The nexus of nursing leadership and a culture of safer patient care

Murray, Melanie; Sundin, Deborah; Cope, Vicki

doi:10.1111/jocn.13980

Cited by 34 publications

(50 citation statements)

References 41 publications

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“…Regarding organizational factors, improving patient-safety culture and supportive leadership is a key organization-based strategy for enhancing error reporting [4, 16]. Safety culture has major effects on patient outcomes and a positive safety culture in healthcare is evidenced by the visibility of leaders and support for patient-safety initiatives [17].…”

Section: Introductionmentioning

confidence: 99%

“…Safety culture has major effects on patient outcomes and a positive safety culture in healthcare is evidenced by the visibility of leaders and support for patient-safety initiatives [17]. However, because patient-safety culture starts at the highest levels of the healthcare organization [16], it is difficult to establish and maintain supportive management of medication safety [18]. Therefore, it can be helpful to utilize a bottom-up approach [19].…”

Section: Introductionmentioning

confidence: 99%

“…Communication openness regarding mistakes and failures is a crucial factor in patient-safety; however, communication remains an adaptive challenge that has proven difficult to overcome in the sociotechnical viewpoint that defines healthcare [22]. Most of the current literature has focused on a top-down approach such as supportive leadership for enhancing error reporting [16–18] and there has been limited research on bottom-up approaches such as collaboration.…”

Section: Introductionmentioning

confidence: 99%

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Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Kim

2019

BMC Health Serv Res

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Background Individual and organizational factors correlate with perceived barriers to error reporting. Understanding medication administration errors (MAEs) reduces confusion about error definitions, raises perceptions of MAEs, and allows healthcare providers to report perceived and identified errors more frequently. Therefore, an emphasis must be placed on medication competence, including medication administration knowledge and decision-making. It can be helpful to utilize an organizational approach, such as collaboration between nurses and physicians, but this type of approach is difficult to establish and maintain because patient-safety culture starts at the highest levels of the healthcare organization. This study aimed to examine the canonical correlations of an individual self-efficacy/bottom-up organizational approach variable set with perceived barriers to reporting MAEs among nurses. Methods We surveyed 218 staff nurses in Korea. The measurement tools included a questionnaire on knowledge of high-alert medication, nursing decision-making, nurse-physician collaboration satisfaction, and barriers to reporting MAEs. Descriptive statistics, t-tests, analysis of variance (ANOVA), Pearson’s correlation coefficient, and canonical correlations were used to analyze results. Results Two canonical variables were significant. The first variate indicated that less knowledge about medication administration (− 0.83) and a higher perception of nurse-physician collaboration (0.42) were related to higher disagreement over medication error (0.64). The second variate showed that intuitive clinical decision-making (− 0.57) and a higher perception of nurse-physician collaboration (0.84) were related to lower perceived barriers to reporting MAEs. Conclusions Enhancing positive collaboration among healthcare professionals and promoting analytic decision-making supported by sufficient knowledge could facilitate MAE reporting by nurses. In the clinical phase, providing medication administration education and improving collaboration may reduce disagreement about the occurrence of errors and facilitate MAE reporting. In the policy phase, developing an evidence-based reporting system that informs analytic decision-making may reduce the perceived barriers to MAE reporting.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Kim

2019

BMC Health Serv Res

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“…ing leadership effectiveness and better organisational performance [1]; improved patient outcomes; [2][3][4][5]; increased self-awareness; effective communication including patient-centred communication and interdisciplinary collaboration [6,7]; job satisfaction and workforce retention [8][9][10]; and improved work environments [11]. Within this broad context the concept of nursing leadership has been put forward as one solution for addressing issues within practice environments [12,13].…”

mentioning

confidence: 99%

“…Nursing leadership is complex in terms of how it is both learnt and how it is displayed. The increased importance given to nurse leadership learning over the past thirteen years [5,[14][15][16][17][18] has led to a plethora of leadership programs for front-line managers. Yet these programs may only be partially successful in achieving their intended learning outcomes such as successfully developing self and others [19,20].…”

mentioning

confidence: 99%

Nursing Leadership Learning in Practice: A Four Stage Learning Process

Dam¹,

Ford²

2019

Int Arch Nurs Health Care

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Background: There is emerging evidence that most nursing leadership learning occurs in practice and through social interactions. However, how this social process of learning takes place is not clear and there is limited information about how to support nursing leadership learning as it occurs in clinical settings. The purpose of this study was to increase understanding of the nature of leadership learning in nursing practice. It further aimed to discover the ways in which this type of learning is important to leadership development, and to determine how and why this is the case. Methods: Using a constructivist grounded theory approach, a total of 19 semi-structured interviews with 15 nurse managers were undertaken. Data analysis consisted of coding, constant comparison, memo writing, theoretical sampling and conceptualisation. Results: It was found that learning occurs by engaging in social interactions, as these interactions are converted into learning events. A four-stage process of learning was identified: Reflecting, discovering, deciding, and choosing. Moving through this process can give rise to changed behaviours and leadership development. Conclusion: Nurse managers should be supported by providing them with the opportunity to engage in the learning process by providing action learning sets, focusing on reflection.

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Effective Clinical Decision-Making and Action for Patient Safety in Acute Care Settings

Nibbelink,

Carrington

2024

The Nexus Between Nursing and Patient Safety

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The nexus of nursing leadership and a culture of safer patient care

Abstract: Patient safety is the responsibility of all healthcare workers, from the highest executive to the bedside nurse, thus effective leadership throughout all levels is essential in engaging staff to provide high quality care for the best possible patient outcomes.

Cited by 34 publications

References 41 publications

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Nursing Leadership Learning in Practice: A Four Stage Learning Process

Effective Clinical Decision-Making and Action for Patient Safety in Acute Care Settings

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