scholarly journals Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic

Author(s):  
Swati Gaur ◽  
Rajeev Kumar ◽  
Suzanne M. Gillespie ◽  
Robin L.P. Jump
2021 ◽  
Vol 10 (2) ◽  
pp. 158-176
Author(s):  
Yumna Nur Millati Hanifa ◽  
Inge Dhamanti

The implementation of safe and quality care with attention to patient safety, requires organization’s effort to create and cultivating patient safety culture. The purpose of this article was to map the instruments used in measuring patient safety culture in healthcare organizations. The method used integrated literature review from various sources of research articles published from 2015 to 2020. The article included if it was available in full text and open access as well as articles described the instruments of patient safety culture or measurement of patient safety culture using one of the instruments of measurement of patient safety culture. The results of the literature review unravel the findings of three instruments such as HSOPSC (Hospital Survey on Patient Safety Culture), MaPSaF (Manchester Patient Safety Assessment Framework) and SAQ (Safety Attitudes Questionnaire). We concluded all three instruments contained four dimensions of patient safety culture, namely open culture, just culture, reporting culture and learning culture and were widely used to measure patient safety culture in hospitals, primary health facilities and other health facilities.


2019 ◽  
Vol 273 ◽  
pp. 01004
Author(s):  
Nektarios Karanikas ◽  
Alfred Roelen ◽  
Alistair Vardy

In the frame of an on-going 4-years research project, the Aviation Academy Safety Culture Prerequisites (AVAC-SCP) metric was developed to assess whether an organisation plans and implements activities that correspond to prerequisites for fostering a positive safety culture. The metric was designed based on an inclusive theoretical framework stemmed from academic and professional literature and in cooperation with knowledge experts and aviation companies. The goal of the AVAC-SCP is to evaluate three aspects, namely (1) the extent to which the prerequisites are designed/documented, (2) the degree of the prerequisites’ implementation, and (3) the perceptions of the employees regarding the organizational safety culture as a proxy for the effectiveness of the prerequisites’ implementation. The prerequisites have been grouped into six categories (common prerequisites and just, flexible, reporting, information and learning cultures) and the metric concludes with scores per aspect and category. The results from surveys at 16 aviation companies showed that these companies had adequately included most of the Safety Culture Prerequisites (SCP) in their documentation where Just culture plans scored the lowest and Reporting culture plans were found with the highest percentage of planning. The level of SCP implementation was the same high as the organisational plans and quite uniform across the companies and sub-cultures. The perceptions were at the same overall level with implementation, but employees perceived the organisational environment as less fair and more flexible than managers claimed. Although the study described in this report was exploratory and not explanatory, we believe that the results presented in combination with the ones communicated to the participating companies can trigger the latter to investigate further their weaker areas and foster their activities related to Safety Culture Prerequisites. Also, the AVAC-SCP metric is deemed useful to organisations that want to self-assess their SCP levels and proceed to comparisons amongst various functions and levels and/or over time.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Gunnar Tschudi Bondevik ◽  
Dag Hofoss ◽  
Bettina Sandgathe Husebø ◽  
Ellen Catharina Tveter Deilkås

2011 ◽  
Vol 51 (6) ◽  
pp. 739-749 ◽  
Author(s):  
Judith E. Arnetz ◽  
Ludmila S. Zhdanova ◽  
Dalia Elsouhag ◽  
Peter Lichtenberg ◽  
Mark R. Luborsky ◽  
...  

2011 ◽  
Vol 36 (2) ◽  
pp. 175-187 ◽  
Author(s):  
Nicholas G. Castle ◽  
Laura M. Wagner ◽  
Jamie C. Ferguson ◽  
Steven M. Handler
Keyword(s):  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Delphine Teigné ◽  
Guillaume Mabileau ◽  
Leila Moret ◽  
Noémie Terrien

Abstract Background French nursing homes (NHs) are in the early stages of implementing their risk management approach. The latter includes the development of a safety culture (SC) among professionals. A training package to support NHs in implementing a risk management strategy has been designed by QualiREL Santé, a regional body that provides support in quality and risk management. The aim is to improve SC. No data are available about the level of SC in French NHs. This study evaluates the level of SC and identifies predictors of SC scores in NHs that will subsequently benefit from the training package. Method The study was proposed to NHs who are members of QualiREL Santé in 2 French departments. Inclusion criteria were voluntary participation, the commitment of top management to benefit from the training package, and the absence of previous risk management support provided by QualiREL Santé. The NHSOPS-F questionnaire (22 items measuring 7 dimensions of SC) was administered to professionals between January and March 2016. 14 variables related to the structural profile of the NHs and the strategic choices of top management in terms of healthcare safety were recorded. Scores for 7 dimensions were calculated for all of the included NHs. Further modelling identified predictive factors. Results 58 NHs were included. The response rate for the NHSOPS-F (n = 1946 professionals) was 64% (Q1-Q3 = [49.4;79.0]). Staffing was the least-developed dimension (11.8%), while scores were highest for Feedback and communication about incidents (84.8%). Being attached to a public hospital was associated with poorer perceptions of SC, notably for the dimension “Overall perceptions of resident safety and organizational learning” (β = − 19.59;p-value< 0.001). A less-developed SC was also significantly linked to existing Quality initiatives. Conclusions Overall, French NHs must prioritise issues of staffing, teamwork and compliance with procedures. The role of human factors within teams should be exploited by top management. Our initial findings will help to adapt improvement approaches and are particularly relevant to local and national policies during the ongoing pandemic.


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