34. Occupational stress and patient safety culture at Pham Ngoc Thach Hospital, in 2022
Main Article Content
Abstract
Previous research has shown that over 45% of healthcare workers exhibit signs of stress, but the impact of healthcare workers' stress on patient safety culture remains unclear. The aim of this study is to determine the relationship between occupational stress and patient safety culture at Pham Ngoc Thach Hospital in 2022. A cross-sectional study was conducted among 390 healthcare workers, with data collected in November 2022 using the Vietnamese-translated HSOPSC version 2.0 tool (with Cronbach's Alpha ranging from 0.68 to 0.93) and DASS-21-S. The results showed that 15% of healthcare workers experienced mild to severe levels of occupational stress; the PSC score was 3.13 with a standard deviation of 0.36 (on a 5-point Likert scale). Higher occupational stress was found to decrease overall patient safety culture. Specifically, occupational stress negatively affected three areas of patient safety: teamwork, error communication, and hospital management support for patient safety. This study suggests that reducing stress for healthcare workers may be a strategy to improve patient safety culture.
Article Details
Keywords
Patient safety, occupational stress, HSOPSC, DASS-21
References
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21. Zabin LM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nursing. 2023/02/13 2023; 22(1): 39. doi:10.1186/s12912-023-01198-9.
22. Aouicha W, et al. Evaluation of the Impact of Intraoperative Distractions on Teamwork, Stress, and Workload. The Journal of surgical research. Mar 2021; 259: 465-472. doi:10.1016/j.jss.2020.09.006.
23. Søvold, et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health. 2021; 9:679397. doi:10.3389/fpubh.2021.679397.
24. Said, et al. Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environmental science and pollution research international. Feb 2021; 28(7): 8791-8801. doi:10.1007/s11356-020-11235-8.
2. Leape L. Going Global: The World Health Organization. In: Leape LL, ed. Making Healthcare Safe: The Story of the Patient Safety Movement. Springer International Publishing; 2021: 215-229.
3. Abusalem S, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021; 17(4): 299-304. doi:10.1097/pts.0000000000000587.
4. Afshar PJ, et al. The relationship between patient safety culture with patient satisfaction and hospital performance in Shafa Hospital of Kerman in 2020. Journal of education and health promotion. 2021; 10:455. doi:10.4103/jehp.jehp_1650_20.
5. Kang R, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical Centers. The American journal of medicine. Apr 2019; 132(4): 530-534.e1. doi:10.1016/j.amjmed.2018.11.031.
6. Zhang M, et al. Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials. Journal of Occupational Health. 2021; 63(1): e12243. doi:10.1002/1348-9585.12243.
7. Salari, et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Human resources for health. Dec 17 2020; 18(1): 100. doi:10.1186/s12960-020-00544-1.
8. Asefzadeh S, et al. Patient safety culture and job stress among nurses in Mazandaran, Iran. Electronic physician. Dec 2017; 9(12): 6010-6016. doi:10.19082/6010.
9. Poursadeqiyan, et al. Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol. Journal of education and health promotion. 2020; 9:238. doi:10.4103/jehp.jehp_309_20.
10. Tran, et al. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry. Jan 12 2013; 13:24. doi:10.1186/1471-244x-13-24.
11. Le Minh Thi Hong, et al. Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents. PloS one. 2017; 12(7): e0180557. doi:10.1371/journal.pone.0180557.
12. Agency for Healthcare Research and Quality. Hospital Survey on Patient Safety Culture. Content last reviewed March 2023. Agency for Healthcare Research and Quality,. Accessed 20/04/2023, https://www.ahrq.gov/sops/surveys/hospital/index.html.
13. Wu Y, et al. Cross-cultural adaptation and validation of the Chinese version of the revised surveys on patient safety culture™ (SOPS®) hospital survey 2.0. BMC Nursing. 2022/12/26 2022; 21(1): 369. doi:10.1186/s12912-022-01142-3.
14. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. Psychology Foundation of Australia; 1996.
15. Vũ Thị Cúc, và cộng sự. Tình trạng căng thẳng của nhân viên y tế tại một số bệnh viện điều trị bệnh nhân COVID-19 tại Thành phố Hồ Chí Minh năm 2021. Tạp chí Y học Việt Nam. 01/08 2022; 508(2) doi:10.51298/vmj.v508i2.1629.
16. Bùi Hồng Cẩm, Ngô Thị Thùy. Căng thẳng ở nhân viên y tế tại trung tâm y tế và trạm y tế phường/xã ở Thành phố Hồ Chí Minh năm 2022 và các yếu tố nghề nghiệp liên quan. Tạp chí Nghiên cứu Y học. 01/30 2023; 160(12V2): 282-290. doi:10.52852/tcncyh.v160i12V2.1286.
17. Phannavong Oulyna, và cộng sự. Căng thẳng nghề nghiệp của nhân viên y tế tại bệnh viện tỉnh Xiêng- Khoảng, Lào, năm 2020. Tạp chí Y học Việt Nam. 07/21 2021; 501(2)doi:10.51298/vmj.v501i2.531.
18. Poursadeqiyan Mohsen, et al. Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol. Original Article. Journal of education and health promotion. January 1, 2020 2020; 9(1): 238-238. doi:10.4103/jehp.jehp_309_20.
19. Yalçın Akgül G, Aksoy N. The Relationship Between Organizational Stress Levels and Patient Safety Attitudes in Operating Room Staff. Journal of PeriAnesthesia Nursing. 2021; 36(5): 499-506. doi:10.1016/j.jopan.2020.11.002.
20. Keykaleh, et al. The Relationship between Nurse’s Job Stress and Patient Safety. Open access Macedonian journal of medical sciences. Nov 25 2018; 6(11): 2228-2232. doi:10.3889/oamjms.2018.351.
21. Zabin LM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nursing. 2023/02/13 2023; 22(1): 39. doi:10.1186/s12912-023-01198-9.
22. Aouicha W, et al. Evaluation of the Impact of Intraoperative Distractions on Teamwork, Stress, and Workload. The Journal of surgical research. Mar 2021; 259: 465-472. doi:10.1016/j.jss.2020.09.006.
23. Søvold, et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health. 2021; 9:679397. doi:10.3389/fpubh.2021.679397.
24. Said, et al. Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environmental science and pollution research international. Feb 2021; 28(7): 8791-8801. doi:10.1007/s11356-020-11235-8.