Sirvi Autor "Sepp, Jaana" järgi
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Kirje Advancing patient safety competencies in nursing education: an examination of student attitudes(Estonian University of Life Sciences, 2024) Sepp, JaanaIn nursing, patient safety is of paramount concern, requiring the development of well-defined competencies among nursing students and the early integration of safety principles into curricula. This study aimed to explore nursing students' perceptions regarding patient safety, offering valuable insights for curriculum developers. The main research questions were: What are the perceptions of nursing students regarding patient safety, and how can this information be useful for curriculum developers in improving students' safety knowledge and developing the curriculum in this direction? The Attitudes to Patient Safety Questionnaire (APSQ III) was employed to gather data due to its established reputation as a comprehensive and reliable instrument for assessing student attitudes in patient safety. The questionnaire was thoughtfully distributed to first-year nursing students with work experience in the healthcare field. The study revealed that students consider patient safety important and perceive its implementation as dependent on multidisciplinary teamwork and error reporting. Based on students' perceptions, nursing educators should increase the presence of patient safety courses in the nursing curriculum, emphasizing a multidisciplinary approach and enhancing competencies related to critical thinking. This includes improving skills in error reporting, organizing practical training, and mastering the use of standardized terminology. In conclusion, the study underscores the necessity of redefining nursing competencies, early integration of patient safety principles, the significance of research, and the role of assessment tools in shaping attitudes toward patient safety in nursing education.Kirje Human factors and ergonomics in safety management in healthcare: building new relationships(2018) Sepp, Jaana; Reinhold, Karin; Järvis, Marina; Tint, PiiaHuman factors are playing an essential role in ensuring occupational health and safety at work. In the healthcare sector, relevant factors include optimizing the interaction of humans with their technical, social working environment, and human characteristics such as knowledge and motivation. Those fac tors affect the ability to provide good quality of healthcare and safety performance. The aim of this paper is to analyse factors related to safety knowledge, communication and professional competence among caregivers in nursing homes. A group of professio nals studied (n = 241, includes nurses and caregivers) completed a validated questionnaire. Descriptive statistics and correlation analyses were applied, using SPSS Statistics 24. Our study revealed that over half of the respondents possess an occupational certificate and the majority of employers organize regular in - service training at workplaces. Respondents who claimed that in - service trainings are not regular still stated that they generally receive safety and ergonomic related trainings, trainings for working with special equipment. However, only a quarter of responden ts have access to occupational safety trainings that f ocus on specific risks at work. Based on the results of the study, we emphasize the need of integrating human factors in the safety ma nagement system in nursing homes with a special focus on adequate safety training in order to develop necessary skills and knowledge of workers. This would enhance employees’ ability to cope successfully with the elderly and people with special needs, to p rovide safe and high - quality care as well as confidence and the knowledge how successfully they manage conflicts in order to ke ep good relationships at work.Kirje Predictors of safe behaviour and holistic framework for promoting proactive safety culture in healthcare and nursing homes(Estonian University of Life Sciences, 2023) Sepp, JaanaThe poor safety culture in nursing homes is attributed to the lack of professional and safety competencies, management commitment, and limited empirical data. The purpose of this study is to identify potential predictors of safe behaviour among care workers and establish a holistic framework for a proactive safety culture in healthcare and nursing homes. The study was conducted in 25 care institutions between September 2014 to December 2017 using mixed-methods with quantitative (NOSACQ-50; CCQ, COPSOQ II) and qualitative (focus-group interview) components. Results revealed challenges with safety systems and management, lack of resources and time, and the importance of leadership and psychosocial well-being. The study identified subcultures of proactive safety culture, including professional competence culture and psychosocial well-being culture. These subcultures aid in identifying weaknesses and improving quality, emphasizing the need for a holistic approach to safety culture in healthcare institutions, particularly in nursing homes. The author's proposition on positive safety culture, based on the theory of situated cognition, highlights the significance of subcultures such as professional competence culture and psychosocial well-being culture in influencing care workers' professional identity and safety behaviour. In conclusion, the importance of these subcultures can be emphasised due to ensuring adequate understanding and positive attitudes towards safety. Adequate care worker training and a culture that supports professional competence are crucial for patient safety and organizational outcomes. Addressing psychosocial risks and promoting a culture of psychosocial well-being can create a safer workplace culture and improve employee performance, job satisfaction, and overall organizational outcomes.
