Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.

Alanazi, FK; Sim, J; Lapkin, S

Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.

Alanazi, FK Sim, J

Lapkin, S

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Nurs Open, 2022, 9, (1), pp. 30-43
Issue Date:: 2022-01

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Field	Value	Language
dc.contributor.author	Alanazi, FK
dc.contributor.author	Sim, J https://orcid.org/0000-0001-6863-0541
dc.contributor.author	Lapkin, S
dc.date.accessioned	2023-04-19T00:11:45Z
dc.date.available	2021-09-02
dc.date.available	2023-04-19T00:11:45Z
dc.date.issued	2022-01
dc.identifier.citation	Nurs Open, 2022, 9, (1), pp. 30-43
dc.identifier.issn	2054-1058
dc.identifier.issn	2054-1058
dc.identifier.uri	http://hdl.handle.net/10453/169976
dc.description.abstract	AIMS: The aim of this review was to synthesize the best available evidence on the impact of nurses' safety attitudes on patient outcomes in acute-care hospitals. DESIGN: Systematic review with a narrative synthesis of the available data. DATA SOURCES: Data sources included MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Scopus and Web of Science Core Collection. Studies published up to March 2021 were included. REVIEW METHODS: This review was conducted using guidance from the Joanna Briggs Institute for Systematic Reviews and reported as per the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. RESULTS: A total of 3,452 studies were identified, and nine studies met the inclusion criteria. Nurses with positive safety attitudes reported fewer patient falls, medication errors, pressure injuries, healthcare-associated infections, mortality, physical restraints, vascular access device reactions and higher patient satisfaction. Effective teamwork led to a reduction in adverse patient outcomes. Most included studies (N = 6) used variants of the Hospital Survey on Patient Safety Culture to assess nurses' safety attitudes. Patient outcomes data were collected from four sources: coded medical records data, incident management systems, nurse perceptions of adverse events and patient perceptions of safety. CONCLUSION: A positive safety culture in nursing units and across hospitals resulted in fewer reported adverse patient outcomes. Nurse managers can improve nurses' safety attitudes by promoting a non-punitive response to error reporting and promoting effective teamwork and good communication.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Nurs Open
dc.relation.isbasedon	10.1002/nop2.1063
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Communication
dc.subject.mesh	Hospitals
dc.subject.mesh	Humans
dc.subject.mesh	Nurses
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Humans
dc.subject.mesh	Communication
dc.subject.mesh	Nurses
dc.subject.mesh	Hospitals
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Communication
dc.subject.mesh	Hospitals
dc.subject.mesh	Humans
dc.subject.mesh	Nurses
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Systematic Reviews as Topic
dc.title	Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.
dc.type	Journal Article
utslib.citation.volume	9
utslib.location.activity	United States
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/WHO Collaborating Centre
utslib.copyright.status	open_access	*
dc.date.updated	2023-04-19T00:11:36Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	9
utslib.citation.issue	1

Abstract:

AIMS: The aim of this review was to synthesize the best available evidence on the impact of nurses' safety attitudes on patient outcomes in acute-care hospitals. DESIGN: Systematic review with a narrative synthesis of the available data. DATA SOURCES: Data sources included MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Scopus and Web of Science Core Collection. Studies published up to March 2021 were included. REVIEW METHODS: This review was conducted using guidance from the Joanna Briggs Institute for Systematic Reviews and reported as per the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. RESULTS: A total of 3,452 studies were identified, and nine studies met the inclusion criteria. Nurses with positive safety attitudes reported fewer patient falls, medication errors, pressure injuries, healthcare-associated infections, mortality, physical restraints, vascular access device reactions and higher patient satisfaction. Effective teamwork led to a reduction in adverse patient outcomes. Most included studies (N = 6) used variants of the Hospital Survey on Patient Safety Culture to assess nurses' safety attitudes. Patient outcomes data were collected from four sources: coded medical records data, incident management systems, nurse perceptions of adverse events and patient perceptions of safety. CONCLUSION: A positive safety culture in nursing units and across hospitals resulted in fewer reported adverse patient outcomes. Nurse managers can improve nurses' safety attitudes by promoting a non-punitive response to error reporting and promoting effective teamwork and good communication.

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http://hdl.handle.net/10453/169976