Health Promotion Perspectives | |
Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication | |
Ghahramanian A1  | |
关键词: Healthcare quality; Nurse-physician communication; Patient safety culture; Safety; Quality; | |
DOI : 10.15171/hpp.2017.30 | |
学科分类:农业科学(综合) | |
来源: Tabriz University of Medical Sciences | |
【 摘 要 】
Background: This study investigated quality of healthcare services from patientsâ perspectives and its relationship with patient safety culture and nurse-physician professional communication. Methods: A cross-sectional study was conducted among 300 surgery patients and 101 nurses caring them in a public hospital in TabrizâIran. Data were collected using the service quality measurement scale (SERVQUAL), hospital survey on patient safety culture (HSOPSC) and nurse physician professional communication questionnaire. Results: The highest and lowest mean (±SD) scores of the patientsâ perception on the healthcare services quality belonged to the assurance 13.92 (±3.55) and empathy 6.78 (±1.88) domains,respectively. With regard to the patient safety culture, the mean percentage of positive answers ranged from 45.87% for "non-punitive response to errors" to 68.21% for "organizational continuous learning" domains. The highest and lowest mean (±SD) scores for the nurse physician professional communication were obtained for "cooperation" 3.44 (±0.35) and "non participative decision-making" 2.84 (±0.34) domains, respectively. The "frequency of reported errors by healthcare professionals" (B=-4.20, 95% CI = -7.14 to -1.27, P<0.01) and "respect and sharing of information" (B=7.69, 95% CI=4.01 to 11.36, P<0.001) predicted the patientsâperceptions of the quality of healthcare services. Conclusion: Organizational culture in dealing with medical error should be changed to non punitive response. Change in safety culture towards reporting of errors, effective communication and teamwork between healthcare professionals are recommended.
【 授权许可】
CC BY
【 预 览 】
Files | Size | Format | View |
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RO201904280919221ZK.pdf | 216KB | download |