الفهرس 
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Abstract
NCRM is a modified version of CRM and its concept of managing errors associated with the effects of human factors on nontechnical skills. Specific areas addressed by this program included situational awareness, decision making, task management, teamwork, and communication. NCRM is a training program designed to improve nurses’ knowledge, performance, and attitudes about patient safety in health care.
Patient safety a high priority on the policy agenda of all countries as a fundamental principle of patient care and a critical component of quality management. It refers to both the processes used to reduce harm, and the state that arises from the actions taken to secure patients from harm. Although error is unlikely to be completely eliminated, harm and impact to patients can be minimized. The patient safety procedures are used to improve the quality of care in the international community through the provision of accreditation and consultation services, and to promote specific improvements in patient safety. Nurse interns’ proper understanding of patient safety is essential ingraining this concept.
The aim of the study was to investigate the nursing crew resource management (NCRM) training program and its effect on nurse interns’ confidence related to patient safety.
Research hypothesis:
Implementation of nursing crew resources management (NCRM) training program will effect on nurse interns’ confidence related to patient safety.
The study was conducted at Ain Shams University hospitals using a quasi-experimental design with one group pre-post assessment on 139 nurse interns’. The data collection tools were patient safety knowledge questionnaire, observational checklist for nurse interns’ safety performance, healthcare professional patient safety assessment survey (HPPSAS) and health professional education in patient safety survey (H-PEPSS).
The tools were validated by a panel of five experts in nursing, pilot tested, and their reliability proved to be high.
The actual filed work lasted from the beginning of January to the end of September 2021, and it involved phases of assessment, planning, implementation and evaluation. Based on the information obtained from analyses of the assessment phase and on related literature, the researcher developed NCRM training program aimed at improving nurse interns’ knowledge, performance, attitude and confidence related to patient safety. One month after completion of implementing the NCRM training program, the researcher evaluated the effect of the intervention on nurse interns’ knowledge, performance, attitude and confidence related to patient safety. For follow-up, the same process was repeated three months after the post-assessment evaluation.
The main findings were as follows:
- Nurse interns’ age ranged between 21 and 27 years, with median 23.0 years, with majority of females 57.6% and 82.0% had general secondary pre-university education.
- The duration of training in the hospital was mostly 2 months 74.8%.
- In total, only 6.5% of nurse interns’ had satisfactory knowledge at the pre-intervention phase, which rose to 74.8% at the post-intervention phase, and declined to 37.4% at the follow-up phase (p < 0.001).
- In total, none of all nurse interns had adequate performance at the pre-intervention phase, which rose to 97.8% at the post intervention phase, and decline to 34.5% at the follow up phase (P < 0.001).
- In total, only 2.2% of nurse interns’ had positive attitude at the pre-intervention phase, which rose to 68.3%, at the post-intervention phase, and decline to 28.8% at the follow-up phase (P < 0.001).
- In total, only 25.2% of nurse interns’ had high confidence at the intervention phase, which rose to 86.3% at the post intervention phase, and decline to 73.4% at the follow-up phase (P 0.001).
- Statistically significant strong positive correlation between knowledge and attitude (r = 0.778), knowledge and performance (r = 0.785) and attitude and performance (r = 0.828) at the post internvention phase.
- Overall scores include a statistically significant strong positive correlation between knowledge and attitude (r = 0.721), attitude and performance(r = 0.741).
- In multivariate analysis, the study intervention was statistically significant independent positive predictors of nurse interns’ knowledge score were the study intervention, Egyptian nationality, work in pediatric hospital, and internship months. Conversely, training in PICU was a negative predictor. The model explains 28% of the variation in the knowledge score.
- As regard performance score, demonstrates that the statistically significant independent positive predictors of nurse interns’ performance score were the study intervention, internship months, and knowledge score. The model explains 43% of the variation in the performance score.
- As for attitude score, shows that the knowledge score was the only statistically significant independent positive predictor of this score. The model explains 58% of the variation in the attitude score; none of the other nurse interns’ characteristics had a significant influence on this score.
- Finally, in multivariate analysis, the study intervention was statistically significant independent positive predictors of nurse interns’ confidence score were the study intervention, training in pediatric hospital, internship months, knowledge score, attitude score, and performance score, the model explain 61% of the variation in the confidence score.
In conclusion, the application of the developed NCRM training program is effective in improving nurse interns’ knowledge, performance, attitude and confidence related to patient safety.