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An exploration of barriers to patients' safety from the perspective of emergency nurses

 Department of Nursing, Applied Medical Sciences College, Taif University, Taif, Saudi Arabia

Correspondence Address:
Abdulellah Al Thobaity,
Unit 9, Alrabee, Taif 3966
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjhs.sjhs_15_20

Background: The roles of emergency nurses include providing high-quality health care to patients, ensuring their safety, and liaising with their families. Identifying barriers by nurses to achieving patients' safety in Saudi Arabia is vital as there is a lack of the evidence on the topic. Objective: The study aim was to identify major barriers to the provision of patients' safety by nurses in the emergency department. Methods: A cross-sectional study was conducted in the nursing departments of two hospitals in Taif City. Data were collected through questionnaires administered at both hospitals between September 20 and October 20, 2019. Purposive sampling was used to recruit participants from the emergency departments who attained a score of 33 after responding to the questionnaire items (Likert scale, 1–5). The data were entered into SPSS® Statistics version 24. Descriptive statistics, such as mean, frequency, and standard deviation were calculated. Principal component analysis was used, with varimax rotation, to ensure high validity and reliability. Results: Sixteen barriers were quantified, validated, and grouped by category: (1) poor competencies, (2) poor evaluation and reporting, and (3) poor management and leadership. The most significant barriers were staff shortages (mean of 4.16), the absence of feedback from leaders (mean of 3.63), and lack of information on safety goals for patients (mean of 3.47). Conclusion: It is necessary to improve nurses' competencies, perform regular evaluations, and enhance nursing leadership to enhance patients' safety. Education, leadership, and research are key tenets.

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