Promoting safety culture through health-care professional-patient relationship’s improvement

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Published Sep 3, 2018
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Vol. 96 No. 2 (2018): Issue Feb 2018

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Mohamed Mahjoub
Sihem Ben Fredj
Nebiha Bouafia
Rym Bouriga
Naceur Ben Jalleb
Mansour Njah

Abstract

Background: promoting patient safety culture is a strategic priority and converges towards improving quality of health care. The healthcare professionals-patient relationship is an essential concept of patient safety culture. However, the increase of patient safety awareness is still delayed in Tunisia.
Objective: to assess and analyze the healthcare professional-patient relationship level among all healthcare professionals’ categories in university hospital centre (UHC)FarhatHached, Sousse¬ Tunisia in order to further direct our strategies.
Methods: We carried out a descriptive cross-sectional study among healthcare professionals at our UHC. The French version of the "Hospital Survey On Patient Safety Culture" was adopted, and self-administered to 319 care providers, including 116 physicians and 203 paramedical personals.
Results: Response rate was 90.5% (289/319). The overall mean score for positive perception of the explored domain was 58.4%. However, physicians reported significant higher percentage of positive responses than paramedical staff (69.7% versus 53.4%; p=0.01). Positive perception was notified by 83.5% of all healthcare professional regarding to item relative to “adverse events may affect the relationship of trust between physician-patient”, it was significantly higher among  physicians compared to paramedics (97.7% versus 77.4% ; p<10-4).
Conclusion:  Dimension concerning healthcare professional-patient relationship was poorly developed among health care professionals in our hospital. Thus, it is crucial to improve this situation and to create a well-balanced healthcare professional-patient relationship based on partnership and taking into account individual factors.

Keywords:

Safety culture - improvement - relationship - patient- healthcare professional

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References

  1. World Health Organization. Summary of the evidence on patient safety : implications for research, 2008. WHO. http://apps.who.int/iris/handle/10665/43874. [accessed 20.07.2017]
  2. American Hospital Association. Statistics and Studies. http://www.aha.org/research/rc/stat-studies/index.shtml. [accessed 20.07.2017]
  3. Kohn LT, Corrigan JM and Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press, 2000.
  4. Bonner AF, Castle NG, Men A, Handler SM. Certified nursing assistants' perceptions of nursing home patient safety culture: is there a relationship to clinical outcomes? J Am Med Dir Assoc. janv 2009;10(1):11-20. DOI: 10.1016/j.jamda.2008.06.004.
  5. Occelli P, Quenon JL, Hubert B, Hoarau H, Pouchadon ML, Amalberti R, et al. La culture de sécurité en santé : un concept en pleine émergence. RISQUES Qual. déc 2007;4(4):207-12.
  6. St-Germain D, Blais R, Cara C. La contribution de l'approche de caring des infirmières à la sécurité des patients en réadaptation : une étude novatrice. Rech Soins Infirm. 1 déc 2008;N° 95(4):57-69. DOI: 10.3917/rsi.095.0057.
  7. Bouafia N, Bougmiza I, Bahri F, Letaief M, Astagneau P, Njah M. Ampleur et impact des évènements indésirables graves liés aux soins: étude d'incidence dans un hôpital du Centre-Est tunisien. Pan Afr Med J;16(68). DOI:10.11604/pamj.2013.16.68.1161.
  8. Letaief M, El Mhamdi S, El-Asady R, Siddiqi S, Abdullatif A. Adverse events in a Tunisian hospital: results of a retrospective cohort study. Int J Qual Health Care J Int Soc Qual Health Care. oct 2010;22(5):380-5. DOI: 10.1093/intqhc/mzq040. Epub 2010 Aug 4.
  9. Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report - hospsurv111.pdf. https://www.ahrq.gov/sites/default/files/publications/files/hospsurv111.pdf. [accessed 22.07.2017]
  10. Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture. (Prepared by Westat, under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality. September 2004.
  11. Bouafia N, Mahjoub M, Cheikh AB, Ezzi O, Jalleb NB, Njah M. Mesure de la culture sécurité des soins auprès des médecins dans un hôpital tunisien, Measuring patient safety awareness among physicians in a Tunisian Hospital. Santé Publique. 24 juill 2014;26(3):345-53.
  12. Mahjoub M, Bouafia N, Cheikh AB, Ezzi O, Njah M. Culture sécurité des patients par la réponse non-punitive à l'erreur et la liberté d'expression des soignants, Patient safety culture based on a non-punitive response to error and freedom of expression of healthcare professionals. Santé Publique. 1 déc 2016;28(5):641-6.
  13. Cheikh AB, Bouafia N, Mahjoub M, Ezzi O, Nouira A, Njah M. Patient's safety culture among Tunisian healthcare workers: results of a cross sectional study in university hospital. Pan Afr Med J;24(299). DOI:10.11604/pamj.2016.24.299.8466.
  14. Babbie ER. The practice of social research. Belmont, CA.: Thomson Wadsworth; 2007.
  15. Suliman M, Aljezawi M, AlBashtawy M, Fitzpatrick J, Aloush S, Al-Awamreh K. Exploring Safety Culture in Jordanian Hospitals: A Baseline Study. J Nurs Care Qual. sept 2017;32(3):E1-7. DOI: 10.1097/NCQ.0000000000000218.
  16. Quillivan RR, Burlison JD, Browne EK, Scott SD, Hoffman JM. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. août 2016;42(8):377‑86. DOI: 10.1016/S1553-7250(16)42053-2.
  17. Leduc C, De Blay F, Kessler R, Quoix E, Kuteifan K. Safety culture assessment in a university pulmonary medicine department. Rev Mal Respir. sept 2015;32(7):715-27. DOI: 10.1016/j.rmr.2015.02.006.
  18. Nascimento A. Sécurité des patients et culture de sécurité: une revue de la littérature. Ciênc Amp Saúde Coletiva. août 2011;16(8):3591-602.
  19. Johnstone M-J, Kanitsaki O. Culture, language, and patient safety: Making the link. Int J Qual Health Care J Int Soc Qual Health Care. oct 2006;18(5):383-8. DOI: 10.1093/intqhc/mzl039.
  20. Baldo V, Floreani A, Dal Vecchio L, Cristofoletti M, Carletti M, Majori S, et al. Occupational risk of blood-borne viruses in healthcare workers: a 5-year surveillance program. Infect Control Hosp Epidemiol. juin 2002;23(6):325-7. DOI: 10.1086/502059.
  21. Daydé, M.-C., Lacroix, M.-L., Pascal, C., Salabaras, E. Relation d'aide en soins infirmiers. 3ème édition Paris : Elsevier Masson. 2007.
  22. Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. mars 2002;11(1):76-80. DOI: 10.1136/qhc.11.1.76.
  23. Dean B, Barber N, Schachter M. What is a prescribing error? Qual Health Care QHC. déc 2000;9(4):232-7.DOI: 10.1136/qhc.9.4.232.
  24. Ellins J. Great expectations? Reflections on the future of patient and public involvement in the NHS. Clin Med Lond Engl. déc 2011;11(6):544-7. DOI: 10.7861/clinmedicine.11-6-544.
  25. Vega A. Caregivers / treated: For an anthropological approach of nursing care. Paris: Editions De boeck. 2001.
  26. Nasrallah-Irles D, Castot A, Thomas L, Babai S, Delorme B, Le-Louët H. Adverse Drug Reactions: A Pilot Study on Patient Reporting through Patient Associations. Thérapie. 1 sept 2008;63(5):385-92.DOI: 10.2515/therapie:2008060.
  27. Clément Nestrigue, Zeynep Or. Surcoût des événements indésirables associés aux soins à l'hôpital - Premières estimations à partir de neuf indicateurs de sécurité des patients. Questions d'économie de la santé n° 171. Décembre 2011. http://www.irdes.fr/Publications/2011/Qes171.pdf . [accessed 02.08.2017]