patient safety, Safety incident reportingAbstract
Incident reporting of patient safety is the first step in improving patient safety through learning from previous incidents. However, barriers to incident reporting caused by work environment factors make the patient safety incident system not run well in various countries. This study analyzes nurses’ dimensions of a healthy work environment toward reporting patient safety incidents. This study used an observational analytic design with a cross-sectional approach. This study was conducted in a regional hospital in West Nusa Tenggara province in October - November 2022 with a total sample of 151 nurses working in the inpatient room. Sample determination used a quota sampling technique. Measurement of a healthy work environment was adopted from the HWE Tools and Measurement of incident reporting. The questionnaire was adopted from the Patient Safety Incident Reporting and Learning Systems. Data collection techniques implemented primary data questionnaires and multiple linear regression tests. The results showed a relationship between communication, collaboration, decision-making, staff suitability, recognition, and leadership to patient safety incident reporting with a p-value of 0.001 each (p <0.05). The most dominant relationship is Recognition (B=0.39, p=0.001). Recognition means stimulating a person’s psychological growth and a positive mindset to complete tasks, solve problems, overcome obstacles, and bounce back from difficult situations. Therefore, individual attitudes alone are not enough to make individuals behave to report or not report incidents but must be supported by the wishes of those who have great influence in the environment and want individuals to report if an incident occurs.
References
Ageiz, M. H., Ebrahem, S. M., & Abo-shereda, H. M. (2021). Nurse manager’s meaningful recognition program: Its relation to staff nurses’ sense of coherence and self-efficacy during COVID-19 pandemic. Systematic Reviews in Pharmacy, 12, 521–531.
Alenius, L. S., Tishelman, C., Runesdotter, S., & Lindqvist, R. (2014). Staffing and resource adequacy Strongly related to rns’ assessment of patient safety: A national study of Rns working in acute-care hospitals in sweden. BMJ Quality and Safety, 23(3), 242–249. https://doi.org/10.1136/bmjqs-2012-001734
American Association of Critical-Care Nurses. (2022a). Healthy Work Environments. Retrieved May 4, 2022, from https://www.aacn.org/nursing-excellence/healthy-work-environments
American Association of Critical-Care Nurses. (2022b). HWE Assessment Tool Questions. Retrieved September 16, 2022, from http://mini.aacn.org/DM/HWE/HWEViewQuestions.aspx?menu=none
Astuti, R., Tahir, T., Kadar, K. S., & Erfina, E. (2021). Factors related to the Incident Reporting Culture in Health Services : A Literature Review. STRADA Jurnal Ilmiah Kesehatan, 10(1), 1306–1310. https://doi.org/10.30994/sjik.v10i1.787
Azyabi, A., Karwowski, W., & Davahli, M. R. (2021). Assessing patient safety culture in hospital settings. International Journal of Environmental Research and Public Health, 18(5), 1–36. https://doi.org/10.3390/ijerph18052466
Barnes, B., Barnes, M., & Sweeney, C. D. (2016). Putting the “Meaning” in Meaningful Recognition of Nurses. JONA: The Journal of Nursing Administration, 46(10), 508–512. https://doi.org/10.1097/NNA.0000000000000394
Brubakk, K., Svendsen, M. V., Deilkås, E. T., Hofoss, D., Barach, P., & Tjomsland, O. (2021a). Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model. PLoS ONE, 16(10 October), 1–13. https://doi.org/10.1371/journal.pone.0258471
Brubakk, K., Svendsen, M. V., Deilkås, E. T., Hofoss, D., Barach, P., & Tjomsland, O. (2021b). Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model. PLoS ONE, 16(10 October), 1–14. https://doi.org/10.1371/journal.pone.0258471
Buckner, C. A., Lafrenie, R. M., Dénommée, J. A., Caswell, J. M., Want, D. A., Gan, G. G., Leong, Y. C., Bee, P. C., Chin, E., Teh, A. K. H., Picco, S., Villegas, L., Tonelli, F., Merlo, M., Rigau, J., Diaz, D., Masuelli, M., Korrapati, S., Kurra, P., … Mathijssen, R. H. J. (2016). We are IntechOpen, the world’s leading publisher of Open Access books Built by scientists for scientists TOP 1 %. Intech, 11(tourism), 13. https://www.intechopen.com/books/advanced-biometric-technologies/liveness-detection-in-biometrics
Connor, & Paul. (2021). An Intr to Human Factors for Healthcare Workers An Stiúrthóireacht um Ardchaighdeáin agus Sábháilteacht Othar (Issue November). http://hdl.handle.net/10147/630666.
De Fatima Tavares Alves, M., De Carvalho, D. S., & De Albuquerque, G. S. C. (2019). Barriers to patient safety incident reporting by brazilian health professionals: An integrative review. Ciencia e Saude Coletiva, 24(8), 2895–2908. https://doi.org/10.1590/1413-81232018248.23912017
Dhamanti, I., Leggat, S., Barraclough, S., & Tjahjono, B. (2019). Patient safety incident reporting in indonesia: An analysis using world health organization characteristics for successful reporting. Risk Management and Healthcare Policy, 12, 331–338. https://doi.org/10.2147/RMHP.S222262
Dougherty, L., Sque, M., & Crouch, R. (2012). Decision-making processes used by nurses during intravenous drug preparation and administration. Journal of Advanced Nursing, 68(6), 1302–1311. https://doi.org/10.1111/j.1365-2648.2011.05838.x
Elizabeth, M. (2017). Nursing leadership and management for patient safety and quality care. In F.A. Davis Company (1st ed.). F.A. Davis Company. http://repository.poltekkes-kaltim.ac.id/613/1/Nursing Leadership and Management for Patient Safety and Quality Care %28 PDFDrive.com %29.pdf
Fujita, S., Seto, K., Hatakeyama, Y., Onishi, R., Matsumoto, K., Nagai, Y., Iida, S., Hirao, T., Ayuzawa, J., Shimamori, Y., & Hasegawa, T. (2021). Patient safety management systems and activities related to promoting voluntary in hospital reporting and mandatory national level reporting for patient safety issues: A cross-sectional study. PLoS ONE, 16(7 July), 1–11. https://doi.org/10.1371/journal.pone.0255329
Godsey, J. A., Houghton, D. M., & Hayes, T. (2020). Since January 2020, Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company s public news and information. Nurse Outlook, 68(6), 808–821.
Green, B. N., & Johnson, C. D. (2015). Interprofessional collaboration in research, education, and clinical practice: working together for a better future. Journal of Chiropractic Education, 29(1), 1–10. https://doi.org/10.7899/JCE-14-36
Hwang, J. I., Lee, S. IL, & Park, H. A. (2012). Barriers to the Operation of Patient Safety Incident Reporting Systems in Korean General Hospitals. Healthcare Informatics Research, 18(4), 279–286. https://doi.org/10.4258/hir.2012.18.4.279
Jang, H., Lee, M., & Lee, N. J. (2022). Communication education regarding patient safety for registered nurses in acute hospital settings: A scoping review protocol. BMJ Open, 12(2), 1–6. https://doi.org/10.1136/bmjopen-2021-053217
Jerng, J. S., Huang, S. F., Liang, H. W., Chen, L. C., Lin, C. K., Huang, H. F., Hsieh, M. Y., & Sun, J. S. (2017). Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center. PLoS ONE, 12(2), 1–14. https://doi.org/10.1371/journal.pone.0171696
Jungbauer, K. L., Loewenbrück, K., Reichmann, H., Wendsche, J., & Wegge, J. (2018). How does leadership influence incident reporting intention in healthcare? A dual process model of leader–member exchange. German Journal of Human Resource Management, 32(1), 27–51. https://doi.org/10.1177/2397002217745315
Kerasidou, A., Bærøe, K., Berger, Z., & Caruso Brown, A. E. (2021). The need for empathetic healthcare systems. Journal of Medical Ethics, 47(12), E27. https://doi.org/10.1136/medethics-2019-105921
Kim, E. Y., & Chang, S. O. (2022). Exploring nurse perceptions and experiences of resilience: a meta-synthesis study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-021-00803-z
Kupperschmidt, B., Kientz, E., Ward, J., & Reinholz, B. (2010). A healthy work environment: It begins with you. Online Journal of Issues in Nursing, 15(1). https://doi.org/10.3912/OJIN.VOL15NO01MAN03
Lee, S. E., Choi, J., Lee, H., Sang, S., Lee, H., & Hong, H. C. (2021). Factors influencing nurses’ willingness to speak up regarding patient safety in east asia: A systematic review. Risk Management and Healthcare Policy, 14, 1053–1063. https://doi.org/10.2147/RMHP.S297349
Lee, Y. mi, & Oh, H. (2020). The Influence of Patient Safety Culture and Patient Safety Error Experience on Safety Nursing Activities of Emergency Nurses in South Korea. Journal of Emergency Nursing, 46(6), 838-847.e2. https://doi.org/10.1016/j.jen.2020.05.019
Malinowska-Lipień, I., Micek, A., Gabryś, T., Kózka, M., Gajda, K., Gniadek, A., Brzostek, T., Fletcher, J., & Squires, A. (2021). Impact of the work environment on patients’ safety as perceived by nurses in Poland—a cross-sectional study. International Journal of Environmental Research and Public Health, 18(22). https://doi.org/10.3390/ijerph182212057
Manias, E., Street, M., Lowe, G., Low, J. K., Gray, K., & Botti, M. (2021). Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. BMC Health Services Research, 21(1), 1–14. https://doi.org/10.1186/s12913-021-07033-8
Motamed-Jahromi, M., Fereidouni, Z., & Dehghan, A. (2017). Effectiveness of Positive Thinking Training Program on Nurses’ Quality of Work Life through Smartphone Applications. International Scholarly Research Notices, 2017, 1–6. https://doi.org/10.1155/2017/4965816
Musy, S. N., Endrich, O., Leichtle, A. B., Griffiths, P., Nakas, C. T., & Simon, M. (2021). The association between nurse staffing and inpatient mortality: A shift-level retrospective longitudinal study. International Journal of Nursing Studies, 120, 103950. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2021.103950
Nibbelink, C. W., & Brewer, B. B. (2018). Decision-making in nursing practice: An integrative literature review. Journal of Clinical Nursing, 27(5–6), 917–928. https://doi.org/10.1111/jocn.14151
Nurdin, D. A., & Wibowo, A. (2021). BARRIERS TO REPORTING PATIENT SAFETY INCIDENT IN HEALTHCARE WORKERS: INTEGRATIVE LITERATURE REVIEW. Jurnal Administrasi Kesehatan Indonesia, 9(2), 210. https://doi.org/10.20473/jaki.v9i2.2021.210-217
Okoye, P. V. C., & Ezejiofor, R. A. (2013). The Effect of Human Resources Development on Organizational Productivity. International Journal of Academic Research in Business and Social Sciences, 3(10), 250–268. https://doi.org/10.6007/ijarbss/v3-i10/295
Overton, A., & Lowry, A. (2013). Conflict Management: Difficult Conversations with Difficult People. Clinics in Colon and Rectal Surgery, 26(04), 259–264. https://doi.org/10.1055/s-0033-1356728
Schmidt, J., Gambashidze, N., Manser, T., Güß, T., Klatthaar, M., Neugebauer, F., & Hammer, A. (2021). Does interprofessional team training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Services Research, 21(1), 1–11. https://doi.org/10.1186/s12913-021-06137-5
Sherwood, G. (2011). Integrating quality and safety science in nursing education and practice. Journal of Research in Nursing, 16(3), 226–240. https://doi.org/10.1177/1744987111400960
Shin, S., & Won, M. (2021). Trend analysis of patient safety incidents and their associated factors in korea using national patient safety report data (2017~2019). International Journal of Environmental Research and Public Health, 18(16). https://doi.org/10.3390/ijerph18168482
Stavropoulou, C., Doherty, C., & Tosey, P. (2015). How Effective Are Incident-Reporting Systems for Improving Patient Safety? A Systematic Literature Review. The Milbank Quarterly, 93(4), 826–866. https://doi.org/10.1111/1468-0009.12166
Syarianingsih Syam, N., & Kurnia Widi Hastuti, S. (2018). Relationship Between Knowledge and Attitude with Implementation of Patient Safety Targets in RSUD Yogyakarta. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 7(3), 205–211. https://doi.org/10.18196/jmmr.7374
Tage, P. K. S., Berkanis, A. T., Betan, Y., & Pinis, A. E. B. (2021). A Qualitative Study on Nurses’ Experiences of Reporting Patient Safety Incidents in East Nusa Tenggara, Indonesia. Nurse Media Journal of Nursing, 11(3), 359–369. https://doi.org/10.14710/nmjn.v11i3.38400
Tingle, J. (2018). Improving the National Reporting and Learning System and responses to it. British Journal of Nursing, 27(5), 274–275. https://doi.org/10.12968/bjon.2018.27.5.274
Topcu, I., Türkmen, A. S., Sahiner, N. C., Savaser, S., & Sen, H. (2017). Physicians’ and nurses’ medical errors associated with communication failures. Journal of the Pakistan Medical Association, 67(4), 600–604.
WHO. (n.d.). Patient Safety. Retrieved August 21, 2022, from https://www.who.int/news-room/fact-sheets/detail/patient-safety
Winkler, M., Perlman, Y., & Westreich, S. (2019). Reporting near-miss safety events: Impacts and decision-making analysis. Safety Science, 117. https://doi.org/10.1016/j.ssci.2019.04.029
Woo, M. W. J., & Avery, M. J. (2021). Nurses’ experiences in voluntary error reporting: An integrative literature review. International Journal of Nursing Sciences, 8(4), 453–469. https://doi.org/10.1016/j.ijnss.2021.07.004
World Health Organization. (2020a). Patient safety incident reporting and learning systems: technical report and guidance. World Health Organization. https://apps.who.int/iris/handle/10665/334323
World Health Organization. (2020b). Patient Safety Incident Reporting and Learning Systems. https://www.who.int/publications/i/item/9789240010338#
Yu, C. C., Tan, L., Le, M. K., Tang, B., Liaw, S. Y., Tierney, T., Ho, Y. Y., Lim, B. E. E., Lim, D., Ng, R., Chia, S. C., & Low, J. A. (2022). The development of empathy in the healthcare setting: a qualitative approach. BMC Medical Education, 22(1), 1–13. https://doi.org/10.1186/s12909-022-03312-y
Zwickel, K., Koppel, J., Katz, M., Virkstis, K., Rothenberger, S., & Boston-Fleischhauer, C. (2016). Providing Professionally Meaningful Recognition to Enhance Frontline Engagement. JONA: The Journal of Nursing Administration, 46(7/8). https://journals.lww.com/jonajournal/Fulltext/2016/07000/Providing_Professionally_Meaningful_Recognition_to.2.aspx
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