ArticleBMC health services research2025
Assessing the impact of nurses' patient safety competencies on key performance indicators (KPIs) for patient safety outcomes at Tamale Teaching Hospital: the mediating role of leadership and barriers to competency development.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Barriers and facilitators of clinical competency acquisition and maintenance among nurses in Ghana: a mixed methods systematic review.BMC nursing · 2026Article
- Article
- Exploring Communication Tools in Clinical Settings: Addressing the Need for a Universal Approach to Clinical Handover.Nursing research and practice · 2026Review
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Authors and funding
8 authors.
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Abstract
introductionDespite significant advancements in healthcare, patient safety remains a persistent global concern. Nurses' competency in patient safety is essential for minimizing errors and improving key performance indicators (KPIs) related to patient outcomes.
aimThis study assessed the impact of nurses' patient safety competency (PSC) on KPIs for patient safety outcomes at Tamale Teaching Hospital.
methodsA multi-method research design was employed, comprising quantitative data collected from 291 nurses using structured questionnaires and qualitative data from 10 in-depth interviews. Quantitative data were analyzed using SPSS Statistics and AMOS, while qualitative data were analyzed using QDA Miner Lite.
resultsMajority of nurses (61.2%) demonstrated high PSC, with the highest scores recorded in professional characteristics (M = 3.04, SD = 0.74). PSC was significantly associated with age, educational level, work experience, rank, and prior exposure to quality and safety programs (p < 0.05). Among the KPIs, medication safety recorded the highest performance (M = 3.82, SD = 0.86). Structural equation modeling (SEM) revealed that nurses' PSC significantly predicted KPIs for patient safety outcomes (β = 0.628, p < 0.001), with the leadership role in patient safety partially mediating this relationship (β = 0.218, p < 0.001). Qualitative findings identified key barriers to PSC development, including inadequate integration of patient safety into nursing education, lack of training and standardized protocols, limited career advancement opportunities, and limited scope of practice.
conclusionStrengthening nurses' patient safety competencies and addressing barriers are essential strategies for improving patient safety outcomes, particularly in resource-constrained healthcare settings.
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