Factors Influencing on Patient Safety Culture as Perceived by Registered Nurses in Phrae Hospital

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Rachanita Khianpo
Laddawan Daengthern


             Safety culture is an important to the health outcomes of patients. Achieving the goal of becoming a quality hospital which focuses on providing effective and safety health services for patients. The purpose of this study was to identify the factors influencing on patient safety culture as perceived by professional nurses who working in Phrae hospital. The samples consisted of 146 registered nurses providing services to the inpatient department at Phrae hospital and had working experienced at least one year. The research questionnaires consisted of three sections: (1) demographic data (2) the factors influencing patient safety culture and (3) patient safety culture as perceived by registered nurses at Phrae hospital. The questionnaires were tested for content validity by using the Index of item objective congruence of the questionnaires were in the range 0.60 – 1.00 and reliability of the questionnaires were tested by Cronbach’s Alpha reliability Coefficient which was .92 and .95 respectively. Data were collected by using the questionnaires and analyzed by using frequency, percentage, mean, standard deviation and multiple regression analysis with stepwise selection method. 

          The findings were: 1) the level of the patient safety culture as perceived by professional nurses was at the high level (= 4.05, SD = .43) 2) task factor, technology and equipment factors, organization factors and work environment factors were the factor influencing on patient safety culture as perceived by professional nurses who working in Phrae hospital which accounted for 66.8% (R2 = .668, p < .05)

          Nursing administrators should promote to learning about safety culture. Including supporting resources in operations for achievement in continuously creating a patient safety culture in the organization.


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บทความวิจัย (Research articles)


Alquwez, N., Cruz, J. P., Almoghairi, A. M., Al-Otaibi, R. S., Almutairi, K. O., Alicante, J. G. & Colet, P. C. (2018). Nurses’ perceptions of patient safety culture in three hospitals in Saudi Arabia. Journal of Nursing Scholarship, 50(4), 422-341.

Chuaytawee, J. & Songthai, N. (2017). Factors influencing nurses’ perceptions on patient safety culture in the community hospitals, Phitsanulok province. Journal of Nursing and Health Sciences, 11(3), 42-51. (in Thai).

Elsous, A., Akbari, S. A., AlJeesh, Y. & Radwan, M. (2017). Nursing perceptions of patient safety climate in the Gaza strip, palestine. International Council of Nurses, 64(3), 446-454.

Dirik, H. F. & Intepeler, S. S. (2017). The work environment and empowerment as predictors of patient safety culture in Turkey. Journal of Nursing Management, 25, 256-265.

Ginsburg, R.L., Tregunno, D., Fleming, M., Flemons, W., Gilin, D., & Norton, P. (2007). Perceptions of patient safety culture in six Canadian health care organizations. Patient Safety Culture Research, 1-35.

Jirapaet, V. & Jirapaet, K. (2012). Patient safety management: concepts, processes and guidelines for clinical safety. Bangkok: Darnsutha Print. (in Thai).

Nansupawat, R., Janmahasathien, S., Phumvitchuvate, L., Charuwatcharapaniskul, U., Chareonsanti, J., Keitlertnapha, P. & Sunthorn, V. (2011). Patient safety culture and nursing outcome among professional nurses in northern regional hospitals. Nursing Journal, 38(4), 1-14. (in Thai).

Reason, J. T. (1997). Managing the risk of organizational accidents. Aldershot: Ashgate Publishing Ltd.

Reason, J. T. (2016). Organizational accident revisited. Boca Raton: CRC Press.

Reiman, T., Pietikainen, E. & Oedewald, P. (2010). Multilayered approach to patient safety culture. BMJ Journal, 19(5), 1-5.

Saleh, A. M., Muhammad, W. D. & Hussami, M. A. (2015). The perception of hospital safety culture and selected outcomes among nurses: An exploratory study. Nursing and Health Sciences, 17, 339-346.

Saelim, P. (2016). A Comparison between Service Quality of Private Hospital and Service Quality of Government Hospital in Muang SuratThani District, Surat Thani Province. Region 11 Medical Journal, 30(2), 47-57. (in Thai).

Service Quality and Standard Development Group, Phrae Hospital. (2018). Self-report assessment according to standards, Phrae Hospital. Retrieved (2018, April 6) from http://www.phraehospital.go.th/webinternal/ha_center/index.php. (in Thai).

Sungkhang, I. (2018). Problems or Opportunities: From information reflected back to the development of Safe service (2P Safety Goals). Retrieved (2018, June 12) from https://www.hfocus.org/content/2017/11/14858. (in Thai).

Supachutikul, A. (2013). HA Update 2013. Nonthaburi: The healthcare accreditation institute (Public Organization). (in Thai).

Wilson, D. S. (2012). Registered nurses’ collective Safety organizing behaviors: the association with perceptions of patient safety culture. Journal of Research in Nursing, 18(4), 320-333.

World Health Organization. (2019). Patient safety: Data and statistics. Retrieved (2019, May 27). From http://www.euro.who.int/en/health-topics/Health-systems/patient-safety/data-and-statistics.