title: Patient safety culture in acute care: a web-based survey of nurse managers' and registered nurses' views in four Finnish hospitals.
abstract: Nurse managers (NMs) and registered nurses (RNs) have key roles in developing the patient safety culture, as the nursing staff is the largest professional group in health-care services. We explored their views on the patient safety culture in four acute care hospitals in Finland. The data were collected from NMs (n = 109) and RNs (n = 723) by means of a Hospital Survey on Patient Safety Culture instrument and analyzed statistically. Both groups recognized patient safety problems and critically evaluated error-prevention mechanisms in the hospitals. RNs, in particular, estimated the situation more critically. There is a need to develop the patient safety culture of hospitals by discussing openly about them and learning from mistakes and by developing practices and mechanisms to prevent them. NMs have central roles in developing the safety culture at the system level in hospitals in order to ensure that nurses caring for patients do it safely.
authors: Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Research Unit, Kuopio University Hospital, Kuopio, Finland.
authors: Hannele
authors: H
authors: Turunen
authors: Pirjo
authors: P
authors: Partanen
authors: Tarja
authors: T
authors: Kvist
authors: Merja
authors: M
authors: Miettinen
authors: Katri
authors: K
authors: Vehviläinen-Julkunen
mesh_terms: D003625:Data Collection; D005387:Finland; D006801:Humans; D020407:Internet; D009741:Nursing Staff, Hospital / Q000523:psychology*; D015279:Organizational Culture; D061214:Patient Safety
keywords: Finland; nurse manager; patient safety culture; quantitative analysis; registered nurse