As a critical behavior to improve quality and patient safety in health care: speaking up!

Nacioglu, Ahmet

doi:10.1186/s40886-016-0021-x

Cited by 38 publications

(27 citation statements)

References 37 publications

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“…Research suggests that nurse instructors/supervisors, due to their higher status and superior hierarchal position, feel less threatened and embarrassed about communicating their opinions in general compared to their juniors, subordinates, or students [35]. Nurse instructors/supervisors, unlike the other three nurse designations, also believed that the ward did act on reported information related to errors to improve patient safety.…”

Section: Discussionmentioning

confidence: 99%

Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan

Jafree

Zakar

et al. 2017

Saf Health

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Background: Very little research and practical efforts have been undertaken in public sector hospitals of Pakistan to promote error reporting and patient safety culture. Nurses in the country are key informants about the climate of error reporting and patient safety standards across wards in the hospital settings. Methods: A questionnaire based on the Hospital Survey on Patient Safety Culture has been used to measure patient safety culture across 18 different wards in two public sector hospitals of Pakistan. Descriptive statistics have been used to analyze the perceptions of 309 nurse practitioners. Results: Results show that more than 80% of nurses felt that their ward did not respond to reported errors and that excessive workload interfered in their ability to practice patient safety. Similarly, more than 70% of the nurses felt they were not supported for reporting errors and that their ward placed blame on them for reporting. An overwhelming majority of nurses felt that patient safety standards and error reporting were unfavorable across high-turnover wards like the Emergency, Gynecology and Maternity, General Medicine, Cardiology, Surgery, Nephrology, and Orthopedics wards. Conclusion: Results imply that public hospitals, ward administrators, and health governing bodies in the country must take initiatives to introduce and monitor patient safety and error reporting systems in a more systematic and stringent manner.

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Section: Discussionmentioning

confidence: 99%

Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan

Jafree

Zakar

et al. 2017

Saf Health

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“…Failures in healthcare communication are well documented as a leading cause of medical error and patient harm [ 1 ]. A clinician’s ability and willingness to speak up to prevent or limit patient harm is a key contributing factor to enhancing both patient and staff wellbeing and safety [ 2 ]. Although there are a number of definitions of speaking up, key characteristics include voicing a concern up, down or across the hierarchical chain, with a focus on patient safety and staff physical and psychological safety [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study

et al. 2023

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Background Research focused on understanding what enables or hinders health professionals to speak up about a safety concern has been to date predominately atheoretical and speaker focused. However, the role the receiver of the message plays in these often-difficult encounters is highly influential. To date, speaking up programs have created conversational mnemonics that technically should respectfully engage the receiver, yet speaking up remains challenging. This paper utilises Communication Accommodation Theory to explore the impact the communication behaviour and speaker characteristics has on the receiver of a speaking up message, and if these impacts differ between receiver groups (clinical disciplines). Method Clinicians (N = 208) from varying disciplines responded to two hypothetical speaking up vignettes, where participants were the receivers of speaking up messages. Analysis of variance was used to explore any potential differences between receiver groups. Results Findings indicated that the level of perceived accommodation and group membership, whether defined by speaker discipline or seniority, collectively influenced how the receiver of a speaking up message evaluated the interaction, which influenced their anticipated response to the speaker. Conclusions The receiver’s perceptions and evaluations of the message, their own professional identity and the presence of others, influenced receivers’ anticipated responses. This has direct implications on healthcare speaking up training and provision of care, as the varying clinical disciplines received and responded to the same messages differently.

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“…A structured pre-tested questionnaire designed using Open Data Kit (ODK) software was used. Statements to determine baccalaureate nurses' perceptions were derived from the earlier studies [17,24,25]. The Perception was further understood by determining the ease and usefulness as guided by the PAUM model [15].…”

Section: Methodsmentioning

confidence: 99%

Perceived Ease and Usefulness of Work-Based Learning (WBL) and its Practice among Baccalaureate Nurses in Central Uganda

Ekong¹

2021

TIJNR

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The continuous update of knowledge and skills among nurses and midwives is a global, regional, and national requirement to meet the change in the disease burden, technology, and treatment modalities. Work-Based Learning (WBL) provides real-life work experiences by enhancing skills, ability to learn throughout one’s career and providing quality care. This article describes baccalaureate nurses’ ease to engage in and practice WBL, perceived usefulness, and the relationships between perceived ease and usefulness to practice. A descriptive cross-sectional survey was carried out at 11 hospitals in central Uganda. An Open Data Kit (ODK) designed, and the pre-tested structured tool was used to collect data from 251 purposively selected baccalaureate nurses. Measurement of ease, usefulness, and practice was guided by four competencies: self-regulation, effective communication, teamwork, and evidence-based practice. Descriptive and logistic analysis using SPSS 20 was performed. More than half of the respondents perceived it as easy to engage in WBL (Mean 1.65; SD 0.48). The Majority perceived WBL as useful to the individual, institution, patient or family, and care delivery (Mean 3.37; SD 0.45). The Majority practiced WBL (Mean 1.99; SD 0.11). Perceived usefulness of WBL to the institution was the statistically significant predictor for practice (B=3.97; p<0.05; 95% CI. 4.40). Baccalaureate nurses’ ease to engage in and practice WBL was at the borderline, but they perceive it useful. Perceived usefulness to institutions may require strong policies and guidelines for WBL to support nurses’ engagement and promote up-to-date knowledge and skills for better service delivery. There is a need to test the model and explore other factors that influence WBL among baccalaureate nurses.

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As a critical behavior to improve quality and patient safety in health care: speaking up!

Cited by 38 publications

References 37 publications

Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan

Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study

Perceived Ease and Usefulness of Work-Based Learning (WBL) and its Practice among Baccalaureate Nurses in Central Uganda

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