A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Varughese, Raji
- Survey of Patient Safety Culture Among Hospital Staff in Selected Hospitals at Mangaluru
Authors
1 Laxmi Memorial College of Nursing, A.J. Towers, Balmatta, Mangalore- 575 002, IN
2 Department of Medical Surgical Nursing, Laxmi Memorial College of Nursing, A.J.Towers, Balmatta, Mangalore -575 002, IN
Source
International Journal of Nursing Education and Research, Vol 3, No 4 (2015), Pagination: 363-370Abstract
Background:
Patient safety has become an essential part of the health care and issue of concern worldwide and a lot of work has been done in many countries on issues relating to it. Implementing a safety culture assessment involves the commitment of staff time and resources. Safety culture assessments are new tools in the patient safety improvement arsenal. These tools can be used to measure organizational conditions that lead to adverse events and patient harm, and for developing and evaluating safety improvement interventions in healthcare organizations. They provide a metric by which the implicit shared understandings about ''the way we do things around here'' can be made visible and available as input for change as well.
Aims:
The aim of this study was to assess the current patient safety culture among health-care providers at hospitals using a Hospital Survey for Patient Safety Culture, in which experts delineated a number of safety culture dimensions that a hospital can measure using a culture assessment tool developed for the Agency for Healthcare Research and Quality.
Objectives of the Study:
1. To measure the patient safety culture among medical staff using Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC)
2. To measure the patient safety culture among nursing staff using Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC)
3. To measure the patient safety culture among paramedical staff using Hospital Survey on Patient Safety Culture Questionnaire (HSOPSC)
4. To compare the differences on patient safety culture among various hospital staff
Method:
A descriptive study consisting of 90 hospital staff including doctors, nurses and paramedical staff selected by using purposive sampling technique was conducted in a multispecialty teaching hospital. Hospital Survey on Patient Safety's PSC dimensions was used to assess the patient safety culture.
Results:
The study showed that majority (55.6%) of hospital staff was in the age group of 20-29 years. Most of them (71.2%) were males. The most represented work area were medical unit (16.6%) followed by laboratory (15.5%), surgical unit (14.4%), mixed medical surgical unit (13.3%),Intensive Care Units(10%), dialysis(8.88%), radiology (8.88%),emergency department (8%),operation theatre(3.33%) and anesthesiology (1.11%).Majority of subjects (30%) reported that they had 1 to 5 years of work experience in the relevant unit. Highest positive response on measurement of patient safety culture by medical staff was in the dimension of Staffing (85.2%), which indicated that there was no shortage of medical staff in the hospital and least reported was handoffs and transition (54%), which showed high chances of ineffective handoffs that can contribute to failures in patient safety including medication errors, wrong-site surgery and patient deaths. Highest positive response on measurement of patient safety culture by nursing staff was in the dimension of Team work within the units (87.15%), which signified the importance of team work contributing to patient safety and least reported response was Staffing (60.3%), which indicated that there is a severe shortage of nursing staff in the hospital. Highest positive response of on measurement of patient safety culture by paramedical staff was in the dimension of Organizational learning - Continuous improvement (86.6%), which might be due to learning from the adverse events that takes place in the hospital by analyzing and taking measures to prevent repetition of same adverse events and least reported response was Handoffs and transition (57.3%), which showed high chances of ineffective handoffs that can contribute to failures in patient safety.
Interpretation and Conclusion:
Findings of the study showed that there was a significant difference between perceptions of safety culture among doctors, nurses and paramedical in three dimensions like Supervisor/manager expectation and actions promoting patient safety, Feedback and communication about error and Communication openness.
Keywords
Patient Safety, Safety Culture, Hospital Staff, Hospital Survey on Patient Safety Culture.
- Assessment of the Factors Associated with Breast Cancer Screening Among Rural Women in Selected Villages, Mangalore
Authors
1 Laxmi Memorial College of Nursing, A.J Towers, Balmatta, Mangalore- 575 002, IN
2 Department of Medical Surgical Nursing, Laxmi Memorial College of Nursing, A.J Towers, Balmatta, Mangalore -575 002, IN
Source
International Journal of Nursing Education and Research, Vol 3, No 2 (2015), Pagination: 218-223Abstract
Background: Breast cancer is the most common cancer in women worldwide, with nearly 1.7 million new cases diagnosed in 2012.One potentially important strategy in reducing breast cancer mortality is the use of screening to achieve earlier detection of cancer. Recommended preventive techniques to reduce breast cancer mortality and morbidity include breast self-examination (BSE), clinical breast examination (CBE), and mammogram.
Objective: The purpose of the study is to assess the factors associated with breast cancer screening among rural women Research design and approach: Non-experimental, explorative survey design approach Setting: The study was conducted in villages of Bajpe , Mangalore
Sample size and technique: 100 rural women who were residing in the villages of Bajpe were selected by consecutive sampling technique
Instrument used: Data was collected using breast cancer screening questionnaire and checklist to assess the factors contributing to undergo/not undergo breast cancer screening.
Major findings: The finding of the study showed that socioeconomic and environmental factors such as affordable for screening (60%), peer or family support (75.56%), having health insurance (28.89%) and recommended by physician (48.89%) influenced the women for undergoing breast cancer screening and knowledge factors like lack of knowledge regarding screening (60%) and do not know where to seek for screening (61.81%) influenced the women not to undergo breast cancer screening.