Saudi Cultural Missions Theses & Dissertations
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Item Restricted THE INFLUENCE OF TEAM DYNAMIC AND NURSE-PHYSICIAN COLLABORATION ON PATIENT SAFETY CULTURE AMONG CRITICAL CARE UNITS NURSES IN SAUDI ARABIA(Saudi Digital Library, 2025-05-27) ALruwaili, Sana Mutlaq Mazer; Khalifeh, AnasAbstract Background: Patient safety culture is critical in high-pressure environments like critical care units, where team dynamics and nurse-physician collaboration profoundly influence outcomes. Aim: This study examines the influence of team dynamic and nurse-physician collaboration on patient safety culture among critical care nurses in Saudi Arabia. Methods: A descriptive, cross-sectional study was conducted in five Saudi hospitals using convenient sampling of 145 participants. Data were collected through electronic surveys utilizing the Primary Care Team Dynamics Survey, Nurse-Physician Collaboration Scale, and Hospital Survey on Patient Safety Culture, along with demographic data. Results: A total of 145 critical care nurses from Saudi Arabian hospitals participated in the study. The participants’ age ranged from 24 to 39 years, with a mean age of 31.03 years (SD = 4.332), and 121 participants were females (83.4%) and 24 were male (16.6%). Team dynamics were found to be high, with a mean score of 118.20 (SD = 27.34). Nurse–physician collaboration was moderate (M = 79.21, SD = 17.77). The results showed statistically significant differences in patient safety culture based on shift type (F = 4.329, p = 0.015), while gender and education level were not significant. There was a strong relationship between team dynamics, nurse-physician collaboration, and most dimensions of patient safety culture (P ≤ 0.01), except for communication openness, hospital management support, and handoffs/information exchange (P > 0.05). Regression analysis revealed predictors of patient safety culture included age, marital status, monthly income, years of experience, shift pattern, patient load, team dynamics, and nurse-physician collaboration. Conclusion: Critical care nurses in Saudi Arabia perceived their team dynamics as effective and nurse-physician collaboration as moderate. Although collaboration exists, further efforts are needed to foster cohesive teamwork and enhance patient safety culture in critical care settings.1 0Item Restricted Adaptation and validation of the U.S. hospital survey on patient safety culture 2.0™(SOPS®) : the Saudi version(University of British Columbia, 2024-07-12) Alharbi, Amal Ali; Dahinten, SusanBackground: The U.S. Hospital Survey on Patient Safety Culture 2.0 (HSOPSC, 2.0), released by the Agency of Healthcare Research and Quality in 2019, is the most widely used instrument for measuring patient safety culture in healthcare organizations. However, it has not been cross-culturally adapted nor validated within the context of the Saudi healthcare system. This two-phased study aimed to adapt the U.S. HSOPSC 2.0 to be suitable for use by registered nurses working in Saudi hospital settings, and to assess the construct validity of the revised Saudi tool. My approach to psychometric testing was informed by Messick’s view of unified validity (1980, 1995), and guidelines provided by the International Test Commission (2017). Methods: Instrument adaptation was performed in Phase 1 using a committee-based approach, two focus-group interviews, and expert panel reviews. Construct validity of the adapted tool was assessed in Phase 2 using confirmatory factor analyses, reliability testing, and hierarchical logistic regression, drawing on cross-sectional data collected from 534 registered nurses working in a large tertiary hospital setting in Saudi Arabia. Results: Phase 1 resulted in a 33-item instrument that demonstrated excellent content validity. In Phase 2, confirmatory factor analysis yielded the 26-item Saudi-HSOPSC 2.0 with a 10-factor structure consistent with the U.S. HSOPSC 2.0. Reliability testing yielded acceptable reliability coefficients for eight subscales. Hierarchical logistic regression provided further evidence of the instrument’s construct validity, with seven of the 10 dimensions found to be uniquely predictive of at least one of the three patient safety outcomes. Conclusion: The findings provide initial evidence of the content and construct validity of the Saudi-HSOPSC 2.0. Together, the findings provide evidence supporting five aspects of Messick’s (1980) view of unified validity. Future research should assess the validity of the Saudi instrument within a broader validation context and investigate the potential impact of included negatively worded items. With additional evidence supporting the psychometric properties of the Saudi-HSOPSC 2.0, Saudi administrators and nurse leaders can use it to assess the status of patient safety culture in their hospitals and inform future interventions aimed at improving patient safety and quality of care in Saudi hospital settings.21 0