Titre de l'article sujet de la Lecture critique Gambashidze N1, Hammer A1, Wagner A2, Rieger MA2, Brösterhaus M1, Van Vegten A3, Manser T4. WorkSafeMed Consortium. Influence of gender, profession, and managerial function on clinicians’ perceptions of patient safety culture: a cross-national cross-sectional study. J Patient Saf. 2021 Jun 1;17(4):e280-e287. Doi : 10.1097/PTS.0000000000000585. 1-Institute for Patient Safety – University Hospital Bonn – Bonn – Allemagne2-Institute of Occupational and Social Medicine and Health Services Research – University Hospital of Tuebingen – Tübingen – Allemagne3-Quality and Patient Safety – University Hospital Zürich – Zürich – Suisse4-School of Applied Psychology – University of Applied Sciences and Arts – Northwestern Switzerland – Olten – Suisse
Objectives. In recent years, several instruments for measuring patient safety culture (PSC) have been developed and implemented. Correct interpretation of survey findings is crucial for understanding PSC locally, for comparisons across settings or time, as well as for planning effective interventions. We aimed to evaluate the influence of gender, profession, and managerial function on perceptions of PSC and on the interplay between various dimensions and perceptions of PSC. Methods. We used German and Swiss survey data of frontline physicians and nurses (n=1 786). Data analysis was performed for the two samples separately using multivariate analysis of variance, comparisons of adjusted means, and series of multiple regressions. Results. Participants’ profession and managerial function had significant direct effect on perceptions of PSC. Although there was no significant direct effect of gender for most of the PSC dimensions, it had an indirect effect on PSC dimensions through statistically significant direct effects on profession and managerial function. We identified similarities and differences across participant groups concerning the impact of various PSC dimensions on overall Perception of patient safety. Staffing and organizational learning had positive influence in most groups without managerial function, whereas teamwork within unit, feedback & communication about error, and communication openness had no significant effect. For female participants without managerial functions, management support for patient safety had a significant positive effect. Conclusions. Participant characteristics have significant effects on perceptions of PSC and thus should be accounted for in reporting, interpreting, and comparing results from different samples.