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Effect of an educational programme on the attitudes towards patient safety of operation room nurses

27 February 2020
15 min read
Volume 29 · Issue 4



A culture of patient safety is one of the cornerstones of good-quality healthcare, and its provision is one of the significant challenges in healthcare environments.


The purpose of this study was to evaluate the effect of a surgical safety educational programme on the attitudes of nurses to patient safety in operating rooms (OR).


An interventional one-group pre-/post-test design, which sought to measure changes in OR nurses' attitudes toward patient safety culture.


A simple random sampling technique was used to recruit 66 OR nurses working at six Royal Medical Service hospitals in Amman, Jordan. All participants took part in a 4-hour educational workshop. Pre-tests and post-tests were done.


The results of this study showed that OR nurses' attitudes towards a culture of patient safety was originally negative; significant improvement after attending the programme was found (3.3 ± 0.20 versus 3.8 ± 0.30). There was a negative correlation between years of experience and nurses' attitudes towards patient safety.


Incorporating courses about safety culture into continuing education programmes may improve nurses' attitudes towards patient safety. Nurses should be qualified to play an important role in creating a culture of patient safety.

Patient safety is considered the cornerstone of good-quality health care, and its provision is one of the significant challenges in healthcare environments. Patient safety is a basic human right and providing a culture of patient safety is the responsibility of all healthcare personnel, regulatory agencies, and government bodies (Tingle, 2012).

Patient safety was defined by the Institute of Medicine as ‘the prevention of harm to patients' (Aspden et al, 2004). The Agency for Healthcare Research and Quality (AHRQ) further defined patient safety as:

‘A discipline in the healthcare sector that applies safety scientific methods towards the goal of achieving a trustworthy system of healthcare delivery. Patient safety is also an attribute of healthcare systems, it minimises the incidence and its impact, and maximises recovery from adverse events.’

Making patient safety a top priority is dependent on having a strong and positive safety culture (Nieva and Sorra 2003). Patient safety culture refers to the prevailing attitudes of the members, units or teams of an organisation towards patient safety. It shapes nurses' attitudes about favourable behaviour related to patient safety in their work area; thus, culture influences staff attitudes (Morello et al, 2013). The term patient safety culture is a relatively new and potentially very valuable concept. With the increasing emphasis on safety issues in healthcare organisations worldwide, creating and maintaining a patient safety culture becomes extremely important (Feng et al, 2008). Liu et al (2009) investigated nurses' perceptions of safety culture in Chinese hospitals, indicating three core dimensions as components: management commitment to safety, the safety system and work pressure. Feng et al (2008) identified four subdomains of patient safety culture: system, personal, task-associated and interactive.

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