Changing the narratives for patient safety

Pronovost, Peter J.; Sutcliffe, Kathleen M.; Basu, Lopa; Dixon‐Woods, Mary

doi:10.35188/unu-wider/2017/368-4

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…They implied how health system inadequacy incapacitates nurses in their ability to maintain patient safety and to some extent overthrows their personal desire to improve quality of care. A poor health system could defeat nurses' overall performance and decrease their motivation to advance their academic quali cations, thus affecting their clinical skills [15,53] and subsequently impacting patient safety [54]. Hence, in order for nurses to provide quality care, health system needs to operate as optimal as possible.…”

Section: Quality Care Milieumentioning

confidence: 99%

Nurses’ Viewpoints on the Quality of Care: A Qualitative Study in Timor-Leste

Luan

Lopes

Soares

2020

Preprint

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BackgroundResearch on quality of care revealed nurse-to-patient ratio and skill mix as key elements in quality of care. However, those studies were done in countries where the nursing workforce had a higher proportion of professional nurses with bachelor degrees. The findings of the research studies may have overlooked health system challenges such as the auxiliary nursing services found in lesser developed small island countries with higher proportions of auxiliary nurses. Working in under-resourced places, nurses in Timor-Leste might have differing viewpoints on the aspects that contribute to quality of care perspectives.MethodsFocus group discussions (FGDs) were conducted in 2017, in three districts that included staff and senior nurses from three levels of health care facilities: primary, secondary, and tertiary. Data were analyzed using content analysis method.ResultsTwo themes emerged from the FGDs data: “patients as the center focus of the service” and “gaps in providing quality of care”. Aside from attributes of quality care such as equality, efficiency, and patient-centeredness in the delivery of care, the first theme also identified the importance of identifying nurses’ value system in order to support a specific level of quality of care. The second theme included quality care milieu amplifying distinctive factors facing a health system in under-resourced places. Problems related with structural dimension of quality of care such as facility infrastructure and staffing were described. Nurses were unable to improve the quality of care in healthcare facilities when faced with inadequate and deficient infrastructure, equipment, supplies, financing, management, and staffing support. Conclusions Compared to nurses in countries with a better workforce skill mix, nurses in lesser developed small island countries and nurses working in under-resourced places, face additional challenges that uniquely influence the quality of care. Findings from this study provide evidence that it is important to develop human resources for health (HRH) policies that contribute to professional management of the nursing workforce as the largest health workforce cadre, thus strengthening their ability to improve patient care service.

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Section: Quality Care Milieumentioning

confidence: 99%

Nurses’ Viewpoints on the Quality of Care: A Qualitative Study in Timor-Leste

Luan

Lopes

Soares

2020

Preprint

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“…There is an urgent need for changing narratives in patient safety, one in which healthcare systems adopt more holistic and theory-based learning from high-risk industries, such as aviation, rather than relying on single, superficial, and siloed interventions (Pronovost et al, 2017). This includes standardization and broad implementation of safety practices as part of a multimodal approach to enhancing outcomes.…”

mentioning

confidence: 99%

How much is enough? A bundled strategy for the control of multidrug-resistant gram-negative rod infections in the intensive care unit: Many questions, few answers

Bearman

2019

International Journal of Infectious Diseases

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“…The solution is to envision patient safety as a system, rather than as a project. 4 There are several properties and features of patient safety as a system. One is to promote awareness and know-how in identifying and improving safety.…”

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confidence: 99%

The easy part is over: Creating safe systems of care

2018

Journal of Patient Safety and Risk Management

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Changing the narratives for patient safety

Abstract: PerspectivesBull World Health Organ 2017;95:478-480| doi: http://dx. PerspectivesPatient safety narratives Peter J Pronovost et al.

Cited by 3 publications

References 10 publications

Nurses’ Viewpoints on the Quality of Care: A Qualitative Study in Timor-Leste

Nurses’ Viewpoints on the Quality of Care: A Qualitative Study in Timor-Leste

How much is enough? A bundled strategy for the control of multidrug-resistant gram-negative rod infections in the intensive care unit: Many questions, few answers

The easy part is over: Creating safe systems of care

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