Kontakt 2020, 22(3):159-164 | DOI: 10.32725/kont.2020.025

Development of a patient safety round guideline for nurse managers: Action research study in IndonesiaNursing - Original article

Setiawan Setiawan *, Dewi Elizadiani Suza, Diah Arruum
Universitas Sumatera Utara, Faculty of Nursing, Medan, Indonesia

Purpose: The purpose of this study was to develop a patient safety round guideline for nurse managers, in an attempt to strengthen the care culture provided within the hospital.

Methods: This study uses an action research approach, which involved 20 head nurses and the nursing team leaders as participants. In addition, data collection was performed using a qualitative approach, through focus group discussions (FGD) and observations, and quantitative assessment required questionnaires. The data obtained were evaluated using both content analysis and simple statistics.

Results: The study outcome showed that a patient safety round guideline could be used by nurse managers during rounds within the in-patient ward. In addition, the head nurses and nursing team leaders had better knowledge on (1) the implementation of patient safety rounds and (2) the skills applicable in the in-patient ward.

Conclusions: Heads of the nursing division are recommended to create policies that require nurse managers to operate patient safety rounds using a specific guideline at every in-patient ward. This practice ought to be conducted on a regular basis to ensure that all staff activities comply with patient safety.

Keywords: Hospital ward; Nurse manager; Patient safety round guideline

Received: February 18, 2020; Revised: April 27, 2020; Accepted: July 15, 2020; Prepublished online: July 28, 2020; Published: August 28, 2020  Show citation

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Setiawan S, Elizadiani Suza D, Arruum D. Development of a patient safety round guideline for nurse managers: Action research study in Indonesia. Kontakt. 2020;22(3):159-164. doi: 10.32725/kont.2020.025.
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    References

    1. Al-Mandhari A, Al-Farsi S, Al-Barwani S, Al-Salmani N, Al-Rabhi S, Al-Saidi, S, et al. (2018). Developing patient safety system using WHO tool in hospitals in Oman. Int J Qual Health Care 30(6): 423-428. DOI: 10.1093/intqhc/mzy050. Go to original source... Go to PubMed...
    2. Amiri M, Khademian Z, Nikandish R (2018). The effect of nurse empowerment educational program on patient safety culture:A randomized controlled trial. BMC Med Educ 18(1): 1-8. DOI: 10.1186/s12909-018-1255-6. Go to original source... Go to PubMed...
    3. Bartoníčková D, Kalánková D, Mikšová Z, Žiaková K, Mazalová L (2018). Patient safety culture from a nursing point of view in a broader context. Kontakt 21(2): 121-127. DOI: 10.32725/kont.2018.008. Go to original source...
    4. Bednarova M, Hirsova M, Komarkova L (2019). Leadership Style and Its Influence on Employee Identification with the Organization: A Study from a Czech Hospital. Kontakt 21(3): 279-284. DOI: 10.32725/kont.2019.035 Go to original source...
    5. Colaizzi PF (1978). Psychological research as a phenomenologist views it. In: Valle RS, King M (1978). Existential-Phenomenological Alternatives for Psychology. New York: Open University Press.
    6. Danielsson M, Carlfjord S, Nilsen P (2015). Patient safety walk rounds: views of frontline staff members and managers in Sweden. Int J Nurs 2(2): 81-93. DOI: 10.15640/ijn.v2n2a10. Go to original source...
    7. Danielsson M, Nilsen P, Rutberg H, Årestedt K (2017). A National Study of Patient Safety Culture in Hospitals in Sweden. J Pat Saf 15(4): 328-333. DOI: 10.1097/PTS.0000000000000369. Go to original source... Go to PubMed...
    8. Fusch P, Fusch GE, Ness LR (2018). Denzin's paradigm shift: Revisiting triangulation. JSC 10(1): 19-32. DOI: 10.5590/josc.2018.10.1.02. Go to original source...
    9. Gibbs P, Cartney P, Wilkinson K, Parkinson J, Cunningham S, James-Reynolds C, et al. (2017). Literature review on the use of action research in higher education. Educ. Action Res 25(1): 3-22. DOI: 10.1080/09650792.2015.1124046. Go to original source...
    10. Hale G, McNab D (2015). Developing a ward round checklist to improve patient safety. BMJ Qual Improv Rep. 4(1): u204775.w2440. DOI: 10.1136/bmjquality.u204775.w2440. Go to original source... Go to PubMed...
    11. Hashjin AA, Kringos DS, Manoochehri J, Ravaghi H, Klazinga NS (2014). Implementation of patient safety and patient-centeredness strategies in Iranian hospitals. PLoS ONE 9(9): e108831. DOI: 10.1371/journal.pone.0108831. Go to original source... Go to PubMed...
    12. Hegney DG, Francis K (2015). Action research: changing nursing practice. Nursing Standard (Royal College of Nursing (Great Britain) : 1987) 29(40): 36-41. DOI: 10.7748/ns.29.40.36.e8710. Go to original source... Go to PubMed...
    13. Johnston BE, Lou-Meda R, Mendez S, Frush K, Milne J, Fitzgerald T, et al. (2019). Teaching patient safety in global health: Lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health 4(1): e001220. DOI: 10.1136/bmjgh-2018-001220. Go to original source... Go to PubMed...
    14. Kemmis S, McTaggart R, Nixon R (2014). The Action Research Planner: Doing Critical Participatory Action Research. Singapore: Springer. DOI: 10.1007/978-981-4560-67-2. Go to original source...
    15. Korstjens I, Moser A (2018). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. Eur J Gen Pract 24(1): 120-124. DOI: 10.1080/13814788.2017.1375092. Go to original source... Go to PubMed...
    16. Lincoln YS, Guba EG (1985). Naturalistic Inquiry. Thousand Oaks: Sage Publications. Go to original source...
    17. Moch SD, Vandenbark RT, Pehler SR, Stombaugh A (2016). Use of Action Research in Nursing Education. Nurs Res Pract 2016: 8749167 DOI: 10.1155/2016/8749167. Go to original source... Go to PubMed...
    18. Morath J, Filipp R, Cull M (2014). Strategies for enhancing perioperative safety: promoting joy and meaning in the workforce. AORN Journal 100(4): 376-389. DOI: 10.1016/j.aorn.2014.01.027. Go to original source... Go to PubMed...
    19. National Academies of Sciences, Engineering, and Medicine (2018). Crossing the global quality chasm: Improving health care worldwide. Washington, DC: The National Academies Press. DOI: 10.17226/25152. Go to original source... Go to PubMed...
    20. Phipps AR, Paradis M, Peterson KA, Jensen J, Nielsen K, Hall M, et al. (2018). Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in a Pediatric Hospital with the Implementation of a Patient Safety Program. Jt Comm J Qual Patient Saf 44(6): 334-340. DOI: 10.1016/j.jcjq.2017.12.006. Go to original source... Go to PubMed...
    21. Saadati M, Nouri M, Rezapour R (2019). Patient safety walkrounds; 5 years of experience in a developing country. Int J Health Plann Manag 34(2): 773-779. DOI: 10.1002/hpm.2734. Go to original source... Go to PubMed...
    22. Sibiya MN (2018). Effective Communication in Nursing. In: Ulutasdemir N (2018). Nursing. London: IntechOpen. DOI: 10.5772/intechopen.74995. Go to original source...
    23. Simbolon SM, Setiawan S, Fathi A (2015). Pengembangan Caring Code Dalam Pendidikan Ners Tahap Akademik Di STikes Santa Elisabeth Medan [Development of caring code in undergraduate nursing program at Santa Elisabeth School of Nursing, Medan]. Idea Nursing Journal 6(2): 21-29.
    24. Slawomirsk L, Auraaen A, Klazinga N (2017). The Economics of patient safety. OECD [online] [cit. 2020-05-31]. Available at: https://www.oecd.org/els/health-systems/The-economics-of-patient-safety-March-2017.pdf
    25. Sølvtofte AS, Larsen P, Laustsen S (2017). Effectiveness of Patient Safety Leadership Walk RoundsTM on Patient Safety Culture: A Systematic Review Protocol. JBI Database System Rev Implement Rep 15(5): 1306-1315. DOI: 10.11124/JBISRIR-2016-003004. Go to original source... Go to PubMed...
    26. Tucker AL, Singer SJ (2015). The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag 24(2): 253-271. DOI: 10.1111/poms.12226. Go to original source...
    27. Vanagas R, Stankevič J (2015). Impact of coordination for organization process. Intellectual Economics 8(2): 112-125. DOI: 10.13165/ie-14-8-2-08. Go to original source...
    28. Wagner C, Thompson CA, Arah OA, Groene O, Klazinga NS, Dersarkissian M, et al. (2014). A checklist for patient safety rounds at the care pathway level. Int J Qual Health Care, 26(Suppl. 1): 36-46. DOI: 10.1093/intqhc/mzu019. Go to original source... Go to PubMed...
    29. World Health Organization (2017). Patient Safety Making health care safer. [online] [cit. 2020-05-31]. Available at: https://apps.who.int/iris/bitstream/handle/10665/255507/WHO-HIS-SDS-2017.11-eng.pdf?sequence=1&isAllowed=y
    30. World Health Organization (2019). Patient Safety; Global action on patient safety. [online] [cit. 2020-05-31]. Available at: https://apps.who.int/gb/ebwha/pdf_files/EB144/B144_41Rev1-en.pdf

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