Evidence map›Paper›PMID 29970054›Full record

Trial reportBMC medical education2018

The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial.

Maryam Amiri, Zahra Khademian, Reza Nikandish

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05853588 (The Effect Of Toolbox Trainings On Nursing Sensitive Quality Indıcators), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
16.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05853588 nacompletednot on this mapstarted 2021, after this paper: background citation

The Effect Of Toolbox Trainings On Nursing Sensitive Quality Indıcators

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2021 to 2022Enrolled77ConditionsNurse's RoleArmstraining
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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  10. Safety Culture Through Patient Voice: Qualitative Validation of the Patients' Perceptions of Safety Culture Scale (PaPSC) in Cardiology and Cardiothoracic Surgery.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Maryam AmiriDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra KhademianDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. Zahrakhademian@yahoo.com.ORCID http://orcid.org/0000-0001-8366-204X
Reza NikandishAnesthesia and Critical Care Emergency Medicine Department, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiraz University of Medical Sciences · IR

Funding

Vice Chancellor for Research, Shiraz University of Medical Sciences, Shiraz, Iran Grant No. 5793
6 · The paper itself

Abstract

backgroundThe complexity of patients' condition and treatment processes in intensive care units (ICUs) predisposes patients to more hazardous events. Effective patient safety culture is related to lowering the rate of patients' complications and fewer adverse events. The present study aimed to determine the effect of empowering nurses and supervisors through an educational program on patient safety culture in adult ICUs.

methodsA randomized controlled trial was conducted during April-September 2015 in 6 adult ICUs at Namazi Hospital, Shiraz, Iran. A total of 60 nurses and 20 supervisors were selected through proportional stratified sampling and census, respectively, and randomly assigned to the experimental and control groups. The intervention consisted of a two-day workshop, hanging posters, and distributing pamphlets that covered topics such as patient safety, patient safety culture, speak up about safety issues, and the skills of Team Strategies and Tools to Enhance Performance and Patient Safety. Data were collected through a hospital survey on patient safety culture. Eventually, 61 participants completed the study. Data were analyzed using descriptive statistics, independent-samples t-test, paired-samples t-test, and Chi-square test. P < 0.05 was considered statistically significant.

resultsIn the experimental group, the total post-test mean scores of the patient safety culture (3.46 ± 0.26) was significantly higher than that of the control group (2.84 ± 0.37, P < 0.001). It was also higher than that of the pre-test (2.91 ± 0.4, P < 0.001). Additionally, significant improvements were observed in 5 out of 12 dimensions in the experimental group. However, dimensions such as non-punitive response to errors and the events reported did not improve significantly.

conclusionEmpowering nurses and supervisors could improve the overall patient safety culture. Nonetheless, additional actions are required to improve areas such as reporting the events and non-punitive response to errors.

trial registrationIRCT2015053122494N1 . Date registered: March 2, 2016.

Indexed as

Nursing, SupervisoryPatient SafetyPower, PsychologicalAdultCritical Care NursingFemaleHumansIntensive Care UnitsIranMaleNursing StaffOrganizational CultureReproducibility of ResultsSafety ManagementSurveys and QuestionnairesCultureIntensive care unitsNursesNursingPatient safetyPatient safety cultureSafetySupervisory

Identifiers

PMID29970054
PMCPMC6029022
OpenAlexW2809943054

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.