Perceived Safety Climate, Nurses’ Work Environment and Their Relations to Barriers to Medication Administration Errors Reporting
Yaldez K. Zein ElDin and Nevine H. Abd El Aal
1Nursing Administration Department, Damanhour University. Egypt
Abstract: patient safety is considered a major concern for healthcare consumers and providers in addition to the work environment which isessential in ensuring patient safety climate and in promoting excellence in clinical practice and in preventing medication administration errors. Subjects: Nurses working in all units (n= 176) at Damanhour National Medical Institute agreed to participate in the study. Tools of the study: Three tools were used in the study namely; Safety climate Scale, Work environment questionnaire and barriers to medication administration errors reporting questionnaire. Results: Nurses perceived their work environment the highest as its mean percent score was (67%), followed by the barriers of medication administration errors reporting which received the same percent score of the safety climate (66%) respectively. There are positive weak significant correlations between education on quality (P= 0.001), Health care team attitude (P= 0.012), worker safety (P= 0.030), the reporting system (P= 0.044) and barriers to MAE reporting. On the other hand, only one negative significant correlation was found between the blame system and barriers to MAE reporting. In relation to work environment sub-items a positive weak correlation was found between peer relations and barriers to MAE reporting where P= 0.005, counter to a weak negative correlation between staffing resources and barriers to MAE reporting where P= 0.000. Conclusion: There was no relationship between perceived safety climate, nurses’ work environment and barriers to medication administration errors reporting. Although the absence of relationship between total of the study variables, there were some correlations between sub items of the study variables and barriers to medication administration errors reporting. Recommendation:Nurses are in need for training programs about the medication safety guidelines, Head nurses are in need to be encouraged to learn more about the incident reports and how to write a medication administration error reports.
[Yaldez K. Zein ElDin, and Nevine H. Abd El Aal. Perceived safety climate, nurses’ work environment and their relations to barriers to medication administration errors reporting. Life Sci J 2013;10(1):950-961]. (ISSN: 1097-8135). http://www.lifesciencesite.com.
Key words: Safety climate, Nurses’ work environment, Barriers to medication administration errors reporting, incident reports.