scholarly journals Teams, performance and trust: a perspective from the vanguard

2021 ◽  
Vol 103 (4) ◽  
pp. 186-191
Author(s):  
OP James ◽  
CR Bowman ◽  
J Parker ◽  
O Luton ◽  
DBT Robinson ◽  
...  
Keyword(s):  
Adverse Effect ◽  
Patient Safety ◽  
Psychological Safety ◽  
Stress Resilience ◽  
Team Structure ◽  
Surgical Trainees ◽  
Team Environment ◽  
Resilience Training ◽  
Perception Of Support

Introduction The aim of this study was to determine surgical trainees’ perspectives on team environment, function, performance and trust. Methods A 44-point anonymous survey was distributed to all doctors working in surgery in a single UK statutory education body. Responses were received from 116 doctors (17 foundation year 1 [F1] doctors, 50 senior house officers [SHOs], 49 specialist registrars [SpRs]). Results Psychological safety was associated with trainee grade, with SHOs showing the lowest results relating to perception of support (F1 88%, SHO 60%, SpR 82%, p=0.016) and ability to ask for help (F1 100%, SHO 71%, SpR 92%, p=0.043). Dependability among colleagues was perceived to be poorer by women than by men (70% vs 88%, p=0.009). Clarity of team structure was associated with grade and perceived to be poor by SHOs (F1 94%, SHO 60%, SpR 78%, p=0.014). Meaningfulness and impact of team achievement was also associated with grade (F1 77%, SHO 69%, SpR 94%, p=0.005). Inverse correlations were observed between the prevalence of harassment/bullying and markers of psychological safety (rs=-0.382, p<0.001), dependability (rs=-0.270, p=0.003) and clarity of team structure (rs=0.355, p<0.001). Conclusions Important deficiencies in psychological safety had an adverse effect on two in five SHOs. Countermeasures (enhanced stress resilience training) are needed to protect morale, patient safety and clinical out

scholarly journals SP2.2.8Teams, performance, and trust: a perspective from the vanguard

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Osian James ◽  
Chris Bowman ◽  
Jody Parker ◽  
Oliver Luton ◽  
Richard Egan ◽  
...  
Keyword(s):  
Patient Safety ◽  
Psychological Safety ◽  
House Officer ◽  
Senior House Officer ◽  
Team Structure ◽  
Specialist Registrar ◽  
Surgical Trainees ◽  
Team Environment ◽  
Resilience Training ◽  
Perception Of Support

Abstract Aims The aim of this study was to determine surgical trainees’ perspective regarding team environment, function, performance, and trust. Methods A 44-point, anonymous survey was distributed to all doctors working in surgery in a single UK Statutory Education Body with responses received from 116 (n = 17 Foundation Year 1 (FY1), n = 50 Senior House Officer (SHO), n = 49 Specialist Registrar (SpR)). Results Psychological safety was associated with trainee grade; SHO perception of support (60.4%, n = 29), FY1 (88.2%, n = 15), SpR (82.4%, n = 42), p = 0.016; and ability to ask for help: SHO (70.8%, n = 34), FY1 (100.0%, n = 17), SpR (92.2%, n = 47 p = 0.043). Dependability among colleagues was perceived to be poorer by women (69.8%, n = 30) than men (87.5%, n = 63, p = 0.009). Clarity of team structure was associated with grade and perceived to be poor by SHOs (60.4%, n = 29) vs. FY1 (94.1%, n = 16) vs. SpR (78.4%, n = 40), p = 0.014. Meaningfulness and impact of team achievement was associated with grade: SHO (68.8%, n = 33) vs. FY1 (76.5%, n = 13) vs. SpR (94.1%, n = 48), p = 0.005. Inverse correlations were observed between the prevalence of harassment/bullying and markers of psychological safety (rho -0.382, p &lt; 0.001), dependability (rho -0.270, p = 0.003), and clarity of team structure (rho -0.355, p &lt; 0.001). Conclusion Important deficiencies in psychological safety impacted two in five of SHOs adversely. Countermeasures (Enhanced Surgical Resilience Training) are needed to protect morale, patient safety, and clinical outcomes.

scholarly journals Perilaku Kepatuhan Perawat Melaksanakan SOP Terhadap Kejadian Keselamatan Pasien di Rumah Sakit X Kendari

2017 ◽  
Vol 12 (1) ◽  
pp. 138
Author(s):  
Iriyanto Pagala ◽  
Zahroh Shaluhiyah ◽  
Baju Widjasena
Keyword(s):  
Patient Safety ◽  
Peer Support ◽  
Dominant Factor ◽  
Hospital Inpatient ◽  
Care Hospital ◽  
Patient Death ◽  
Cross Sectional ◽  
Patient Falls ◽  
Safety Event ◽  
Perception Of Support

ABSTRAKKeselamatan pasien adalah pasien bebas dari cedera yang tidak seharusnya terjadi atau bebas dari cedera yang potensial akan terjadi (penyakit,cedera fisik/sosial psikologis, cacat, kematian) terkait dengan pelayanan kesehatan. Di Rumah Sakit X Kendari  data kejadian keselamatan pasien pada tahun 2012 terdiri dari  kesalahan dalam pemeriksaan laborat,  pasien jatuh, salah pemberian seri kolf darah, pasien terbentur, salah dalam pemberian obat, kasus kematian pasien. Berdasarkan penentuan perioritas masalah yang akan di teliti yaitu pasien jatuh dari tempat tidur. Salah satu penyebabnya yaitu kurang patuhnya perawat dalam melaksanakan SOP resiko pasien jatuh. Tujuan penelitian ini adalah menganalisa faktor yang berhubungan antara karakteristik, pengetahuan, sikap, presepsi dukungan supervisior, presepsi dukungan sesama perawat, kenyamanan tempat/unit kerja dengan prilaku kepatuhan perawat dalam melaksanakan SOP resiko pasien jatuh terhadap terjadinya kejadian keselamatan pasien di Unit Rawat Inap Rumah Sakit X Kendari. Jenis penelitian yang digunakan adalah penelitian Explanatory Research dengan rancangan Cross sectional. Sampel dalam penelitian ini berjumlah 134 perawat ruang rawat inap. Hasil penelitian menunjukan terdapat 4 variabel yang berhubungan yaitu pengetahuan (p= 0,005), sikap (p = 0,035), persepsi dukungan supervisior (p= 0,000), persepsi dukungan sesama perawat (p= 0,003) dan faktor yang paling dominan berhubungan adalah persepsi dukungan supervisior (OR = 5,504).Kata Kunci : Perawat, Kepatuhan Melaksanakan SOP Compliance Behavior of Nurses Against Genesis SOP Implementing Patient Safety in Hospital X Kendari : The safety of patients were free of injury that is not supposed to happen or free from potential injury will occur (disease, physical injury / social psychological, disability, death) associated with health care. Hospital X Kendari patient safety event data in 2012 consisted of errors in laboratory examination, patient falls, one giving blood kolf series, patient knock, one in drug delivery, patient death cases. Based on the determination of the issues to be priorities in carefully which patients falling out of bed. One reason is lack of nurses in implementing SOP obedient, patient risk falling. The purpose of this study was to analyze factors related to the characteristics, knowledge, attitudes, perception supervisior support, perception of peer support nurse, comfort / unit with the behavior of nurses in implementing SOP compliance risk of the patient fell against the occurrence of patient safety in the Hospital Inpatient Unit X Kendari. This type of research is Explanatory Research research with cross sectional design. The sample in this study amounted to 134 inpatient room nurse. The results showed there were four variables related to that knowledge (p = 0.005), attitude (p = 0.035), perception of support supervisior (p = 0.000), perception of peer support nurses (p = 0.003) and the most dominant factor is the perception of support supervisior (OR = 5.504).Keywords: Nurses, SOP Implement Compliance

scholarly journals Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study.

2012 ◽  
Vol 97 (6) ◽  
pp. 1273-1281 ◽  
Author(s):  
Hannes Leroy ◽  
Bart Dierynck ◽  
Frederik Anseel ◽  
Tony Simons ◽  
Jonathon R. B. Halbesleben ◽  
...  
Keyword(s):  
Patient Safety ◽  
Psychological Safety ◽  
Behavioral Integrity ◽  
Safety Priority

scholarly journals Evaluation of the Stress Resilience Training System

2014 ◽  
Author(s):  
James C. Christensen ◽  
Brian D. Everitt ◽  
Donald Chartrand ◽  
Danielle K. Boeke
Keyword(s):  
Training System ◽  
Stress Resilience ◽  
Resilience Training

Ethics, errors and education in surgical operating room

2015 ◽  
Vol 1 (2) ◽  
Author(s):  
Dr. Shashi Shekhar
Keyword(s):  
Patient Safety ◽  
Surgical Training ◽  
Care Delivery ◽  
Surgical Techniques ◽  
Operating Experience ◽  
Skin Grafting ◽  
Surgical Skill ◽  
Surgical Trainees ◽  
Surgical Workforce ◽  
Quality Of Surgery

Patient safety errors in OR may originate from: <italic>surgeon</italic> on account of forgetfulness, inattention, poor motivation, carelessness, negligence and recklessness; <italic>Hospital</italic> system due to understaffing, inadequate equipment, fatigue, time pressure and inexperience. Quality surgical training is crucial for creation of surgical workforce for health care delivery. The surgical trainees during ‘Junior Residency’ need training in both ‘Surgical’ and ‘Communication’ OR skill. The surgical skill learnt in OR is: competence in ‘basic surgical techniques’; skill of ‘assistance and minor surgeries’: hernia repair, appendectomy, skin grafting and laparoscopic skills. During ‘Senior Residency’ independent surgical judgment and performance of advanced surgical procedures to gain extensive operating experience. The non-surgical skill that promotes patient safety in OR are ‘communication skill’ and ‘team skill’. The ’<italic>supervised progressive responsibility model of surgical training</italic>’ has elements embedded for patient safety. Surgical trainer promotes trainee’s skill and ensures patient safety as well the highest quality of surgery, through gradual decreasing levels of supervision in OR, namely <italic>Direct Supervision</italic> where the trainer is physically present; <italic>Indirect supervision</italic> where the trainer becomes available within few minutes; <italic>oversight</italic> where after the surgery review is provided with feedback and progress <italic>monitoring</italic> where progress is monitored and supervision is done only in complex surgeries. Supervised surgical training helps creation of skilled practicing surgeon and ensures patient safety.

Building resilience with the Stress Resilience Training System: Design validation and applications

Work ◽  
2016 ◽  
Vol 54 (2) ◽  
pp. 351-366 ◽  
Author(s):  
Ewart J. de Visser ◽  
Alix Dorfman ◽  
Donald Chartrand ◽  
Jonathan Lamon ◽  
Elan Freedy ◽  
...  
Keyword(s):  
System Design ◽  
Training System ◽  
Design Validation ◽  
Stress Resilience ◽  
Building Resilience ◽  
Resilience Training

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.

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