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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Tri Sutopo
University of Muhammadiyah Yogyakarta
Health Professions Public Health

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Patient Safety Attitudes Among Intensive Care Unit Nurses in an Indonesian Islamic Hospital: A Mixed-Methods Study Tri Sutopo; Arlina Dewi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27183

Abstract

Patient safety culture plays a crucial role in intensive care units (ICUs), where nurses play a central role in ensuring safe and quality care. Evaluation of patient safety attitudes in nurses is important to reduce medical errors and improve service quality. This study aims to evaluate patient safety attitudes in nurses in the ICU of an Islamic hospital and propose a strategy for improvement based on the Theory of Planned Behavior (TPB). Mixed-methods with a sequential explanatory model approach, using the Safety Attitudes Questionnaire (SAQ-INA). Quantitative data from ICU nurses were complemented by qualitative interviews, analyzed using the TPB framework. The number of respondents in this study was 14 respondents from both quantitative and qualitative research. ICU nurses showed a positive attitude with high scores on the teamwork climate (82.7%), safety climate (76.3%), and job satisfaction (90.4%). However, low scores on stress recognition (61.6%), unit management perception (66.8%), hospital management (68.6%), and working conditions (74.1%) indicate challenges such as high workload, staff shortages, and lack of management support. The qualitative findings emphasize the need for non-punitive reporting and collaboration between professions. ICU nurses are strongly committed to patient safety, but stress and resource limitations hinder them. Recommendations include stress management training, non-punitive reporting systems, management engagement, and resource optimization to strengthen patient safety attitudes Keywords: Patient Safety Attitudes, ICU Nurses, Safety Attitudes Questionnaire, Theory of Planned Behavior
Co-Authors Arlina Dewi