Patient experience and safety culture : exploring the intersections and implications for improving patient safety
- Publication Type:
- Thesis
- Issue Date:
- 2025
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𝗕𝗮𝗰𝗸𝗴𝗿𝗼𝘂𝗻𝗱: Over recent decades, there has been much effort made to improve the quality and safety of nursing and healthcare delivery. However, evidence continues to accumulate of unsafe care resulting in iatrogenic harm in hospitals. This thesis explores the intersections of patient safety culture and patient experience, to understand their implications on patient safety in the Saudi hospital context.
𝗠𝗲𝘁𝗵𝗼𝗱𝘀: This research was conducted using a convergent parallel mixed-methods design, including a cross-sectional survey and an interview study.
𝗥𝗲𝘀𝘂𝗹𝘁𝘀: The research reinforces the importance of communication, a culture of learning, and feeling safe for both staff and patients. The research also highlighted aspects that impacted patient safety and quality of care, including cultural competence, cultural safety, open communication for patient empowerment, and the issue of staffing and turnover as issues not as often discussed in the safety culture or patient experience literature, yet clearly seen as important to both staff and patients, in their impacts on safety.
𝗖𝗼𝗻𝗰𝗹𝘂𝘀𝗶𝗼𝗻: Future research and Saudi safety initiatives should incorporate cultural competence and cultural safety, shifting from reactive, error-based approaches (Safety I) to proactive strategies (Safety II) that focus on building system resilience, and understanding how things often go right in clinical practice.
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