Patient safety culture of healthcare providers towards strategy development / Romnick B. Aguilar 6

Thesis (M.A.) Pamantasan ng Lungsod ng Maynila, 2016;A thesis presented to the faculty of the College of Nursing Graduate Program in partial fulfillment of the requirements for the degree of Master of Arts in Nursing 56

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ABSTRACT: This study was conducted for the purpose of determining the perceived patient safety culture of healthcare providers. It specifically determined the respondents profile in terms of: age, gender, time in the current profession, time in the organization, role and area of assignment; the patient safety culture of healthcare providers as to the following domains; senior leadership support for safety, supervisory leadership support for safety, patient safety learning culture and talking about errors; the significant relationship between healthcare provider's safety culture tom their profile, the patient safety culture strategy that can be developed to support learning and quality improvement. The results showed that most of the respondents belong to the less than thirty (30) years old. Mostly female and majority are young professionals coming from the nursing division and mostly has been in their profession from one (1) to five (5) years. Majority of the respondents came from the emergency and medicine department. With the four domains of safety culture, senior leadership support for safety and patient safety learning culture yielded high safety culture. While the remaining two domains namely supervisory leadership support for safety and talking about errors yielded average safety culture; the null hypothesis was rejected and that there was a statistically significant relationship between the respondents perceived patient safety culture domain namely patient safety learning culture when group according to time in the organization; the investigator had considered the area/domain that deals with talking about errors that was fall under the low safety culture and the period of stay of the healthcare provider with the organization which had indicated significant association with the learning of the patient safety culture. Through this, the formulation of a staff development program that aims to strengthen trust among junior and senior healthcare providers, encourage voluntary and truthful event/incident reporting and support learning to initiate organizational transformation to promote and enhance patient safety. It is recommended that physicians, nurses, midwives, healthcare aide and ancillary personnel can undergo Trust-Talk-Transform Seminar-Workshop (3T's of Safety) that will establish trust to support trustworthiness between junior and senior healthcare providers in order to provide good experiences in reporting and learning from errors; hospital and administration should lead the initiatives to reform the organization through creating a climate of open communication and continuous learning, error-reporting should not be viewed as an end in itself, but rather as a means of learning from mistakes and the first step towards elimination of harm and improvement of patient safety.

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