The goal of the presented study is to assess patient safety during nursing care from two different points of view. The first view represented the opinions of the staff working in direct contact with patients, and the second view represented the management`s opinions of activities leading to quality improvement and care safety. The combination of a quantitative and qualitative study was used to meet the purpose of the thesis. The quantitative part used standardized questionnaires called The Hospital Survey on Patient Safety Culture (HSOPSC) developed by the Agency for Healthcare Research and Quality (AHRQ), and Systems of Quality Improvement in European Hospitals designed for quality managers and coordinators within the project called Deepening of our Understanding of Quality Improvement in Europe (DUQuE) while this part was complemented by a qualitative study using a semi-structured dialogue. The sample consisted of 427 respondents (331 non-medical healthcare professionals working in direct contact with patients and 96 non-medical healthcare managers. The study using the HSOPSC tool showed that the respondents did not perceive patient safety at their workplace as problematic. They did not expect that patient safety would be put at risk during information handovers and patient transfers. Similarly, the management`s activities leading to patient safety improvement were assessed positively, which is one of key elements of ensuring safety culture. Higher attention should be paid to team cooperation across hospital wards, which influences the care coordination, and also to the personnel measures that influence the management of workload and development of errors. It was studied using the DUQUeE tool which sources and methods were the most common for quality improvement and care safety. Clinical audits and monitoring of work of individual staff nurses were mentioned as the most common systematic activities. Improvement efforts should be focused on the area of supporting information technologies and training dealing with internal peer review, and further projects of quality improvement. The sample of the qualitative study consisted of 9 respondents ? managers responsible for the coordination of quality improvement activities. The qualitative study used a semistructured dialogue, and complemented the quantitative study by the information on the ways of putting some areas into practice. Among others, it was found out that the range and quality of evaluated results corresponded with the absence of training in particular methods at the level of management of non-medical healthcare professions. This thesis has produced both theoretical and practical benefits. The practical benefit includes the recommendation of a suitable combination of testing methods for hospital self-assessments within the concept of safe care. The involvement of staff nurses and management will contribute to more effective promotion of safety and the whole process of continuous improvement, and repeated assessments will enable monitoring of the effect of safety measures. In the theoretical area, this study can extend the approach to management education since it provides various innovative views of safety problems and care quality.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:386731 |
| Date | January 2018 |
| Creators | POKOJOVÁ, Radka |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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