What Attributes Determine Overall Satisfaction in Patient Safety Culture? An Empirical Study of the Perceptions of Hospital Staff in Taiwan

摘要

This study assessed the attributes of the overall perception of (satisfaction with) patient safetyculture using four categories of hospital staff, and it developed directions for the improvementof medical services. The Chinese version of the Safety Attitudes Questionnaire (CSAQ) wassent to the staff of study hospitals through an intraorganizational online survey application.Linear regression with forward selection was used to identify the essential dimensions of theCSAQ that affect overall satisfaction with patient safety culture. For physicians, nurses, andtechnicians, the findings indicate that overall satisfaction is highly influenced by perceptionsof management. For physicians, nurses, and administrative staff, the safety climate has a significantimpact on their overall satisfaction. Additionally, for technicians, emotional exhaustionis an essential factor affecting overall satisfaction. Understanding the perceptions of patientsafety culture among different medical staff in a healthcare organization could help hospitalmanagement to promote policies explicitly oriented toward improving patient safety and strategies.For front-line staff, well-trained employees and concordant teams are important; higherlevel managers should adopt policies to improve the working environment and ameliorate thearrangement of human resources.