Patient Safety Culture Among Nurses: Comparison Between Public and Private Hospital in Indonesia

Authors

  • Lilis Suryani Horizon University Indonesia
  • Linlin Lindayani STIKep PPNI Jawa Barat

DOI:

https://doi.org/10.33755/jkk.v10i5.771

Keywords:

Patient Safety Culture, Nurse, Public Hospital, Private Hospital, Indonesia

Abstract

Aims: This study aimed to describe the patient safety culture among nurses working in both public and private hospitals in Karawang, Indonesia. By examining the perceptions and practices of nurses regarding patient safety, the research sought to identify strengths and areas for improvement within the healthcare system. The findings are intended to inform strategies for enhancing patient safety practices, thereby contributing to better healthcare outcomes for patients in the region.

Methods This study employed a cross-sectional methodology to investigate the patient safety culture in the intensive care units of two private and two public hospitals in Karawang, Indonesia. The researchers utilized the Hospital Survey on Patient Safety Culture (HSPSC) to gather data on nurses' perceptions and practices regarding patient safety. To analyze the data and identify any significant differences in patient safety cultural practices between the various hospital groups, both chi-square tests and independent t-tests were conducted. This approach allowed for a comprehensive assessment of the patient safety culture within the selected hospitals, facilitating comparisons between public and private healthcare settings.

Results The study included a total of 118 nurses, with 52 working in a public hospital and 66 in a private hospital. The average age of nurses in the public hospital was 36.11 years (SD: 4.78), while those in the private hospital had a lower average age of 32.45 years (SD: 3.67). The results indicated a significant difference in the scores related to patient safety culture between the two groups of nurses. Specifically, nurses in the private hospital reported a higher patient safety culture compared to their counterparts in the public hospital, highlighting the disparities in perceptions and practices regarding patient safety in these different healthcare settings.

Conclusion Nurses employed in private hospitals reported a higher level of patient safety culture compared to those working in public hospitals. This finding underscores the importance of creating a comfortable work environment in healthcare settings, as it is essential for minimizing the risk of patient safety incidents. By fostering a supportive and safe atmosphere, healthcare facilities can enhance the overall quality of care provided to patients and promote better outcomes in both private and public hospitals.

References

Albrecht, R. M. (2015). Patient safety : the what , how , and when. The American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2015.09.003

Amiri, M., Khademian, Z., & Nikandish, R. (2018). The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Medical Education, 18(1), 158. https://doi.org/10.1186/s12909-018-1255-6

Ammouri AA, Rn, A. K. T., Rnma, J. K. M., Geethakrishnan, R. N., Phil, M. N., & Rn, S. N. A. K. (2015). Patient safety culture among nurses. 102–110.

Aranaz-Andrés, J. M., Aibar, C., Limón, R., Mira, J. J., Vitaller, J., Agra, Y., & Terol, E. (2012). A study of the prevalence of adverse events in primary healthcare in Spain. The European Journal of Public Health, 22(6), 921–925.

Boamah, S. A., Laschinger, H. K. S., Wong, C., & Clarke, S. (2017). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 1–10. https://doi.org/10.1016/j.outlook.2017.10.004

Carlesi, K. C., Toffoletto, M. C., Henriquez-roldán, C., Andrea, M., & Juan, C. (2017). Patient Safety Incidents and Nursing Workload 1. https://doi.org/10.1590/1518-8345.1280.2841

Gaal, S., Verstappen, W., Wolters, R., Lankveld, H., van Weel, C., & Wensing, M. (2011). Prevalence and consequences of patient safety incidents in general practice in the Netherlands: a retrospective medical record review study. Implementation Science, 6(1), 37.

Gaffney, T. A., Hatcher, B. J., & Milligan, R. (2016). Nurses ’ role in medical error recovery : an integrative review. 906–917. https://doi.org/10.1111/jocn.13126

Galvão, T. F., Elizete, M., Araújo, D. A., & Silva, M. T. (2018). Patient safety culture in a university hospital. https://doi.org/10.1590/1518-8345.2257.3014

Li, Y., Zhao, Y., Hao, Y., Jiao, M., Ma, H., Teng, B., Yang, K. A. I., Sun, T., Wu, Q., & Qiao, H. (2018). Perceptions of patient safety culture among healthcare employees in tertiary hospitals of Heilongjiang province in northern China : a cross-sectional study. May, 1–6. https://doi.org/10.1093/intqhc/mzy084

Najjar, S., Baillien, E., Vanhaecht, K., Hamdan, M., Euwema, M., Vleugels, A., Sermeus, W., Schrooten, W., Hellings, J., & Vlayen, A. (2018). Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings : a national cross-sectional study in Palestinian and Belgian hospitals. 1–11. https://doi.org/10.1136/bmjopen-2018-021504

Nezamodini, Z. S., Khodamoradi, F., Malekzadeh, M., & Vaziri, H. (2016). Nursing Errors in Intensive Care Unit by Human Error Identification in Systems Tool: A Case Study. Jundishapur Journal of Health Sciences, 8(3). https://doi.org/10.17795/jjhs-36055

Olsen, R. M., & Bjerkan, J. (2017). Patient safety culture in Norwegian home health nursing : a cross-sectional study of healthcare provider ’ s perceptions of the teamwork and safety climates. 1–8. https://doi.org/10.1186/s40886-017-0066-5

Padgett, J., & Gossett, K. (2017). Improving Patient Safety through High Reliability Organizations Improving Patient Safety through High Reliability Organizations. 22(2), 410–425.

Polo, F., Cervai, S., & Kantola, J. (2018). Training culture : a new conceptualization to capture values and meanings of training in organizations . Journal of Workplace Learning Article information : February. https://doi.org/10.1108/JWL-01-2018-0024

Tourani, S., Hassani, M., Ayoubian, A., Habibi, M., & Zaboli, R. (2015). Analyzing and Prioritizing the Dimensions of Patient Safety Culture in Emergency Wards Using the TOPSIS Technique. 7(4), 143–150. https://doi.org/10.5539/gjhs.v7n4p143

WHO. (2019a). Patient Safety Fact File. In Patient Safety Fact File.

Willmott, J. D. (2018b). Health Professionals ’ Perception of Patient Safety and Quality in a Western Australian Hospital. May.

Zhou, P., Bai, F., Tang, H., Bai, J., Li, M., & Xue, D. (2018). Patient safety climate in general public hospitals in China : differences associated with department and job type based on a cross-sectional survey. 1–11. https://doi.org/10.1136/bmjopen-2016-015604

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Published

2024-10-31

How to Cite

Suryani, L., & Lindayani, L. (2024). Patient Safety Culture Among Nurses: Comparison Between Public and Private Hospital in Indonesia. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 10(5), 689–697. https://doi.org/10.33755/jkk.v10i5.771