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Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals
BACKGROUND: The connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive car...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505324/ https://www.ncbi.nlm.nih.gov/pubmed/37716938 http://dx.doi.org/10.1186/s12913-023-10010-y |
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author | Silverglow, Anastasia Wijk, Helle Lidén, Eva Johansson, Lena |
author_facet | Silverglow, Anastasia Wijk, Helle Lidén, Eva Johansson, Lena |
author_sort | Silverglow, Anastasia |
collection | PubMed |
description | BACKGROUND: The connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive care at home have been affected by adverse events, with the majority judged to be preventable. The aim of this study was to investigate the patient safety culture among care professionals working in care at home with older people. METHODS: This cross-sectional study used a purposive sample of 66 municipal care workers, health care professionals, and rehabilitation staff from five municipal care units in two districts in western Sweden who provided care at home for older people and had been employed for at least six months. The participants completed the Hospital Survey on Patient Safety Culture (HSOPSC) self-report questionnaire, which assessed aspects of patient safety culture—norms, beliefs, and attitudes. Logistic regression analysis was used to test how the global ratings of Patient safety grade in the care units and Reporting of patient safety events were related to the dimensions of safety culture according to the staff’s professions and years of work experience. RESULTS: The most positively rated safety culture dimension was Teamwork within care units (82%), which indicates good cooperation with the closest co-workers. The least positively rated dimensions were Handoffs and transitions among care units (37%) and Management support (37%), which indicate weaknesses in the exchange of patient information across care units and limited support from top-level managers. The global rating of Patient safety grade was associated with Communication openness and Management support (p < 0.01 and p = 0.03, respectively). Staff with less work experience evaluated the Patient safety grade higher than those with more work experience. CONCLUSIONS: This study suggests that improvements are needed in care transitions and in support from top-level managers and that awareness of patient safety should be improved in staff with less work experience. The results also highlight that an open communication climate within the care unit is important for patient safety. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10010-y. |
format | Online Article Text |
id | pubmed-10505324 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105053242023-09-18 Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals Silverglow, Anastasia Wijk, Helle Lidén, Eva Johansson, Lena BMC Health Serv Res Research BACKGROUND: The connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive care at home have been affected by adverse events, with the majority judged to be preventable. The aim of this study was to investigate the patient safety culture among care professionals working in care at home with older people. METHODS: This cross-sectional study used a purposive sample of 66 municipal care workers, health care professionals, and rehabilitation staff from five municipal care units in two districts in western Sweden who provided care at home for older people and had been employed for at least six months. The participants completed the Hospital Survey on Patient Safety Culture (HSOPSC) self-report questionnaire, which assessed aspects of patient safety culture—norms, beliefs, and attitudes. Logistic regression analysis was used to test how the global ratings of Patient safety grade in the care units and Reporting of patient safety events were related to the dimensions of safety culture according to the staff’s professions and years of work experience. RESULTS: The most positively rated safety culture dimension was Teamwork within care units (82%), which indicates good cooperation with the closest co-workers. The least positively rated dimensions were Handoffs and transitions among care units (37%) and Management support (37%), which indicate weaknesses in the exchange of patient information across care units and limited support from top-level managers. The global rating of Patient safety grade was associated with Communication openness and Management support (p < 0.01 and p = 0.03, respectively). Staff with less work experience evaluated the Patient safety grade higher than those with more work experience. CONCLUSIONS: This study suggests that improvements are needed in care transitions and in support from top-level managers and that awareness of patient safety should be improved in staff with less work experience. The results also highlight that an open communication climate within the care unit is important for patient safety. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10010-y. BioMed Central 2023-09-16 /pmc/articles/PMC10505324/ /pubmed/37716938 http://dx.doi.org/10.1186/s12913-023-10010-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Silverglow, Anastasia Wijk, Helle Lidén, Eva Johansson, Lena Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals |
title | Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals |
title_full | Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals |
title_fullStr | Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals |
title_full_unstemmed | Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals |
title_short | Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals |
title_sort | patient safety culture in home care settings in sweden: a cross-sectional survey among home care professionals |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10505324/ https://www.ncbi.nlm.nih.gov/pubmed/37716938 http://dx.doi.org/10.1186/s12913-023-10010-y |
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