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Investigation of Patient Safety Attitudes of Operating Room Staff

Year 2024, Volume: 7 Issue: 1, 14 - 25, 18.03.2024

Birgül Belgin Sevban Arslan

https://doi.org/10.46236/umbd.1420418

Abstract

Operating rooms are one of the most chaotic work environments in a hospital. Patient-safety measures must be followed to obtain standardization in health care in the operating rooms. This study was conducted to investigate the patient safety attitudes of the staff working in operating rooms.
The study was conducted using a descriptive and cross-sectional design with staff working in central operating rooms between February 2017 and October 2017 in Balcali Hospital of the Medical Faculty of Cukurova University, and in Adana Numune Training and Research Hospital. The population of the study consisted of healthcare staff working in the operating room units. Rather than selecting a sample from the population, reaching the whole population was aimed. 254 people who accepted to participate in the study, and who met the inclusion criteria, were included in the study. Staff information forms for collecting demographic data of the staff, and the Safety Attitudes Questionnaire (SAQ) for assessing patient safety attitudes of the staff, were used to collect the data. SPSS version 20 software was used to analyze the data. The results were interpreted using a 95 % confidence interval and a p < 0.05 significance level.
The mean scores of the SAQ were as follows; the mean total SAQ scores were 49,58 ± 12,67, the scores for the teamwork climate dimension were 58,52±13,63, the scores for the job satisfaction dimension were 59,82±22,41, the scores for perceptions of management dimension were 44,35±22,99, the scores for safety climate dimension were 50,97±15,21, the scores for working conditions dimension were 51,35±25,01, and finally, the scores for stress recognition dimension were 36,83±16,14.
The results suggest that the patient safety attitudes of the staff working in the operating rooms were at an intermediate level. Providing necessary education and raising awareness are suggested to improve patient safety attitudes

Keywords

operating room, patient safety, patient safety culture, health care staff

References

  • Arslanoğlu, A., & Kabadayi, M. A. (2022). An Evaluation of Postgraduate Theses Published in Turkey Regarding the Patient Safety Attitude of Operating Room Staff. USCEH Journal, 2(1), 1-16.
  • Aydemir, İ, &Yıldırım, T. (2016). Determining the attitudes of the operating room surgical team towards non-technical skills. Mehmet Akif Ersoy University Social Sciences Institute Journal, 8(15), 66-84. https://doi.org/10.20875/sb.96417
  • Balanuye, B. (2014). The effect of workload of nurses working in surgical clinics on patient safety. Master's thesis, Başkent University Institute of Health Sciences, Ankara.
  • Carvalho, PA, Göttems, LB, Pires, MR, & de Oliveira, ML. (2015). Safety culture in the operating room of a public hospital in the perception of healthcare professionals. Rev Lat Am Enfermagem, 23(6),1041-8. doı: 10.1590/0104-1169.0669.2647
  • Demirel, G., & Akgün Ö. Doğaner A. (2020). The effect of intern students' patient safety attitudes and cultures on medical error situations. Acıbadem University Journal of Health Sciences, 11(2), 276-283. https://doi.org/10.31067/0.2020.266
  • Gens-Barberà, M, Rey-Reñones, C, Hernández-Vidal, N, Vidal-Esteve, E, Mengíbar-García, Y, Hospital-Guardiola, I, Palacios-Llamazares, L, Satué-Gracia, EM, Oya-Girona, EM, Bejarano-Romero, F, Astier-Peña, MP, &Martín-Luján, F. (2021). Effectiveness of new tools to define an up-to-date patient safety risk map: a primary care study protocol. Int J Environ Res Public Health, 18(16),8612. doi.org/10.3390/ijerph18168612
  • Gökdoğan, F., & Yorgun, S. (2010 June). Patient safety and nurses in health services. Anatolian Journal of Nursing and Health Sciences,13(2),53-59
  • Institute For Healtcare Improvement. Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after to Err is Human. Access Link: http://www.npsf.org/default.asp?page=freefromharm#.Wt5EFK6nYuM.gmail Access date: 10,10,2023
  • Jelacic, S, Bowdle, A, Nair, BG, Togashi, K, Boorman, DJ, Cain, KC, Lang, JD, & Dellinger, EP. (2020). Aviation-style computerized surgical safety checklist displayed on a large screen and operated by the anesthesia provider ımproves checklist performance. Anesth Analg, 130(2),382-390. doi.org/10.1213/ane.0000000000004328
  • Kapıkıran, G., & Bülbüloğlu, S. (2018). Patient safety in the operating room, patient safety culture, medical errors and undesirable events. Journal of Health and Nursing Management. 5(2), 32-140. doi:10.5222/SHYD.2018.132
  • Karayurt, Ö., Damar, H T., Bilik, Ö., Özdöker, S., & Duran, M. (2017 August ). Examining patient safety culture and use of the safe surgery checklist in the operating room. ACU Health Bil Magazine, 2017(1),16-23.
  • Kim, S, E., Kim, W, C., Lee, S J., Oh, J, H., Lee, D, H., Lim, T, H., Choi, H, J., Chung, H, S., Ryu, J, Y., Jang, H, Y., Kim, S, J., & Jung, J, H,A. (2015). Questionnaire survey exploring healthcare professionals’attitudes toward steam work and safety in acute care areas in South Korea. BMJ Open, 5(7),1-9. https://doi.org/10.1136/bmjopen-2015-007881
  • Korkmaz, A, Ç. (2018 May) Patient safety from past to present. Journal of İnönü University Vocational School of Health Services, 6(1), 10-19.
  • Korkmaz, O. (2013). Nurses' perception of managers' attitudes towards patient safety. Dokuz Eylül University Social Sciences Institute Journal, 4(4): 91-112.
  • Liao, X., Zhang, P, Xu, X., Zheng, D., Wang, J, Li, Y., & Xie, L. (2022). Analysis of factors ınfluencing safety attitudes of operating room nurses and their cognition and attitudes toward adverse event reporting. Journal of Healthcare Engineering, 2023(1), 1-11 doi.org/10.1155/2022/8315511
  • Mallouli, M., Tlili, M, A., Aouıcha, W., Rejeb, M, R., Zedını, C., Salwa, A., Mtıraouı, A., Dhıab, M,B., & Ajmi, T. (2017) Assessing patient safety culture in Tunisian operating rooms: a multicenter study. International journal for quality in health care. 29(2),176-182 doi.org/10.1093/intqhc/mzw157
  • Murphy, J. F. A. (2019). World patient safety day. Irish Medical Journal, 112(9), 997
  • Mallouli, M, Tlili, M, A, Aouicha, W, Ben, Rejeb, M, Zedini, C, Salwa, A, Ajmi, T. (2017). Assessing patient safety culture in Tunisian operating rooms: A multicenter study. International Journal for Quality in Health Care. 29(2), 176- 182. doi.org/10.1093/intqhc/mzw157.
  • Ongün, P. (2015). Attitudes of operating room staff towards patient safety and affecting factors. Master's thesis, Dokuz Eylül University Health Sciences Institute, Izmir
  • Öğün, B. (2008). Examining patient safety in the operating room. Master's thesis, Marmara University Institute of Health Sciences, İstanbul.
  • Önler E. (2010). Evaluation of operating room staff's attitudes towards patient safety. Doctoral thesis. Istanbul University Institute of Health Sciences. İstanbul.
  • Özsayın, F, S. (2015). Patient safety attitudes of operating room staff. Master's thesis, Ege University Institute of Health Sciences, İzmir.
  • Özer, Ö., Şantaş, F., Gün. Ç., & Şentürk, S. (2019 August). Evaluation of nurses' perceptions of patient safety attitudes. Acıbadem University Journal of Health Sciences, 10(2), 161-168. https://doi.org/10.31067/0.2019.139
  • Pimentel, M. P, T., Choi, S., Fiumara, K., Kachalia, A., & Urman, R. D. (2021). Safety culture in the operating room: variability among perioperative healthcare workers. Journal of Patient Safety, 17(6),412–416. doı: 10.1097/pts.000000000000038
  • Russ, S., Rout, S., Caris, J., Mansell, J., Davies, R., Mayer, E., Moorthy, K., Darzi, A., Vincent, C., & Sevdalis, N. (2015). Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. J Am Coll Surg, 220(1),1-11. doi.org/10.1016/j.jamcollsurg.2014.09.021
  • Sexton, J B., Helmreich, R L, Neilands, T, B., Rowan, K., Vella, K., Boyden, J., Roberts, P, R., & Thomas, J E. (2006). The Safety Attitudes Questionnaire: psychometric properties, bench marking data, and emerging research. BMC Health Services Research, 6(44), 1-10.
  • Şahin, E., Yeşilçınar, İ., Geriş, R., & Çukurlu, G. (2020 July). Determination of midwifery students' attitudes towards medical errors and patient safety. Life Sciences, 15(3), 9-18.
  • Tunçer, G. (2016). Determining the patient safety attitudes of physicians, nurses and midwives working in baby-friendly gynecology and children's hospitals. Master's thesis, Istanbul University Institute of Health Sciences, Istanbul.
  • Türk, S. (2015). Operating room nurses' attitudes towards patient safety. Master's thesis, Istanbul Medipol University Institute of Health Sciences, İstanbul,
  • Uğur, E., Kara, S., Yildirim, S., & Akbal, E. (2016 May). Medical errors and patient safety in the operating room. JPak Med Assoc, 33(6), 19-50.
  • Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International journal of environmental research and public health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
  • Venesoja A, Lindström V, Aronen P, Castrén M, & Tella S. (2021). Exploring safety culture in the Finnish ambulance service with Emergency Medical Services Safety Attitudes Questionnaire. Scand J Trauma Resusc Emerg Med, 29(1),1-11. https://doi.org/10.1186/s13049-021-00960-9
  • World Health Organization. Access Link: https://www.euro.who.int/en/health-topics/Health-systems/patient-safety/patient-safety Access date:10,10,2023
  • Yılmaz, A. Işık, O, & Akça, N. (2017 August). Determining the patient safety attitude perception levels of hospital employees. Hacettepe Health Administration Journal, 20(1), 69-80.

AMELİYATHANE ÇALIŞANLARININ HASTA GÜVENLİĞİNE İLIŞKİN TUTUMLARININ İNCELENMESİ

Year 2024, Volume: 7 Issue: 1, 14 - 25, 18.03.2024

Birgül Belgin Sevban Arslan

https://doi.org/10.46236/umbd.1420418

Abstract

Ameliyathaneler hastanelerin en karmaşık çalışma ortamlarından biridir. Bu birimlerde sağlık bakımında standardizasyonu sağlamak için hasta güvenliği unsurlarının yerine getirilmesi son derece önemlidir. Araştırma, ameliyathane çalışanlarının hasta güvenliği tutumlarının incelenmesi amacı ile yürütülmüştür.
Araştırma Şubat 2017-Ekim 2017 tarihleri arasında bir üniversite hastanesi ile bir devlet hastanesinin ameliyathane çalışanları ile tanımlayıcı ve kesitsel olarak yapılmıştır. Çalışmanın evrenini ameliyathane birimindeki sağlık çalışanları oluşturmuştur. Araştırmada örneklem seçimine gidilmeyerek, tüm evrene ulaşılması hedeflenmiştir. Araştırmaya katılmayı kabul eden ve kriterlere uyan 254 kişiye ulaşılmıştır. Araştırmada veri toplama aracı olarak, çalışanların tanıtıcı özelliklerini belirleyen Kişisel Bilgi Formu ve ameliyathane çalışanlarının hasta güvenliğine ilişkin tutumlarını değerlendirmek için Güvenlik Tutumları Ölçeği (GTÖ) (Ameliyathane Versiyonu) kullanıldı. Verilerin değerlendirilmesinde SPSS 20 paket program kullanılmıştır. Sonuçlar % 95 güven aralığında, p<0.05 anlamlılık düzeyinde değerlendirildi.
Çalışanların GTÖ puan ortalamaları incelendiğinde; toplam puan ortalamaları 49,58±12,67; ekip işbirliği alt boyut puan ortalamaları 58,52±13,63; iş memnuniyeti alt boyut puan ortalamaları 59,82±22,41; yönetimle ilgili düşünceler alt boyut puan ortalamaları 44,35±22,99; güvenli ortam alt boyut puan ortalamaları 50,97±15,21; çalışma koşulları alt boyut puan ortalamaları 51,35±25,01; stres düzeyinin belirlenmesi alt boyut puan ortalamaları 36,83±16,14 olarak belirlenmiştir.
Sonuç olarak, ameliyathane çalışanlarının hasta güvenliği tutumları orta seviyede bulunmuştur. Hasta güvenliği tutumunun iyileştirilmesi için gerekli eğitimlerin verilmesi ve farkındalıklarının arttırılması önerilmektedir.

Keywords

ameliyathane hasta güvenliği hasta güvenliği kültürü sağlık çalışanları

References

  • Arslanoğlu, A., & Kabadayi, M. A. (2022). An Evaluation of Postgraduate Theses Published in Turkey Regarding the Patient Safety Attitude of Operating Room Staff. USCEH Journal, 2(1), 1-16.
  • Aydemir, İ, &Yıldırım, T. (2016). Determining the attitudes of the operating room surgical team towards non-technical skills. Mehmet Akif Ersoy University Social Sciences Institute Journal, 8(15), 66-84. https://doi.org/10.20875/sb.96417
  • Balanuye, B. (2014). The effect of workload of nurses working in surgical clinics on patient safety. Master's thesis, Başkent University Institute of Health Sciences, Ankara.
  • Carvalho, PA, Göttems, LB, Pires, MR, & de Oliveira, ML. (2015). Safety culture in the operating room of a public hospital in the perception of healthcare professionals. Rev Lat Am Enfermagem, 23(6),1041-8. doı: 10.1590/0104-1169.0669.2647
  • Demirel, G., & Akgün Ö. Doğaner A. (2020). The effect of intern students' patient safety attitudes and cultures on medical error situations. Acıbadem University Journal of Health Sciences, 11(2), 276-283. https://doi.org/10.31067/0.2020.266
  • Gens-Barberà, M, Rey-Reñones, C, Hernández-Vidal, N, Vidal-Esteve, E, Mengíbar-García, Y, Hospital-Guardiola, I, Palacios-Llamazares, L, Satué-Gracia, EM, Oya-Girona, EM, Bejarano-Romero, F, Astier-Peña, MP, &Martín-Luján, F. (2021). Effectiveness of new tools to define an up-to-date patient safety risk map: a primary care study protocol. Int J Environ Res Public Health, 18(16),8612. doi.org/10.3390/ijerph18168612
  • Gökdoğan, F., & Yorgun, S. (2010 June). Patient safety and nurses in health services. Anatolian Journal of Nursing and Health Sciences,13(2),53-59
  • Institute For Healtcare Improvement. Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after to Err is Human. Access Link: http://www.npsf.org/default.asp?page=freefromharm#.Wt5EFK6nYuM.gmail Access date: 10,10,2023
  • Jelacic, S, Bowdle, A, Nair, BG, Togashi, K, Boorman, DJ, Cain, KC, Lang, JD, & Dellinger, EP. (2020). Aviation-style computerized surgical safety checklist displayed on a large screen and operated by the anesthesia provider ımproves checklist performance. Anesth Analg, 130(2),382-390. doi.org/10.1213/ane.0000000000004328
  • Kapıkıran, G., & Bülbüloğlu, S. (2018). Patient safety in the operating room, patient safety culture, medical errors and undesirable events. Journal of Health and Nursing Management. 5(2), 32-140. doi:10.5222/SHYD.2018.132
  • Karayurt, Ö., Damar, H T., Bilik, Ö., Özdöker, S., & Duran, M. (2017 August ). Examining patient safety culture and use of the safe surgery checklist in the operating room. ACU Health Bil Magazine, 2017(1),16-23.
  • Kim, S, E., Kim, W, C., Lee, S J., Oh, J, H., Lee, D, H., Lim, T, H., Choi, H, J., Chung, H, S., Ryu, J, Y., Jang, H, Y., Kim, S, J., & Jung, J, H,A. (2015). Questionnaire survey exploring healthcare professionals’attitudes toward steam work and safety in acute care areas in South Korea. BMJ Open, 5(7),1-9. https://doi.org/10.1136/bmjopen-2015-007881
  • Korkmaz, A, Ç. (2018 May) Patient safety from past to present. Journal of İnönü University Vocational School of Health Services, 6(1), 10-19.
  • Korkmaz, O. (2013). Nurses' perception of managers' attitudes towards patient safety. Dokuz Eylül University Social Sciences Institute Journal, 4(4): 91-112.
  • Liao, X., Zhang, P, Xu, X., Zheng, D., Wang, J, Li, Y., & Xie, L. (2022). Analysis of factors ınfluencing safety attitudes of operating room nurses and their cognition and attitudes toward adverse event reporting. Journal of Healthcare Engineering, 2023(1), 1-11 doi.org/10.1155/2022/8315511
  • Mallouli, M., Tlili, M, A., Aouıcha, W., Rejeb, M, R., Zedını, C., Salwa, A., Mtıraouı, A., Dhıab, M,B., & Ajmi, T. (2017) Assessing patient safety culture in Tunisian operating rooms: a multicenter study. International journal for quality in health care. 29(2),176-182 doi.org/10.1093/intqhc/mzw157
  • Murphy, J. F. A. (2019). World patient safety day. Irish Medical Journal, 112(9), 997
  • Mallouli, M, Tlili, M, A, Aouicha, W, Ben, Rejeb, M, Zedini, C, Salwa, A, Ajmi, T. (2017). Assessing patient safety culture in Tunisian operating rooms: A multicenter study. International Journal for Quality in Health Care. 29(2), 176- 182. doi.org/10.1093/intqhc/mzw157.
  • Ongün, P. (2015). Attitudes of operating room staff towards patient safety and affecting factors. Master's thesis, Dokuz Eylül University Health Sciences Institute, Izmir
  • Öğün, B. (2008). Examining patient safety in the operating room. Master's thesis, Marmara University Institute of Health Sciences, İstanbul.
  • Önler E. (2010). Evaluation of operating room staff's attitudes towards patient safety. Doctoral thesis. Istanbul University Institute of Health Sciences. İstanbul.
  • Özsayın, F, S. (2015). Patient safety attitudes of operating room staff. Master's thesis, Ege University Institute of Health Sciences, İzmir.
  • Özer, Ö., Şantaş, F., Gün. Ç., & Şentürk, S. (2019 August). Evaluation of nurses' perceptions of patient safety attitudes. Acıbadem University Journal of Health Sciences, 10(2), 161-168. https://doi.org/10.31067/0.2019.139
  • Pimentel, M. P, T., Choi, S., Fiumara, K., Kachalia, A., & Urman, R. D. (2021). Safety culture in the operating room: variability among perioperative healthcare workers. Journal of Patient Safety, 17(6),412–416. doı: 10.1097/pts.000000000000038
  • Russ, S., Rout, S., Caris, J., Mansell, J., Davies, R., Mayer, E., Moorthy, K., Darzi, A., Vincent, C., & Sevdalis, N. (2015). Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. J Am Coll Surg, 220(1),1-11. doi.org/10.1016/j.jamcollsurg.2014.09.021
  • Sexton, J B., Helmreich, R L, Neilands, T, B., Rowan, K., Vella, K., Boyden, J., Roberts, P, R., & Thomas, J E. (2006). The Safety Attitudes Questionnaire: psychometric properties, bench marking data, and emerging research. BMC Health Services Research, 6(44), 1-10.
  • Şahin, E., Yeşilçınar, İ., Geriş, R., & Çukurlu, G. (2020 July). Determination of midwifery students' attitudes towards medical errors and patient safety. Life Sciences, 15(3), 9-18.
  • Tunçer, G. (2016). Determining the patient safety attitudes of physicians, nurses and midwives working in baby-friendly gynecology and children's hospitals. Master's thesis, Istanbul University Institute of Health Sciences, Istanbul.
  • Türk, S. (2015). Operating room nurses' attitudes towards patient safety. Master's thesis, Istanbul Medipol University Institute of Health Sciences, İstanbul,
  • Uğur, E., Kara, S., Yildirim, S., & Akbal, E. (2016 May). Medical errors and patient safety in the operating room. JPak Med Assoc, 33(6), 19-50.
  • Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International journal of environmental research and public health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
  • Venesoja A, Lindström V, Aronen P, Castrén M, & Tella S. (2021). Exploring safety culture in the Finnish ambulance service with Emergency Medical Services Safety Attitudes Questionnaire. Scand J Trauma Resusc Emerg Med, 29(1),1-11. https://doi.org/10.1186/s13049-021-00960-9
  • World Health Organization. Access Link: https://www.euro.who.int/en/health-topics/Health-systems/patient-safety/patient-safety Access date:10,10,2023
  • Yılmaz, A. Işık, O, & Akça, N. (2017 August). Determining the patient safety attitude perception levels of hospital employees. Hacettepe Health Administration Journal, 20(1), 69-80.
There are 34 citations in total.

Details

Primary Language English
Subjects Primary Health Care
Journal Section Articles
Authors

Birgül Belgin 0000-0003-3860-3416

Sevban Arslan 0000-0002-8893-9391

Publication Date March 18, 2024
Submission Date January 16, 2024
Acceptance Date March 4, 2024
Published in Issue Year 2024 Volume: 7 Issue: 1

Cite

APA Belgin, B., & Arslan, S. (2024). Investigation of Patient Safety Attitudes of Operating Room Staff. Uluborlu Mesleki Bilimler Dergisi, 7(1), 14-25. https://doi.org/10.46236/umbd.1420418
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