Factors Affecting the Patient Participation in Safety as Perceived by Nurses in University Hospitals

Abstract

Introduction: Patient participation in safety is a reduction in risk and increases safety for the patient during hospitalization.

Research objectives: To study nurses’ perception of patient participation in safety and to examine the knowledge, skills, and attitudes of nurses affecting patient participation in safety as perceived by nurses in university hospitals.  

Research methodology: This study is a predictive correlation study. The sample was 192 nurses including 142 nurses from Maharaj Nakorn Chiangmai Hospital and 50 nurses from Naresuan University Hospital. The tools used in this study contain the experience of patient participation activities questionnaire as perceived by nurses, the knowledge of patient centered care questionnaire, the skill of patient centered care questionnaire, and the attitude of patient centered care questionnaire. The reliability was 0.96, 0.96, 0.94, and 0.95, respectively. Data were analyzed using descriptive statistics and multiple regression analysis.

Results: The results revealed that most nurses' perceptions of patient participation in safety were at the highest level, accounting for 56.77 percent. Predictive factors include knowledge, skills, and attitudes of nurses in patient-centered care were able to explain the variance in the patient's participation in safety at 25.90 percent with a statistical significance of .001. However, only nurses’ attitudes toward patient centered care were able to predict patient participation in safety as perceived by nurses in university hospitals with a statistical significance of .001, and a multiple correlation coefficient of .509. 

Conclusions: Healthcare providers who have a positive attitude toward patient center care can encourage patients in patient participation in safety.

Implications: The result of this study is the basic information for administrators to use to promote nurses’ attitudes to encourage patients to participate in safety during hospitalization.