Table 4 Relationship between the working environment and patient safety culture scores in nursesa
Response variables | Explanatory variables | AICC | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
Working hours in a week | Number of night shifts in a month | Number of days off in a month | |||||||||
< 40 | 40–60 | ≥60 | 0 | 1–4 | ≥5 | ≥10 | 7–9 | < 7 | |||
(n) | (872) | (1392) | (130) | (243) | (888) | (1239) | (875) | (1359) | (83) | ||
Teamwork within units | Coefficient | 0.00 | −0.04b | −0.07c | 0.00 | 0.02 | − 0.03 | 0.00 | −0.04b | − 0.07c | 932 |
Supervisor or manager expectations and actions promoting patient safety | 0.00 | −0.01 | 0.00 | 0.00 | 0.00 | −0.03 | 0.00 | −0.05b | −0.12b | 721 | |
Organizational learning-continuous improvement | 0.00 | −0.04c | 0.02 | 0.00 | −0.04 | −0.09b | 0.00 | −0.03c | −0.02 | 1444 | |
Management support for patient safety | 0.00 | −0.02 | − 0.05 | 0.00 | 0.00 | −0.05 | 0.00 | −0.05b | − 0.06 | 1632 | |
Overall perceptions of patient safety | 0.00 | −0.03 | − 0.11b | 0.00 | −0.05c | −0.08b | 0.00 | −0.01 | −0.03 | 1401 | |
Feedback and communication about error | 0.00 | −0.02 | − 0.04 | 0.00 | −0.04 | −0.04 | 0.00 | −0.02 | −0.05 | 1468 | |
Communication openness | 0.00 | −0.02 | 0.01 | 0.00 | −0.02 | −0.04 | 0.00 | −0.03 | −0.06 | 1735 | |
Frequency of events reported | 0.00 | 0.02 | 0.02 | 0.00 | −0.01 | − 0.01 | 0.00 | −0.01 | 0.01 | 1721 | |
Teamwork across units | 0.00 | −0.02 | −0.07c | 0.00 | −0.01 | − 0.05 | 0.00 | −0.04b | − 0.06 | 1469 | |
Staffing | 0.00 | −0.05b | −0.14b | 0.00 | −0.01 | − 0.06b | 0.00 | −0.02 | −0.07c | 458 | |
Handoffs and transitions | 0.00 | 0.00 | −0.08c | 0.00 | 0.01 | −0.01 | 0.00 | −0.02 | −0.05 | 1429 | |
Nonpunitive response to errors | 0.00 | −0.03 | − 0.09b | 0.00 | 0.05 | −0.04 | 0.00 | −0.02 | −0.12b | 1829 | |
Respondents who rated patient safety grade as “very good” or “good” (vs. others) | aOR | 1.00 | 0.73b | 0.69 | 1.00 | 0.87 | 0.73 | 1.00 | 1.05 | 1.09 | 8877 |
Respondents who reported one or more events (vs. none) | 1.00 | 1.02 | 1.08 | 1.00 | 2.28b | 3.58b | 1.00 | 1.13 | 1.00 | 11,529 | |