Academic Journal
Knowledge, attitudes, and self-reported practices toward patient safety among nurses in selected health centers in Banadir, Puntland, and Somaliland: a multi-regional cross-sectional study.
| Τίτλος: | Knowledge, attitudes, and self-reported practices toward patient safety among nurses in selected health centers in Banadir, Puntland, and Somaliland: a multi-regional cross-sectional study. |
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| Συγγραφείς: | Elmi AH; Department of Nursing and Midwifery, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia. aarrkaa@simad.edu.so.; Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia. aarrkaa@simad.edu.so., Ibrahim RK; Nursing Department, Fatima College of Health Science, Madinat Zayed, UAE., Mohamed NA; Department of NICU, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia. |
| Πηγή: | BMC nursing [BMC Nurs] 2026 Jul 10; Vol. 25 (1). Date of Electronic Publication: 2026 Jul 10. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088683 Publication Model: Electronic Cited Medium: Print ISSN: 1472-6955 (Print) Linking ISSN: 14726955 NLM ISO Abbreviation: BMC Nurs Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2002]- |
| Περίληψη: | Background: Patient safety is a fundamental component of healthcare quality, yet it remains a major challenge in low- and middle-income and fragile settings. Nurses play a pivotal role in preventing harm through their continuous patient contact, but evidence of their preparedness for patient safety in Somalia is limited. This study aimed to assess nurses' knowledge, attitudes, and self-reported practices toward patient safety in selected primary and comprehensive health centers in Banadir, Puntland, and Somaliland. Methods: A facility-based cross-sectional study was conducted between May and September 2025 among nurses working in primary and comprehensive health centers in Banadir, Puntland, and Somaliland. Data were collected using a structured questionnaire adapted from previously published patient safety knowledge, attitude, and practice studies, particularly Wake et al., and informed by broader World Health Organization patient safety concepts. Descriptive statistics summarized participants' knowledge, attitudes, and practices, while Pearson's correlation and multiple linear regression analyses examined associations and predictors of attitude and practice scores. Results: A total of 344 nurses participated. Overall, 60.5% demonstrated good knowledge, 63.7% reported positive attitudes, and 62.2% reported good patient safety practices. Knowledge was positively correlated with attitudes (r = 0.22, p < 0.01) and practices (r = 0.30, p < 0.01), while attitudes showed the strongest correlation with practices (r = 0.63, p < 0.01). Continuing patient safety education was significantly associated with higher attitude scores (B = 3.62, β = 0.21, p = 0.014) and better practice scores (B = 0.74, β = 0.20, p = 0.016). However, the regression models explained modest variance in attitudes and practices (R² = 0.071 and R² = 0.052, respectively). Only 25.0% of participants perceived a non-punitive response to errors. Conclusion: Nurses working in participating Somali health centers demonstrated generally favorable knowledge, attitudes, and self-reported practices toward patient safety. However, important gaps remain, especially in relation to blame-oriented perceptions and weak non-punitive responses to errors. Continuing patient safety education was associated with more positive attitudes and better reported practices, although the regression models explained only modest variance. These findings suggest that patient safety improvement in Somali health centers requires more than individual knowledge improvement; it also requires supportive supervision, non-punitive reporting systems, and stronger facility-level safety culture. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: Ethical approval for this study was granted by the Institutional Review Board of SIMAD University, Mogadishu, Somalia, on April 16, 2025, with reference number 2025/SU-IRB/FMHS/P069. All study procedures were conducted in accordance with relevant ethical guidelines and the principles of the Declaration of Helsinki. Informed consent was obtained from all participants before participation. For facility-based data collection, written informed consent was obtained, while for online data collection, participants provided electronic consent before accessing the questionnaire. Participation was voluntary, and participants were informed that they could withdraw at any stage without any consequences. Consent for publication: Not applicable for this study. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Attitudes; Continuing education; Knowledge; Low- and middle-income countries; Nurses; Patient safety; Practice; Safety culture; Somalia |
| Entry Date(s): | Date Created: 20260710 Date Completed: 20261006 Latest Revision: 20261007 |
| Update Code: | 20261007 |
| PubMed Central ID: | PMC13637251 |
| DOI: | 10.1186/s12912-026-05012-0 |
| PMID: | 42432639 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1472-6955 |
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| DOI: | 10.1186/s12912-026-05012-0 |