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Critical care nurse’s views about safety climate


Shahrbanoo Akhlaghnejat, Ezzat Paryad, Ehsan Kazemnezhad Leyli, Fateme Jafaraghaee

Abstract

Background: Healthcare organizations have started to consider safety climate as a vital issue in the success of the organization.  Objectives: this study aimed to examine the safety climate from nurse's views in Critical Care Units. Methods: This cross-sectional study was performed among 203 nurses in critical care units of educational hospitals in 2017. The data were collected through Nurses Safety Climate Scale. The data on six safety dimensions were measured. Positive and negative questions separately using a 5-point Likert scale, the mean value was calculated and presented in the result section in 1 to 10 interval. Descriptive statistics, Friedman, ManVitni, Cross-Call Valis tests, and Logistic regression analysis were used to analyze the data. Data were processed using SPSS software. Results: Total mean of safety climate as perceived by Intensive Care Units nurses was 6.73±0.94. The analysis showed that the highest mean of safety climate items was related to "accessibility to personal protective equipment" (X = 7.58; SD = 1.22) and lowest mean of safety climate items was related to "compliance with safety rules" (X = 5.826; SD = 1.40). the regression results showed that  safety climate was influenced by Sex (β =1.49),Absence of doctor in the department (β =0.794) and Work experience (β =-.083). Conclusion: According to the results, it can be noted that the level of safety climate in the hospital was fairly good from the nurses’ viewpoint, there were indications that improvements in organizational management are needed. Furthermore, managers must pay much attention to dimension of “Compliance with safety rules”, because this dimension had lowest Mean among dimensions of safety climate.




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