Maternity is a unique and high-risk environment where the safety of both mothers and newborns is paramount. Ensuring a safe and effective delivery of care is a critical responsibility for healthcare professionals in this setting. Despite significant advancements in medical technology and healthcare practices, patient safety remains a major concern globally, and maternity units are not immune to the challenges of the occurrence of adverse events. This study aimed to analyze the determinants of safety in patient care at the maternity unit, the study was a quantitative descriptive study using a clinical method with a sample size of 14 nurses. A self-administered questionnaire was used to collect data on the nurses’ practices related to patient safety. The information collected was analyzed using SPSS, MS Excel and MS Word. The results were presented in the form of figures and tables. From this study it resulted that workload pressure (35.71%), competency assessment (42.86%), and communication breakdown (35.71%) were the main intrinsic determinants affecting safety in patient care in their unit, impacting staffing levels towards patient safety was rated at (35.71%), up to date technology (42.91%), physical environment (28.6%) as the main extrinsic determinants affecting patient safety in care. This study provided critical insights into the intrinsic and extrinsic determinants of safety in patient care delivery at the maternity unit. The findings highlight the need for targeted interventions to improve nurses’ practices towards patient safety, address workload and staffing concerns, and enhance environmental and system-related factors to promote a culture of safety.
References
[1]
Bulfin, S. (2005) Nursing as Caring Theory: Living Caring in Practice. Nursing Science Quarterly, 18, 313-319. https://doi.org/10.1177/0894318405280401
[2]
Willis, D.G. and Leone-Sheehan, M.L. (2018) Watson’s Philosophy and Theory of Transpersonal Caring. In: Alligood, M.R., Ed., Nursing Theorists and Their Work, Mosby, 66-79.
[3]
Watson, J. (2012) Human Caring Science. Jones & Bartlett Publishers.
[4]
World Health Organization (2024) Global Patient Safety Report 2024. World Health Organization.
[5]
Albers, T.J., Jenkins, W.D., Choudhary, V. and Fogleman, A. (2023) Rural Maternal Healthcare. Rural Health Summit Policy Brief Series.
[6]
Taher, T.M.J. (2024) Maternal Mortality: What Is the Situation and the Determinants? MAAEN Journal for Medical Sciences, 3, Article 7. https://doi.org/10.55810/2789-9136.1041
[7]
Crowe, C. and Manley, K. (2019) Assessing Contextual Readiness: The First Step Towards Maternity Transformation. International Practice Development Journal, 9, 1-20. https://doi.org/10.19043/ipdj.92.006
[8]
Konlan, K.D. and Shin, J. (2022) The Status and the Factors That Influence Patient Safety in Health Care Institutions in Africa: A Systematic Review. PLOS Global Public Health, 2, e0001085. https://doi.org/10.1371/journal.pgph.0001085
[9]
Mitchell, P.H. (2008) Defining Patient Safety and Quality Care. In: Hughes, R.G., Ed., Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Agency for Healthcare Research and Quality (US). http://www.ncbi.nlm.nih.gov/books/NBK2681/
[10]
Huang, H., Sun, F. and Lien, Y.F. (2015) Nurse Practi-tioners, Medical Negligence and Crime: A Case Study. Clinical Nursing Studies, 3, 21-28. https://doi.org/10.5430/cns.v3n4p21
[11]
Chi, C.Y., Huang, C.H., Lee, Y.C. and Wu, H.H. (2019) Critical Demographic Variables on Affecting Patient Safety Culture from Medical Staffs’ Viewpoints. Engineering Letters, 27.
[12]
Salsabila, A.N. and Dhamanti, I. (2023) Factors Affecting Nurses in Implementing Patient Safety in Hospitals: A Literature Review. Journal of Health Sciences, 16, 84-91. https://doi.org/10.33086/jhs.v16i01.3958
[13]
Chang, Y., Coxon, K., Portela, A.G., Furuta, M. and Bick, D. (2018) Interventions to Support Effective Communication between Maternity Care Staff and Women in La-bour: A Mixed-Methods Systematic Review. Midwifery, 59, 4-16. https://doi.org/10.1016/j.midw.2017.12.014
[14]
O’Neill, L., Miller, L.A. and Rohan, A.J. (2020) Threats to Patient Safety in the Inpatient Maternity Setting. MCN: The American Journal of Maternal/Child Nursing, 45, 74-81. https://doi.org/10.1097/nmc.0000000000000603
[15]
Siassakos, D., Fox, R., Bristowe, K., Angouri, J., Hambly, H., Rob-son, L., et al. (2013) What Makes Maternity Teams Effective and Safe? Lessons from a Series of Research on Teamwork, Leadership and Team Training. Acta Obstetricia et Gynecologica Scandinavica, 92, 1239-1243. https://doi.org/10.1111/aogs.12248
[16]
Ali, E., Norris, J.M., Hall, M. and White, D.E. (2020) Single-Room Maternity Care: Systematic Review and Narrative Synthesis. Nursing Open, 7, 1661-1670. https://doi.org/10.1002/nop2.586
[17]
Setola, N., Naldi, E., Cocina, G.G., Eide, L.B., Iannuzzi, L. and Daly, D. (2019) The Impact of the Physical Environment on Intrapartum Maternity Care: Identification of Eight Crucial Building Spaces. HERD: Health Environments Research & Design Journal, 12, 67-98. https://doi.org/10.1177/1937586719826058
[18]
Brás, C.P.d.C., Figueiredo, M.d.C.A.B.d. and Ferreira, M.M.C. (2023) Safety Culture in Maternity Hospital: Perception of Nurse‐midwives. Journal of Advanced Nursing, 80, 2091-2105. https://doi.org/10.1111/jan.15969
[19]
Mohammadi, F., Rustaee, S. and Bijani, M. (2024) The Factors Influencing Patient Safety Management as Perceived by Emergency Depart-ment Nurses: A Qualitative Study. Nursing Open, 11, e2135. https://doi.org/10.1002/nop2.2135
[20]
Uhm, J. and Choi, M. (2019) Mothers’ Needs Regarding Partnerships with Nurses during Care of Infants with Congenital Heart Defects in a Paediatric Cardiac Intensive Care Unit. Intensive and Critical Care Nursing, 54, 79-87. https://doi.org/10.1016/j.iccn.2019.07.003
[21]
Abdelaliem, S.M.F. and Alsenany, S.A. (2022) Factors Affecting Patient Safety Culture from Nurses’ Perspectives for Sustainable Nursing Practice. Healthcare, 10, Article 1889. https://doi.org/10.3390/healthcare10101889
[22]
Smith, A.H.K., Dixon, A.L. and Page, L.A. (2009) Health-Care Profes-sionals’ Views about Safety in Maternity Services: A Qualitative Study. Midwifery, 25, 21-31. https://doi.org/10.1016/j.midw.2008.11.004
[23]
Safitri, F.D. and Widajati, N. (2019) The Correlation between Knowledge, Attitudes toward Occupational Safety and Health and near Miss. The Indonesian Journal of Occupational Safety and Health, 8, 328-340. https://doi.org/10.20473/ijosh.v8i3.2019.332-340
[24]
Alligood, M.R. (2014) Nursing Theorists and Their Work. Elsevier.
[25]
Pajnkihar, M., McKenna, H.P., štiglic, G. and Vrbnjak, D. (2017) Fit for Practice: Analysis and Evaluation of Watson’s Theory of Human Caring. Nursing Science Quarterly, 30, 243-252. https://doi.org/10.1177/0894318417708409