Investigation of clinical nurses ’ perception of patient safety culture and its influencing factors

Objective To explore the attitudes and perceptions of clinical nurses for patient safety culture.Methods Using Hospital Survey on Patient Safety Culture （HSPSC） to measure twelve dimensions of patient safety culture , for 378 nurses in a hospital included in the cross-sectional study .Results Totals of 57.2%of clinical nurses gave “excellent” （14.5%） and “very good” （42.7%） for overall grade on patient safety of their units and an average percentage of positive response of patient safety culture was 61%.The nurses ’ positive response ratios to “staffing”,“non-punitive response to errors”,“teamwork across units” were respectively 40.3%, 44.2%, 47.2%,and most （70.6%） had no event report in the past one year .The perceptions of clinical nurses for patient safety culture were affected by work unit , staff position , direct interaction with patients or not , and years of unit working .Conclusions There is a positive attitude towards the patient safety culture within their units , but staffing , non-punitive safety culture , teamwork across units and event report are still should be strengthened . Key words: Patient safety culture; Cross-sectional study; Clinical nurse; Positive response