14 Oct 2021
Dear Reviewers,
The authors would like to thank the reviewer for his/her thorough review of the manuscript. We believe that this revised version, which includes reviewers’ suggestions, is more accurate and communicates better the main message of the article.
We will gratefully respond to any further comments on the text.
The paragraph is marked in yellow in the manuscript.
Thank you again for taking the time to review our paper and for your constructive comments.
Following comments he been modified in a new version of the manuscript:
Yours sincerely,
IML
Reviewer(s)' Comments to Author:
Reviewer: 1
I suggest that the authors make a correction in the last sentence of the second paragraph on page 3 which reads: “The analysis of factors contributing to the occurrence of adverse events is underlying condition for changes in the staff's behiour, which may makes healthcare environment safer [7];” by replacing the word “makes” with “make” so that it will read as follows: “The analysis of factors contributing to the occurrence of adverse events is underlying condition for changes in the staff's behiour, which may make healthcare environment safer [7].
Authors' response:
We would like to thank the Reviewer for his due remark. Has been changed.
In the “materials and methods” section in the fourth paragraph on page 5, I suggest that the authors delete the word “towards” in the following sentence: “Its first part includes questions related to the following subscales:: 1/ Teamwork climate -…….; 2/Safety climate - SC (questions from 7 to 13) – evaluates the perception of employees' organisational involvement in towards patient’s safety; 3/Job satisfaction - JS (questions from 15 to 19) –……”, so that it will read: “……..of employees' organisational involvement in patient’s safety;”
Authors' response:
We would like to thank the Reviewer for his due remark. Has been changed.
In here, I suggest that the authors add a mention of also implementing the recently launched “Global Patient Safety Action Plan: 2021-2030”.
https://wfsahq.org/news/latest-news/whas-global-patient-safety-plan-2021-30/
Authors' response:
We would like to thank the Reviewer for the suggestion to refer to the "Global Patient Safety Action Plan: 2021-2030" in this manuscript. Used in the text under “Discussion”, paragraph 9.
We he included the suggestion as follows:.
The recently introduced Global Patient Safety Action Plan: 2021-2030, which includes broadly developed strategies that can be adapted to the national context, can be used to do this. Their implementation will help ensure that patient safety is improved both nationally and globally. Therefore, all the more a safety culture should permeate the attitudes, beliefs, values, skills and practices of healthcare professionals, managers and leaders of healthcare organizations
Reviewer: 2
Spelling, grammar and English need detailed review and edition.
Authors' response:
The text has been corrected.
Title
- Better if you specify specific factors
- It looks like attitude towards factors not patient safety
- It is very confusing title
Authors' response:
We would like to thank the Reviewer for his attention. We changed the manuscript title to:
Nurses and physicians attitudes towards factors related to hospitalized patient safety
Abstract
- Key words seem like sentence
Authors' response:
We would like to thank the Reviewer for his correct remark, the key words he been changed and clarified to:
safety, attitudes, patients, nurses, physicians
- Why medical and surgical nurses only
Authors' response:
The research was carried out according to the protocol of the RN4CAST project, which included the study of a nurse from the surgical and medical departments. The study group worked in 21 hospitals representing a representative sample for Poland, and selected according to the geographical area of the country, population density, taking into account the hospital's reference level. The study was cross-sectional and correlational. In line with the assumptions of the RN4Cast project, internal medicine and surgery departments were selected because they provide multidisciplinary care provide health care to the majority of urgently hospitalized adult patients, provide multidisciplinary care and employ a large number of nurses.
Introduction
- Why you want to study this and how you do it differently are not stated well.
Authors' response:
This research was conducted in accordance with the RN4CAST project protocol. Replication the RN4CAST protocol could help to analyse developing a culture safety. In addition, the inclusion of a new short safety assessment tool (SAQ questionnaire - the new tool used for this study) it is useful in the assessment of patient safety determinants by managers. When shaping a safe culture in health care organization, it should be remembered that ensuring the safety of patient care is primarily human resources - staff involved in the treatment process - mainly doctors and nurses. High awareness of occupational safety, cooperation in an interdisciplinary team, assessment of the culture of work safety drawing conclusions and making the right decisions may will increase the safety of hospitalized patients. On the other hand, it should be remembered that a strong safety culture is not only key to reducing harm to patients, but is also key to ensuring a safe working environment for healthcare professionals, which is why it is so important to undertake research to assess attitudes towards safety.
Aim
- What about other specific objectives
Authors' response:
Specific objectives were included in the manuscript.
Detailed objectives:
1. What attitudes towards factors related to hospitalized patient safety are presented by nurses and by doctors?
2. What were the differences in attitudes towards safety in the group of nurses and doctors?
3. To what extent did the type of ward differentiate the attitudes towards safety of nurses and doctors?
4. What was the relationship between the respondents' gender and attitudes towards safety?
5. What was the relationship between the time of employment of the respondents and their attitudes towards safety?
Methods and materials
- Specify the validity and reliability of tool
Authors' response:
As suggested by the Reviewer, the text of the manuscript has been supplemented in the "Material and methods" section, paragraph 3.
The Safety Attitudes Questionnaire reliability had a Cronbach's Alpha of 0.98. Before performing the analysis validity of the Polish adaptation of SAQ-SF, the Kaiser test was used to check whether the data meet the requirements of the factor analysis. The Kaiser-Mayer-Olkin (KMO) value, being the measure of the adequacy of the sample selection, was estimated at the level of 0.87 (df=8630, p