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Influence of Nurses' Awareness of Patient Safety Culture on Patients Satisfaction

Background: Patient safety culture is crucial in quality care, and could improve patient 
satisfaction. The aim of this study was examining the relationship between nurses‘ awareness of 
patient safety culture and patient satisfaction through Assessing nurses' awareness of patient 
safety culture, Assessing patient satisfaction level with the quality of the care, finding out the 
relation between nurses' awareness of patient safety culture and patient satisfaction. Design: 
across-sectional analytical. Setting: The study was carried out at Dar-El Shifa Hospital, this 
hospital is affiliated to ministry of health, specialized medical center Subjects: Two groups of 
subjects were included in this study, namely staff nurses working in inpatient departments and 
patients under their care in the same departments. Tools of data: Two different self-administered 
questionnaires were used for data collection, one for the staff nurses and the other one for the 
patients. Results: Nurses‘ age ranged between 18 and 54 years. The most of them were diploma 
degree. In total, more than third had high awareness of patient safety culture. The awareness score 
had a significant positive correlation with current experience years (r=0.232). In multivariate 
analysis, working shifts was a negative predictor of this score. Overall, slightly less than third, of 
the patients were satisfied. Satisfaction decreased with higher education, and among rural 
residents. Patients‘ age was a positive predictor of the satisfaction score. In ecologic analysis, 
negative correlations were revealed between patient satisfaction with support staff and nurses‘ 
scores of awareness of hospital-level and outcome level patient safety culture. Conclusion: 
Nurses in the study setting lack awareness of patient safety culture. Their awareness is only 
influenced by working in shifts. Patients‘ satisfaction is also low, especially with support staff, 
and seems to be not correlated to nurses‘ awareness of patient safety culture Recommendations: 
Nurses in the study setting lack awareness of patient safety culture, and their patients have low 
satisfaction. The study recommends more efforts to foster the concept of patient safety culture