Academic journal article Asian Social Science

The Relationship between Prosocial Voice and the Patient Safety Culture in the Saudi Public Hospitals

Academic journal article Asian Social Science

The Relationship between Prosocial Voice and the Patient Safety Culture in the Saudi Public Hospitals

Article excerpt


This study examines the direct linkage between prosocial voice and patient safety among public hospitals in Saudi Arabia. The researcher employed the quantitative survey design for data collection, where 127 out of 251 healthcare firms were chosen in Saudi Arabia with the following division-70 organizations from the central region and 57 from the western region. The hospitals comprising the sample all operate under the oversight of the Saudi Ministry of health. The researcher distributed 30 questionnaires in each of the 127 Saudi hospitals to staff workers working in the nursing units in both regions. A total of 1793 questionnaires were returned and the rate of response was calculated by dividing the number of returned questionnaires with the total number of participants. The present study made use of regression analysis to examine the relationship between prosocial voice and patient safety culture. The findings revealed a positive and significant relationship between the two. Some recommendations for future studies were provided at the end of the study.

Keywords: prosocial voice, the patient safety culture, Saudi public hospitals

1. Introduction

Culture has key role in the development and enhancement of an organization as it highlights individual behaviour and attitudes within the workplace. It comprises of a set of societal moral values that is displayed through individual behaviour (Feng et al., 2008) or the complete set of patterns of human behaviour. In the current times, problems linked to patient safety culture (PSC) have been debated on as the latter reflects the significance of safety when it comes to patients within the workplace (Milligan, 2007).

Prosocial voice (PSV) is among the approaches developed to relay medical errors and according to Hill (2011), it is a specific proactive and enhancement-centred style of workplace communication behaviour. An employee employing PSV is encouraged to relay knowledge, information and feedback in order to facilitate positive changes in the workplace, by maximizing work processes regardless of protests from other employees (Van Dyne et al., 2003). Organizations generally benefit from the employees' discussion and report of crucial issues. However, Morrison and Milliken (2000) claimed that despite PSV's invaluable contribution in the workplace, employees often steer clear of using it.

In this regard, open communication is among the significant tools used to determine the errors that employees commit within the organization. In case of hospitals, the staff's failure to provide feedback on the issues among their peers adversely impacts the hospital's ability to determine medical errors and learn from them (Lyndon, 2006; Hughes et al., 2009).

Proactive communication is related with the ability of the organizational leader to rectify mistakes, improve processes and create solutions to issues in the organization in many industries (Detert & Trevino, 2010) but despite this fact, it has been largely overlooked in scientific research. As a consequence, little information is in store regarding the relationship between a specific kind of proactive and upward-directed workplace communication behaviour, PSV, and PSC in hospitals (Hill, 2012). To compound the issue further, the importance of hospital staff communication in regards to patient safety issues have been, time and again, emphasized in literature, but studies focusing on the topic examined it via several variables lacking reliability and validity.

Moreover, although effective communication has been stressed, several healthcare providers still overlook communication issues concerning unsafe practices and errors in medical practice. On the basis of a survey involving 196,462 staff members working in 622 U.S. hospitals, majority of the respondents (63%) displayed no patient safety concerns or relay errors in medical practice (Agency of Healthcare Quality and Research, AHRQ, 2009). …

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