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Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.ORCID iD: 0000-0002-2057-4410
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Orthopaedics.ORCID iD: 0000-0002-3754-5026
Department of Clinical Research and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.ORCID iD: 0000-0002-4049-8910
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2024 (English)In: BMJ open quality, E-ISSN 2399-6641, Vol. 13, no 1, article id bmjoq-2022-002182Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patient safety is fundamental when providing care in the operating room. Still, adverse events and errors are a challenge for patient safety worldwide. To avoid preventable patient harm, organisations need a positive safety culture, the measurable component of which is known as the safety climate. To best improve the safety climate the current attitudes to safety must first be understood.

AIM: To explore operating room nurses' safety attitudes and their views on how to improve patient safety in operating rooms.

ETHOD: A cross-sectional study using the Swedish-translated version of the Safety Attitudes Questionnaire, Operating Room version. Data were collected using an online survey platform.

RESULTS: 358 operating room nurses completed the questionnaire. The results show that the older age group rated their working conditions and management support as better than the younger age groups. The older age group also rated their stress recognition as lower compared with the younger age groups. The same pattern was seen in terms of work experience, with more-experienced respondents showing a higher mean score for the factor working conditions and a lower mean score for the factor stress recognition as compared with their less-experienced colleagues. When comparing hospital types, county hospital employees had higher factor scores for safety climate, job satisfaction and working conditions than university hospital employees. The respondents' most recurring recommendations for improving patient safety were 'Having better and clearer communication' followed by 'Having enough time to do things the way they should be done'.

CONCLUSION: More focus on safety with increasing age and experience was observed in this cohort. Need for improvements is reported for patient safety in operating rooms, mainly when it comes to communication and workload. To improve and develop patient safety in the operating room, the organisational safety climate needs to be actively managed and developed. One step in actively managing the safety climate may be efforts to retain experienced operating room nurses.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024. Vol. 13, no 1, article id bmjoq-2022-002182
Keywords [en]
Attitudes, Nurses, Patient safety, Safety culture, Surgery
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-219813DOI: 10.1136/bmjoq-2022-002182PubMedID: 38212132Scopus ID: 2-s2.0-85182094382OAI: oai:DiVA.org:umu-219813DiVA, id: diva2:1830372
Funder
The Kempe FoundationsUmeå UniversityAvailable from: 2024-01-23 Created: 2024-01-23 Last updated: 2024-01-23Bibliographically approved

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Nyberg, AnetteOlofsson, BirgittaHaney, MichaelOtten, Volker T C

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