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      Clinical nurse competence and its effect on patient safety culture: a systematic review

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          Abstract

          Background

          Unsafe health practices are one of the leading causes of disability and even death. Competent nurses are crucial to ensure safe and high-quality healthcare services. The patient safety culture is concerned with internalizing safety beliefs, values, and attitudes, translating them into healthcare practices, and committing to maintaining an error-free health environment. A high level of competence ensures the achievement and compliance with the safety culture goal. This systematic review aims to identify the relationship between the level of nursing competence and the safety culture score and perception among nurses at their workplace.

          Methods

          Four international online databases were searched to find relevant studies published between 2018 and 2022. Peer-reviewed articles using quantitative methods, targeting nursing staff, and written in English were included. After reviewing 117 identified studies, 16 full-text studies were included. The PRISMA 2020 checklist for systematic reviews was used.

          Results

          Evaluation of the studies indicates safety culture, competency, and perception were assessed using various instruments. Safety culture was generally perceived as positive. No unique and standard tool has been developed to investigate the effect of safety competency on the perception of the safety culture in a standardized way.

          Conclusions

          Existing research provides evidence of a positive correlation between nursing competence and patient safety score. Future research is recommended to investigate ways to measure the effect of nursing competency level on safety culture in healthcare institutions.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12912-023-01305-w.

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          Most cited references35

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          The PRISMA 2020 statement: An updated guideline for reporting systematic reviews

          Matthew J L Page, Joanne E. Mckenzie, Patrick Bossuyt … (2021)
          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
          Article 0 comments Cited 1681 times – based on 0 reviews     Review now
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            Beyond PICO: the SPIDER tool for qualitative evidence synthesis.

            Alison Cooke, Debbie Smith, Alison Cooke (2013)
            Standardized systematic search strategies facilitate rigor in research. Current search tools focus on retrieval of quantitative research. In this article we address issues relating to using existing search strategy tools, most typically the PICO (Population, Intervention, Comparison, Outcome) formulation for defining key elements of a review question, when searching for qualitative and mixed methods research studies. An alternative search strategy tool for qualitative/mixed methods research is outlined: SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type). We used both the SPIDER and PICO search strategy tools with a qualitative research question. We have used the SPIDER tool to advance thinking beyond PICO in its suitable application to qualitative and mixed methods research. However, we have highlighted once more the need for improved indexing of qualitative articles in databases. To constitute a viable alternative to PICO, SPIDER needs to be refined and tested on a wider range of topics.
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              Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries

              Margaret Kruk, Anna Gage, Naima T Joseph … (2018)
              Summary Background Universal health coverage has been proposed as a strategy to improve health in low-income and middle-income countries (LMICs). However, this is contingent on the provision of good-quality health care. We estimate the excess mortality for conditions targeted in the Sustainable Development Goals (SDG) that are amenable to health care and the portion of this excess mortality due to poor-quality care in 137 LMICs, in which excess mortality refers to deaths that could have been averted in settings with strong health systems. Methods Using data from the 2016 Global Burden of Disease study, we calculated mortality amenable to personal health care for 61 SDG conditions by comparing case fatality between each LMIC with corresponding numbers from 23 high-income reference countries with strong health systems. We used data on health-care utilisation from population surveys to separately estimate the portion of amenable mortality attributable to non-utilisation of health care versus that attributable to receipt of poor-quality care. Findings 15·6 million excess deaths from 61 conditions occurred in LMICs in 2016. After excluding deaths that could be prevented through public health measures, 8·6 million excess deaths were amenable to health care of which 5·0 million were estimated to be due to receipt of poor-quality care and 3·6 million were due to non-utilisation of health care. Poor quality of health care was a major driver of excess mortality across conditions, from cardiovascular disease and injuries to neonatal and communicable disorders. Interpretation Universal health coverage for SDG conditions could avert 8·6 million deaths per year but only if expansion of service coverage is accompanied by investments into high-quality health systems. Funding Bill & Melinda Gates Foundation.
              Article 0 comments Cited 287 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Rasha Abu Zaitoun: rasha.zaitoun@najah.edu
                Nizar B. Said: nizarsaid@najah.edu
                Lila de Tantillo: ldetant@ju.edu
                Journal
                Journal ID (nlm-ta): BMC Nurs
                Journal ID (iso-abbrev): BMC Nurs
                Title: BMC Nursing
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1472-6955
                Publication date (Electronic): 19 May 2023
                Publication date PMC-release: 19 May 2023
                Publication date Collection: 2023
                Volume: 22
                Electronic Location Identifier: 173
                Affiliations
                [1 ]GRID grid.11942.3f, ISNI 0000 0004 0631 5695, Head of the Continuing Nursing Education, nursing department, , An Najah National University Hospital, ; Nablus, Palestine
                [2 ]GRID grid.11942.3f, ISNI 0000 0004 0631 5695, Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, , An Najah National University, ; Nablus, Palestine
                [3 ]GRID grid.257993.3, ISNI 0000 0001 0421 803X, Keigwin School of Nursing, , Jacksonville University, Brooks Rehabilitation College of Healthcare Sciences, ; 2800 University Boulevard North, Jacksonville, FL 32211 904.256.8955 USA
                Article
                Publisher ID: 1305
                DOI: 10.1186/s12912-023-01305-w
                PMC ID: 10196295
                PubMed ID: 37208727
                SO-VID: 03f0de9f-6989-4b5e-97ee-192ea0ef2d3f
                Copyright © © The Author(s) 2023
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 23 September 2022
                Date accepted : 15 April 2023
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © BioMed Central Ltd., part of Springer Nature 2023

                ScienceOpen disciplines: Nursing
                Keywords: patient safety,nursing competence,safety culture
                Data availability:
                ScienceOpen disciplines: Nursing
                Keywords: patient safety, nursing competence, safety culture

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