Language
English
Publication Date
10-1-2023
Journal
BMJ Open Quality
DOI
10.1136/bmjoq-2023-002310
PMID
37816540
PMCID
PMC10565149
PubMedCentral® Posted Date
10-10-2023
PubMedCentral® Full Text Version
Post-print
Abstract
Objective: To evaluate and synthesise the factors determining patient safety culture in hospitals.
Methods: The scoping review protocol was based on the criteria of the Joanna Briggs Institute. Eligibility criteria were as follows: (1) empirical study published in a peer-reviewed journal; (2) used methods or tools to assess, study or measure safety culture or climate; (3) data collected in the hospital setting and (4) studies published in English. Relevant literature was located using PubMed, CINAHL, Web of Science and PsycINFO databases. Quantitative and qualitative analyses were performed using RStudio and the R interface for multidimensional analysis of texts and questionnaires (IRaMuTeQ).
Results: A total of 248 primary studies were included. The most used instruments for assessing safety culture were the Hospital Survey on Patient Safety Culture (n=104) and the Safety Attitudes Questionnaire (n=63). The Maslach Burnout Inventory (n=13) and Culture Assessment Scales based on patient perception (n=9) were used in association with cultural instruments. Sixty-six articles were included in the qualitative analysis. In word cloud and similarity analyses, the words 'communication' and 'leadership' were most prominent. Regarding the descending hierarchical classification analysis, the content was categorised into two main classes, one of which was subdivided into five subclasses: class 1a: job satisfaction and leadership (15.56%), class 1b: error response (22.22%), class 1c: psychological and empowerment nurses (20.00%), class 1d: trust culture (22.22%) and class 2: innovation worker (20.00%).
Conclusion: The instruments presented elements that remained indispensable for assessing the safety culture, such as leadership commitment, open communication and learning from mistakes. There was also a tendency for research to assess patient and family engagement, psychological safety, nurses' engagement in decision-making and innovation.
Keywords
Humans, Hospitals, Safety Management, Burnout, Professional, Job Satisfaction, Surveys and Questionnaires, Patient safety, Safety culture, Organizational Culture
Published Open-Access
yes
Recommended Citation
Carvalho, Rhanna Emanuela Fontenele Lima de; Bates, David W; Syrowatka, Ania; et al., "Factors Determining Safety Culture in Hospitals: A Scoping Review" (2023). Faculty, Staff and Students Publications. 8461.
https://digitalcommons.library.tmc.edu/baylor_docs/8461