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Alrashidi Q, Al-Saadi T, Alhaj AK, Diaz RJ. The Role of Nursing Care in the Management of External Ventricular Drains on the Neurosurgical Ward: A Quality Improvement Project. World Neurosurg 2023; 176:265-271.e2. [PMID: 37178910 DOI: 10.1016/j.wneu.2023.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/02/2023] [Accepted: 05/03/2023] [Indexed: 05/15/2023]
Abstract
OBJECTIVE The management of external ventricular drains (EVDs) is a critical aspect of patient care in the intensive care setting. However, nurses on the general floor are not commonly exposed to patients with EVD and therefore lack the necessary knowledge and skills to manage and troubleshoot EVDs effectively. The aim of this study was to evaluate the level of knowledge, comfort, and impact of EVD management among nurses on the floor after the implementation of a quality improvement (QI) tool. METHODS This is a cross-sectional study conducted among registered nurses working on the neurosurgical floors of the Montreal Neurological Hospital. Data were collected using a questionnaire based on the plan-do-study-act model. A survey assessing the level of knowledge and comfort with EVD management was conducted before and after the implementation of the QI tool. RESULTS Seventy-six nurses completed the questionnaire regarding their knowledge and comfort level in EVD management. Results showed that only 42% of the nurses reported feeling "comfortable" whereas 37% reported feeling "uncomfortable" in caring for patients with an EVD. In addition, only 6.5% reported being "comfortable" in troubleshooting a malfunctioning EVD. However, the level of comfort significantly improved after using the QI project. CONCLUSIONS The results of this study highlight the need for continued training and education to support the care of patients with EVDs in the ward setting. The implementation of a QI tool can significantly improve nurses' knowledge and comfort level in EVD management, leading to improved patient outcomes and overall quality of care.
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Affiliation(s)
- Qais Alrashidi
- Neurosurgery Residency Program, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Tariq Al-Saadi
- Neurosurgery Residency Program, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Ahmad Kh Alhaj
- Neurosurgery Residency Program, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Roberto Jose Diaz
- Department of Neurology & Neurosurgery, Faculty of Medicine, McGill University, Montreal Neurological Hospital, Montreal, Quebec, Canada.
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Drenkard KN. The Business Case for Magnet ® Designation : Using Data to Support Strategy. J Nurs Adm 2022; 52:452-461. [PMID: 35973435 PMCID: PMC9415212 DOI: 10.1097/nna.0000000000001182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The Magnet® journey has increased in relevance as the sources of evidence reflect the complex role of the nurse in quality, safety, and the patient care experience. Creating a business case to secure the resources required to embark and travel on the Magnet journey is an essential tool for the chief nurse. Identifying expenses, cost savings or avoidance, and return on investment for nursing services are all important elements of a business case.
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Affiliation(s)
- Karen Neil Drenkard
- Author Affiliation: Associate Dean and Professor, Clinical Practice & Community Engagement, The George Washington University School of Nursing, Washington, DC
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Malinowska-Lipień I, Micek A, Gabryś T, Kózka M, Gajda K, Gniadek A, Brzostek T, Squires A. Nurses and physicians attitudes towards factors related to hospitalized patient safety. PLoS One 2021; 16:e0260926. [PMID: 34874957 PMCID: PMC8651112 DOI: 10.1371/journal.pone.0260926] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 11/19/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION The attitudes of healthcare staff towards patients' safety, including awareness of the risk for adverse events, are significant elements of an organization's safety culture. AIM OF RESEARCH To evaluate nurses and physicians' attitudes towards factors influencing hospitalized patient safety. MATERIALS AND METHODS The research included 606 nurses and 527 physicians employed in surgical and medical wards in 21 Polish hospitals around the country. The Polish adaptation of the Safety Attitudes Questionnaire (SAQ) was used to evaluate the factors influencing attitudes towards patient safety. RESULTS Both nurses and physicians scored highest in stress recognition (SR) (71.6 and 80.86), while they evaluated working conditions (WC) the lowest (45.82 and 52,09). Nurses achieved statistically significantly lower scores compared to physicians in every aspect of the safety attitudes evaluation (p<0.05). The staff working in surgical wards obtained higher scores within stress recognition (SR) compared to the staff working in medical wards (78.12 vs. 73.72; p = 0.001). Overall, positive working conditions and effective teamwork can contribute to improving employees' attitudes towards patient safety. CONCLUSIONS The results help identify unit level vulnerabilities associated with staff attitudes toward patient safety. They underscore the importance of management strategies that account for staff coping with occupational stressors to improve patient safety.
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Affiliation(s)
- Iwona Malinowska-Lipień
- Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Agnieszka Micek
- Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Teresa Gabryś
- Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Maria Kózka
- Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Krzysztof Gajda
- Institute of Public Health, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Agnieszka Gniadek
- Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Tomasz Brzostek
- Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University–Medical College, Krakow, Poland
| | - Allison Squires
- Rory Meyers College of Nursing, New York University, New York, New York, United States of America
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Bacon CT, McCoy TP, Henshaw DS, Stabel CL. Organizational Safety Climate and Job Enjoyment in Hospital Surgical Teams With and Without Crew Resource Management Training. J Nurs Adm 2021; 51:E20-E26. [PMID: 34705767 DOI: 10.1097/nna.0000000000001071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The association between organizational safety climate (OSC) and job enjoyment (JE) for team members in surgical units in 2 hospitals was investigated. The treatment hospital received airline industry-based crew resource management (CRM) training, and the comparison hospital did not. BACKGROUND Strong OSC has been positively associated with healthy hospital work environments and was expected to also be associated with employee job enjoyment. METHODS Two hundred sixty-two surgical personnel responded to surveys about OSC and JE. RESULTS The effects of OSC on JE did not depend on having CRM training. However, OSC and JE scores were higher in the treatment hospital, and the main effect of OSC and JE scores in the treatment hospital was highly significant (P < 0.001), with higher safety climate scores associated with higher JE. CONCLUSIONS A strong OSC is important to employee job enjoyment. Nurse leaders should promote measures to strengthen the OSC in their surgical services departments.
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Affiliation(s)
- Cynthia Thornton Bacon
- Author Affiliations: Associate Professor (Dr Bacon) and Clinical Professor (Dr McCoy), School of Nursing, The University of North Carolina at Greensboro; Associate Professor (Dr Henshaw), School of Medicine, Wake Forest University, Winston-Salem, North Carolina; and PhD Student (Ms Stabel), School of Nursing, The University of North Carolina at Greensboro
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Lv M, Yang S, Lv XY, Zhang L, Chen ZQ, Zhang SX. Organisational innovation climate and innovation behaviour among nurses in China: A mediation model of psychological empowerment. J Nurs Manag 2021; 29:2225-2233. [PMID: 34021661 DOI: 10.1111/jonm.13381] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 04/30/2021] [Accepted: 05/16/2021] [Indexed: 11/28/2022]
Abstract
AIM This study aimed to explore the effect of organisational innovation climate on nurse innovation behaviour and the mediating role of psychological empowerment. BACKGROUND Encouraging nurses to generate more innovative behaviours has become an important development direction for improving the quality of nursing services. METHOD We employed a self-report questionnaire to collect data in Jinan City, China. A total of 2018 valid surveys were obtained. Hierarchical multiple regression model analysis was conducted to test the study hypothesis. RESULT The mean values of innovation behaviour and organisational innovation climate were 35.29 and 83.30, respectively. Psychological empowerment was found to have partially mediating effect on the relationship between organisational innovation climate and innovation behaviour. CONCLUSION Organisational innovation climate has significant impact on innovation behaviour, and it can indirectly affect innovation behaviour via the mediating role of psychological empowerment. IMPLICATIONS FOR NURSING MANAGEMENT Nursing managers should enhance innovation climate through formal rules, procedures and training activities. They can establish resource guarantee system and information sharing platform, and strengthen work autonomy for nurses to improve their psychological empowerment.
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Affiliation(s)
- Meng Lv
- Department of Operating Room, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, China
| | - Sha Yang
- Department of Operating Room, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, China
| | - Xiao-Yan Lv
- Department of General Surgery, Qilu Hospital, Shandong University, Jinan, Shandong Province, China
| | - Li Zhang
- Department of Operating Room, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, China
| | - Zhi-Qiang Chen
- Department of Operating Room, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, China
| | - Shu-Xiang Zhang
- Department of Operating Room, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, China.,Nursing Department, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong Province, China
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Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatient Surgical Units. J Nurs Adm 2021; 51:12-18. [PMID: 33278196 DOI: 10.1097/nna.0000000000000960] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To examine the association between organizational safety climate (OSC), in-hospital mortality (IM), and failure to rescue (FTR) in 2 hospitals, 1 with and 1 without crew-resource-management training. BACKGROUND OSC is 1 of the most important organizational factors that promotes safety at work; however, there is a lack of research examining the relationship between OSC and patient deaths in hospitals. METHODS We utilized a matched 2-group comparison of surgical patients and surveyed surgical staff to assess the relationship between OSC, FTR, and IM. RESULTS The OSC assessment was completed by 261 surgical team members. A total of 1764 patients had at least 1 FTR complication; however, there was no association between OSC with FTR or IM for either hospital. CONCLUSIONS Nurse leaders should remain vigilant in building work teams with strong hospital safety climates. More research is needed to explore the relationship between OSC and patient outcomes.
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Affiliation(s)
- Cynthia Thornton Bacon
- Author Affiliations: Assistant Professor (Dr Bacon) and Clinical Professor (Dr McCoy), University of North Carolina at Greensboro School of Nursing, Greensboro; and Associate Professor (Dr Henshaw), Wake Forest University School of Medicine, Winston-Salem, North Carolina
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Vieira Magalhães E, Oliveira de Paiva F, Soares Alves ME, Cavalieri de Almeida M. Cultura de segurança do paciente entre profissionais de Enfermagem em um hospital filantrópico de Minas Gerais. REVISTA CUIDARTE 2021. [DOI: 10.15649/cuidarte.1990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introdução: Diferentes iniciativas têm sido realizadas com vistas à melhoria da qualidade do cuidado e segurança do paciente no Brasil. Contudo, o cumprimento dessas normas como uma série de requisitos parece não corresponder à real incorporação de mudanças e melhoria na segurança. Objetivos: Avaliar a cultura de segurança do paciente em um hospital filantrópico de Minas Gerais, observando, ainda, possíveis diferenças por turnos de trabalho, diurno e noturno. Métodos: Trata-se de um estudo observacional do tipo transversal. A população de estudo foi constituída por profissionais de Enfermagem atuantes nessa instituição filantrópica. Para a avaliação da cultura de segurança foi utilizado o Inquérito Hospitalar sobre Cultura de Segurança do Paciente (HSOPSC), criado pela Agency for Healthcare Research and Quality (AHRQ), validado, traduzido e adaptado transculturalmente no Brasil. Na análise e interpretação dos dados foram seguidas as orientações da AHRQ, sendo observadas dimensões fortalecidas e fragilizadas. Este trabalho foi aprovado pelo Comitê de Ética em Pesquisa. Resultados: Foram incluídos 118 participantes no estudo, sendo 17,2% desse total enfermeiros e o restante técnicos de Enfermagem. Nenhuma dimensão da cultura de segurança foi identificada como fortalecida na instituição. Foram consideradas como áreas frágeis: a “abertura à comunicação”, o “trabalho em equipe entre as unidades hospitalares”, a “adequação de pessoal”, as “mudanças de turno e transição entre as unidades”, e as “respostas não punitivas aos erros”. Em algumas dimensões foram observadas diferenças por turno de trabalho, diurno e noturno. Conclusão: A análise da cultura de segurança nesse hospital pode contribuir para um melhor direcionamento de condutas com vistas a garantir uma assistência mais segura.
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Al Thobaity A. An exploration of barriers to patients' safety from the perspective of emergency nurses. SAUDI JOURNAL FOR HEALTH SCIENCES 2020. [DOI: 10.4103/sjhs.sjhs_15_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Ramos RR, Calidgid CC. Patient safety culture among nurses at a tertiary government hospital in the Philippines. Appl Nurs Res 2018; 44:67-75. [PMID: 30389063 DOI: 10.1016/j.apnr.2018.09.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 08/23/2018] [Accepted: 09/16/2018] [Indexed: 10/28/2022]
Abstract
AIM To assess the patient safety culture (PSC) among nurses at a government hospital BACKGROUND: Culture of patient safety is acknowledged as a critical component to the quality of health care. Despite the increasing curiosity on PSC, little studies are available in the Philippine context. METHODS A descriptive, cross-sectional, single-center study using total population sampling technique was conducted. PSC was assessed using the Hospital Survey on Patient Safety Culture (HSOPSC) among Registered Nurses. Descriptive statistics were employed to express demographic data and composites of safety culture. RESULTS 292 nurses completed the survey, yielding a response rate of 86.65%. Of the 12 composites evaluated, Teamwork within Units (91.50%) was the highest positively-rated followed by Organizational Learning - Continuous Improvement (86.89%) while Nonpunitive Response to Error (17.65%) was the least positively-rated. Most (71.48%) of the respondents had not reported any event within the past 12 months. Majority (45%) reported that the overall patient safety grade of the hospital was very good and no one thought that it was failing. CONCLUSIONS This study showed that nurses value Teamwork within Units and Organizational Learning-Continuous Improvement as important aspects of PSC. Nonpunitive Response to Error was the area that requires improvement. Determining PSC level should be a continuous process. The first step should be obtaining the support of the administration and assuming a non-punitive approach to those who make and report medical errors. If the problem of personnel not reporting events is to be resolved, any barriers to reporting should be identified and addressed.
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Affiliation(s)
- Rolsanna R Ramos
- Philippine Orthopedic Center, Ma. Clara corner Banawe St., Quezon City, Philippines / University of the Philippines Manila, Ermita, Manila, Philippines.
| | - Catherine C Calidgid
- Philippine Orthopedic Center, Ma. Clara corner Banawe St., Quezon City, Philippines / Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, Philippines
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Alqattan H, Cleland J, Morrison Z. An evaluation of patient safety culture in a secondary care setting in Kuwait. J Taibah Univ Med Sci 2018; 13:272-280. [PMID: 31435334 PMCID: PMC6694905 DOI: 10.1016/j.jtumed.2018.02.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Revised: 01/29/2018] [Accepted: 02/11/2018] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES To improve patient safety outcomes, it is considered essential to create a positive culture of patient safety. This study carried out an initial evaluation of the patient safety culture in a secondary care setting in Kuwait. METHODS This cross-sectional questionnaire study was conducted in a general hospital medical department in Kuwait, using the Hospital Survey on Patient Safety Culture (HSPSC). Multiple linear regression analyses were used to identify patient safety culture predictors. Both an ANOVA and a Kruskal Wallis test were carried out to assess the differences between participants' total scores and the scores they achieved in each dimension, categorized by nationality. RESULTS A total of 1008 completed questionnaires were received, yielding a response rate of 75.2%. Three dimensions of patient safety culture were found to be priority areas for improvement: non-punitive responses to errors, staffing, and communication openness. Teamwork within units and organizational learning with continuous improvement were identified as areas of strength. Respondents from Kuwait and the Gulf State countries had a less positive perception of the hospital's patient safety culture than did Asian respondents. A regression analysis showed that the respondents' countries of origin, professions, age, and patient safety course/lecture attendance were significantly correlated with their perceptions of the hospital's patient safety culture. CONCLUSION This study demonstrates that patient safety is perceived differently by medical staff members from different countries of origin, professional groups, and age groups. These variables must be acknowledged and addressed when planning or evaluating patient safety initiatives.
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Affiliation(s)
- Hamad Alqattan
- From the Centre for Health Education Research and Innovation, Institute of Education in Medical and Dental Sciences (Alqattan, Cleland), and the Business School (Morrison), University of Aberdeen, Aberdeen, UK
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Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag 2018; 63:175-192. [PMID: 29734279 DOI: 10.1097/jhm-d-16-00004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
EXECUTIVE SUMMARY Human error remains the most important factor in unnecessary deaths and suffering in U.S. hospitals. Human error results from healthcare providers' attitudes and behaviors toward patients in different settings. Therefore, taking periodic snapshots of the attitudes and behaviors prevalent in an organization and manifested in its patient safety climate (PSC) is essential.We developed and tested a short survey instrument intended as an organization-level measure of PSC with good psychometric properties that can be used in hospitals, clinics, or other healthcare provider settings. Analysis of data from 61 Southern California healthcare organizations resulted in a PSC model with four distinct, reliable factors: (1) Assistance From Others and the Organization, (2) Leadership Messages of Support in Policy and Behavior, (3) Resources and Work Environment, and (4) Error Reporting Behavior. A PSC score, ranging from 0 to 100, was generated for each organization.For a subsample of hospitals in our study, preliminary results indicate a predictive quality of the model. The higher the PSC score, the lower the number of violations detected by the Centers for Medicare & Medicaid Services in complaint inspections, and the fewer the safety problems reported by The Leapfrog Group.Given the association between PSC and health outcomes, we urge healthcare leaders to use various means, such as our survey, to monitor the degree to which their organizations maintain a climate that fosters patient safety and use such data to pinpoint areas for improvement.
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Haller K, Berends W, Skillin P. ORGANIZATIONAL CULTURE AND NURSING PRACTICE: THE MAGNET RECOGNITION PROGRAM ® AS A FRAMEWORK FOR POSITIVE CHANGE. REVISTA MÉDICA CLÍNICA LAS CONDES 2018. [DOI: 10.1016/j.rmclc.2018.03.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Alingh CW, Strating MMH, van Wijngaarden JDH, Paauwe J, Huijsman R. The ConCom Safety Management Scale: developing and testing a measurement instrument for control-based and commitment-based safety management approaches in hospitals. BMJ Qual Saf 2018; 27:807-817. [PMID: 29511092 DOI: 10.1136/bmjqs-2017-007162] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Revised: 11/09/2017] [Accepted: 02/12/2018] [Indexed: 11/04/2022]
Abstract
BACKGROUND Nursing management is considered important for patient safety. Prior research has predominantly focused on charismatic leadership styles, although it is questionable whether these best characterise the role of nurse managers. Managerial control is also relevant. Therefore, we aimed to develop and test a measurement instrument for control-based and commitment-based safety management of nurse managers in clinical hospital departments. METHODS A cross-sectional survey design was used to test the newly developed questionnaire in a sample of 2378 nurses working in clinical departments. The nurses were asked about their perceptions of the leadership behaviour and management practices of their direct supervisors. Psychometric properties were evaluated using confirmatory factor analysis and reliability estimates. RESULTS The final 33-item questionnaire showed acceptable goodness-of-fit indices and internal consistency (Cronbach's α of the subscales range: 0.59-0.90). The factor structure revealed three subdimensions for control-based safety management: (1) stressing the importance of safety rules and regulations; (2) monitoring compliance; and (3) providing employees with feedback. Commitment-based management consisted of four subdimensions: (1) showing role modelling behaviour; (2) creating safety awareness; (3) showing safety commitment; and (4) encouraging participation. Construct validity of the scale was supported by high factor loadings and provided preliminary evidence that control-based and commitment-based safety management are two distinct yet related constructs. The findings were reconfirmed in a cross-validation procedure. CONCLUSION The results provide initial support for the construct validity and reliability of our ConCom Safety Management Scale. Both management approaches were found to be relevant for managing patient safety in clinical hospital departments. The scale can be used to deepen our understanding of the influence of patient safety management on healthcare professionals' safety behaviour as well as patient safety outcomes.
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Affiliation(s)
- Carien W Alingh
- Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.,Department of Human Resource Studies, Tilburg University, Tilburg, The Netherlands
| | - Mathilde M H Strating
- Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | | | - Jaap Paauwe
- Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.,Department of Human Resource Studies, Tilburg University, Tilburg, The Netherlands
| | - Robbert Huijsman
- Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
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Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev 2017; 42:341-351. [DOI: 10.1097/hmr.0000000000000118] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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15
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How Does Patient Safety Culture in the Surgical Departments Compare to the Rest of the County Hospitals in Xiaogan City of China? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14101123. [PMID: 28954427 PMCID: PMC5664624 DOI: 10.3390/ijerph14101123] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Revised: 09/16/2017] [Accepted: 09/22/2017] [Indexed: 11/17/2022]
Abstract
Objectives: Patient safety culture affects patient safety and the performance of hospitals. The Hospital Survey on Patient Safety Culture (HSOPSC) is generally used to assess the safety culture in hospitals and unit levels. However, only a few studies in China have measured surgical settings compared with other units in county hospitals using the HSOPSC. This study aims to assess the strengths and weaknesses of surgical departments compared with all other departments in county hospitals in China with HSOPSC. Design: This research is a cross-sectional study. Methods: In 2015, a Chinese translation of HSOPSC was administered to 1379 staff from sampled departments from 19 county hospitals in Xiaogan City (Hubei Province, China) using a simple random and cluster sampling method. Outcome Measures: The HSOPSC was completed by 1379 participants. The percent positive ratings (PPRs) of 12 dimensions (i.e., teamwork within units, organizational learning and continuous improvement, staffing, non-punitive response to errors, supervisor/ manager expectations and actions promoting patient safety, feedback and communication about errors, communication openness, hospital handoffs and transitions, teamwork across hospital units, hospital management support for patient safety, overall perception of safety, as well as frequency of events reported) and the positive proportion of outcome variables (patient safety grade and number of events reported) between surgical departments and other departments were compared with t-tests and X2 tests, respectively. A multiple regression analysis was conducted, with the outcome dimensions serving as dependent variables and basic characteristics and other dimensions serving as independent variables. Similarly, ordinal logistic regression was used to explore the influencing factors of two categorical outcomes. Results: A total of 56.49% of respondents were from surgical departments. The PPRs for “teamwork within units” and “organizational learning and continuous improvement” were ≥75%, which denoted strengths, and the PPRs for “staffing” and “non-punitive response to errors” were ≤50%, which denoted weaknesses in surgical units and other units. Three dimensions for surgical departments were weaker than those for other departments (p < 0.05). The staff from surgical units reported more events compared with the other units, but only a few respondents in surgical settings evaluated patient safety grade as good/excellent. Four dimensions influenced patient safety grade, and three dimensions influenced event reporting in surgical units. Conclusions: Strategies including recruiting workers, using the reporting system, and building a non-punitive culture should be adopted in the surgical units of county hospitals in China to improve safety culture. Supervisors should also prioritise patient safety.
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Alswat K, Abdalla RAM, Titi MA, Bakash M, Mehmood F, Zubairi B, Jamal D, El-Jardali F. Improving patient safety culture in Saudi Arabia (2012-2015): trending, improvement and benchmarking. BMC Health Serv Res 2017; 17:516. [PMID: 28764780 PMCID: PMC5540485 DOI: 10.1186/s12913-017-2461-3] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 07/19/2017] [Indexed: 12/04/2022] Open
Abstract
Background Measuring patient safety culture can provide insight into areas for improvement and help monitor changes over time. This study details the findings of a re-assessment of patient safety culture in a multi-site Medical City in Riyadh, Kingdom of Saudi Arabia (KSA). Results were compared to an earlier assessment conducted in 2012 and benchmarked with regional and international studies. Such assessments can provide hospital leadership with insight on how their hospital is performing on patient safety culture composites as a result of quality improvement plans. This paper also explored the association between patient safety culture predictors and patient safety grade, perception of patient safety, frequency of events reported and number of events reported. Methods We utilized a customized version of the patient safety culture survey developed by the Agency for Healthcare Research and Quality. The Medical City is a tertiary care teaching facility composed of two sites (total capacity of 904 beds). Data was analyzed using SPSS 24 at a significance level of 0.05. A t-Test was used to compare results from the 2012 survey to that conducted in 2015. Two adopted Generalized Estimating Equations in addition to two linear models were used to assess the association between composites and patient safety culture outcomes. Results were also benchmarked against similar initiatives in Lebanon, Palestine and USA. Results Areas of strength in 2015 included Teamwork within units, and Organizational Learning—Continuous Improvement; areas requiring improvement included Non-Punitive Response to Error, and Staffing. Comparing results to the 2012 survey revealed improvement on some areas but non-punitive response to error and Staffing remained the lowest scoring composites in 2015. Regression highlighted significant association between managerial support, organizational learning and feedback and improved survey outcomes. Comparison to international benchmarks revealed that the hospital is performing at or better than benchmark on several composites. Conclusion The Medical City has made significant progress on several of the patient safety culture composites despite still having areas requiring additional improvement. Patient safety culture outcomes are evidently linked to better performance on specific composites. While results are comparable with regional and international benchmarks, findings confirm that regular assessment can allow hospitals to better understand and visualize changes in their performance and identify additional areas for improvement.
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Affiliation(s)
- Khalid Alswat
- King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | | | - Maher Abdelraheim Titi
- King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Maram Bakash
- King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Faiza Mehmood
- King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Beena Zubairi
- King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Diana Jamal
- Department of Health Management and Policy, American University of Beirut, Beirut, Lebanon
| | - Fadi El-Jardali
- Department of Health Management and Policy, American University of Beirut, Beirut, Lebanon. .,Department of Health Research Methods, Evidence, and Impact, McMaster University, CRL-209, 1280 Main St. West, Hamilton, ON, L8S 4K1, Canada.
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A program evaluation of the Patient CaringTouch System: A pre- and postimplementation assessment. Nurs Outlook 2017; 65:S109-S119. [PMID: 28754213 DOI: 10.1016/j.outlook.2017.06.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2017] [Revised: 06/20/2017] [Accepted: 06/23/2017] [Indexed: 11/24/2022]
Abstract
BACKGROUND The Patient CaringTouch System (PCTS) is an innovative, strategic and patient-centric framework developed by the Army Nurse Corps for nursing care delivery that is designed to reduce nursing care variation and improve patient and nurse outcomes. PURPOSE This manuscript describes a program evaluation of the PCTS. METHODS A pre and post design was used to describe changes in patient and nursing measures following PCTS implementation. DISCUSSION Overall there was a good uptake of the PCTS; however, concurrent with initiation of the PCTS, declines in staffing levels and increases in patient acuity were noted. Medication administration error rates declined, but fall with injury rates increased. Pain reassessment following pain medication administration improved, as did several aspects of the nursing practice environment. Nurses' job dissatisfaction and intent to leave increased; however, potentially preventable losses decreased. CONCLUSIONS The program evaluation results will be used to target areas for improvement so that the PCTS may be sustained.
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Zhao P, Li Y, Li Z, Jia P, Zhang L, Zhang M. Use of patient safety culture instruments in operating rooms: A systematic literature review. J Evid Based Med 2017; 10:145-151. [PMID: 28471047 DOI: 10.1111/jebm.12255] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Revised: 03/01/2017] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To identify and qualitatively describe, in a literature review, how the instruments were used to evaluate patient safety culture in the operating rooms of published studies. METHODS Systematic searches of the literature were conducted using the major database including MEDLINE, EMbase, The Cochrane Library, and four Chinese databases including Chinese Biomedical Literature Database (CBM), Wanfang Data, Chinese Scientific Journal Database (VIP), and Chinese Journals Full-text Database (CNKI) for studies published up to March 2016. We summarized and analyzed the country scope, the instrument utilized in the study, the year when the instrument was used, and fields of operating rooms. Study populations, study settings, and the time span between baseline and follow-up phase were evaluated according to the study design. RESULTS We identified 1025 references, of which 99 were obtained for full-text assessment; 47 of these studies were deemed relevant and included in the literature review. Most of the studies were from the USA. The most commonly used patient safety culture instrument was Safety Attitude Questionnaire. All identified instruments were used after 2002 and across many fields. Most included studies on patient safety culture were conducted in teaching hospitals or university hospitals. The study population in the cross-sectional studies was much more than that in the before-after studies. The time span between baseline and follow-up phase of before-after studies were almost over three months. CONCLUSION Although patient safety culture is considered important in health care and patient safety, the number of studies in which patient safety culture has been estimated using the instruments in operating rooms, is fairly small.
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Affiliation(s)
- Pujng Zhao
- Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
| | - Yaqin Li
- West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Zhi Li
- West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Pengli Jia
- Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
| | - Longhao Zhang
- Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
| | - Mingming Zhang
- Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
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Elsous A, Akbari Sari A, AlJeesh Y, Radwan M. Nursing perceptions of patient safety climate in the Gaza Strip, Palestine. Int Nurs Rev 2017; 64:446-454. [PMID: 28102544 DOI: 10.1111/inr.12351] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIMS This study was undertaken to assess the perception of nurses about patient safety culture and to test whether it is significantly affected by the nurses' position, age, experience and working hours. BACKGROUND Patient safety has sparked the interest of healthcare mangers, yet there is limited knowledge about the current patient safety culture among nurses in the Gaza Strip. METHODS This was a descriptive cross-sectional study, administering the Arabic Safety Attitude Questionnaire (Short Form 2006) to 210 nurses in four public general hospitals. RESULTS Job Satisfaction was the most highly perceived factor affecting patient safety, followed by Perception of Management. Safety culture varied across nursing position, age, work experience and working hours. Nurse Managers had more positive attitudes towards patients than frontline clinicians did. The more experience nurses had, the better their attitudes towards patient safety. Nurses who worked the minimum weekly required hours and who were 35 years and older had better attitudes towards all patient safety dimensions except for Stress Recognition. Nurses with a positive attitude had better collaboration with healthcare professionals than those without a positive attitude. LIMITATION Generalization is limited, as nurses who worked in private and specialized hospitals were excluded. CONCLUSION Evaluation of the safety culture is the essential starting point to identify hindrances or drivers for safe patient care. Job Satisfaction, Perception of Management and Teamwork necessitate reinforcement, while Working Conditions, Stress Recognition and Safety Climate require improvement. IMPLICATIONS FOR NURSING AND HEALTH POLICY Ensuring job satisfaction through adequate staffing levels, providing incentives and maintaining a collegial environment require both strategic planning and institutional policies at the higher administrative level. Creation of a non-punitive and learning environment, promoting open communication and fostering continuous education should be fundamental aspects of hospital management. A policy of mixing experienced nurses with inexperienced nurses should be considered.
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Affiliation(s)
- A Elsous
- Department of Health Management and Economics, School of Public Health, International Campus - Tehran University of Medical Sciences, Tehran, Iran
| | - A Akbari Sari
- Department of Health Management and Economics, School of Public Health, International Campus - Tehran University of Medical Sciences, Tehran, Iran
| | - Y AlJeesh
- Faculty of Nursing, Islamic University of Gaza, Gaza Strip, Palestine
| | - M Radwan
- Department of Health Management and Economics, School of Public Health, International Campus - Tehran University of Medical Sciences, Tehran, Iran
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Safety climate and readiness for implementation of evidence and person centered practice - A national study of registered nurses in general surgical care at Swedish university hospitals. BMC Nurs 2016; 15:54. [PMID: 27625589 PMCID: PMC5020433 DOI: 10.1186/s12912-016-0174-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 08/30/2016] [Indexed: 11/17/2022] Open
Abstract
Background The rationale behind this study is the increasing research on relationships between patient safety, evidence based practice and person centered care, and the growing interest in outcomes of surgical patients. The aim of this study was to explore the safety climate and readiness to implement evidence-based and person centered care as perceived by registered nurses in Swedish surgical care. Methods The design was an exploratory, cross-sectional survey carried out in a national Swedish context. Data were collected through the Safety Attitudes Questionnaire (SAQ – Short form) and the Context Assessment Index (CAI). Results In total, 1570 questionnaires were distributed, of which 727 were returned, giving a response rate of 46.3 %. The results revealed that in general, the safety climate in Swedish surgical care is positively related to readiness for evidence-based and person centered care, although specific management and cultural factors may be more sensitive and represent targets for improvement. Conclusion This study presents new knowledge regarding the safety climate and readiness to implement evidence based practice and person centered care in general surgical wards in university hospitals and indicates important associations between these two areas. While RNs generally reported positive job satisfaction and a good team work culture in their units, there were indications that improvements in organizational management are needed. Electronic supplementary material The online version of this article (doi:10.1186/s12912-016-0174-2) contains supplementary material, which is available to authorized users.
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Ginsburg L, Gilin Oore D. Patient safety climate strength: a concept that requires more attention. BMJ Qual Saf 2015; 25:680-7. [PMID: 26453636 PMCID: PMC5013122 DOI: 10.1136/bmjqs-2015-004150] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Accepted: 09/16/2015] [Indexed: 11/21/2022]
Abstract
Background When patient safety climate (PSC) surveys are used in healthcare, reporting typically focuses on PSC level (mean or per cent positive scores). This paper explores how an additional focus on PSC strength can enhance the utility of PSC survey data. Setting and participants 442 care providers from 24 emergency departments (EDs) across Canada. Methods We use anonymised data from the Can-PSCS PSC instrument collected in 2011 as part of the Qmentum accreditation programme. We examine differences in climate strength across EDs using the Rwg(j) and intraclass correlation coefficients measures of inter-rater agreement. Results Across the six survey dimensions, median Rwg(j) was sufficiently high to support shared climate perceptions (0.64–0.83), but varied widely across the 24 ED units. We provide an illustrative example showing vastly different climate strength (Rwg(j) range=0.17–0.86) for units with an equivalent level of PSC (eg, climate mean score=3). Conclusions Most PSC survey results focus solely on climate level. To facilitate improvement in PSC, we advocate a simple, holistic safety climate profile including three metrics: climate level (using mean or per cent positive climate scores), climate strength (using the Rwg(j), or SD as a proxy) and the shape of the distribution (using histograms to see the distribution of scores within units). In PSC research, we advocate paying attention to climate strength as an important variable in its own right. Focusing on PSC level and strength can further understanding of the extent to which PSC is a key variable in the domain of patient safety.
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Affiliation(s)
- Liane Ginsburg
- School of Health Policy & Management, York University, Toronto, Ontario, Canada
| | - Debra Gilin Oore
- Department of Psychology, Saint Mary's University, Halifax, Nova Scotia, Canada
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Clinical Nurse Involvement in Healthcare Design. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2015; 9:6-9. [PMID: 26338305 DOI: 10.1177/1937586715596997] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Fosbrook SC. Mental Snapshots: Creating an Organized Plan for Health Assessment. J Prof Nurs 2015; 31:416-23. [DOI: 10.1016/j.profnurs.2015.04.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2014] [Indexed: 10/23/2022]
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Ammouri A, Tailakh A, Muliira J, Geethakrishnan R, Al Kindi S. Patient safety culture among nurses. Int Nurs Rev 2014; 62:102-10. [DOI: 10.1111/inr.12159] [Citation(s) in RCA: 103] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A.A. Ammouri
- College of Nursing; Hashemite University; Zarqa Jordan
| | - A.K. Tailakh
- School of Nursing; California State University; Los Angeles CA USA
| | - J.K. Muliira
- College of Nursing; Sultan Qaboos University; Al Khod Muscate Oman
| | | | - S.N. Al Kindi
- College of Nursing; Sultan Qaboos University; Al Khod Muscate Oman
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Arnetz JE, Zhdanova L. Patient involvement climate: views and behaviours among registered nurses in myocardial infarction care. J Clin Nurs 2014; 24:475-85. [DOI: 10.1111/jocn.12629] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2014] [Indexed: 11/26/2022]
Affiliation(s)
- Judith E Arnetz
- School of Medicine; Wayne State University; Detroit MI USA
- Department of Public Health and Caring Sciences; Uppsala University; Uppsala Sweden
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Weng RH, Chen JC, Pong LJ, Chen LM, Lin TC. The Impact of Market Orientation on Patient Safety Climate Among Hospital Nurses. Eval Health Prof 2014; 39:65-86. [PMID: 24492246 DOI: 10.1177/0163278714521811] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Improving market orientation and patient safety have become the key concerns of nursing management. For nurses, establishing a patient safety climate is the key to enhancing nursing quality. This study explores how market orientation affects the climate of patient safety among hospital nurses. We proposed adopting a cross-sectional research design and using questionnaires to collect responses from nurses working in two Taiwanese hospitals. Three-hundred and forty-three valid samples were obtained. Multiple regression and path analyses were conducted to test the study. Market orientation was defined as the combination of customer orientation, competitor orientation, and interfunctional coordination. Customer orientation directly affects the climate of patient safety. Although the findings only supported Hypothesis 1, competitor orientation and interfunctional coordination positively affected the patient safety climate through the mediating effects of hospital support for staff. Health care managers could encourage nurses to adopt customer-oriented perspectives to enhance their nursing care. In addition, to enhance competitor orientation, interfunctional coordination, and the patient safety climate, hospital managers could strengthen their support for staff members.
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Affiliation(s)
- Rhay-Hung Weng
- Department of Long Term Care, National Quemoy University, Kinmen, Taiwan, Republic of China
| | - Jung-Chien Chen
- Department of Nursing, Chest Hospital, Tainan, Taiwan, Republic of China
| | - Li-Jung Pong
- Office of Deputy Superintendent, Tainan Municipal Hospital, Tainan, Taiwan, Republic of China
| | - Li-Mei Chen
- Department of Nursing, Tainan Municipal Hospital, Tainan, Taiwan, Republic of China
| | - Tzu-Chi Lin
- Department of Nursing, Chi Mei Medical Center, Tainan, Taiwan, Republic of China
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Weng RH, Huang CY, Chen LM, Chang LY. Exploring the impact of transformational leadership on nurse innovation behaviour: a cross-sectional study. J Nurs Manag 2013; 23:427-39. [DOI: 10.1111/jonm.12149] [Citation(s) in RCA: 73] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Rhay-Hung Weng
- Department of Long Term Care; National Quemoy University; Kinmen Taiwan
| | - Ching-Yuan Huang
- Department of International Business and Trade; Shu-Te University; Kaohsiung Taiwan
| | - Li-Mei Chen
- Department of Nursing; Tainan Municipal Hospital; Tainan Taiwan
| | - Li-Yu Chang
- Department of Nursing; Jen-Ai Hospital; Taichung Taiwan
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Abrahamson K, Ramanujam R, Anderson JG. Co-worker characteristics and nurses' safety-climate perceptions. Int J Health Care Qual Assur 2013; 26:447-54. [PMID: 23905304 DOI: 10.1108/ijhcqa-07-2011-0041] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Previous research indicates that nurses' safety-climate perceptions are influenced by individual nurse characteristics, leadership, staffing levels and workplace structure. No literature was identified that explored the relationship between nurses' safety climate perceptions and staffing composition in a particular hospital unit. This paper aims to fill some of the gaps in the research in this area. DESIGN/METHODOLOGY/APPROACH Data supplied by 430 registered nurses working in two Midwestern US hospitals were analyzed to co-worker characteristics such as education, licensure, experience and full- or part-time status. FINDINGS Registered nurses working in hospitals with proportionally more-experienced nurses perceived their workplaces to be significantly safer for patients. Surprisingly, co-worker licensure, education and full- or part-time status did not significantly influence nurses' safety climate perceptions. PRACTICAL IMPLICATIONS Findings indicate that safety-climate perceptions vary significantly between hospital units and experienced nurses may act as a resource that promotes a positive safety climate. Hospitals retaining experienced nurses may potentially reduce errors. ORIGINALITY/VALUE The paper illustrates that the results highlight the importance of providing nurses with an environment that encourages retention and creates a workplace where experienced nurses' skills are best utilized.
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Affiliation(s)
- Kathleen Abrahamson
- Department of Public Health, Western Kentucky University, Bowling Green, Kentucky, USA.
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Ford EW, Huerta TR, Diana ML, Kazley AS, Menachemi N. Patient satisfaction scores and their relationship to hospital website quality measures. Health Mark Q 2013; 30:334-348. [PMID: 24308412 DOI: 10.1080/07359683.2013.844041] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Hospitals and health systems are using web-based and social media tools to market themselves to consumers with increasingly sophisticated strategies. These efforts are designed to shape the consumers' expectations, influence their purchase decisions, and build a positive reputation in the marketplace. Little is known about how these web-based marketing efforts are taking form and if they have any relationship to consumers' satisfaction with the services they receive. The purpose of this study is to assess if a relationship exists between the quality of hospitals' public websites and their aggregated patient satisfaction ratings. Based on analyses of 1,952 U.S. hospitals, our results show that website quality is significantly and positively related to patients' overall rating of the hospital and their intention to recommend the facility to others. The potential for web-based information sources to influence consumer behavior has important implications for policymakers, third-party payers, health care providers, and consumers.
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Affiliation(s)
- Eric W Ford
- a University of North Carolina Greensboro , Greensboro , North Carolina
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Wilson DS. Registered nurses’ collective safety organising behaviours: the association with perceptions of patient safety culture. J Res Nurs 2012. [DOI: 10.1177/1744987112461781] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The cultivation of patient safety cultures is critical for the sustainability of positive patient outcomes. At the core of safety cultures are the safety organising behaviours of its workers. Yet, the assessment of patient safety culture in healthcare settings are usually associated with professional characteristics such as role, rank and their practice settings. Little attention has been given to exploring how collective safety organising behaviours of healthcare workers, in particular registered nurses, may be implicated in the perceptions of patient safety culture. The purpose of this paper was to examine the association between nurses’ collective safety organising behaviours and their perceptions of patient safety culture. This study utilised a cross-sectional design. A total of 381 nurses from 11 medical–surgical units completed questionnaires. Hierarchical regression analyses indicated that after controlling for key confounding variables, collective safety organising behaviours had significant associations with teamwork, communication openness, manager support, organisational learning, overall perceptions, feedback about errors, frequency of event reports, staffing, non-punitive response to error and safety grade for work area. Safety organising behaviours may provide additional insights into the black box of organisational contextual factors that may be implicated in perceptions of patient safety culture among nurses.
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Affiliation(s)
- Deleise S. Wilson
- Post-Doctoral Fellow, School of Nursing, University of Michigan, USA
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Paez K, Schur C, Zhao L, Lucado J. A national study of nurse leadership and supports for quality improvement in rural hospitals. Am J Med Qual 2012; 28:127-34. [PMID: 22822169 DOI: 10.1177/1062860612451851] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study assessed the perceptions and actions of rural hospital nurse executives with regard to patient safety and quality improvement (QI). A national sample of rural hospital nurse executives (n = 300) completed a survey measuring 4 domains related to patient safety and QI: (a) patient "Safety Culture," (b) adequacy of QI "Resources," (c) "Barriers" related to QI, and (d) "Nurse Leader Engagement" in activities supporting QI. Perceptions of Safety Culture were strong but 47% of the Resources needed to carry out QI were inadequate, 29% of Barriers were moderate to major, and 25% of Nurse Leader Engagement activities were performed infrequently. Nurse Leader Engagement in quality-related activities was less frequent among nurses in isolated and small rural town hospitals compared with large rural city hospitals. To further QI, rural nurse executives may need to use their communications and actions to raise the visibility of QI.
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Affiliation(s)
- Kathryn Paez
- American Institutes for Research, 10720 Columbia Pike, Silver Spring, MD 20901, USA.
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Iglesias-Alonso F, Tejero-González JM, Torijano-Casalengua ML, Mira JJ. [Basic elements of a culture of clinical safety]. REVISTA DE CALIDAD ASISTENCIAL : ORGANO DE LA SOCIEDAD ESPANOLA DE CALIDAD ASISTENCIAL 2012; 27:295-7. [PMID: 22704688 DOI: 10.1016/j.cali.2012.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2012] [Revised: 04/18/2012] [Accepted: 04/19/2012] [Indexed: 11/28/2022]
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Weiner BJ, Belden CM, Bergmire DM, Johnston M. The meaning and measurement of implementation climate. Implement Sci 2011; 6:78. [PMID: 21781328 PMCID: PMC3224582 DOI: 10.1186/1748-5908-6-78] [Citation(s) in RCA: 157] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2011] [Accepted: 07/22/2011] [Indexed: 11/24/2022] Open
Abstract
Background Climate has a long history in organizational studies, but few theoretical models integrate the complex effects of climate during innovation implementation. In 1996, a theoretical model was proposed that organizations could develop a positive climate for implementation by making use of various policies and practices that promote organizational members' means, motives, and opportunities for innovation use. The model proposes that implementation climate--or the extent to which organizational members perceive that innovation use is expected, supported, and rewarded--is positively associated with implementation effectiveness. The implementation climate construct holds significant promise for advancing scientific knowledge about the organizational determinants of innovation implementation. However, the construct has not received sufficient scholarly attention, despite numerous citations in the scientific literature. In this article, we clarify the meaning of implementation climate, discuss several measurement issues, and propose guidelines for empirical study. Discussion Implementation climate differs from constructs such as organizational climate, culture, or context in two important respects: first, it has a strategic focus (implementation), and second, it is innovation-specific. Measuring implementation climate is challenging because the construct operates at the organizational level, but requires the collection of multi-dimensional perceptual data from many expected innovation users within an organization. In order to avoid problems with construct validity, assessments of within-group agreement of implementation climate measures must be carefully considered. Implementation climate implies a high degree of within-group agreement in climate perceptions. However, researchers might find it useful to distinguish implementation climate level (the average of implementation climate perceptions) from implementation climate strength (the variability of implementation climate perceptions). It is important to recognize that the implementation climate construct applies most readily to innovations that require collective, coordinated behavior change by many organizational members both for successful implementation and for realization of anticipated benefits. For innovations that do not possess these attributes, individual-level theories of behavior change could be more useful in explaining implementation effectiveness. Summary This construct has considerable value in implementation science, however, further debate and development is necessary to refine and distinguish the construct for empirical use.
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Affiliation(s)
- Bryan J Weiner
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina, USA.
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Gokenbach V, Drenkard K. The Outcomes of Magnet Environments and Nursing Staff Engagement: A Case Study. Nurs Clin North Am 2011; 46:89-105. [DOI: 10.1016/j.cnur.2010.10.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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