Structural empowerment and patient safety culture among registered nurses working in adult critical care units

Armellino, Donna; Griffin, Mary T. Quinn; Fitzpatrick, Joyce J.

doi:10.1111/j.1365-2834.2010.01130.x

Cited by 66 publications

(73 citation statements)

References 25 publications

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“…Training interventions for nurse leaders have been found to foster a better safety culture in hospitals (Ginsburg et al, 2005), while senior leaders' regular walk rounds create improvements in regard to health personnel perceptions of PSC (Frankel et al, 2008;Thomas et al, 2005). The RNs' positive perceptions of teamwork within ICU are in accordance with other PSC-studies from the same environment (Armellino et al, 2010;France et al, 2010;Snijders et al, 2009). ''Teamwork within hospital units'' was found to be a predictor for the outcome dimension ''overall perception of safety''.…”

Section: Figuresupporting

confidence: 75%

Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study

Ballangrud

Hedelin

Hall‐Lord

2012

Intensive and Critical Care Nursing

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Section: Figuresupporting

confidence: 75%

Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study

Ballangrud

Hedelin

Hall‐Lord

2012

Intensive and Critical Care Nursing

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“…The variation in scores between nurses and physicians may possibly be due to personal characteristics like level of education and nature of job in which nurses have more experience in dealing with patients’ medical conditions. Another explanation could be that the concept of patient safety is in the nurses’ minds and nurses are much more confident to deal with obstacles and difficulties related to safety issues, which is in line with Fitzpatrick et al., 20 who stated that nurses are usually more positive toward patient safety culture dimensions.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study to assess the patient safety culture in the Palestinian hospitals: a baseline assessment for quality improvement

et al. 2016

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ObjectivesTo measure and establish a baseline assessment of the patient safety culture in the Palestinian hospitals.DesignA cross-sectional descriptive study using the Arabic version of the Safety Attitude Questionnaire (Short Form 2006).ParticipantsA total of 339 nurses and physicians returned the questionnaire out of 370 achieving a response rate of 91.6%.SettingFour public general hospitals in the Gaza Strip, Palestine.MethodsNurses and physicians were randomly selected using a proportionate random sampling. Data analysis performed using Statistical Package for the Social Sciences software version 20, and p value less than 0.05 was statistically significant.Main outcomes measuresCurrent status of patient safety culture among healthcare providers and percentage of positive attitudes.ResultsMale to female ratio was 2.16:1, and mean age was 36.5 ± 9.4 years. The mean score of Arabic Safety Attitude Questionnaire across the six dimensions on 100-point scale ranged between 68.5 for Job Satisfaction and 48.5 for Working Condition. The percentage of respondents holding a positive attitude was 34.5% for Teamwork Climate, 28.4% for Safety Climate, 40.7% for Stress Recognition, 48.8% for Job Satisfaction, 11.3% for Working Conditions and 42.8% for Perception of Management. Healthcare workers holding positive attitudes had better collaboration with co-workers than those without positive attitudes.ConclusionFindings are useful to formulate a policy on patient safety culture and targeted a specific safety culture dimension to improve the safety of patients and improve the clinical outcomes within healthcare organisations.

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“…Kanter (1977) contended that organizational structure, or the position, contributed more to the empowerment of employees than their personal traits. Five social structural variables are hypothesized to reflect an empowering organizational environment, including an organic structure, sociopolitical support, access to strategic information, access to resources, and an integrative culture (Armellino, Quinn Griffin, & Fitzpatrick, 2010;Spreitzer, 1996). Empowering systems cascade decision-making authority throughout the organizational hierarchy so that employees can experience a sense of autonomy and feel that they can …”

Section: Framework To Guide Adoption Of Ebp In Ltcmentioning

confidence: 99%

Evidence Based Practice in Long Term Care Settings

Specht

2013

J Korean Acad Nurs

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Purpose: The purpose of this manuscript is to discuss the need for use of evidence based practice (EBP) in LTC, the current use of evidence in long term care facilities and what we know about adoption of the use of EBP in LTC. Methods: Literature review and reporting of findings from the M-TRAIN study that was a quasi-experimental design to test the effectiveness of an intervention to increase the use of EBPs for urinary incontinence and pain in 48 LTC facilities. Results: Barriers to adopting EBPs include lack of available time, lack of access to current research literature, limited critical appraisal skills, excessive literature to review, non-receptive organizational culture, limited resources, and limited decision-making authority of staff to implement change. Strategies to promote adoption of EBP include the commitment of management; the culture of the home; leadership; staff knowledge, time, and reward; and facility size, complexity, the extent that members are involved outside the facility, NH chain membership, and high level of private pay residents. Findings from the M-TRAIN add, stability of nurse leader and congruency between the leaders perception of their leadership and the staff's perception of the leadership. Conclusion: There is clear evidence of the need and the benefits to residents of LTC and to the health care system yet adoption of EBP continues to be slow and sporadic. There is also evidence for the process of establishing best evidence and many resources to find the available EBPs. The urgent need now is finding ways to best get the EBPs implemented in LTC. There is growing evidence about best methods to do this but continued research is needed. Clearly, residents in LTC deserve the best care possible and EBPs represent an important vehicle by which to do this.

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Structural empowerment and patient safety culture among registered nurses working in adult critical care units

Cited by 66 publications

References 25 publications

Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study

Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study

A cross-sectional study to assess the patient safety culture in the Palestinian hospitals: a baseline assessment for quality improvement

Evidence Based Practice in Long Term Care Settings

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