الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 178 |  |  |
| | | from | 178 | | |
Abstract
Patient safety can be achieved through many ways, such as improving nursing qualification that involves practice, documentation and knowledge related to patient safety standards. Nursing is one of the most important areas that help the organization to comply with patient safety standards. Nurses spend more time with patients than do any other health care providers and patient outcome are affected by nursing care quality. Therefore, the present study was aimed to assess nurses’ performance, reviewing nurses’ record regarding patient safety standards and comparing actual nurses’ performance with patient safety standards.
The study was conducted in intensive care units at Nasser Institute Hospital. The actual study sample was 56 nurses (who met criteria for inclusion in main study sample which having experience more than one year working in intensive care units). The data were collected using observation checklist for nurses’ performance regarding the patient safety standards, audit sheet and knowledge questionnaire which covered the demographic characteristics of the study subject, in addition to questions related to 16 patient safety standards included criteria for every standard.
The results revealed the following finding:
• High percentage of nurses (73.2%) reported satisfactory level of knowledge regarding all patient safety standards with (100%) of them knowledgeable about standards concerned single use injection devices, read-back for verbal/ telephone orders, and hand off communication.
• There is slightly less than one third of study subjects (30.4%) had adequate documentation regarding patient safety standards based on audit findings.
• There is a very high percentage (92.9%, 93.6%) respectively of nurses documented patient safety standard no. (11) Concerned by handover communication, and standard no (16) that discuss double check of surgical patient data.
• There is a lowest percentage (8.9%) of nurses documented patient safety standards no. (1, 8) that discuss patient identification and action taking to decrease risk of fall.
• According to the total performance finding, the majority of nurses(92.9%) had inadequate practice in relation to patient safety standards
• The majority of nurses(82.1%,94.6%,91.1%,93.6%) done the following standards ( 2,3,11,16)that discuss hand washing ,doing alcohol rub ,single use injection device , handover communication and double check surgical data .
• There is a lowest percentage of nurses (1.8%) done the following standards (1, 14) that discus patient identification and using concentrated medications correctly.
• There was a weak positive significant relation (p=0.02) between attendance of training course and nurses’ knowledge.
• There was a moderate positive correlation (0.488) between adequate practice and adequate audit.
• There was a weak positive correlation (0.488, 0.317, and 0.288) between knowledge and audit, and practice respectively.
• There was a negative correlation (-0.137, -0.155,-0.082) between age and audit, practice and knowledge respectively.
• There was a very weak negative correlation (-0.18) between nurses qualification and audit.
• It is found a weak positive correlation (0.015, 0.098) between nurses’ qualifications and practice and knowledge respectively.
• It is found a negative correlation (-0.104,-0.163) between experience and audit and knowledge respectively.
• It is found a weak positive correlation (0.005) between experience years and practice.
To conclude ,the overall compliance of nurses working in intensive care units with patient safety standards at Nasser Institute Hospital were as follow 30.4% had adequate documentation of patient safety standards, the majority of them (92,9%) had inadequate performance and (73.2%) had satisfactory knowledge regarding patient safety standards.
In the light of these finding, creating and sustaining a safety culture in Nasser Institute Hospital via using audiovisual methods, films, posters, awareness campaigns, disseminate of evidence –based practice findings, establish a hospital-wide patient safety and quality program among both top management, front-line managers and staff to improve awareness and practices in relation to national safety standards, Periodical meeting must be maintained by managers to discuss and solve any barriers to adherence for patient safety standards, and incident report related medical errors and set action plan to help the organization to improve patient safety and, There should be a blame-free system for identifying threats to patient safety, sharing information and learning from events.