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1.
Artigo em Inglês | MEDLINE | ID: mdl-32993013

RESUMO

Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) was used to investigate safety culture at a large UK healthcare trust during Covid-19. Findings were compared with baseline data from 2017. Incident reporting from the year preceding the pandemic was also examined. SAQ scores of doctors and "other clinical staff", were relatively higher than the nursing group. During Covid-19, on univariate regression analysis, female gender, age 40-49 years, non-White ethnicity, and nursing job role were all associated with lower SAQ scores. Training and support for redeployment were associated with higher SAQ scores. On multivariate analysis, non-disclosed gender (-0.13), non-disclosed ethnicity (-0.11), nursing role (-0.15), and support (0.29) persisted to a level of significance. A significant decrease (p < 0.003) was seen in error reporting after the onset of the Covid-19 pandemic. This is the first study to investigate SAQ during Covid-19. Differences in SAQ scores were observed during Covid-19 between professional groups when compared to baseline. Reductions in incident reporting were also seen. These changes may reflect perception of risk, changes in volume or nature of work. High-quality support for redeployed staff may be associated with improved safety perception during future pandemics.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus/epidemiologia , Cultura Organizacional , Pneumonia Viral/epidemiologia , Gestão da Segurança , Adulto , Betacoronavirus , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Reino Unido
5.
Neurology ; 95(12): 537-542, 2020 09 22.
Artigo em Inglês | MEDLINE | ID: mdl-32817189

RESUMO

Inclusion is the deliberate practice of ensuring that each individual is heard, all personal traits are respected, and all can make meaningful contributions to achieve their full potential. As coronavirus disease 2019 spreads globally and across the United States, we have viewed this pandemic through the lens of equity and inclusion. Here, we discuss how this pandemic has magnified preexisting health and social disparities and will summarize why inclusion is an essential tool to traverse this uncertain terrain and discuss strategies that can be implemented at organizational and individual levels to improve inclusion and address inequities moving forward.


Assuntos
Infecções por Coronavirus , Assistência à Saúde , Liderança , Neurologia , Cultura Organizacional , Pandemias , Pneumonia Viral , Sociedades Médicas , Populações Vulneráveis , Betacoronavirus , Grupos Étnicos , Mão de Obra em Saúde , Humanos , Doenças do Sistema Nervoso , Pobreza , Racismo , Minorias Sexuais e de Gênero , Fatores Socioeconômicos , Estados Unidos
6.
J Nurs Adm ; 50(9): 468-473, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826516

RESUMO

Nurse leaders seek effective strategies to engage nurses in decision-making when striving for clinical excellence. When leaders cultivate safe environments, nurses are encouraged to discover new knowledge and innovations. In our institution, nurse leaders designed a systematic guide using Liberating Structures to empower nurses to develop a professional practice model.


Assuntos
Liderança , Modelos de Enfermagem , Enfermeiras Administradoras , Cultura Organizacional , Prática Profissional , Desenvolvimento de Pessoal/organização & administração , Competência Clínica , Humanos , Enfermeiras Administradoras/organização & administração , Enfermeiras Administradoras/psicologia
7.
J Nurs Adm ; 50(9): 474-480, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826517

RESUMO

OBJECTIVE: The aim of this study was to connect patients' perceptions of nurses' daily care actions with patients' overall ratings of their hospital experience and hospitals' human caring culture. BACKGROUND: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national standardized survey measuring patients' hospital experience. Current literature lacks the connections between patients' perceptions of nurses' daily care actions and their overall hospital experience measured by the HCAHPS survey. METHODS: This is a correlational study based on the HCAHPS surveys from patients discharged from a hospital in the United States. Correlations were conducted between patients' perceptions of nurses' daily care actions and overall hospital experience. RESULTS: A total of 3,258 (16.6%) patients returned the HCAHPS survey between January and May 2019. Significant relationships were found among patients' perceptions of nurses' daily care actions, hospitals' caring culture, and overall experience. CONCLUSION: Nurses' daily care actions significantly contribute to favorable patients' overall hospital ratings on HCAHPS.


Assuntos
Pacientes Internados , Cuidados de Enfermagem/estatística & dados numéricos , Cultura Organizacional , Satisfação do Paciente/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Pesquisas sobre Serviços de Saúde , Hospitais , Humanos , Pacientes Internados/psicologia , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estados Unidos
8.
PLoS Pathog ; 16(8): e1008756, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32853280

RESUMO

This Pearl article recounts the story of a US corporation, Lennar, the nation's leading homebuilder, an essential function in the US (not allowed to lock down), when faced with the coronavirus disease 2019 (COVID-19) pandemic at the end of February 2020. The culture of the company, which allowed it to proceed safely, is one of cohesion, trust, teamwork, and respect for fellow humans. Theirs is a culture in which the safety, wellness, and health of the associates (employees) and the communities they serve is the number one priority. All associates wear a name badge with first name only, and all name badges share the same family name, Lennar. At Lennar, individual success means nothing, and collective success means everything. This is the story of how Lennar took control of the COVID-19 pandemic, metamorphosed itself into an even stronger organization, better suited to deal with COVID-19, and more importantly, optimally suited for the 21st century. The lessons learned not only were instrumental to Lennar but could also apply to any company eager to reopen their business.


Assuntos
Infecções por Coronavirus/epidemiologia , Cultura Organizacional , Pneumonia Viral/epidemiologia , Prevenção Primária/métodos , Corporações Profissionais , Betacoronavirus , Busca de Comunicante/métodos , Higiene das Mãos/métodos , Humanos , Programas de Rastreamento/métodos , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Distância Social , Estados Unidos/epidemiologia
12.
PLoS One ; 15(8): e0236721, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32750071

RESUMO

Whereas governments are increasingly considering affirmative action programs to increase corporate board diversity, the effect of such programs can be superficial as they do not address the underlying problem, which is women's access to and inclusion in relevant corporate networks. To address this issue, we study the relationship among affirmative action programs (binding gender quotas and non-binding gender targets), director networks, and the number of board positions individual directors hold given their gender. We use personal, professional, and network characteristics of 25,127 unique directors from 2,435 public firms in 32 European countries over the period of 2000 through 2017. We find that in the absence of affirmative action programs, women directors benefit less from their networks than men directors suggesting the existence of a gender gap in network benefits. After the passage of binding gender quotas, this gender gap in network benefits narrows between women and men directors. Overall, this research suggests that binding gender quotas make director networks a more salient tool for hiring women and may help in leveling the playing field in the way these networks are used for achieving top management positions.


Assuntos
Redes Comunitárias/organização & administração , Ética nos Negócios , Cultura Organizacional , Corporações Profissionais/organização & administração , Política Pública , Mulheres Trabalhadoras , Europa (Continente) , Feminino , Humanos , Masculino
13.
PLoS One ; 15(8): e0236748, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32750096

RESUMO

The current study examined the effect of a group's potential for improvement and decline in morality and competence on applicants' willingness to join the group. We conducted four experiments with 399 Chinese participants who rated their willingness to join groups with potential for improvement, potential for decline, or stability in terms of morality or competence. The results showed that, compared with groups with stable competence, participants preferred groups with potential for competence improvement and were more averse to groups with potential for competence decline. However, the biases regarding the potential for moral improvement and decline were asymmetric. Specifically, compared with groups with stable morality, participants had no preference for groups with potential for moral improvement, but were more averse to groups with potential for moral decline. Possible explanations for the asymmetric biases regarding the potential for moral improvement and decline and future research directions are discussed.


Assuntos
Viés , Processos Grupais , Princípios Morais , Feminino , Humanos , Masculino , Cultura Organizacional , Adulto Jovem
15.
Artigo em Inglês | MEDLINE | ID: mdl-32698320

RESUMO

In March-April 2020, the Corona Virus Disease 19 (COVID-19) pandemic suddenly hit Italian healthcare facilities and in some of them many staff members became infected. In this work 595 health care workers from a public company were tested for Severe acute respiratory syndrome coronavirus 2 (82 positive) and asked to complete a questionnaire on early COVID-19 symptoms. Respiratory symptoms were present in 56.1% of cases. Anosmia and dysgeusia in COVID-19 cases were found to have an odds ratio (OR) = 100.7 (95% Confidence Interval [CI] = 26.5-382.6) and an OR = 51.8 (95%CI 16.6-161.9), respectively. About one in three of the cases (29.3%) never manifested symptoms. Anxiety was reported by 16.6% of COVID-19 cases and depression by 20.3%, with a significant increase in the estimated risk (OR = 4.3; 95%CI = 2.4-7.4 for anxiety, OR = 3.5; 95%CI = 2.0-6.0 for depression). In cases, sleep was a significant moderating factor in the relationship between occupational stress, or organizational justice, and anxiety. The early diagnosis of COVID-19 in health care workers, must consider, in addition to respiratory disorders and fever, anosmia, dysgeusia, exhaustion, myalgias and enteric disorders. The frequency of anxiety and depression disorders in the population examined was not higher than that commonly recorded in the same company during periodic checks in the years preceding the epidemic. In COVID-19 cases there was a significant risk of anxiety, especially in those who had low sleep quality. Mental health support and improvement interventions must mainly concern workers with positive tests and should also tend to improve sleep quality.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/fisiopatologia , Pneumonia Viral/fisiopatologia , Adulto , Ansiedade/epidemiologia , Coronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Estudos Transversais , Feminino , Pessoal de Saúde/psicologia , Humanos , Saúde Mental , Cultura Organizacional , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Inquéritos e Questionários
16.
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
17.
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
20.
Am J Pharm Educ ; 84(6): ajpe8156, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32665727

RESUMO

This commentary examines the challenges pharmacy faculty members have faced while working to fulfill their school's tripartite mission of teaching, research, and service during the coronavirus identified in 2019 (COVID-19) pandemic. It also outlines considerations that need to be made before moving forward regarding communication, collaboration, and culture. The pandemic has created opportunities for pharmacy educators to take instructional risks and attempt new didactic and experiential teaching methods and assessment strategies. Working remotely has not only altered pharmacy education, but also scholarship and service. Conducting a broad range of collaborations with accelerated timelines to address COVID-19 has in some instances forged new relationships both between and within universities and focused faculty members on grantsmanship and writing. Faculty governance and administrative leadership have been focused on solving challenges resulting from the COVID-19 pandemic in a collaborative, transparent approach guided by faculty bylaws. Programs have found ways to use these changes to their advantage while advancing the mission of the Academy, which can contribute to changing the culture of how we interact and care about each other with the hope that the positive changes made have an enduring and meaningful impact for years to come.


Assuntos
Comportamento Cooperativo , Infecções por Coronavirus/epidemiologia , Educação em Farmácia/organização & administração , Docentes de Farmácia/organização & administração , Pneumonia Viral/epidemiologia , Betacoronavirus , Comunicação , Educação a Distância/organização & administração , Empatia , Docentes de Farmácia/psicologia , Humanos , Liderança , Cultura Organizacional , Pandemias , Autocuidado/métodos
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