Nurses' Patient Safety Compliance and Patient Safety Participation: A Scoping Review

Area of Science:

• Healthcare Management
• Nursing Research
• Patient Safety

Background:

• Patient adverse events remain a global concern.
• Nurses' safety behaviors are critical for preventing these events.
• Research often overlooks individual factors influencing nurses' safety behaviors.

Purpose of the Study:

• Identify factors determining nurses' patient safety behaviors (compliance and participation).
• Highlight existing research gaps in understanding these behaviors.
• Inform strategies to enhance patient safety through improved nursing practices.

Main Methods:

• A comprehensive scoping review was conducted in November 2023.
• Searched major databases: PubMed, CINAHL, PsycINFO, Web of Science, and Ichushi-Web.
• Two researchers independently screened articles, extracting and categorizing influencing factors.

Main Results:

• Five articles were included from 286 screened.
• Factors influencing behaviors fall into three categories: contextual, individual, and cross-level interactions.
• Contextual factors include safety climate and job demands; individual factors include motivation and knowledge.

Conclusions:

• Promoting nurses' patient safety behaviors requires addressing both contextual and individual factors.
• Nurse managers must integrate safety systems with an understanding of individual influences.
• Further research is needed to explore the interaction between individual and contextual factors.