Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety

Zaheer, Shahram; Ginsburg, Liane; Wong, Hannah J.; Thomson, Kelly; Bain, Lorna

doi:10.1136/bmjoq-2018-000433

Cited by 19 publications

(17 citation statements)

References 48 publications

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“…Precise indications and a professional language in general might contribute to increased patient safety by ensuring a common view of patient situations. Changing disease patterns and growing complexity of primary care delivery now require teamwork, including open communication and cooperation across providers in order to reduce preventable errors and improve safety outcomes 33. A common and professional language also contributes to increased respect and confidence in interdisciplinary collaboration 34…”

Section: Discussionmentioning

confidence: 99%

<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

Næss¹,

Wyller²,

Kirkevold³

2019

JMDH

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AimTo identify experiences and opinions about the need for a structured follow-up and to identify potential benefits and barriers to the use of a checklist (Sub Acute Functional decline in the Older people [SAFE]) when caring for frail home-dwelling older people.BackgroundThe complexity of older peoples’ health situation requires more coordinated health care across health care levels and a better structured follow-up than is currently being offered, especially in the transitional phase between hospital discharge and primary care, but also in more stable phases at home.DesignThis was a qualitative study using focus group interviews.MethodsData were collected during six focus group interviews in three districts in a municipality. Nineteen registered nurses (RNs) and seventeen leaders responsible for the follow-up of frail home-dwelling older people participated. Participants were representatives of the RNs in homecare and their leaders.ResultsOur results highlight that although most RNs and their leaders saw a number of significant benefits to conducting a structured assessment and follow-up of frail older people home care recipients, a number of barriers made this difficult to realize on a daily basis.ConclusionThere is no common perception that a structured follow-up of frail home-dwelling older people in primary health care is an important and contributing factor to better quality of health care. Despite this, most RNs and leaders found that the use of a structured checklist such as SAFE was a benefit to achieving a structured follow-up of the frail older people. We identified several factors of importance to whether a structured follow-up with a checklist is conducted in home care.

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Section: Discussionmentioning

confidence: 99%

<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

Næss¹,

Wyller²,

Kirkevold³

2019

JMDH

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“…The positive impact of leadership support for safety on patient outcomes (e.g., decreased falls, lower rates of medication errors, and less likelihood of hospitalacquired infections) is also starting to emerge in healthcare research (14,15). However, only a handful of empirical studies have examined the interactive effect of senior and supervisory leadership on safety outcomes (6). There is a need for further empirical research to better understand the impact of different levels of leadership on patient safety.…”

Section: Relational Factors Affecting Perceptions Of Patient Safetymentioning

confidence: 99%

“…Second, past empirical research has focused primarily on certain patient safety predictors -e.g., teamwork -while the impact of other pertinent patient safety predictors -e.g., turnover intention -have largely been underexplored. Third, empirical research in healthcare settings has been limited to an examination of main effects of constructs on outcomes with little attention to potentially important interactive effects (28,6) -there is a need to examine mediating and moderating in uences of predictors on safety outcomes.…”

Section: Relational Factors Affecting Perceptions Of Patient Safetymentioning

confidence: 99%

“…Over the last decade, implementation of standardized clinical interventions such as hand hygiene guidelines and surgical checklists have reduced preventable medication, diagnostic and surgical errors (5). However, a growing body of evidence suggests that contextual factors (e.g., teamwork and culture) positively in uences perceptions of patient safety (6) and can increase the likelihood of successfully implementing these safety improvement interventions (7,8).…”

Section: Introductionmentioning

confidence: 99%

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Acute Care Nurses’ Perceptions of Leadership, Teamwork, Turnover Intention and Patient Safety – A Mixed Methods Study

Zaheer

Ginsburg

Wong

et al. 2021

Preprint

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Background This study contributes to a small but growing body of literature on how context influences perceptions of patient safety in healthcare settings. We examine the impact of senior leadership support for safety, supervisory leadership support for safety, teamwork, and turnover intention on overall patient safety grade. Interaction effects of predictors on perceptions of patient safety are also examined.Methods Cross-sectional survey data (N = 185) were collected from nurses and non-physician healthcare professionals. Semi-structured interview data (N = 15) were collected from nurses. The study participants worked in intensive care, general medicine, mental health, or the emergency department of a large community hospital in Southern Ontario.Results Hierarchical regression analyses showed that staff perceptions of senior leadership (p < 0.001), teamwork (p < 0.01), and turnover intention (p < 0.01) were significantly associated with overall patient safety grade. The interactive effect of teamwork and turnover intention on overall patient safety grade was also found to be significant (p < 0.05). The qualitative findings corroborated the survey results but also helped expand the characteristics of the study’s key concepts (e.g., teamwork within and across professional boundaries) and why certain statistical relationships were found to be non-significant (e.g., nurse interviewees perceived the safety specific responsibilities of frontline supervisors much more broadly compared to the narrower conceptualization of the construct in the survey).Conclusions The results of the current study suggest that senior leadership, teamwork, and turnover intention significantly impact nursing staff perceptions of patient safety. Leadership is a modifiable contextual factor and resources should be dedicated to strengthen relational competencies of healthcare leaders. Healthcare organizations must also proactively foster inter and intra-professional collaboration by providing teamwork educational workshops or other on-site learning opportunities (e.g., simulation training). Healthcare organizations would benefit by considering the interactive effect of contextual factors as another lever for patient safety improvement, e.g., lowering staff turnover intentions would maximize the positive impact of teamwork improvement initiatives on patient safety.

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“…Based on the theory of reliability, organization with high level reliability are those which operate without any errors, during a long period of time in stressful conditions, where the occurrence of error leads to catastrophic results [7]. Given this theory, leaders prefers safety over other organizational goals and then shapes the employees understanding of safety climate, which in turn results in the involvement of employees in safety behaviors (such as teamwork or speaking up) and can ameliorate safety results and reduce the failures in forefront [7,8].…”

Section: Introductionmentioning

confidence: 99%

The Predicting Role of the Safety Climate in the Professional Behavior of Nurses: A Cross-Sectional Study

Bagherzadeh¹,

Salemipoor²,

Hajinejad³

et al. 2021

Preprint

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Background: Safety climate which is a subset of organizational climate in the field of safety mirrors the attitude of people in care centers towards safety. In addition to being in connection with diverse parts of the organization’s function, safety climate can also affect the nurse’s performance. Aim: The present study aimed at determining the predicting role of the safety climate in the professional behavior of nurses working in hospitals affiliated to Bushehr University of Medical Sciences. Methods: In this cross sectional study, which is of descriptive analytical type, 595 expert nurses currently working with more than 6 months of working experience in the medical wards of hospitals affiliated to Bushehr University of Medical Sciences entered the study. Data was gathered from the viewpoint of the nurse and professional behavior through a demographic information form and two safety climate questionnaires. Then the data were analyzed by V.19 SPSS which is statistical software. The data analysis was conducted using univariate regression and multivariate linear regression at the significance level of 0.05. Results: Among the diverse domains of the safety climate, the field of nursing education (P= 0.027, ß=0.104), communicating with other nurses (P= 0.027, ß=0.101) and error reporting (P= <0.001, ß= 0.191) were the direct prediction of professional nursing behavior. Also, apart from safety climate, satisfaction of the nursing job had a direct, statistic and significant relationship with professional behavior (P= <0.001, ß= 0.142). Conclusion: Attempts to create a ward, in which the nurses receive the necessary education in an appropriate time and ameliorate their expertise, as well as a climate in which nurses have such a good relationship with their collages that they can easily talk about the possible mistakes and errors, can upgrade nurse’s professional behavior.

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Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety

Cited by 19 publications

References 48 publications

<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

Acute Care Nurses’ Perceptions of Leadership, Teamwork, Turnover Intention and Patient Safety – A Mixed Methods Study

The Predicting Role of the Safety Climate in the Professional Behavior of Nurses: A Cross-Sectional Study

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