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1.
Stud Health Technol Inform ; 272: 59-62, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32604600

RESUMO

This cross-sectional research aimed to explore the associated factors with nursing practice for patient safety of nurses in Kalasin Hospital, Kalasin Province, Thailand. The 245 samples were randomized which using created questionnaires which was applied to collect their opinion. The results showed that level of nursing practice for patient safety was moderate level (average = 3.55, S.D. = 0.89) in addition to their experience in patient care, knowledge patient safety and safety culture skills was a significant relationship to practice of nursing professional skills with statistical significance (r = 0.625, p-value = 0.001). It was revealed that supporting system and resources sufficient for the top administrative level in hospital were significantly related to nursing practice and patient safety. Policy direction of the hospitals is becoming aware of the importance of transforming organizational culture in order to improve patient safety and nursing practice toward to safety culture as quality awareness in the organization.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Segurança do Paciente , Atitude do Pessoal de Saúde , Estudos Transversais , Hospitais , Humanos , Cultura Organizacional , Inquéritos e Questionários , Tailândia
3.
Emerg Med Clin North Am ; 38(3): 693-703, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32616288

RESUMO

Emergency medicine is a high-risk area of medical practice, with a high rate of preventable adverse events. This is multifactorial, hinging on the myriad system and processes issues that complicate emergency care. Strong teamwork and communication have been identified as critical components for safe care in emergency medicine. Health care professionals and leaders within emergency medicine can implement solutions aimed at cultivating a strong safety culture, creating processes and system-based approaches to improve patient safety. This article provides an overview of the evidence-based approaches to improve patient safety and communication.


Assuntos
Serviço Hospitalar de Emergência/organização & administração , Segurança do Paciente , Guias de Prática Clínica como Assunto , Comunicação , Serviço Hospitalar de Emergência/normas , Humanos , Hidrocefalia , Cultura Organizacional , Equipe de Assistência ao Paciente/organização & administração , Segurança do Paciente/normas
5.
Artigo em Inglês | MEDLINE | ID: mdl-32549273

RESUMO

During the COVID-19 pandemic, healthcare workers are fighting a lethal virus with acute shortages of Personal Protective Equipment (PPE). These unprecedented circumstances have amplified the sources of emotional distress and worker burnout. However, many healthcare organizations (HCOs) in the United States, have opted for a "stoic approach" to healthcare worker support, i.e., no additional support beyond federal and state policy protections for the licensing and liability of healthcare workers. In this scenario, a key public health concern is sustaining an adequate healthcare workforce, both by way of quantity (adequate numbers) and quality (maximizing clinician resilience to provide safe care to large volumes of patients under challenging conditions). Therefore, it is imperative for HCO leaders to recognize that a limited view of worker psychological safety, without due consideration for the broader emotional distress created by the pandemic, could have the effect of restricting organizational resilience and adversely impacting patient safety and staff retention during and beyond the pandemic. This paper uses the organizational resilience framework to discuss the potential impact of a stoic approach to healthcare worker support on patient safety and staff retention in a hospital intensive care unit (ICU) during COVID-19. The discussion in turn, helps to develop recommendations for HCOs to overcome these challenges.


Assuntos
Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Unidades de Terapia Intensiva/organização & administração , Segurança do Paciente , Pneumonia Viral/psicologia , Betacoronavirus , Esgotamento Profissional , Mão de Obra em Saúde , Hospitais , Humanos , Cultura Organizacional , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Reorganização de Recursos Humanos
6.
Med Clin North Am ; 104(4): 739-750, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32505264

RESUMO

Although not suitable for every patient encounter, rounding at the beside provides an opportunity to teach and augment the attitudes essential for optimal medical care. It also provides an opportunity to establish and grow the team's culture as well as the culture for each patient encounter. Finally, it provides the attending physician with an opportunity to assess learners' position on the supervision-to-autonomy spectrum, thereby ensuring appropriate supervision while enabling the autonomy necessary for optimal learner growth.


Assuntos
Corpo Clínico Hospitalar/educação , Cultura Organizacional , Visitas com Preceptor , Competência Clínica , Educação Médica Continuada , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Assistência Centrada no Paciente
7.
Hu Li Za Zhi ; 67(3): 38-47, 2020 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-32495328

RESUMO

BACKGROUND: Establishing a positive reporting culture, which helps medical and healthcare workers learn from errors and reduce the risks of future adverse events, is essential to fostering a culture of patient safety. PURPOSE: The objectives of this study were to investigate the differences among the three levels of hospitals in terms of the knowledge and attitudes of hospital staff regarding the patient safety reporting system and to identify the potential factors affecting these differences. METHODS: This cross-sectional study was carried out in six hospitals, including two academic medical centers, two regional hospitals, and two district hospitals. The subjects were physicians, nurses, medical technicians, and administrative staffs. Data were collected using a patient safety reporting questionnaire. RESULTS: Three hundred and forty-eight participants were recruited, with 348 valid questionnaires returned (response rate: 100%). The average score for knowledge of patient safety reporting was 12.76 (total possible score: 14). Age, work position, and work experience were significantly associated with knowledge of patient safety reporting (p < .01). The patient safety reporting attitudes questionnaire comprised 21 items, each of which was scored using a five-point Likert scale. The mean score for each item was 3.92 ± 0.50. Gender, age, work position, work experience, and job discipline were significantly associated with attitude toward reporting (p < .01). The level of hospital was found to significantly impact attitudes toward patient safety reporting (p = .01), with participants working at medical centers scoring the highest. In addition, participants who were older and in more-senior positions scored higher and more positively for both knowledge and attitudes. CONCLUSIONS: The key factors to successfully fostering a strong patient safety reporting culture are staff security, a reliable reporting system, and a user-friendly interface. Improving attitudes toward reporting requires more resources and time than improving knowledge of reporting, which may be improved using education and promotion. Regional hospitals may invest more resources to enhance positive attitudes toward reporting and increase the willingness of staff to report.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Corpo Clínico Hospitalar/psicologia , Segurança do Paciente , Gestão da Segurança/organização & administração , Estudos Transversais , Hospitais , Humanos , Corpo Clínico Hospitalar/estatística & dados numéricos , Cultura Organizacional , Inquéritos e Questionários
8.
Soins ; 65(843-844): 10-13, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32563498

RESUMO

E-pathway territories are defined to promote the use of digital tools in order to improve the flow of patient pathways. To ensure the successful implementation of these services, all players need to adapt their practices but there also needs to be a change in professional culture.


Assuntos
Assistência à Saúde/organização & administração , Telemedicina/organização & administração , Humanos , Cultura Organizacional
9.
J Nurs Adm ; 50(6): 349-354, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32427664

RESUMO

BACKGROUND: Speaking up is using one's voice to alert those in authority of concerns. Failure to speak up leads to moral distress; speaking up leads to moral courage. OBJECTIVE: The purpose of this study was to explore the influences of organizational culture, personal culture, and workforce generation on speaking-up behaviors among RNs. METHODS: We distributed a cross-sectional electronic survey to several thousand RNs, resulting in 303 usable surveys. RESULTS: Organizational culture was a strong predictor of speaking-up behaviors; speaking up partially mediated the relationship between organizational culture and moral distress but was not a mediator between organizational culture and moral courage. Workforce generation did not explain speaking up. CONCLUSIONS: The role of organizational culture supports efforts toward healthy work environments. Because not speaking up is related to moral distress, efforts must be escalated to empower nurses to use their voices.


Assuntos
Princípios Morais , Recursos Humanos de Enfermagem/estatística & dados numéricos , Cultura Organizacional , Dano ao Paciente/prevenção & controle , Estudos Transversais , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem/psicologia , Gestão da Segurança , Inquéritos e Questionários
10.
J Nurs Adm ; 50(6): 343-348, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32433114

RESUMO

This article describes a team approach to developing an evidence-based mentoring program for nurses at a major academic medical center. The center's nursing leadership empowered nurses to design and implement a program that supports staff engagement and professional development. This structured, collaborative process resulted in an innovative mentoring program that is aligned with the organizational culture and practices.


Assuntos
Liderança , Tutoria , Enfermeiras Administradoras , Profissionais de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Desenvolvimento de Programas , Desenvolvimento de Pessoal , Mobilidade Ocupacional , Humanos , Cultura Organizacional
14.
Br J Nurs ; 29(7): 419-425, 2020 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-32279560

RESUMO

BACKGROUND: Newly qualified nurses (NQNs) face several challenges in their early years of practice. Being empowered and able to speak up against unsafe practice are two important pillars for practising nursing safely and competently. Little research has examined the potential correlation between those two dimensions in the context of NQNs in Jordan. AIMS: To investigate the correlation between NQNs' perceived structural empowerment in their work setting and their willingness to challenge unsafe practice in some hypothetical clinical scenarios. METHODS: A cross-sectional survey involved 233 NQNs, who completed a self-administered questionnaire between January and March 2016. FINDINGS: Participants reported moderate levels of both perceived structural empowerment and willingness to speak up against unsafe practice. There was a statistically significant positive correlation between the total structural empowerment score and the mean score for speaking up against unsafe practice. CONCLUSION: The findings highlight the impact of peer, managerial and overall organisational support on enabling NQNs to become more empowered and assertive. Concrete, collaborative and organisation-wide efforts must be considered to foster greater empowerment of NQNs, but also revisiting work priorities to include supporting and advocating assertive communication skills among the more vulnerable of the newly qualified cohort.


Assuntos
Assertividade , Atitude do Pessoal de Saúde , Comunicação , Empoderamento , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Local de Trabalho/organização & administração , Adulto , Estudos Transversais , Feminino , Humanos , Jordânia , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Segurança do Paciente , Inquéritos e Questionários , Adulto Jovem
15.
Niger J Clin Pract ; 23(4): 470-475, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32246652

RESUMO

Background: Surgical nurses work in demanding environments and play a vital role in maintaining and promoting patient safety due to the nature of their work. Hence it is important to know their attitudes toward patient safety. Aim: This research aimed to evaluate the patient safety attitudes of Turkish surgical nurses. Methods and Materials: This was a descriptive cross-sectional and questionnaire research. Data were collected from August 2015-January 2016 using the staff information form and the safety attitudes questionnaire (SAQ). The study population included 231 nurses who work in operating rooms, surgical intensive care, and surgical wards of four hospitals in western Turkey. Data were analyzed with frequency, percentage, mean, standard deviation, the Mann Whitney U test, and Kruskal Wallis tests using the SPSS 18. Results: The teamwork and safety climate scores of operating room nurses were higher than the scores of surgical intensive care and ward nurses. The stress recognition scores of surgical ward nurses were the highest, followed by the scores of the operating room and surgical intensive care nurses. The perception of management scores of operating room nurses was higher than those of surgical ward nurses, and nurses ages 18-30 were higher than those of nurses ages 31-40. None of the six domains of safety culture, including job satisfaction, teamwork, safety climate, the perception of management, stress recognition, and working conditions achieved a positive mean score over 75. Conclusion: This research paper provides an evaluation of the safety attitudes of surgical nurses. Findings can provide information for healthcare leaders to improve the safety culture.


Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras e Enfermeiros/psicologia , Segurança do Paciente , Gestão da Segurança , Centro Cirúrgico Hospitalar/organização & administração , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Inquéritos e Questionários , Turquia , Adulto Jovem
17.
Pediatrics ; 145(5)2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32327450

RESUMO

Causal analysis is a core function of safety programs. Although established protocols exist for conducting root cause analysis for serious safety events, there is limited guidance for apparent cause analysis (ACA) in health care. At our institution, through a novel facilitated ACA approach, we aim to improve safety culture and provide a clear approach to address precursor safety events and near-miss safety events. We define facilitated ACA as limited investigation (scope and duration) of a safety event that resulted in little to no harm. These investigations require fewer resources and focus on preventive strategies. Our facilitated ACA model, with an operational algorithm and structured process, was developed and implemented at our tertiary-care, freestanding, urban pediatric hospital in 2018. Sixty-four ACAs were completed, and 83% were identified with the algorithm. Process measures, including time from event reporting to ACA launch (median 3 days; interquartile range 2-6 days), are tracked. Patient safety consultants averaged 5 hours to complete a facilitated ACA. A median of 3 disciplines or departments participated in each facilitated ACA. Through an iterative process, we implemented a structured process for facilitated ACA, and the model's strength includes (1) right event, (2) right team, (3) right analysis, and (4) right action plans. This novel facilitated ACA model may support organizational cause analysis and improve safety culture with higher-reliability processes.


Assuntos
Erros Médicos/prevenção & controle , Cultura Organizacional , Segurança do Paciente/normas , Gestão da Segurança/normas , Humanos , Gestão da Segurança/métodos
19.
PLoS One ; 15(3): e0229508, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32150592

RESUMO

Over the past few decades, Quality Management System (QMS) and High Performance Work System (HPWS) have emerged as key concepts to enhance organizational effectiveness. All over the globe, majority of contemporary manufacturing and services organizations have applied at least one of these development strategies or even both. This study proposes an integrated framework of QMS and HPWS and empirically investigates the relationship between QMS and HPWS practices and their direct and indirect effects on organizational effectiveness using structural equation modelling (SEM). This research makes a number of significant contributions: (1) The black box of the conjoint implementation is opened up for better appreciation of the interplay of QMS and HPWS practices and their influence on organizational effectiveness (2) The key QMS practices recognized as contributing factor of performance have been classified and examined at two distinct levels i.e. QMS Top Level practices and QMS Core practices (3) The mediating and interaction effects of QMS Core practices and HPWS practices on the relationship of QMS-Top Level practices and organizational effectiveness have been thoroughly investigated. The proposed framework is tested through cross-sectional data from 90 Technical Services Organizations (TSO) operating in Pakistan. The research hypotheses are supported by the test results of the SEM. The findings and implications are discussed along with limitations and future research guidelines.


Assuntos
Eficiência Organizacional , Emprego/psicologia , Cultura Organizacional , Administração de Recursos Humanos/métodos , Gestão da Qualidade Total/organização & administração , Desempenho Profissional/estatística & dados numéricos , Comércio , Estudos Transversais , Emprego/organização & administração , Humanos , Inquéritos e Questionários
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