The Impact of Market Orientation on Patient Safety Climate Among Hospital Nurses

2014 ◽  
Vol 39 (1) ◽  
pp. 65-86 ◽  
Author(s):  
Rhay-Hung Weng ◽  
Jung-Chien Chen ◽  
Li-Jung Pong ◽  
Li-Mei Chen ◽  
Tzu-Chi Lin
Health Scope ◽  
2013 ◽  
Vol 1 (4) ◽  
Author(s):  
Seyed Bagher Mortazavi ◽  
Morteza Oostakhan ◽  
Amirabbas Mofidi ◽  
Aliakbar Babaei

2019 ◽  
Author(s):  
Marília Duarte Valim ◽  
Thaissa Blanco Bezerra ◽  
Alvaro Francisco Lopes Sousa ◽  
Denise de Andrade ◽  
Adriano Menis Ferreira ◽  
...  

Abstract Background: We aimed to monitor hand hygiene (HH) of health professionals in three critical sectors of a university hospital, to verify the physical structure of these units for HH, gloves use and perception of professionals regarding the patient's safety climate Methods: An observational, correlational study, conducted in critical sectors of a hospital. The study population consisted of nurses, nursing technicians, physicians, resident physicians and physiotherapists. The data were collected through four questionnaires to evaluate HH, factors related to adherence to it and sociodemographic characteristics. Results: A total of 148 professionals and 3.025 opportunities for HH were observed. Adherence to HH was higher among nurses when compared to nursing professionals (p <0.05), and there was a difference between different sectors (p <0.05). Professionals who previously participated in training had greater adherence (47.79% CI95% 45.38-50.20) to HH than professionals who did not participate (44.62% CI95% 41.95-47.29). There was a statistical difference between the perception of the security climate and the type of employment bond of the professional, as well as the sector in which it operates. Conclusion: Adherence to HH was affected and / or influenced by the physical structure, use of procedure gloves, work regimen and perceived patient safety climate. Keywords: Hand hygiene; Cross Infection; Patient Safety; Safety culture


Health Scope ◽  
2013 ◽  
Vol 1 (4) ◽  
pp. 158-164 ◽  
Author(s):  
Seyed Bagher Mortazavi ◽  
Morteza Oostakhan ◽  
Amirabbas Mofidi ◽  
Aliakbar Babaei

2018 ◽  
Vol 7 (4) ◽  
pp. e000433
Author(s):  
Shahram Zaheer ◽  
Liane R Ginsburg ◽  
Hannah J Wong ◽  
Kelly Thomson ◽  
Lorna Bain

BackgroundThere is growing evidence regarding the importance of contextual factors for patient/staff outcomes and the likelihood of successfully implementing safety improvement interventions such as checklists; however, certain literature gaps still remain—for example, lack of research examining the interactive effects of safety constructs on outcomes. This study has addressed some of these gaps, together with adding to our understanding of how context influences safety.PurposeThe impact of staff perceptions of safety climate (ie, senior and supervisory leadership support for safety) and teamwork climate on a self-reported safety outcome (ie, overall perceptions of patient safety (PS)) were examined at a hospital in Southern Ontario.MethodsCross-sectional survey data were collected from nurses, allied health professionals and unit clerks working on intensive care, general medicine, mental health or emergency department.ResultsHierarchical regression analyses showed that perceptions of senior leadership (p<0.001) and teamwork (p<0.001) were significantly associated with overall perceptions of PS. A non-significant association was found between perceptions of supervisory leadership and the outcome variable. However, when staff perceived poorer senior leadership support for safety, the positive effect of supervisory leadership on overall perceptions of PS became significantly stronger (p<0.05).Practice implicationsOur results suggest that leadership support at one level (ie, supervisory) can substitute for the absence of leadership support for safety at another level (ie, senior level). While healthcare organisations should recruit into leadership roles and retain individuals who prioritise safety and possess adequate relational competencies, the field would now benefit from evidence regarding how to build leadership support for PS. Also, it is important to provide on-site workshops on topics (eg, conflict management) that can strengthen working relationships across professional and unit boundaries.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ferdinand O. Bohmann ◽  
Joachim Guenther ◽  
Katharina Gruber ◽  
Tanja Manser ◽  
Helmuth Steinmetz ◽  
...  

Background: Treatment of acute stroke is highly time-dependent and performed by a multiprofessional, interdisciplinary team. Interface problems are expectable and issues relevant to patient safety are omnipresent. The Safety Attitudes Questionnaire (SAQ) is a validated and widely used instrument to measure patient safety climate. The objective of this study was to evaluate the SAQ for the first time in the context of acute stroke care.Methods: A survey was carried out during the STREAM trial (NCT 032282) at seven university hospitals in Germany from October 2017 to October 2018. The anonymous survey included 33 questions (5-point Likert scale, 1 = disagree to 5 = agree) and addressed the entire multiprofessional stroke team. Statistical analyses were used to examine psychometric properties as well as descriptive findings.Results: 164 questionnaires were completed yielding a response rate of 66.4%. 67.7% of respondents were physicians and 25.0% were nurses. Confirmatory Factor Analysis revealed that the original 6-factor structure fits the data adequately. The SAQ for acute stroke care showed strong internal consistency (α = 0.88). Exploratory analysis revealed differences in scores on the SAQ dimensions when comparing physicians to nurses and when comparing physicians according to their duration of professional experience.Conclusion: The SAQ is a helpful and well-applicable tool to measure patient safety in acute stroke care. In comparison to other high-risk fields in medicine, patient safety climate in acute stroke care seems to be on a similar level with the potential for further improvements.Trial registration:www.ClinicalTrials.gov Identifier: NCT032282.


2018 ◽  
Vol 63 (3) ◽  
pp. 175-192 ◽  
Author(s):  
Andre S. Avramchuk ◽  
Stephen J.J. McGuire

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