CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement
| Autor: | Lukman Thalib, Catherine McCutcheon, Kareena Hewson-Conroy, Maureen Brittin, Wendy Chaboyer, Di Chamberlain, Bernadette Grealy, Paula Lee Longbottom, Tania Elderkin |
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| Rok vydání: | 2013 |
| Předmět: |
Safety Management
medicine.medical_specialty Quality Assurance Health Care Attitude of Health Personnel Interprofessional Relations media_common.quotation_subject Nurses Organizational culture Critical Care Nursing Job Satisfaction law.invention Health administration Nursing law Physicians Surveys and Questionnaires Intensive care Outcome Assessment Health Care Health care Humans Medicine Safety culture media_common Patient Care Team Personnel Administration Hospital Teamwork business.industry Australia General Medicine Organizational Culture Intensive care unit Intensive Care Units Cross-Sectional Studies Health Care Surveys Family medicine Workforce Job satisfaction business |
| Zdroj: | American Journal of Critical Care. 22:93-102 |
| ISSN: | 1937-710X 1062-3264 |
| DOI: | 10.4037/ajcc2013722 |
| Popis: | Background Workplace safety culture is a crucial ingredient in patients’ outcomes and is increasingly being explored as a guide for quality improvement efforts. Objectives To establish a baseline understanding of the safety culture in Australian intensive care units. Methods In a nationwide study of physicians and nurses in 10 Australian intensive care units, the Safety Attitudes Questionnaire intensive care unit version was used to measure safety culture. Descriptive statistics were used to summarize the mean scores for the 6 subscales of the questionnaire, and generalized-estimation-equations models were used to test the hypotheses that safety culture differed between physicians and nurses and between nurse leaders and bedside nurses. Results A total of 672 responses (50.6% response rate) were received: 513 (76.3%) from nurses, 89 (13.2%) from physicians, and 70 (10.4%) from respondents who did not specify their professional group. Ratings were highest for teamwork climate and lowest for perceptions of hospital management and working conditions. Four subscales, job satisfaction, teamwork climate, safety climate, and working conditions, were rated significantly higher by physicians than by nurses. Two subscales, working conditions and perceptions of hospital management, were rated significantly lower by nurse leaders than by bedside nurses. Conclusions Measuring the baseline safety culture of an intensive care unit allows leaders to implement targeted strategies to improve specific dimensions of safety culture. These strategies ultimately may improve the working conditions of staff and the care that patients receive. (American Journal of Critical Care. 2013;22:93–103) |
| Databáze: | OpenAIRE |
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