Speaking up behaviors and safety climate in an Austrian university hospital.
Int J Qual Health Care
; 30(9): 701-707, 2018 Nov 01.
Article
em En
| MEDLINE
| ID: mdl-29701770
ABSTRACT
OBJECTIVE:
To analyze speaking up behavior and safety climate with a validated questionnaire for the first time in an Austrian university hospital.DESIGN:
Survey amongst healthcare workers (HCW). Data were analyzed using descriptive statistics, Cronbach's alpha was calculated as a measure of internal consistencies of scales. Analysis of variance and t-tests were used.SETTING:
The survey was conducted in 2017.PARTICIPANTS:
About 2.149 HCW from three departments were asked to participate. INTERVENTION To measure speaking up behavior and safety climate. MAIN OUTCOMEMEASURE:
To explore psychological safety, encouraging environment and resignation towards speaking up.RESULTS:
About 859 evaluable questionnaires were returned (response rate 40%). More than 50% of responders perceived specific concerns about patient safety within the last 4 weeks and observed a potential error or noticed rule violations. For the different items, between 16% and 42% of HCW reported that they remained silent though concerns for safety. In contrast, between 96% and 98% answered that they did speak up in certain situations. The psychological safety for speaking up was lower for HCW with a managerial function (P < 0.001). HCW with managerial functions perceived the environment as less encouraging to speak up (P < 0.05) than HCW without managerial function.CONCLUSIONS:
We identified speaking up behaviors for the first time in an Austrian university hospital. Only moderately frequent concerns were in conflict with frequent speaking up behaviors. These results clearly show that a paradigm shift is needed to increase speaking up culture.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Recursos Humanos em Hospital
/
Cultura Organizacional
/
Atitude do Pessoal de Saúde
/
Segurança do Paciente
Tipo de estudo:
Qualitative_research
Limite:
Female
/
Humans
/
Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article