scholarly journals Does interprofessional team-training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jan Schmidt ◽  
Nikoloz Gambashidze ◽  
Tanja Manser ◽  
Tim Güß ◽  
Michael Klatthaar ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Small Group ◽  
Safety Culture ◽  
Survey Study ◽  
Mean Values ◽  
Interprofessional Team ◽  
Communication Practices ◽  
Nurses And Physicians ◽  
Perceptions Of Safety ◽  
Culture And Communication

Abstract Background Many hospitals seek to increase patient safety through interprofessional team-trainings. Accordingly, these trainings aim to strengthen important key aspects such as safety culture and communication. This study was designed to investigate if an interprofessional team-training, administered to a relatively small group of nurses and physicians would promote a change in healthcare professionals’ perceptions on safety culture and communication practices throughout the hospital. We further sought to understand which safety culture aspects foster the transfer of trained communication practices into clinical practice. Methods We conducted a pre-post survey study using six scales to measure participants’ perceptions of safety culture and communication practices. Mean values were compared according to profession and participation in training. Using multiple regression models, the relationship between safety culture and communication practices was determined. Results Before and after the training, we found high mean values for all scales. A significant, positive effect was found for the communication practices of the physicians. Participation in the training sessions played a variably relevant role in the communication practices. In addition, the multiple regression analyses showed that specific safety culture aspects have a cross-professional influence on communication practices in the hospital. Conclusions This study suggest that interprofessional team-trainings of a small group of professionals can successfully be transferred into clinical practice and indicates the importance of safety culture aspects for such transfer processes. Thus, we recommend the consideration of safety culture aspects before starting a training intervention.

scholarly journals Uso da aprendizagem colaborativa como ferramenta para avaliar anomalias craniofaciais sindrômicas

2021 ◽  
Vol 21 (1) ◽  
pp. 1544
Author(s):  
Paulo Bonan ◽  
Rosa Helena Lacerda ◽  
Isis Muniz ◽  
Eugênia Dantas ◽  
Daniel Silva ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Collaborative Learning ◽  
Small Group ◽  
Learning Approach ◽  
Oral Clefts ◽  
Interprofessional Team ◽  
Structural Abnormalities ◽  
Orofacial Region ◽  
Group Sessions

Almost 30% of oral clefts are associated with other structural abnormalities. However, little is known on orofacial characteristics associated with these cases since they are not systematically reported. To close this gap, we developed a collaborative learning approach supported by an interprofessional team aiming to carefully describe oral findings and impact the training of future professionals that hopefully will incorporate these descriptions on their clinical practice. The methodological proposal consisted of small group sessions focusing on a particular syndrome or group of syndromes followed by the examination of patients with those conditions. Twenty cases were examined and studied over the course of one semester and a set of conditions to be identified in the orofacial region was defined. Here, we present a guideline that we suggest that dentists and dental institutions use. We also present the advantages of using collaborative learning as a tool in the training of the clinician. 

scholarly journals Areas of Work Life as Predictors of Occupational Burnout of Nurses and Doctors in Operating Theaters in Poland—Multicenter Studies

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 26
Author(s):  
Piotr Jarzynkowski ◽  
Renata Piotrkowska ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Janina Książek
Keyword(s):  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Work Life ◽  
Personal Accomplishment ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Occupational Burnout ◽  
Multicenter Studies ◽  
Cross Sectional ◽  
Mean Values

Introduction: Researchers’ interest in occupational burnout results primarily from the dangerous and extensive consequences of this phenomenon. The aim of the study was to analyze the level of occupational burnout among nurses and doctors in operating theaters. Materials and Methods: A cross-sectional survey study conducted on 325 nurses and doctors of seven hospitals in Poland. The Maslach Burnout Inventory (MBI) and the Areas of Worklife Survey (AWS) by Michael Leiter and Christina Maslach. Results: The mean values for the level of occupational burnout for the entire sample according to the scale from the Maslach Burnout Inventory by C. Maslach amounted to 14.35 for emotional exhaustion, 8.56 for depersonalization, and 11.90 for personal accomplishment; when compared to reference levels, they classified emotional exhaustion at a low level, depersonalization at an average level, and personal accomplishment at a high level of burnout. Areas of work life are predictors of occupational burnout. The analysis showed a relationship between three of the six variables. As the workload increased, so did the level of burnout among participants, and the categories of honesty and values. Conclusions: The conducted research has shown that occupational burnout among nurses and doctors in operating theaters occurs in all dimensions of this phenomenon (emotional exhaustion, depersonalization, job satisfaction). It was also shown that the areas of work life (workload, control, community, rewards, fairness, values) are predictors of occupational burnout among the respondents. This article shows how important the problem of burnout among operating theater medical staff is. Perhaps it will allow nurses and doctors to recognize this syndrome and encourage them make changes to their work to prevent burnout.

Physicians’ Preferences for Communication of Pharmacist-Provided Medication Therapy Management in Community Pharmacy

2016 ◽  
Vol 30 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Kendall D. Guthrie ◽  
Steven C. Stoner ◽  
D. Matthew Hartwig ◽  
Justin R. May ◽  
Sara E. Nicolaus ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Medication Therapy Management ◽  
Survey Study ◽  
Cross Sectional ◽  
Term Care ◽  
Prospective Survey ◽  
Therapy Management ◽  
Medication Therapy ◽  
Communication Practices

Objectives: (1) To identify physicians’ preferences in regard to pharmacist-provided medication therapy management (MTM) communication in the community pharmacy setting; (2) to identify physicians’ perceived barriers to communicating with a pharmacist regarding MTM; and (3) to determine whether Missouri physicians feel MTM is beneficial for their patients. Methods: A cross-sectional prospective survey study of 2021 family and general practice physicians registered with MO HealthNet, Missouri’s Medicaid program. Results: The majority (52.8%) of physicians preferred MTM data to be communicated via fax. Most physicians who provided care to patients in long-term care (LTC) facilities (81.0%) preferred to be contacted at their practice location as opposed to the LTC facility. The greatest barriers to communication were lack of time and inefficient communication practices. Improved/enhanced communication was the most common suggestion for improvement in the MTM process. Approximately 67% of respondents reported MTM as beneficial or somewhat beneficial for their patients. Conclusions: Survey respondents saw value in the MTM services offered by pharmacists. However, pharmacists should use the identified preferences and barriers to improve their currently utilized communication practices in hopes of increasing acceptance of recommendations. Ultimately, this may assist MTM providers in working collaboratively with patients’ physicians.

Patient Safety Culture in Emergency Departments of Yemeni Public Hospitals: A Survey Study

2021 ◽  
Author(s):  
Mohammed Alsabri ◽  
Mervat Abdulaziz AlGhallabi ◽  
Farouk Abdulrahman Al-Qadasi ◽  
Asma Abdullah Yahya Zeeherah ◽  
Adekemi Ebo ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Emergency Departments ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Survey Study ◽  
The Past ◽  
Important Challenge ◽  
University Degree

Introduction: Quality and safety is an important challenge in healthcare systems all over the world particularly in developing parts. Objective: This survey aimed to assess patient safety culture (PSC) in emergency departments (EDs) in Yemen and identify its associated factors. Methods: A questionnaire containing the Hospital Survey on Patient Safety Culture (HSOPSC) was distributed to ED physicians, nurses, and clinical, and non-clinical staff at three public teaching general hospitals. The percentages of positive responses on the 12 patient safety dimensions and the summation of PSC and two outcomes (overall patient safety grade and adverse events reported in the past year) were assessed. Factors associated with PSC aggregate score were analyzed. Results: finally, out of 400 questionnaires, 250 (64%) were analyzed. In total, 207 (82.3%) participants were nurses and physicians; 140 (56.0%) were male; 134 (53.6%) were less than 30 years old; and 134 (53.6%) had a university degree. Participants provided the highest ratings for the “teamwork within units” PSC composite (67%). The lowest rating was for “non-punitive response to error” (21.3%). A total of 120 (48.1%) participants did not report any events in the past year and 99 (39.7%) gave their hospital an “excellent/very good” overall patient safety grade. There were significant differences between the hospitals’ EDs in the rating of “handoffs and transitions” (p=0.016), “teamwork within units” (p=0.018), and “frequency of adverse events reported” (p=0.016). Staff working in intensive care units (8.4%, n=21) had lower patient safety aggregate scores. Conclusions: PSC ratings appear to be low in Yemen. This study emphasizes the need to create and maintain a PSC in EDs through the implementation of quality improvement strategies and environment of transparency, open communications, and continuous learning.

scholarly journals Design, Implementation and Perceptions of Safety Culture Prerequisites

2019 ◽  
Vol 273 ◽  
pp. 01004
Author(s):  
Nektarios Karanikas ◽  
Alfred Roelen ◽  
Alistair Vardy
Keyword(s):  
Safety Culture ◽  
Theoretical Framework ◽  
Research Project ◽  
Organizational Safety ◽  
Professional Literature ◽  
Just Culture ◽  
Learning Cultures ◽  
Perceptions Of Safety ◽  
Over Time ◽  
Organizational Safety Culture

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.

scholarly journals Safety in Shipping: Investigating Safety Climate in Norwegian Maritime Workers

2019 ◽  
Vol 63 (1) ◽  
pp. 1844-1848
Author(s):  
Steven C. Mallam ◽  
Jørgen Ernstsen ◽  
Salman Nazir
Keyword(s):  
Organizational Climate ◽  
Safety Culture ◽  
Safety Climate ◽  
Safety Education ◽  
Safety Behavior ◽  
Organizational Safety ◽  
Service Staff ◽  
Perceptions Of Safety ◽  
Mediating Factor ◽  
And Training

Working at sea places individuals in an inherently dangerous environment for extended periods, exposing them to unique risks not found in land-based industries. Safety-critical socio-technical systems demand an inherent organizational safety culture for reliable and safe operations. Safety climate acts as a mediating factor between the broader organizational climate and safety behavior of individuals and teams. This paper investigates safety climate of individuals working at sea. Two hundred persons (47.3 yrs ±12.9; 175 males, 25 females) working as seafarers ( n=132) and onboard service staff ( n=68) with Norwegian maritime companies completed an online safety climate questionnaire. Results indicate that maritime workers generally have lower perceptions of safety within their organizations in comparison to other industries. Furthermore, certified seafarers have lower perceptions of safety then onboard service staff, who have lower restrictions to working at sea, and generally less maritime safety education and training.

scholarly journals Caring for Patients Treated With Therapeutic Hypothermia

2015 ◽  
Vol 35 (5) ◽  
pp. e1-e12 ◽  
Author(s):  
Claranne Mathiesen ◽  
Denise McPherson ◽  
Carolyn Ordway ◽  
Maureen Smith
Keyword(s):  
Clinical Practice ◽  
Therapeutic Hypothermia ◽  
Care Delivery ◽  
Academic Community ◽  
Coordination Of Care ◽  
Global Database ◽  
Magnet Hospital ◽  
Interprofessional Team ◽  
Neurological Outcomes ◽  
Critical Elements

Numerous studies have indicated that therapeutic hypothermia can improve neurological outcomes after cardiac arrest. This treatment has redefined care after resuscitation and offers an aggressive intervention that may mitigate postresuscitation syndrome. Caregivers at Lehigh Valley Health Network, Allentown, Pennsylvania, an academic, community Magnet hospital, treated more than 200 patients with therapeutic hypothermia during an 8-year period. An interprofessional team within the hospital developed, implemented, and refined a clinical practice guideline for therapeutic hypothermia. In their experience, beyond a protocol, 5 critical elements of success (interprofessional stakeholders, coordination of care delivery, education, interprofessional case analysis, and participation in a global database) enhanced translation into clinical practice.

scholarly journals Safety leaders’ perceptions of safety culture in a large Australasian construction organisation

2013 ◽  
Vol 52 ◽  
pp. 3-12 ◽  
Author(s):  
Sarah E. Biggs ◽  
Tamara D. Banks ◽  
Jeremy D. Davey ◽  
James E. Freeman
Keyword(s):  
Safety Culture ◽  
Perceptions Of Safety

scholarly journals Job Demands, Burnout, and Teamwork in Healthcare Professionals Working in a General Hospital that Was Analysed At Two Points in Time

2018 ◽  
Vol 6 (4) ◽  
pp. 723-729 ◽  
Author(s):  
Dragan Mijakoski ◽  
Jovanka Karadzinska-Bislimovska ◽  
Sasho Stoleski ◽  
Jordan Minov ◽  
Aneta Atanasovska ◽  
...  
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Healthcare Professionals ◽  
Time Lag ◽  
Job Demands ◽  
Maslach Burnout Inventory ◽  
Patient Safety Culture ◽  
Mean Values

AIM: The purpose of the paper was to assess job demands, burnout, and teamwork in healthcare professionals (HPs) working in a general hospital that was analysed at two points in time with a time lag of three years.METHODS: Time 1 respondents (N = 325) were HPs who participated during the first wave of data collection (2011). Time 2 respondents (N = 197) were HPs from the same hospital who responded at Time 2 (2014). Job demands, burnout, and teamwork were measured with Hospital Experience Scale, Maslach Burnout Inventory, and Hospital Survey on Patient Safety Culture, respectively.RESULTS: Significantly higher scores of emotional exhaustion (21.03 vs. 15.37, t = 5.1, p < 0.001), depersonalization (4.48 vs. 2.75, t = 3.8, p < 0.001), as well as organizational (2.51 vs. 2.34, t = 2.38, p = 0.017), emotional (2.46 vs. 2.25, t = 3.68, p < 0.001), and cognitive (2.82 vs. 2.64, t = 2.68, p = 0.008) job demands were found at Time 2. Teamwork levels were similar at both points in time (Time 1 = 3.84 vs. Time 2 = 3.84, t = 0.043, p = 0.97).CONCLUSION: Actual longitudinal study revealed significantly higher mean values of emotional exhaustion and depersonalization in 2014 that could be explained by significantly increased job demands between analysed points in time.

Therapists' Use of DBT: A Survey Study of Clinical Practice

2010 ◽  
Vol 17 (2) ◽  
pp. 213-221 ◽  
Author(s):  
Kimberly E. DiGiorgio ◽  
Carol R. Glass ◽  
Diane B. Arnkoff
Keyword(s):  
Clinical Practice ◽  
Survey Study
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