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Patient safety culture in acute care: A web-based survey of nurse managers' and registered nurses' views in four Finnish hospitals

Authors

  • Hannele Turunen PhD RN,

    Professor, Nurse Manager, Corresponding author
    1. Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
    2. Research Unit, Kuopio University Hospital, Kuopio, Finland
    • Correspondence: Hannele Turunen, Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, 70211 Kuopio, Finland. Email: hannele.turunen@uef.fi

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  • Pirjo Partanen PhD RN,

    Senior University Lecturer
    1. Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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  • Tarja Kvist PhD RN,

    University Researcher
    1. Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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  • Merja Miettinen PhD RN RM,

    Chief Executive Nursing Officer, Adjunct Professor
    1. Kuopio University Hospital, Kuopio, Finland
    2. University of Tampere, Kuopio, Finland
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  • Katri Vehviläinen-Julkunen PhD RN RM

    Professor, Nurse Manager
    1. Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
    2. Research Unit, Kuopio University Hospital, Kuopio, Finland
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Abstract

Nurse managers (NMs) and registered nurses (RNs) have key roles in developing the patient safety culture, as the nursing staff is the largest professional group in health-care services. We explored their views on the patient safety culture in four acute care hospitals in Finland. The data were collected from NMs (n = 109) and RNs (n = 723) by means of a Hospital Survey on Patient Safety Culture instrument and analyzed statistically. Both groups recognized patient safety problems and critically evaluated error-prevention mechanisms in the hospitals. RNs, in particular, estimated the situation more critically. There is a need to develop the patient safety culture of hospitals by discussing openly about them and learning from mistakes and by developing practices and mechanisms to prevent them. NMs have central roles in developing the safety culture at the system level in hospitals in order to ensure that nurses caring for patients do it safely.

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