MEDICAL PERSONNEL PERCEPTION ON SAFETY ATTITUDE IN A TERTIARY TEACHING HOSPITAL IN MALAYSIA

  • Leong KW Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
  • Areen Natasha AR Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
  • FarisAiman S Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
  • Tan RS Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
  • NurKamilah M Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
  • Roszita I Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
  • Hayati K Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Malaysia
  • Aniza I Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
Keywords: perception, patient safety, medical error, doctors, nurses

Abstract

Evaluation of the perception of safety attitudes among physicians and nurses in hospitals is important to ensure optimum patient care. The objectives are to assess the perception of medical personnel on safety attitudes at their workplace and to measure the correlation between domains and factors studied. A cross-sectional study involving 160 physicians and 304 nurses is conducted at a teaching hospital. A validated Safety Attitudes Questionnaire (SAQ) consisting of 6 domains is used to measure the perception of medical personnel on safety attitude at their workplace. The Mann-Whitney test was performed for the comparison of the mean scores between two categorical variables and Spearman’s correlation coefficient was used to evaluate the relationship between two numerical variables in terms of strength and direction. Job satisfaction (73.4 ± 17.6) and management perception (56.1 ± 12.9) domains recorded the highest and lowest mean scores respectively. Doctors showed the highest perceived positive attitudes towards stress identification (57.5%) whereas perception of management (9.4%) has the lowest score, and the nurses showed the highest perceived positive attitudes towards job satisfaction (74.3%), and a low score of perception of management (10.9%). Overall, climate safety and stress recognition domains showed significant correlations with age, level of education, years in specialty, and history of attending safety training. The study results indicated that the medical personnel had low positive safety attitudes towards the management perceptions domain. However, they reported a high level of job satisfaction domain. It is imperative for the management team to take the necessary steps to ensure the personnel develops a positive safety attitude.

References

Glendon AI, Stanton NA. Perspectives on safety culture. Safety Science 34 2000; 193-214.

Wami SD, Demssie AF, Wassie MM, Ahmed AN. Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers’ view in Jimma zone Hospitals, Southwest Ethiopia.BMC Health Services Research 2016; Sep 20;16(1): 495.

Samsuri SE, Lin LP, Fahrni ML. Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire. BMJ Open 2015; 5(11), e008889

Sirota RL. The Institute of Medicine's report on medical error: implications for pathology. Archives of pathology & laboratory medicine 2000; 124(11), 1674-1678.

World Health Organization & World Alliance for Patient Safety. Research Priority Setting Working Group. (‎2008)‎. Summary of the evidence on patient safety : implications for research / Edited by Ashish Jha. World Health Organization.

Makary MA, Danie, M.. Medical error—the third leading cause of death in the US. BMJ 2016; 353, i2139. 9.

Amarapathy M, Sridharan S, Perera R, Handa Y. Factors affecting patient safety culture in a tertiary care hospital in Sri Lanka. International Journal of Scientific & Technology Research 2013; 2(3), 173-180.

Alswat K, AbdallaRAM, Titi MA, et al. Improving patient safety culture in Saudi Arabia (2012–2015): trending, improvement and benchmarking. BMC health services research 2017; 17(1), 516.

Brasaite I, Kaunonen M, Martinkenas A,Suominen T. Health care professionals’ attitudes regarding patient safety: cross-sectional survey. BMC Research Notes 2016; 9(1).

Modak I, Sexton JB, Lux TR, Helmreich RL, Thomas EJ. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire ambulatory version. Journal of general internal medicine 2007; 22(1), 1-5.

Abd Hamid, H. S., Che Kar, C. S., & Murad @ Mansor, N. S. Adaptation and Validation of the Safety Attitude Questionnaire (SAQ) in Malaysian Healthcare Setting. Jurnal Psikologi Malaysia 2016; 30. 17-29.

El-Jardali F, Dimassi H, Jamal D, Jaafar M,Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Services Research 2011; 11(1), 45.

Gallego B, Westbrook MT, Dunn AG, Braithwaite J. Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. International Journal for Quality in Health Care 2012; 24(4), 311-320.

El-Gendi S, Seung H, Abdelsamie SM, Feemster AA. Assessment of Patient Safety Culture among Egyptian Healthcare Employees. Med Saf Glob Health 6 2017; 134.

Listyowardojo TA, Nap RE, Johnson A. Variations in hospital worker perceptions of safety culture. International Journal for Quality in Health Care 2011; 24(1), 9–15.

El-Jardali F, Sheikh F, Garcia NA, Jamal D, Abdo A. Patient safety culture in a large teaching hospital in Riyadh: baseline assessment, comparative analysis and opportunities for improvement. BMC health services research 2014; 14(1), 122.

Nygren M, Roback K, Öhrn A, et al. Factors influencing patient safety in Sweden: perceptions of patient safety officers in the county councils. BMC health services research 2013; 13(1), 52.

Relihan E, Glynn S, Daly D. Measuring and benchmarking safety culture: application of the safety attitudes questionnaire to anacute medical admissions unit. Ir J Med Sci 2009;178:433–439.

Alqattan H, Cleland J, & Morrison Z. An evaluation of patient safety culture in a secondary care setting in Kuwait. Journal of Taibah University Medical Sciences 2018;13(3), 272–280.

Ismail A, Khalid SNM. Patient safety culture and its determinants among healthcare professionals at a cluster hospital in Malaysia: a crosssectional study. BMJ Open 2022;12:e060546.

Ridelberg M, Roback K, Nilsen P. Facilitators and barriers influencing patient safety in Swedish hospitals: a qualitative study of nurses’ perceptions. BMC nursing 2014; 13(1), 23.

Cheng HC, Yen AMF, Lee YH. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey. Journal of Dental Sciences 2019.

Chi CY , Wu HH , Huang CH , Lee YC. Using Linear Regression to Identify Critical Demographic Variables Affecting Patient Safety Culture From Viewpoints of Physicians and Nurses. Hospital Practices and Research 2017; 2. 47-53. 10.15171/hpr.2017.12.

Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W.Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe, Int. J. Nurs. Stud 2013; 50 (2),143-153.

Estabrooks CA, Midodzi WK, Cummings GG, Ricker KL, Giovannetti P. The impact of hospital nursing characteristics on 30-day mortality. Nurs. Res 2015;54 (2), 74-84.

Published
2022-08-20
How to Cite
Leong KaWen, Areen Natasha Azizol Rozaimie, Faris Aiman Sarifulnizam, Tan Rong Sheng, NurKamilahMustapha, ibrahim, roszita, Hayati Binti Kadir @Shahar, & Aniza I. (2022). MEDICAL PERSONNEL PERCEPTION ON SAFETY ATTITUDE IN A TERTIARY TEACHING HOSPITAL IN MALAYSIA . Malaysian Journal of Public Health Medicine, 22(2), 187-196. https://doi.org/10.37268/mjphm/vol.22/no.2/art.1573
Section
Articles