The aim of this study was to determine the predicting role of the safety climate in the professional behavior of nurses working in chosen hospitals affiliated to Bushehr University of Medical Sciences in 2019. The finding demonstrated that the professional behavior of nurses was more than the average and the safety climate was almost average. Among the different areas of safety climate, nursing education, communication with other nurses and error reporting had direct relationship with the nursing professional behavior. Apart from safety climate, satisfaction with the nursing job was also directly associated with professional behavior of nurses.
The results showed that the scope of communication with the nurse is a direct predictor of professional behavior. Evidences also demonstrate that the kind of nurse’s relationship with each other can have an effective role on their clinical and professional performance [24, 25]. Moore et al (2013) declare that the relationship of a nurse with the other nurse is a key component in the working environment health. They also said that the positive relationship of nurses was main factor in creating a healthy working climate . When the climate is such a good one that nurses can easily interact with each other and talk about their mistakes and those of other nursing members without judgment, they can act in line with the aims set by their profession and provide services to the patient without worries and intellectual burden caused by the judgment of colleagues. Part of professional behavior which is of a great importance along with providing care to the patient, is paying attention to ethical issues and reporting errors. Nuhi et al. (2014) demonstrated in their study that there is a negative statistical and significant relationship between safety climate and barriers of error reporting . A safe climate for nurses diminished burnout and allows them to have optimal professional performance and do their best to provide high quality care for patients. Abdullah Mohammad et al (2018) revealed that the positive understanding of the climate by nurses makes them more efficient . Therefore, nurses should be aware of their behaviors and the effects that their behaviors may have on others in the working environment. This outcome simply highlights the importance of educating communication in nursing. Educating nursing students and nurses on how to communicate correctly and free of individual judgment can create a safe climate for intra-departmental and inter-departmental cooperation and error reporting; which finally leads to the optimal performance of nurses and the amelioration of their professional behavior. Of course, educating communication is only one part of the essential education for ameliorating the professional performance of nurses. Training nurses with appropriate scientific knowledge and skill level can improve the safety of the climate.
The results of the present study conveyed the relation between nurse education and as a domain of safety climate and nurses' professional behavior. The outcomes of the Lucy AbuElEla et al inquiry showed that education and training can play an effective role in the nurses’ professional behavior and upgrade that factor . Alipour et al (2019) demonstrated in a qualitative study that barriers to appropriate education prevent professional behavior in nurses. The participants of the Alipour et al.’s investigation mentioned these items as barriers for suitable training: deficiency in educators, inadequate primary education, inconsistent training, and lack of interest for professional education. They also declared that training nurses for being professional doesn’t actually work in crowded hospitals . The results of the study of Alipour et al are in line with the present study in terms of effect of nursing education on professional behavior. But regarding the ineffectiveness of education in crowded hospitals, it is not comparable to our inquiry, since the tools that have been used in the present investigation don’t pay attention to the effect of education according to the type of hospital. From this issue we can remember that in addition to education, other variables such as the workload of the hospital and its staff, the type of hospital and other occupational issues may also affect the professional behavior of nurses, which are suggested in future studies, because preparation for training is itself a part of your career .
Based on the research findings, the field of error reporting was also a direct predictor of professional behavior. This finding was consistent with the study of Mortazavi et al (2013) and Abou Hashish et al (2013) in association with reporting medication errors and Aly et al (2014) in announcing patient safety incidents [30–32]. Also Nuhi et al. realized that there is a negative and significant relationship between safety climate and barriers of error reporting by nurses . Kim et al (2014) announced a significant relation between instances of professional behavior and willingness to report errors. In the aforementioned investigation, the clarity of the role was directly statistically related to the error reporting and defensive silence was inversely related to error reporting . Given the items of professional behavior, an adroit nurse knows his/her role well and not being silent in unethical situations is a sign of professional behavior. Of course you should note that professional behavior may be the cause of a safe climate, rather than the result of a safety climate, including error reporting. It means that a professional nurse with professional behavior can create a safe climate.
The outcomes demonstrated that satisfaction with the nursing job was a predictor of professional behavior. These findings are in line with some of the inquiries that have been conducted in this field [2, 34–36]. The results of Safavi et al.'s study conveyed that satisfied nurses work better, provide high quality services, and behave more professionally. Also it is noteworthy that job satisfaction can be one of the most important and influential factors in nurses' behavior . Hence, managers and nursing officials ameliorated job satisfaction; provide the basis for improving performance and presenting professional services by nurses, through delivering diverse contexts related to job satisfaction. These measures had a remarkable effect on improving employee performance.
Strengths And Limitations Of The Study
The present study is the first investigation that has been conducted in the field of the predicting the role of nurses' safety climate and their professional behavior in Iran. It could specify the predictive dimensions of the nurse's safety climate on their professional behavior. However, it has some limitations. This study is cross-sectional and quantitative; therefore, it has the limitations of quantitative studies. Besides, determined relations should not be interpreted casually. Given the concerning of the participants, various security and occupational risks, there was a possibility of errors in the statements and information. The inquiry was done in the in a research environment with geographical constraints and specific socio-cultural characteristics, so the generalization of the results of the present study to other communities and cultures should be done with caution.