scholarly journals NURSE MANAGER PERCEPTIONS OF PATIENT SAFETY STRATEGY IMPLEMENTATION

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Gislene Aparecida Xavier dos Reis ◽  
Liliana Yukie Hayakawa ◽  
Ana Claudia Yassuko Murassaki ◽  
Laura Misue Matsuda ◽  
Carmen Silvia Gabriel ◽  
...  
Keyword(s):  
Patient Safety ◽  
Nurse Managers ◽  
Public University ◽  
Strategy Implementation ◽  
University Hospitals ◽  
Exploratory Approach ◽  
Safety Strategies ◽  
Qualitative Descriptive ◽  
Manager Perceptions ◽  
Safety Strategy

ABSTRACT Objective: to describe the patient safety strategy implantation process through the perspective of nurse managers. Method: a qualitative descriptive-exploratory approach, performed with 72 nurse managers from four public university hospitals in Paraná. The data were collected through a recorded interview, guided by the question: “Tell me about your experience regarding the process of implantation of patient safety strategies?” and was submitted for content, thematic and modality analysis. Results: categories resulting from the analysis: Understanding the trajectory of patient safety strategy implantation; Multiple phases of patient safety strategy implantation; and Ambiguous feelings related to patient safety strategy implantation. Conclusion: in the investigated institutions, despite the process of patient safety strategy implantation being perceived in a contradictory way by the participants, they expressed feelings of satisfaction.

scholarly journals Fatores facilitadores na implantação das estratégias de segurança dopaciente: estudo descritivo-exploratório

2017 ◽  
Vol 16 (2) ◽  
pp. 108
Author(s):  
João Lucas Campos de Oliveira ◽  
Gislene Aparecida Xavier dos Reis ◽  
Verusca Soares de Souza ◽  
Maria Antonia Ramos Costa ◽  
Ingrid Mayara Almeida Valera ◽  
...  
Keyword(s):  
Human Capital ◽  
Patient Safety ◽  
Content Analysis ◽  
Nurse Managers ◽  
Implementation Process ◽  
Individual Interview ◽  
University Hospitals ◽  
Management Tools ◽  
Educational Processes ◽  
Safety Strategies

Aim: the aim of this paper is to investigate, from the perspective of nurse managers, the means/factors that facilitate the implementation process of patient safety strategies. Method: seventy-two nurse managers from four university hospitals of the  state  of  Paraná  participated,  through  an  individual  interview,  which  was  recorded and guided by the question "Tell me about aspects that facilitate the implementation of safety  strategies  in  this  hospital."  The  statements  were  transcribed  in  full  and  were submitted  for  content  analysis  in  the  thematic  modality.  Results:  two  categories emerged from the speeches: "Management tools as facilitators in the implementation  of patient   safety   strategies"   and   "Educational   processes:   means   that   facilitate   the implementation of patient safety strategies". Conclusion: it was found that the support of the top management contributed greatly to the implementation of security strategies, as well  as  the  militant  leadership  for  this  benefit  and  the  improvement  of  human  capital, which was strictly conveyed to the institutional teaching characteristic.

Nurses’ Experiences of Transitional Care in Multiple Chronic Conditions

2021 ◽  
pp. 108482232110021
Author(s):  
Alireza Nikbakht Nasrabadi ◽  
Leila Mardanian Dehkordi ◽  
Fariba Taleghani
Keyword(s):  
Patient Safety ◽  
Data Collection ◽  
Continuity Of Care ◽  
Chronic Conditions ◽  
Transitional Care ◽  
Major Elements ◽  
Study Data ◽  
Multiple Chronic Conditions ◽  
University Hospitals ◽  
Levels Of Care

Transitional care is a designed plan to ensure the continuity of care received by patients as they transfer between different locations or levels of care. The aim of this paper is to explore nurses’ experiences of transitional care in multiple chronic conditions. A qualitative method with a conventional content analysis approach was utilized. The study was conducted at university hospitals in 2 big cities (Isfahan and Tehran) of Iran. This study is performed from November 2018 to December 2019 using deep, semi-structured, and face-to-face interviews which are focused on nurses’ experiences of transitional care. Data collection continued until saturation was reached. Finally, 15 nurses take part in this study. Data collection and data analysis were conducted concurrently. Data were analyzed using Graneheim and Lundman’s techniques. Two main themes providing a descriptive summary of the major elements of transitional care identified: “threat to patient safety” and “Care breakdown”. Findings showed an exclusive image of unsafe transitional care which was done unplanned without appropriate delegating care to family and threat patient safety. There is still a gap in the transition from hospital to home. Nursing managers can address this issue by creating a culture of teamwork, training competent nurses by continuum education, and more supervision of nursing care. Policymakers can ensure continuity of care by developing policies and programs about transitional care.

scholarly journals Relationship Between Teams’ Leader–Member Exchange Characteristics and Psychological Outcomes for Nurses and Nurse Managers: A Cross-Sectional Study in Japan

2021 ◽  
Vol 7 ◽  
pp. 237796082110259
Author(s):  
Saeka Kawaguchi ◽  
Yukie Takemura ◽  
Kimie Takehara ◽  
Keiko Kunie ◽  
Naoko Ichikawa ◽  
...  
Keyword(s):  
Social Exchange ◽  
Social Exchange Theory ◽  
Nurse Managers ◽  
Cross Sectional Study ◽  
Leader Member Exchange ◽  
Management Effectiveness ◽  
University Hospitals ◽  
Cross Sectional ◽  
Psychological States ◽  
Member Exchange

Introduction The Leader–Member Exchange (LMX) theory, based on the social exchange theory, relates to positive psychological states among nurses. However, the influence of various LMX qualities coexisting within a team on nurses or nurse managers is still uncleared. Objective This study examines the relationship of nurses and nurse managers’ psychological states with the average LMX and LMX dispersion among nurses in their units. Methods The study was conducted at two university hospitals in March 2017 using anonymous questionnaires. Nurses completed the LMX-7 scale and the subscales of job satisfaction, achievement, and growth from the Checklist on Commitments Related to Work. Nurse managers completed the subscales of management satisfaction, effectiveness, and extracting extra effort from the Multifactor Leadership Questionnaire. Both nurses and managers completed the Intention to Continue Working scale. The nurses’ data were analyzed using a multilevel analysis to clarify associations between nurses’ psychological states and LMX, average LMX, and LMX dispersion. Hierarchical multiple regression analysis tested to test the correlations of the psychological states of nurse managers with average LMX and LMX dispersion. Results Data from 586 nurses and 28 managers were analyzed. The LMX and average LMX of nurses were positively related to positive psychological states. Nurse managers displayed significant associations between high LMX dispersion and good psychological states. When average LMX was low, management effectiveness increased as LMX dispersion increased; when average LMX was high, management effectiveness was almost constant. Conclusion The unit’s LMX characteristics appear to be related to the psychological states of both nurses and nurse managers. Increasing the LMX of each nurse may lead to positive psychological states for not only that nurse but all nurses in the unit. When LMX with subordinates is low, increasing LMX with a portion of nurse managers should be a priority to improve their psychological states.

scholarly journals Measuring Patient Safety Climate in Acute Stroke Therapy

2021 ◽  
Vol 12 ◽  
Author(s):  
Ferdinand O. Bohmann ◽  
Joachim Guenther ◽  
Katharina Gruber ◽  
Tanja Manser ◽  
Helmuth Steinmetz ◽  
...  
Keyword(s):  
Patient Safety ◽  
Acute Stroke ◽  
Safety Climate ◽  
Stroke Care ◽  
University Hospitals ◽  
Acute Stroke Care ◽  
Safety Attitudes ◽  
Patient Safety Climate ◽  
Stroke Team ◽  
First Time

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.

scholarly journals Segurança do paciente: investigação fenomenológica de um grupo de pesquisa

2017 ◽  
Vol 16 (1) ◽  
pp. 37
Author(s):  
Pétala Tuani Candido de Oliveira Salvador ◽  
Kisna Yasmin Andrade Alves ◽  
Cláudia Cristiane Filgueira Martins Rodrigues ◽  
Yole Matias Silveira de Assis ◽  
Lílian De Andrade Virgílio ◽  
...  
Keyword(s):  
Patient Safety ◽  
Research Group ◽  
Descriptive Study ◽  
Public University ◽  
Comprehensive Approach ◽  
Eastern Brazil ◽  
The Social ◽  
North Eastern ◽  
Social Phenomenology

Aim:  to  reveal the  typical ideal  of  members  of  a  research  group in nursing regarding patient safety. Method: this is a descriptive study, using a qualitative approach  that  follows,  as  a  theoretical  reference,  the  comprehensive  approach  of  the Social Phenomenology. Data collection took place in March 2015, using the focal group technique. Nine members of a research group from a Public University in North Eastern Brazil participated. Data were analyzed from Schutz's comprehensive approach. Result: the  characterization  of  the  members  of  the  research  group  is  discussed  from  the reasons-to  consolidate  patient  safety;  the  reasons-why  patient  safety  is  not  yet consolidated  and  actions  in  the  world  and  in  everyday  life  in search  of  security. Conclusion: the members of the research group point out typical actions to consolidate patient   safety   resulting   from   multi-professional   teamwork   and effective   patient participation.

Ideology and discourse in the public sphere: A critical discourse analysis of public debates at a Brazilian public university

2018 ◽  
Vol 12 (3) ◽  
pp. 278-306 ◽  
Author(s):  
Erik Persson ◽  
Luís Moretto Neto
Keyword(s):  
Discourse Analysis ◽  
Public Sphere ◽  
Critical Discourse Analysis ◽  
Public University ◽  
Critical Discourse ◽  
University Hospitals ◽  
Staff Shortage ◽  
Public Company ◽  
The Public Sphere ◽  
Set Up

Since 2013, several social actors of the Federal University of Santa Catarina (UFSC) community have formed a public sphere in order to deliberate and decide on the University Hospital’s (UH/UFSC) affiliation to the Brazilian Hospital Services Company (EBSERH), a public company set up in accordance with a private law which has been created by the Brazilian federal government in order to set up a management body for public university hospitals. Underpinned by critical discourse analysis, our purpose is to analyze the embedded ideologies in discursive practices within the UFSC/EBSERH public sphere, especially those perpetrated by the federal government’s bureaucratic means as to mystify reality, and also promote and legitimize dominant interests and actions with regard to the UH/UFSC’s affiliation to the EBSERH. We organized this analysis in five main categories: (1) staff shortage and the ideological use of the double standard policy, (2) the ideology of neo-liberalism and managerialism, (3) blame avoidance behavior and the ideological dispute between ideology and pragmatism, (4) the policy of terror and the fallacy of choice and (5) ideology of participationism.

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