scholarly journals Changes in Transformational Leadership and Empirical Quality Outcomes in a Finnish Hospital over a Two-Year Period: A Longitudinal Study

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Raija Mäntynen ◽  
Katri Vehviläinen-Julkunen ◽  
Pirjo Partanen ◽  
Hannele Turunen ◽  
Merja Miettinen ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Transformational Leadership ◽  
Patient Safety ◽  
Patient Satisfaction ◽  
Nursing Staff ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Quality Outcomes ◽  
Web Based ◽  
Positive Effects

This paper describes the changes in transformational leadership and quality outcomes that occurred between 2008 and 2011 in a Finnish university hospital that is aiming to meet the Magnet standards. Measurements were conducted in 2008-2009 and subsequently in 2010-2011 by surveying nursing staff and patients. Nursing staff were surveyed using web-based surveys to collect data on transformational leadership (n1=499,n2=498) and patient safety culture (n1=234,n2=512) and using both postal and web-based surveys to gather information on job satisfaction (n1=1176,n2=779). Questionnaires were used to collect data on care satisfaction from patients (n1=678,n2=867). Transformational leadership was measured using the 54-item TLS, job satisfaction with the 37-item KUHJSS, patient safety culture with the 42-item HSPSC, and patient satisfaction using the 42-item RHCS questionnaire. Transformational leadership, which was the weakest area, was at the same level between the two measurement occasions. Job satisfaction scores increased between 2008 and 2010, although they were generally excellent in 2008. The scores for nonpunitive responses to errors and events reported were also higher in the 2010-2011 surveys. The highest empirical outcome scores related to patient satisfaction. The project and the development initiatives undertaken since 2008 seem to have had positive effects on empirical quality outcomes.

scholarly journals Examination of the relationship between management and clinician agreement on communication openness, teamwork, and patient satisfaction in the US hospitals

2016 ◽  
Vol 5 (4) ◽  
pp. 20
Author(s):  
Olena Mazurenko ◽  
Jason Richter ◽  
Abby Swanson-Kazley ◽  
Eric Ford
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Data Sets ◽  
Cross Sectional ◽  
Communication Openness ◽  
Cross Sectional Design ◽  
Willingness To Recommend

Background: Patient satisfaction has always been an area of focus for hospitals, but gained particular importance due to the changes in the Centers for Medicare and Medicaid reimbursement policies. Hospital managers and clinicians interact with patients in different ways and have different perspectives on safety culture, yet little is known about how that impacts patient satisfaction.Objective: To examine how the agreement between clinicians and management perspectives on patient safety culture is related to patient satisfaction by employing cross-sectional design with linear regressions.Methods: Two data sets were used: 2012 Hospital Survey on Patient Safety Culture and 2012 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The dependent variables were: overall rating of the hospital experience and willingness to recommend a hospital. The independent variables were four safety culture domains: communication openness, feedback, and communication about errors, teamwork within units, and teamwork between units.Results: The results suggest that manager and clinician agreement on high levels of communication openness, feedback and communication about errors, teamwork between units, and teamwork across units were positively and significantly associated with overall patient satisfaction and willingness to recommend. Additionally, more favorable perceptions about patient safety culture by only clinicians yielded similar findings.Conclusions: For policymakers, measuring managers and clinicians’ perceptions on patient safety culture may provide a valuable indicator of patient satisfaction throughout the country. While managers are more likely to have the power to devote resources to patient safety initiatives, they may not adequately judge culture in their unit and should take into account the perspectives of clinicians who have a more frontline perspective.

scholarly journals Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals

2018 ◽  
Vol 15 (10) ◽  
pp. 2131 ◽  
Author(s):  
Anke Wagner ◽  
Antje Hammer ◽  
Tanja Manser ◽  
Peter Martus ◽  
Heidrun Sturm ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Sector ◽  
Management Support ◽  
University Hospitals ◽  
Psychosocial Working Conditions ◽  
Culture Model

Background: In the healthcare sector, a comprehensive safety culture includes both patient care-related and occupational aspects. In recent years, healthcare studies have demonstrated diverse relationships between aspects of psychosocial working conditions, occupational, and patient safety culture. The aim of this study was to consider and test relevant predictors for staff’s perceptions of occupational and patient safety cultures in hospitals and whether there are shared predictors. From two German university hospitals, 381 physicians and 567 nurses completed a questionnaire on psychosocial working conditions, occupational, and patient safety culture. Two regression models with predictors for occupational and patient safety culture were conceptually developed and empirically tested. In the Occupational Safety Culture model, job satisfaction (β = 0.26, p ≤ 0.001), work‒privacy conflict (β = −0.19, p ≤ 0.001), and patient-related burnout (β = −0.20, p ≤ 0.001) were identified as central predictors. Important predictors in the Patient Safety Culture model were management support for patient safety (β = 0.24, p ≤ 0.001), supervisor support for patient safety (β = 0.18, p ≤ 0.001), and staffing (β = 0.21, p ≤ 0.001). The two models mainly resulted in different predictors. However, job satisfaction and leadership seem to play an important role in both models and can be used in the development of a comprehensive management of occupational and patient safety culture.

scholarly journals Effects of Patient Safety Culture on Patient Satisfaction With Radiological Services in Nigerian Radiodiagnostic Practice

2018 ◽  
Vol 5 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Chioma Henrietta Okafor ◽  
Anthony C Ugwu ◽  
Ime Edet Okon
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Positive Response ◽  
Health Workers ◽  
Care Delivery ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Patient Satisfaction Questionnaire

Introduction: Patient safety culture is believed to be the first step toward improvement in quality of health-care delivery which will impact patient satisfaction. Objective: To assess the effect of patient safety culture on patient satisfaction in radiodiagnostic practice. Method: Two validated questionnaires via Hospital Survey on Patient Safety Culture by Agency of Health Research and Quality and patient satisfaction questionnaire by Hays were administered to radiodiagnostic staff and patients who came for diagnostic care, respectively. These questionnaires were based on 5-point Likert scale. Questionnaires on patient safety culture and patient satisfaction were administered to 80 radiology health workers and 376 patients of radiology, respectively. Simple random sampling was used to enlist the participants for patient satisfaction while a population study was carried out to enlist patient safety culture participants. Data were analyzed using SPSS version 17. Results: Response rate for patient safety culture questionnaires was 94.6%, while that of patient satisfaction was 62.8%. Among the survey items of patient safety, teamwork has the highest positive response of 76.5%, while staffing has the least, 30%. Overall patient safety culture was 53.7%. The survey item with highest positive response in patient satisfaction survey was patient-provider relationship (80%), while service cost-effectiveness has the least of 59%. Overall patient satisfaction with radiological services was 72.6%. There is no correlation between patient safety culture and patient satisfaction. Conclusion: Even though there is an excellent level of patient satisfaction in this study, it is not related to the practice of patient safety culture in radiodiagnostic unit.

scholarly journals A Perception of health care providers toward quality work environment and patients’ safety culture at hemodialysis units.

2016 ◽  
Vol 4 (12) ◽  
pp. 110-128
Author(s):  
Maha Adel Salem ◽  
Hala Ahmed Abdou ◽  
Hoda Ibrahim El-Trawy
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Practice Environment ◽  
Care Providers ◽  
Ministry Of Health ◽  
Safety Work

Many changes have been made in the healthcare practice environment. Understanding of quality practice environment in hemodialysis units has certain implications for maximizing outcomes for clients, nurses, and systems. Developing quality practice environments takes time and commitment to promote and support patients’ safety. Hence improving safety patient culture is vital in dialysis units because it requires for reducing risks for harm, errors of patients and delivering high quality of patients care. The Study aimed to determine the perception of nursing staff’ toward quality practice environment and patients’ safety at Hemodialysis units. Methodology, data collection was utilized a descriptive correlational design for this study, all nursing staff amounted to (n= 90) They are classified into: all head nurses n = 7,, and all nurses who have either diploma (n = 40) or baccalaureate degree (n = 43) who are affiliated to all hemodialysis units (n =7) at Ministry of Health ,Egypt. A package composed of two instruments was used, namely: Environment Scale-Nursing Work Index (PES-NWI) and Hospital Survey on Patient Safety Culture (HSPSC). Results, the major findings indicated that there is a positive correlation significant among practice work environment and patient safety culture except for staffing and resource adequacy in all hemodialysis units of Ministry of Health Hospitals. Also, results point out that the organizational structure of the Ministry of Health Hospitals is characterized by unhealthy environment and unsafe climate that force the nursing staff to have low perception toward most of quality practice environment and patient safety culture factors. The study recommended that initiating a blame-free reporting system to prevent re-occurrence of problems and actions to eliminate them from the workplace by detecting, evaluating, preventing and treating safety work environment

scholarly journals Association between Job Satisfaction, Burnout, and Patient Safety Culture among Medical Staff of the Qom University of Medical Sciences in 2020, Iran

2021 ◽  
Vol 10 (2) ◽  
pp. 127-133
Author(s):  
Azadeh Asgarian ◽  
Roghayeh Sadeghi ◽  
Fatemeh Abolhasani ◽  
Abolfazl Mohammadbeigi ◽  
Alireza Omidi Oskouei ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Safety Culture ◽  
Medical Staff ◽  
Patient Safety Culture ◽  
Medical Sciences

scholarly journals IMPLEMENTATION OF TOTAL QUALITY MANAGEMENT: THE EFFECT ON PATIENT SAFETY CULTURE, SERVICE QUALITY, AND ITS IMPACT ON PATIENT SATISFACTION AND PRIVATE HOSPITAL PERFORMANCE IN MANADO CITY

2021 ◽  
Vol 9 (7) ◽  
pp. 44-58
Author(s):  
Jessy Jousina Pondaag ◽  
Paulus Kindangen ◽  
Hendra N. Tawas ◽  
Jacky Sigfried Beatrix Sumarauw
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Quality Management ◽  
Service Quality ◽  
Total Quality Management ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Hospital Performance ◽  
Research Approach ◽  
Total Quality

The purpose of this research is to determine the effect of implementation of Total Quality Management (TQM) on patient safety culture, service quality, patient satisfaction, and hospital performance. This research conducted in private hospitals in Manado City which are: GMIM Pancaran Kasih Hospital, Advent Hospital, Sitti Maryam Hospital, and Siloam Hospital. The research approach used in this research is quantitative approach. The population in this research is the inpatients. Data collection technique conducted by questionnaires, documentation and observation. The sampling technique used in this research is saturated sampling (census). Data analysis conducted by using path analysis with the using SPSS ver. 25. The result of this research shows that the implementation of Total Quality Management impacted positively significantly on patient safety culture, the implementation of Total Quality Management impacted positively significantly on hospital service quality, the implementation of Total Quality Management impacted insignificantly on patient satisfaction, the implementation of Total Quality Management impacted positively significantly on hospital performance, Patient Safety Culture impacted positively significantly on patient satisfaction, Patient Safety Culture impacted positively significantly on hospital performance, Service Quality impacted positively significantly on hospital performance, Hospital Performance impacted positively significantly on hospital performance, and Patient Satisfaction impacted positively significantly on hospital performance.

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