Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute‐care hospitals

Faisal Khalaf Alanazi; Jenny Sim; Samuel Lapkin

doi:10.1002/nop2.1063

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Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute‐care hospitals

Journal article

Open access

Peer reviewed

Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute‐care hospitals

Faisal Khalaf Alanazi, Jenny Sim and Samuel Lapkin

Nursing open, Vol.9(1), pp.30-43

20/12/2021

DOI: https://doi.org/10.1002/nop2.1063

PMID: 34538027

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Abstract

adverse events

nurses

nursing

patient outcomes

safety attitude

safety climate

safety culture

Aims The aim of this review was to synthesize the best available evidence on the impact of nurses' safety attitudes on patient outcomes in acute-care hospitals. Design Systematic review with a narrative synthesis of the available data. Data sources Data sources included MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Scopus and Web of Science Core Collection. Studies published up to March 2021 were included. Review Methods This review was conducted using guidance from the Joanna Briggs Institute for Systematic Reviews and reported as per the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Results A total of 3,452 studies were identified, and nine studies met the inclusion criteria. Nurses with positive safety attitudes reported fewer patient falls, medication errors, pressure injuries, healthcare-associated infections, mortality, physical restraints, vascular access device reactions and higher patient satisfaction. Effective teamwork led to a reduction in adverse patient outcomes. Most included studies (N = 6) used variants of the Hospital Survey on Patient Safety Culture to assess nurses' safety attitudes. Patient outcomes data were collected from four sources: coded medical records data, incident management systems, nurse perceptions of adverse events and patient perceptions of safety. Conclusion A positive safety culture in nursing units and across hospitals resulted in fewer reported adverse patient outcomes. Nurse managers can improve nurses' safety attitudes by promoting a non-punitive response to error reporting and promoting effective teamwork and good communication.

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Title: Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute‐care hospitals
Creators: Faisal Khalaf Alanazi - University of Wollongong
Jenny Sim - University of Wollongong
Samuel Lapkin - University of Wollongong
Publication Details: Nursing open, Vol.9(1), pp.30-43
Publisher: Wiley-Blackwell Publishing Ltd.
Number of pages: 14
Identifiers: 991013092523102368
Copyright: © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, (https://creativecommons.org/licenses/by/4.0/).
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

Systematic review: Nurses' safety attitudes and their impact on patient outcomes in acute‐care hospitals

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