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Safety Competency: Exploring the Impact of Environmental and Personal Factors on the Nurse's Ability to Deliver Safe
Kimberly Dillon-Bleich1, Mary A Dolansky, Christopher J Burant
1Breen School of Nursing and Health Professions, Ursuline College, Pepper Pike, Ohio (Dr Dillon-Bleich); QSEN Institute (Dr Dolansky), Frances Payne Bolton School of Nursing (Drs Burant and Madigan), and Department of Population and Quantitative Health Sciences (Dr Dolansky), School of Medicine (Dr Singh), Case Western Reserve University, Cleveland, Ohio; VA Quality Scholars Program, Cleveland, Ohio (Dr Dolansky); Geriatric Research Education and Clinical Center, Louis Stokes VAMC, Cleveland, Ohio (Dr Burant); and VA Northeast Ohio Healthcare System, Cleveland (Dr Singh).
Background:
Patient safety is a priority in health care systems. Nurses' safety competence along with environmental and personal factors plays a role in patient safety.
Purpose:
The purpose of this study was to explore the relationships among safety competency, structural empowerment, systems thinking, level of education, and certification.
Methods:
A cross-sectional exploratory design was used to collect data from nurses (n = 163) practicing in a large Midwestern hospital system.
Results:
There were significant positive correlations between safety competency and ( a ) structural empowerment, ( b ) systems thinking, and ( c ) certification. Systems thinking explained 12.9% of the variance in the knowledge component of safety competency and 6.8% of the variance in the skill component of safety competency. Certification explained 2.4% of the variance in the skill component of safety competency.
Conclusions:
Understanding factors that affect safety competency supports the development of effective interventions that may improve safety.
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