Perceptions of Patient Safety Culture among Nurses at Tertiary Level Hospitals in Bangladesh

Pritilata Dey — 2024-05-09

Background: Patient safety culture is recognized as an essential component of health care quality. Nurses are significant in-patient safety culture to achieve and sustain health care quality. Objective: This study aimed to assess perceptions of patient safety culture among nurses at tertiary-level hospitals in Bangladesh. Methods: A descriptive cross-sectional study was conducted at Dhaka Medical College Hospital (DMCH) among 112 nurses using the convenience sampling technique. Data were collected from February 2023 to March 2023 using a self-administered structured (HSOPSC) questionnaire. The questionnaires included two parts: (1) the socio-demographic questionnaire and (2) the hospital survey on patient safety culture (HSOPSC). Data were analyzed using descriptive and inferential statistics, including frequency, percentage, mean and standard deviation, t-test, and ANOVA. Results: The study findings revealed that the majority (79.5%) of the nurses had a medium level of perception of patient safety culture. There were statistically significant differences in nurses' perceptions of patient safety culture among nurses in their current work unit (F = 10.57, p =.000). Conclusion: Nurses perceived a moderate patient safety culture. The findings suggest that increasing perceptions of patient safety culture improves the quality of care. The study findings also provide significant information for policymakers and healthcare administrators to develop strategies to improve patient safety culture.

Decision-Making and Leadership Style among Nurse Managers

Ramon Perley M. Pandaan — 2024-05-16

Background: Decisions are vital to effective management. It forms appropriate actions and outcomes to achieve positive results. Nurse Managers carry significant responsibility in the workplace. Every day, various situations allow this opportunity to take place, the chance to make decisions. Nurse leaders must adhere to the base of professional nursing practice appropriate for decision-making. Objectives: This study aims to determine nurse managers' leadership styles and decision-making amidst the pandemic. Method: The research design utilized was descriptive-correlational, a quantitative and qualitative approach to assessing the extent of leadership style and decision-making among the respondents. Result: findings revealed that 21% of the nurse managers are females, while the remaining 14% are male. In terms of education, more than 28 nurse managers (80%) are BSN Degree holders (majority), and 14% are still pursuing their master's degree studies. In the monthly income profile, a majority (66%) earn 5,000 to 10,000, and only 1 (3%) have a monthly income of 20,000 or more. Leadership style finds a weighted mean of 1.83 and is interpreted as Fairly Bureaucratic. The respondents disagree that people will devise the best working methods when given minimal instruction. The respondents' extent of decision-making revealed an overall weighted mean of 3.01, which was interpreted as extensive; the respondents strongly agreed that they evaluated the risk associated with each alternative before making a decision. Conclusion: The findings show that leadership style is obtained in various factors but not relatively through a distinct variable. Respective of profile characteristics, the type of leadership, an individual, chooses to implement is out of an established pattern separate from all other aspects.

Journal of Nursing Research, Education and Management

Perceptions of Patient Safety Culture among Nurses at Tertiary Level Hospitals in Bangladesh

Decision-Making and Leadership Style among Nurse Managers