PMID- 38271447
OWN - NLM
STAT- MEDLINE
DCOM- 20240129
LR  - 20240206
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 19
IP  - 1
DP  - 2024
TI  - Nurses' perceptions of patient safety competency: A cross-sectional study of 
      relationships with occurrence and reporting of adverse events.
PG  - e0297185
LID - 10.1371/journal.pone.0297185 [doi]
LID - e0297185
AB  - Although, strengthening patient safety competencies in nursing has been 
      emphasized for enhancing quality care and patient safety. However, little is 
      known about the association of nurses' perceptions of patient safety competency 
      with adverse nurse outcomes in Iranian hospitals. This study aimed to measure 
      nurses' levels of patient safety competency in the hospitals of Iran and examines 
      the relationship between patient safety competency with the occurrence and 
      reporting of adverse events (AEs). This cross-sectional research was applied in 
      eight teaching hospitals in Tehran, Iran, between August and December 2021. A 
      sample of 511 nurses was randomly selected using the table of random numbers. The 
      validated Patient Safety Competency Self-Evaluation questionnaire was used. 
      Furthermore, two questions were used to measure the incidence and reporting of 
      AEs. Data analysis was performed using descriptive statistics, independent 
      t-tests, and two binary logistic regression models through SPSS version 24.0. The 
      mean patient safety competency score was 3.34 (SD = 0.74) out of 5.0; 41.5% of 
      nurses rated their patient safety competency as less than 3. Among subscales, 
      "skills of patient safety" scores were the highest, and "knowledge of patient 
      safety" scores were the lowest. Nurses with higher Knowledge and Attitude scores 
      were less likely to experience the occurrence of AEs (OR = 1.50 and OR = 0.58, 
      respectively). Regarding AEs reporting, nurses with higher Skill and Attitude 
      scores were 2.84 and 1.67 times, respectively, more likely to report AEs (OR = 
      2.84 and OR = 3.44, respectively). Our results provide evidence that enhancing 
      PSC leads to reduced incidence of AEs and increased nurses' performance in 
      reporting. Therefore, it is recommended that managers of hospitals should enhance 
      the patient safety competency of nurses in incidents and reporting of patient 
      safety adverse outcomes through quality expansion and training. Additionally, 
      researchers should carry out further research to confirm the findings of the 
      current study and identify interventions that would strengthen patient safety 
      competencies and reduce the occurrence of AEs, and rise their reporting among 
      nurses.
CI  - Copyright: (c) 2024 Kakemam et al. This is an open access article distributed under 
      the terms of the Creative Commons Attribution License, which permits unrestricted 
      use, distribution, and reproduction in any medium, provided the original author 
      and source are credited.
FAU - Kakemam, Edris
AU  - Kakemam E
AUID- ORCID: 0000-0001-7721-6924
AD  - Clinical Research Development Unit of Tabriz Valiasr Hospital, Tabriz University 
      of Medical Sciences, Tabriz, Iran.
FAU - Albelbeisi, Ahmed Hassan
AU  - Albelbeisi AH
AD  - Health Professions College, Al- Israa University, Gaza Strip, Palestine.
FAU - Rouzbahani, Mahtab
AU  - Rouzbahani M
AD  - Department of Health Management and Economics, School of Public Health, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Gharakhani, Mehdi
AU  - Gharakhani M
AD  - Clinical Research Development Unit of Tabriz Valiasr Hospital, Tabriz University 
      of Medical Sciences, Tabriz, Iran.
FAU - Zahedi, Hamideh
AU  - Zahedi H
AD  - Student Research Committee, Nursing and Midwifery Faculty, Tabriz University of 
      Medical Sciences, Tabriz, Iran.
FAU - Taheri, Roohangiz
AU  - Taheri R
AUID- ORCID: 0000-0002-4607-465X
AD  - Department Health Services Management, School of Health, Qazvin University of 
      Medical Sciences, Qazvin, Iran.
LA  - eng
PT  - Journal Article
DEP - 20240125
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Humans
MH  - *Patient Safety
MH  - Cross-Sectional Studies
MH  - Iran
MH  - Clinical Competence
MH  - Attitude of Health Personnel
MH  - Surveys and Questionnaires
MH  - *Nurses
PMC - PMC10810467
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/01/25 18:42
MHDA- 2024/01/29 06:43
PMCR- 2024/01/25
CRDT- 2024/01/25 13:46
PHST- 2023/10/18 00:00 [received]
PHST- 2023/12/29 00:00 [accepted]
PHST- 2024/01/29 06:43 [medline]
PHST- 2024/01/25 18:42 [pubmed]
PHST- 2024/01/25 13:46 [entrez]
PHST- 2024/01/25 00:00 [pmc-release]
AID - PONE-D-23-33760 [pii]
AID - 10.1371/journal.pone.0297185 [doi]
PST - epublish
SO  - PLoS One. 2024 Jan 25;19(1):e0297185. doi: 10.1371/journal.pone.0297185. 
      eCollection 2024.