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Learning Objective 1: The learner will be able to understand Taiwanese nursing staff's perceptions of resident safety culture in long-term care facilities.
Learning Objective 2: The learner will be able to understand the differences of resident safety culture between nursing homes and residential facilities.
The purpose of this study is to describe supervisors’, nurses’, and nurse assistants’ perceptions of resident safety culture in Taiwan's long-term care facilities.
Methods:
This one-year study is a cross-sectional survey adopting an island wide random sampling. The scale of resident safety culture-long-term care version (RSC-LTC) was distributed to a total of 306 participants in 30 long-term care facilities. Thirty-four supervisors, 136 nurses and 136 nursing assistants were surveyed.
Results:
The percentile of the mean in the RSC-LTC scale was 72 that indicated a moderate degree in staff's perceptions of resident safety culture. Participants perceived the most positive in the subscale of job satisfaction and the least positive in the subscale of stress recognition. There were significant differences between supervisors, nurses and nursing assistants in the means of the RSC-LTC scale and subscales of safety climate, job satisfaction and work conditions. Supervisors had more positive perceptions of resident safety culture than nurses and nurse assistants. Nursing staff in residential facilities showed more positive perceptions of resident safety culture than their counterparts in nursing homes, particularly in the means of the RSC-LTC scale and subscales of job satisfaction and work conditions.
Conclusion:
Positive resident safety culture could be enhanced among nursing staff, particularly in nurses and nursing assistants. Strategies such as developing safety assuring programs and staff education or modifying accreditation criteria to increase staff’s awareness of resident safety in long-term care facilities were suggested.
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