scholarly journals Relational Quality of Registered Nurses and Nursing Assistants: Influence on Patient Safety Culture

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 189
Author(s):  
Amy Campbell ◽  
Diana Layne ◽  
Elaine Scott

Registered nurses (RNs) working within acute care hospitals have an incredible responsibility to provide safe care in a complex environment which requires trust, teamwork, and communication. Nursing assistants (NAs) play a critical role in working with RNs to meet these growing demands of inpatient care. Minimal evidence exists exploring the relational quality between RNs and NAs within hospitals. The aim of this study is to explore RN and NA behaviors and experiences that promote patient safety and teamwork and enhance communication between RNs and NAs within the hospital environment. Qualitative analysis was used, with two focus groups which included six participants within each group (three RNs and three NAs) from two separate inpatient units. Transcripts were reviewed and coded for themes. Collaborative teamwork and two-way communication were commonly reported as behaviors that promote patient safety. Trust between RNs and NAs was identified as a key component of positive relationships between RNs and NAs. Participants identified four common behaviors that build trust, which were accountability, effective conflict resolution, collaborative teamwork, and prioritizing patient needs. Finally, teamwork was identified as a common strategy to increase communication effectiveness between RNs and NAs. High relational quality (RQ) between the RN and NA is an important component of teamwork and patient safety culture.

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Andréia Heidmann ◽  
Letícia Flores Trindade ◽  
Catiele Raquel Schmidt ◽  
Marli Maria Loro ◽  
Rosane Teresinha Fontana ◽  
...  

ABSTRACT Objective: To understand the contributing factors for the consolidation of the patient safety culture, from a management perspective, in an accredited hospital. Method: A qualitative study developed in a hospital institution of size IV, accredited by the National Accreditation Organization as level II, located in the northwest region of the State of Rio Grande do Sul/Brazil. The inclusion criteria were the following: having been in the leadership position of the institution for over a year and actively participating in the accreditation process. Leaders on vacation or absent due to illness in August 2018 were excluded. The collection was performed using the Focus Group technique in August 2018. Data were explored by thematic analysis. Results: The group reported teamwork, professional appreciation, management support, implementation of protocols, professional satisfaction, and working conditions as factors that contributed to the consolidation of the safety culture. Conclusions and implications for practice: The identified factors allowed for a cultural change in the institution through participatory management in processes and results that encourage workers to assume significant roles in advancing patient safety by assimilating and taking responsibility for change, which plays a crucial role in developing safe care.


2013 ◽  
Vol 19 (6) ◽  
pp. 609-617 ◽  
Author(s):  
Hannele Turunen ◽  
Pirjo Partanen ◽  
Tarja Kvist ◽  
Merja Miettinen ◽  
Katri Vehviläinen-Julkunen

2017 ◽  
Vol 2 (4) ◽  
pp. 122-124
Author(s):  
Chih-Husan Huang ◽  
Hsin-Hung Wu ◽  
Yii-Ching Lee ◽  
Li Li ◽  
Cheng-Feng Wu

Author(s):  
Carmen Luisa Betancur Pulgarín ◽  
Mónica Roció Romero Carvajal ◽  
Luis Gabriel Murillo Micolta ◽  
Yaqueline Churi Antero ◽  
Yudi Nathalia Angulo Ante ◽  
...  

The objective of this study is to identify the adherence of the health personnel of the state social enterprise Norte 2 institution, Caloto, Department of Cauca, Colombia, in the application of the London protocol, referring to patient safety policy, where a quantitative investigation was conducted; observational, descriptive through a census of 92 officials of the institution through a survey designed to measure adherence to protocol, all information was tabulated in the Epi-info 7.2 program and presented by descriptive statistics; the results of this study showed that the population is composed of 60% of female nursing assistants who are more than 1-year old and that the protocol is partially met, where it was found that only 52% of adverse events are reported, concluding that there is no defined patient safety culture, which means that adverse events are not documented.


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