Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan

Aim: To clarify perceptions of nurses towards patient safety climate and quality of health care in Japan. Background: Nurses' perceptions of patient safety climate and quality of healthcare services are not well-known. Method: The survey was conducted at general hospitals with 200 beds or more using the Patient Safety Climate Scale and the Modified multiple-item scale for consumer perceptions of healthcare service quality. Results: Significant positive correlations were found among nurses’ perception towards patient safety and healthcare service quality. The experience of nurses as members of the committee on patient safety and their employment position did not show any significant difference in the perception towards patient safety and healthcare services quality. Perceptions of healthcare service quality were lower among those with 6 -10 year experience than with over 21 years. Conclusion: In the perception of nurses and nurse managers’ continuous improvement perceptions towards patient safety were related to reliability, assurance, responsiveness, and empathy in healthcare service quality. Implications for Nursing Management: Generalist nurses with 21 years or more experiences in multiple departments showed high perception towards healthcare service quality. Experienced nurses’ perceptions of activities to improve patient safety and quality of healthcare services are important.

内容要旨・審査要旨・論文本文の公開
本論文は，著者Youko Nakanoの学位論文として提出され，学位審査・授与の対象となっている。
This is the peer reviewed version of the following article: Nakano, Y, Tanioka, T, Yokotani, T, et al. Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan. J Nurs Manag. 2021; 29: 748– 757, which has been published in final form at https://doi.org/10.1111/jonm.13215.
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