DOI QR코드

DOI QR Code

Safety Attitudes among Vietnamese Medical Staff in a Vietnam Disadvantaged Area: Latent Class Analysis

  • Thang Huu Nguyen (School for Preventive Medicine and Public Health, Hanoi Medical University) ;
  • Thanh Hai Pham (School for Preventive Medicine and Public Health, Hanoi Medical University) ;
  • Hue Thi Vu (International school, Vietnam National University) ;
  • Minh-Nguyet Thi Doan (School for Preventive Medicine and Public Health, Hanoi Medical University) ;
  • Huong Thanh Tran (School for Preventive Medicine and Public Health, Hanoi Medical University) ;
  • Mai Phuong Nguyen (Hanoi Medical University)
  • Received : 2023.03.11
  • Accepted : 2024.02.29
  • Published : 2024.06.30

Abstract

Purpose: We conducted this study with the aim of characterizing safety attitudes (SA) among medical staff in a disadvantaged area of Vietnam and examining associated factors with SA. Methods: A cross-sectional survey was conducted on 442 health staff members at four hospitals in Son La Province from June until August 2021. We used the Vietnamese shortened edition of the Safety Attitudes Questionnaire to measure the SA of study participations. We chose latent class analysis (LCA) to identifying the number of latent classes of SA among the study subjects. Multinomial logistic regression was used to examine factors associated with the identified SA classes. Results: The results of our LCA showed that there were three latent classes, namely high SA group (n=150, 33.9%), moderate SA group (n=236, 53.4%), and low SA group (n=56, 12.7%). The multinomial logistic regression analysis found that medical staff who had university education and above, who were nurses, and who served in non-clinical areas were more likely to be in the moderate SA group and in the high SA group than in the low SA group. Conclusion: Based on these results, several recommendations could be made to improve the SA of healthcare workers in disadvantaged areas. Further research with larger sample sizes and more diverse populations is needed to confirm these findings and to develop effective interventions to improve the SA of healthcare workers in disadvantaged areas.

Keywords

References

  1. World Health Organization. 10 Facts on patient safety.Geneva,Switzerland:World Health Organization;2019. 
  2. Carayon P, Alvarado CJ, Systems Engineering Initiative for Patient Safety. Workload and patient safety among critical care nurses. Critical care nursing clinics of North America. 2007;19(2):121-9. 
  3. Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. BMJ quality & safety. 2012;21(2):101-11. 
  4. World Health Organization. Patient safety in developing and transitional countries: new insights from Africa and the Eastern Mediterranean. Geneva,Switzerland:World Health Organization;2011. 
  5. Wilson RM, Michel P, Olsen S, Gibberd RW, Vincent C, El-Assady R, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. British Medical Journal. 2012;344:e832. 
  6. Mahrous MS. Patient safety culture as a quality indicator for a safe health system: Experience from Almadinah Almunawwarah, KSA. Journal of Taibah University Medical Sciences. 2018;13(4):377-83. 
  7. Merino-Plaza MJ, Carrera-Hueso FJ, Roca-Castello MR, Morro-Martin MD, Martinez-Asensi A, Fikri-Benbrahim N. Relationship between job satisfaction and patient safety culture. Gaceta sanitaria. 2017;32(4):352-61. 
  8. El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Services Research. 2011;11:45. 
  9. Neal A, Griffin MA. A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of Applied Psychology. 2006;91(4):946-53. 
  10. Jiang K, Tian L, Yan C, Li Y, Fang H, Peihang S, et al. A cross-sectional survey on patient safety culture in secondary hospitals of Northeast China. PLoS One. 2019;14(3):e0213055. 
  11. Samsuri SE, Lin LP, Fahrni ML. Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire. BMJ Open. 2015;5(11):e008889. 
  12. Zimmermann N, Kung K, Sereika SM, Engberg S, Sexton B, Schwendimann R. Assessing the Safety Attitudes Questionnaire (SAQ), German language version in Swiss university hospitals--a validation study. BMC Health Services Research. 2013;13:347. 
  13. Tiet Mai Thi. The study on hospital infections and its related factors at Dong Nai Hospital in 2014. Journal of Practical Medicine. 2014;53-6. 
  14. Profit J, Etchegaray J, Petersen LA, Sexton JB, Hysong SJ, Mei M, et al. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2012;97(2):F127-132. 
  15. Delucchi KL, Katerberg H, Stewart SE, Denys DAJP, Lochner C, Stack DE, et al. Latent class analysis of the Yale-Brown Obsessive-Compulsive Scale symptoms in obsessive-compulsive disorder. Comprehensive psychiatry. 2011;52(3):334-41. 
  16. Muller M, Ajdacic-Gross V, Vetrella AB, Preisig M, Castelao E, Lasserre A, et al. Subtypes of alcohol use disorder in the general population: A latent class analysis. Psychiatry Research. 2020;285:112712. 
  17. Jones BL, Nagin DS, Roeder K. A SAS Procedure Based on Mixture Models for Estimating Developmental Trajectories. Sociological Methods & Research. 200;29(3):374-93. 
  18. Muthen BO. Beyond SEM: General Latent Variable Modeling. Behaviormetrika. 2002;29(1):81-117. 
  19. Bauer DJ, Curran PJ. The integration of continuous and discrete latent variable models: potential problems and promising opportunities. Psychol Methods. 2004;(1):3-29. 
  20. Hagenaars JA, McCutcheon AL, editors. Applied Latent Class Analysis [Internet]. Cambridge,United Kingdom: Cambridge University Press; 2002 [cited 2023 May 24]. Available from: https://www.cambridge.org/core/books/applied-latent-class-analysis/30C364913C52083262DD7CE5A2E05685 
  21. Weller BE, Bowen NK, Faubert SJ. Latent Class Analysis: A Guide to Best Practice. Journal of Black Psychology. 2020;46(4):287-311.
  22. Li Y, Zhao Y, Hao Y, Jiao M, Ma H, Teng B, et al. Perceptions of patient safety culture among healthcare employees in tertiary hospitals of Heilongjiang province in northern China: a cross-sectional study. International journal for quality in health care. 2018;30(8):618-23. 
  23. Jiang K, Tian L, Yan C, Li Y, Fang H, Peihang S, et al. A cross-sectional survey on patient safety culture in secondary hospitals of Northeast China. PLOS ONE. 2019;14(3):e0213055. 
  24. Cheng HC, Yen AMF, Lee YH. Factors affecting patient safety culture among dental healthcare workers: A nationwide cross-sectional survey. Journal of Dental Sciences. 2019;14(3):263-8.