Table 1.
Patient safety grade (Spearman correlation coefficient) | Reliability (Cronbach's α) | |
---|---|---|
Staffing and resource adequacy (PES-NWI) | 0.78 | |
Adequate support services allow me to spend time with my patients | 0.27* | |
Enough time and opportunity to discuss patient care problems with other nurses | 0.34* | |
Enough registered nurses on staff to provide quality patient care | 0.43* | |
Enough staff to get the work done | 0.41* | |
Collegial nurse–physician relations (PES-NWI) | 0.89 | |
Physicians and nurses have good working relationships | 0.27* | |
Physicians value nurses’ observations and judgements | 0.20* | |
Physicians recognise nurses’ contributions to patient care | 0.20* | |
A lot of team work between nurses and physicians | 0.22* | |
Physicians respect nurses as professionals | 0.24* | |
Collaboration between nurses and physicians | 0.26* | |
Physicians hold nurses in high esteem | 0.23* | |
Nurse manager ability, leadership and support of nurses (PES-NWI) | 0.76 | |
A supervisory staff that is supportive of nurses | 0.39* | |
A nurse manager who is a good manager and leader | 0.30* | |
Praise and recognition for a job well done | 0.29* | |
A nurse manager who backs up the nursing staff in decision making, even if the conflict is with a physician | 0.27* | |
RNs’ level of involvement in direct patient care | ||
How would you describe your role in caring for most of the patients on your most recent shift? | −0.04* | |
Patient safety culture (HSOPSC) | ||
Staff feel like their mistakes are held against them | −0.32* | |
Important patient care information is often lost during shift changes | −0.39* | |
Things ‘fall between the cracks’ when transferring patients from one unit to another | −0.35* | |
Staff feel free to question the decisions or actions of those in authority | 0.27* | |
In this unit, we discuss ways to prevent errors from happening again | 0.36* | |
We are given feedback about changes put into place based on event reports | 0.32* | |
The actions of hospital management show that patient safety is a top priority | 0.44* |
Reliability of PES-NWI subscales is included.
*p<0.0001.
HSOPSC, Hospital Survey on Patient Safety Culture; PES-NWI, Practice Environment Scale of the Nursing Work Index; RNs, registered nurses.