Title : Investigate Nurses Attitudes about Safety Culture and Teamwork in Neonatal Intensive Care Unit hospitals Iran University of Medical Sciences 2017
Background and aims: Improving patient safety culture in Healthcare System (HCSs) is the first step in reducing medical errors and improving patient safety. One of the factors involved in safety are team work and Collective work. In the Neonatal Intensive Care Unit teamwork is important to increase the quality of services and provide safe and effective cares. The aim of this study was to assess the nurses' attitude about safety culture and team work in neonatal intensive care units in teaching hospitals of teaching hospitals affiliated with Iran University of Medical Sciences.
Methods: In this descriptive- analytical study, 126 nurses of in neonatal intensive care units in teaching hospitals affiliated with Iran University of Medical Sciences in Tehran were census selected in 2017-18. Data was collected by Safety Culture Attitudes Questionnaire (SAQ) and STEPPS Teamwork Attitudes Questionnaire (T-TAQ) questionnaire and analyzed by descriptive and inferential using SPSS-PC (v.16).
Results: The safety culture of most nurses (60.5%) is at a relatively desirable level with a mean of 57.18 ± 14.39. stress with 49.2% with mean of 79.03 ± 18.61, at a good level and management perception 63.7% with mean 42.59 ± 24.94 not desirable level and other dimension at a relatively desirable level were. Also the nurses’ attitude about teamwork is at a relatively desirable level with a mean of 3/93± 0/61.Furthermore there is a meaningful statistical relationship between safety culture with teamwork safety culture with teamwork dimensions.there is a meaningful statistical relationship between safety culture and group leadership(p<0/001) and Communication(p=0/007). There is a meaningful statistical relationship between teamwork and safety climate (p=0/032), teamwork climate (p=0/007), working conditions (p=0/036) and stress recognition (p<0/001).
Statistical tests showed that there is a meaningful statistical relationship between the safety culture with employment status (p=0/042), shift (p=0/025) and overtime (P=0/006), but there is not a meaningful relationship between teamwork and demographic characteristics.
Conclusion: The nurses' attitude on the safety culture has been at a favorable level and considering to failure in Communication, with training on teamwork, especially in teamwork Communication and inters teamwork Communication can be increased by the team working of safety culture. Policy makers, planners, authorities and managers should pave the way towards a balanced improvement in safety culture and patient safety.