scholarly journals The ConCom Safety Management Scale: developing and testing a measurement instrument for control-based and commitment-based safety management approaches in hospitals

2018 ◽  
Vol 27 (10) ◽  
pp. 807-817 ◽  
Author(s):  
Carien W Alingh ◽  
Mathilde M H Strating ◽  
Jeroen D H van Wijngaarden ◽  
Jaap Paauwe ◽  
Robbert Huijsman
Keyword(s):  
Patient Safety ◽  
Construct Validity ◽  
Goodness Of Fit ◽  
Management Practices ◽  
Nurse Managers ◽  
Safety Management ◽  
Measurement Instrument ◽  
Managerial Control ◽  
Clinical Hospital ◽  
Management Approaches

BackgroundNursing management is considered important for patient safety. Prior research has predominantly focused on charismatic leadership styles, although it is questionable whether these best characterise the role of nurse managers. Managerial control is also relevant. Therefore, we aimed to develop and test a measurement instrument for control-based and commitment-based safety management of nurse managers in clinical hospital departments.MethodsA cross-sectional survey design was used to test the newly developed questionnaire in a sample of 2378 nurses working in clinical departments. The nurses were asked about their perceptions of the leadership behaviour and management practices of their direct supervisors. Psychometric properties were evaluated using confirmatory factor analysis and reliability estimates.ResultsThe final 33-item questionnaire showed acceptable goodness-of-fit indices and internal consistency (Cronbach’s α of the subscales range: 0.59–0.90). The factor structure revealed three subdimensions for control-based safety management: (1) stressing the importance of safety rules and regulations; (2) monitoring compliance; and (3) providing employees with feedback. Commitment-based management consisted of four subdimensions: (1) showing role modelling behaviour; (2) creating safety awareness; (3) showing safety commitment; and (4) encouraging participation. Construct validity of the scale was supported by high factor loadings and provided preliminary evidence that control-based and commitment-based safety management are two distinct yet related constructs. The findings were reconfirmed in a cross-validation procedure.ConclusionThe results provide initial support for the construct validity and reliability of our ConCom Safety Management Scale. Both management approaches were found to be relevant for managing patient safety in clinical hospital departments. The scale can be used to deepen our understanding of the influence of patient safety management on healthcare professionals’ safety behaviour as well as patient safety outcomes.

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses’ willingness to speak up

2018 ◽  
Vol 28 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Carien W Alingh ◽  
Jeroen D H van Wijngaarden ◽  
Karina van de Voorde ◽  
Jaap Paauwe ◽  
Robbert Huijsman
Keyword(s):  
Patient Safety ◽  
Safety Management ◽  
Psychological Safety ◽  
Regression Analyses ◽  
Speaking Up ◽  
Safety Concerns ◽  
Management Approaches ◽  
Nurses Perceptions ◽  
Speak Up ◽  
The Relationship

BackgroundSpeaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up. However, good insight into the relationship between managers’ behaviour and employees’ perceptions about whether speaking up is safe and worthwhile is still lacking.AimTo explore the relationships between control-based and commitment-based safety management, climate for safety, psychological safety and nurses’ willingness to speak up.MethodsWe conducted a cross-sectional survey study, resulting in a sample of 980 nurses and 93 nurse managers working in Dutch clinical hospital wards. To test our hypotheses, hierarchical regression analyses (at ward level) and multilevel regression analyses were conducted.ResultsSignificantly positive associations were found between nurses’ perceptions of control-based safety management and climate for safety (β=0.74; p<0.001), and between the perceived levels of commitment-based management and team psychological safety (β=0.36; p<0.01). Furthermore, team psychological safety is found to be positively related to nurses’ speaking up attitudes (B=0.24; t=2.04; p<0.05). The relationship between nurse-rated commitment-based safety management and nurses’ willingness to speak up is fully mediated by team psychological safety.ConclusionResults provide initial support that nurses who perceive higher levels of commitment-based safety management feel safer to take interpersonal risks and are more willing to speak up about patient safety concerns. Furthermore, nurses’ perceptions of control-based safety management are found to be positively related to a climate for safety, although no association was found with speaking up. Both control-based and commitment-based management approaches seem to be relevant for managing patient safety, but when it comes to encouraging speaking up, a commitment-based safety management approach seems to be most valuable.

scholarly journals Nursing Students’ Informal Learning of Patient Safety Management Activities

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1635
Author(s):  
Nam-Yi Kim
Keyword(s):  
Patient Safety ◽  
Clinical Practice ◽  
Nursing Students ◽  
Informal Learning ◽  
Goodness Of Fit ◽  
Safety Management ◽  
Mediating Effect ◽  
Likelihood Method ◽  
Specific Patient ◽  
Fit Index

Nursing students require experience in patient safety management to prevent accidents that compromise patient safety. This study examined the mediating effects of informal learning on nursing students’ patient safety management activities. Responses to questionnaires issued to 136 nursing students in South Korea were analyzed. The independent, mediating, and dependent variables used were nursing competencies, informal learning, and patient safety management activities, respectively. Concept validity and model fitness were confirmed using average variance extracted and composite reliability. Model fitness was confirmed using the goodness-of-fit index, normed fit index, Tucker–Lewis index, comparative fit index, and standardized root mean squared residual. The mediating effect was analyzed using the maximum likelihood method, and statistical significance was assessed through bootstrapping. Informal learning mediated the relationship between nursing competence and patient safety management activities. To improve the implementation of patient safety management activities and increase patient safety competence, learning and teaching of specific patient safety-related knowledge, skills, and attitudes need to be improved. For this, informal learning opportunities (e.g., simulation education and clinical practice) must be increased in the nursing curriculum, and the patient safety education capacity should be increased to maintain continuity and connectivity in clinical practice.

scholarly journals Patient safety management from the perspective of nurses

2015 ◽  
Vol 49 (2) ◽  
pp. 0277-0283 ◽  
Author(s):  
Lucilena Françolin ◽  
Carmen Silvia Gabriel ◽  
Andrea Bernardes ◽  
Ana Elisa Bauer de Camargo Silva ◽  
Maria de Fatima Paiva Brito ◽  
...  
Keyword(s):  
Patient Safety ◽  
Nurse Managers ◽  
Reporting System ◽  
Safety Management ◽  
Adverse Event Reporting System ◽  
Adverse Event Reporting ◽  
Cross Sectional ◽  
Organizational Policies ◽  
Event Notification ◽  
Risk Management Committee

OBJECTIVE To evaluate the actions of patient safety management developed in hospitals, from the perspective of nurses. METHOD This is a cross-sectional, descriptive study of the survey type. Participants were seven hospitals, in which seven nurse managers and 49 sector coordinator nurses (n = 56) answered the instrument prepared by the author. RESULTS The results showed that 100% of hospitals have an adverse event reporting system, 71.4% have a Risk Management Committee and 80% have discussions about the events. There is agreement that these discussions lead to favorable changes for patient safety in the surveyed institutions. The employees' fear of punishment for their faults, and the underreporting of events were the aspects of greatest weakness found. CONCLUSION The institutions should develop organizational policies focused on stimulating event notification and on the implementation of measures directed to a non-punitive organizational culture.

A Survey of Nursery Water Quality Best Management Practices

HortScience ◽  
1998 ◽  
Vol 33 (3) ◽  
pp. 501e-502
Author(s):  
Cody J. White ◽  
Michael A. Schnelle ◽  
Gerrit W. Cuperus
Keyword(s):  
Water Quality ◽  
Best Management Practices ◽  
Management Practices ◽  
Cultural Practices ◽  
Plant Materials ◽  
Best Management ◽  
Employee Safety ◽  
Current Water ◽  
Management Approaches ◽  
Environmentally Sound

A survey was designed to assess high-risk areas with respect to environmental contamination, specifically how it relates to water quality. Oklahoma growers of all economic levels, retail and/or wholesale, were queried at their place of business for their current state of implementing best management practices (BMPs) and other strategic actions that could potentially affect current and future water quality standards. Specific areas such as the physical environment of the nursery, primary pesticides and fertilizers used, Integrated Pest Management (IPM) practices, and employee safety training were covered as well as other aspects germane to preserving and protecting current water quality and related environmental issues. More than 75 nurseries were surveyed and given the opportunity to participate in future training at Oklahoma State Univ. Results indicated that nurseries have not fully implemented many BMPs, but have adopted fundamental IPM approaches. The stage is set for the implementation of the next phase of expansion and refinement into ecologically based programs such as propagation and sale of low pesticide input plant materials, improved cultural practices, and the integration of environmentally sound management approaches. As an example, many growers are in the process of phasing out calendar-based pesticide application programs in favor of aesthetic and/or economic threshold-driven pesticide spray programs.

512 Confirmatory Factor Analysis of the Sleep Inertia Questionnaire in a Clinical Sample with Sleep Disorders

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A201-A202
Author(s):  
Kristina Puzino ◽  
Susan Calhoun ◽  
Allison Harvey ◽  
Julio Fernandez-Mendoza
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Sleep Disorders ◽  
Goodness Of Fit ◽  
Criterion Validity ◽  
Clinical Samples ◽  
Sleep Inertia ◽  
Confirmatory Factor ◽  
Sensitivity Specificity

Abstract Introduction The Sleep Inertia Questionnaire (SIQ) was developed and validated in patients with mood disorders to evaluate difficulties with becoming fully awake after nighttime sleep or daytime naps in a multidimensional manner. However, few data are available regarding its psychometric properties in clinical samples with sleep disorders. Methods 211 patients (43.0±16.4 years old, 68% female, 17% minority) evaluated at the Behavioral Sleep Medicine (BSM) program of Penn State Health Sleep Research & Treatment Center completed the SIQ. All patients were diagnosed using ICSD-3 criteria, with 111 receiving a diagnosis of chronic insomnia disorder (CID), 48 of a central disorder of hypersomnolence (CDH), and 52 of other sleep disorders (OSD). Structural equation modelling was used to conduct confirmatory factor analysis (CFA) of the SIQ. Results CFA supported four SIQ dimensions of “physiological”, “cognitive”, “emotional” and “response to” (RSI) sleep inertia with adequate goodness-of-fit (TLI=0.90, CFI=0.91, GFI=0.85, RMSEA=0.08). Internal consistency was high (α=0.94), including that of its dimensions (physiological α=0.89, cognitive α=0.94, emotional α=0.67, RSI α=0.78). Dimension inter-correlations were moderate to high (r=0.42–0.93, p&lt;0.01), indicating good construct validity. Convergent validity showed moderate correlations with Epworth sleepiness scale (ESS) scores (r=0.38) and large correlations with Flinders fatigue scale (FFS) scores (r=0.65). Criterion validity showed significantly (p&lt;0.01) higher scores in subjects with CDH (69.0±16.6) as compared to those with CID (54.4±18.3) or OSD (58.5±20.0). A SIQ cut-off score ≥57.5 provided a sensitivity/specificity of 0.77/0.65, while a cut-off score ≥61.5 provided a sensitivity/specificity of 0.71/0.70 to identify CDH vs. ESS&lt;10 (AUC=0.76). Conclusion The SIQ shows satisfactory indices of reliability and construct validity in a clinically-diverse sleep disorders sample. Its criterion validity is supported by its divergent association with hypersomnia vs. insomnia disorders, as well as its adequate sensitivity/specificity to identify patients with CDH. The SIQ can help clinicians easily assess the complex dimensionality of sleep inertia and target behavioral sleep treatments. Future studies should confirm the best SIQ cut-off score by including good sleeping controls, while clinical studies should determine its minimal clinically important difference after pharmacological or behavioral treatments. Support (if any):

scholarly journals Effect of Soil Management on Erosion in Mountain Vineyards (N-W Italy)

2021 ◽  
Vol 13 (4) ◽  
pp. 1991
Author(s):  
Silvia Stanchi ◽  
Odoardo Zecca ◽  
Csilla Hudek ◽  
Emanuele Pintaldi ◽  
Davide Viglietti ◽  
...  
Keyword(s):  
Soil Erosion ◽  
Management Practices ◽  
Soil Management ◽  
Buffer Strips ◽  
Total N ◽  
Organic C ◽  
Erosion Rates ◽  
Soil Ecosystem Services ◽  
Erosion Mitigation ◽  
Management Approaches

We studied the effects of three soil management approaches (permanent grassing, chemical weeding, and buffer strips), and the additional impact of tractor passage on soil erosion in a sloping vineyard located in the inner part of Aosta Valley (N-W Italian Alps). The vineyard rows were equipped with a sediment collection system with channels and barrel tanks. A total of 12 events with sediment production were observed across 6 years, and the collected sediments were weighted and analyzed. Average erosion rates ranged from negligible (mainly in grassed rows) to 1.1 t ha−1 per event (after weeding). The most erosive event occurred in July 2015, with a total rainfall of 32.2 mm, of which 20.1 were recorded in 1 h. Despite the limited number of erosive events observed, and the low measured erosion rates, permanent grassing reduced soil erosion considerably with respect to weeding; buffering had a comparable effect to grassing. The tractor passage, independent of the soil management approaches adopted, visibly accelerated the erosion process. The collected sediments were highly enriched in organic C, total N, and fine size fractions, indicating a potential loss of fertility over time. Despite the measured erosion rates being low over the experiment’s duration, more severe events are well documented in the recent past, and the number of intense storms is likely to increase due to climate change. Thus, the potential effects of erosion in the medium and long term need to be limited to a minimum rate of soil loss. Our experiment helped to compare soil losses by erosion under different soil management practices, including permanent grassing, i.e., a nature-based erosion mitigation measure. The results of the research can provide useful indications for planners and practitioners in similar regions, for sustainable, cross-sectoral soil management, and the enhancement of soil ecosystem services.

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