Healthcare climate: A framework for measuring and improving patient safety*

Zohar, Dov; Livne, Yael; Tenne-Gazit, Orly; Admi, Hanna; Donchin, Yoel

doi:10.1097/01.ccm.0000262404.10203.c9

Cited by 157 publications

(121 citation statements)

References 16 publications

(2 reference statements)

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“…The rationale was that additional variables would be added if the non-U.S. studies were included just by virtue of the fact that health care delivery might vary considerably. However nursing practice in many developed and developing countries is similar to that of the U.S., and international researchers have reported comparable findings 22,[62][63][64][65][66][67][68][69][70][71][72][73][74][75] . A review of the international contributions to the literature on quality of worklife variables and nurses' outcomes is planned for the future.…”

Section: Discussionmentioning

confidence: 71%

Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

et al. 2007

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Increasing interest has been focused on understanding the role working conditions play in terms of the serious issues facing hospitals today, including quality of patient care, nurse shortages, and financial challenges. One particular working condition that has been the subject of recent research, is the impact of organizational climate on nurses' well-being, including occupational health outcomes. To examine evidence-based research on the association between organizational climate and occupational health outcomes among acute-care registered nurses, a systematic review of published studies was conducted. Studies assessing the association between organizational climate variables and three common health outcomes in nurses (blood/body fluid exposures, musculoskeletal disorders, and burnout) were reviewed. Fourteen studies met the inclusion criteria. Although most were cross-sectional in design and variability was noted across studies with respect to operational definitions and assessment measures, all noted significant associations between specific negative aspects of hospital organizational climate and adverse health impacts in registered nurses. While evidence for an association between organizational climate constructs and nurses' health was found, data were limited and some of the relationships were weak. Additional studies are warranted to clarify the nature of these complex relationships.

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Section: Discussionmentioning

confidence: 71%

Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

et al. 2007

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“…A further significant stream of research relates to the level at which safety climate variables exert an influence on safety outcomes with variables classified at either the organisational, group, or individual level. Thus, Zohar et al (2007) described the way in which organisational policies in hospitals are interpreted differently at the individual nursing unit level and demonstrated how a poor hospital climate can be overcome by a good climate within a particular nursing unit. Like most other areas of psychology, safety climate research includes many examples of studies that have looked for moderation and mediation effects (e.g., Fogarty, 2005;McKeonet al, 2006;Zohar et al, 2007).Some studies have managed to combine a number of these research themes, using cross-lagged designs to demonstrate causal mediated relations between climate and safety performance (e.g., Neal and Griffin, 2006).…”

Section: Models Of Unsafe Behaviormentioning

confidence: 99%

“…Thus, Zohar et al (2007) described the way in which organisational policies in hospitals are interpreted differently at the individual nursing unit level and demonstrated how a poor hospital climate can be overcome by a good climate within a particular nursing unit. Like most other areas of psychology, safety climate research includes many examples of studies that have looked for moderation and mediation effects (e.g., Fogarty, 2005;McKeonet al, 2006;Zohar et al, 2007).Some studies have managed to combine a number of these research themes, using cross-lagged designs to demonstrate causal mediated relations between climate and safety performance (e.g., Neal and Griffin, 2006). 2 One feature of the safety climate approach is that it has become a research paradigm in its own right, reaching back into the literature on culture and climate and vigorously exploring themes within this paradigm, as illustrated above.…”

Section: Models Of Unsafe Behaviormentioning

confidence: 99%

Safety climate and the Theory of Planned Behavior: Towards the prediction of unsafe behavior

Fogarty

Shaw

2010

Accident Analysis & Prevention

228

177

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[Abstract] The present study is concerned with the human factors that contribute to violations in aviation maintenance. Much of our previous research in this area has been based on safety climate surveys and the analysis of relations among core dimensions of climate. In this study, we tap into mainstream psychological theory to help clarify the mechanisms underlying the links between climate and behavior. Specifically, we demonstrate the usefulness of Ajzen's (1991Ajzen's ( , 2001) Theory of Planned Behavior (TPB) to understanding violation behaviors in aircraft maintenance. A questionnaire was administered to 307 aircraft maintenance workers. Constructs measured by the survey included perceptions of management attitudes to safety, own attitudes to violations, intention to violate, group norms, workplace pressures, and violations. A model based on the TPB illustrated hypothetical connections among these variables. Path analyses using AMOS suggested some theoretically justifiable modifications to the model. Fit statistics of the revised model were excellent with intentions, group norms, and personal attitudes combining to explain 50% of the variance in self-reported violations. The model highlighted the importance of management attitudes and group norms as direct and indirect predictors of violation behavior. We conclude that the TPB is a useful tool for understanding the psychological background to the procedural violations so often associated with incidents and accidents.

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“…[44] Items were adapted to reflect the domain of patient education, based on reviewing the literature on patient education and interviewing nursing experts. Respondents were asked to indicate the extent to which they were expected, required, or encouraged to perform various tasks representing aspects of patient education.…”

Section: Methodsmentioning

confidence: 99%

Barriers to patient education and their relationship to nurses’ perceptions of patient education climate

Livne

Peterfreund

Sheps

2017

CNS

Self Cite

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A core component of patient-centered care is effective patient education. Although it is a part of professional nursing and has been found to promote high-quality healthcare, its implementation is often deficient. This study responds to the need for theory-based research on health communication and aims to provide a theoretical framework for understanding nurses' barriers to patient education. Drawing on organizational climate theory, the study examines two possible predictors of barriers to effective patient education, namely nurses' perceptions of patient education climate, and of their role as patient educators. The hypotheses were tested using a cross-sectional correlational design with a sample of 328 nurses from 26 units in one general hospital. Data were obtained by means of questionnaires. The results supported our hypotheses, as each predicting variable was significantly related to the relevant barriers to patient education: i.e. patient education climate perceptions predicted the barriers of overload, lack of policies, and low priority, whereas role perception predicted the barriers of difficulty in communication with patients, insufficient professional knowledge and skills, and the belief that educating patients was not the nurse's responsibility. To conclude, this study attributes the concept of patient education to organizational climate theory and, thus, may offer a theoretical framework for understanding the reluctance of hospital nurses to provide their patients with effective education. Practical implications for reducing barriers to patient education are discussed.

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Healthcare climate: A framework for measuring and improving patient safety*

Cited by 157 publications

References 16 publications

Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

Organizational Climate and Nurse Health Outcomes in the United States: A Systematic Review

Safety climate and the Theory of Planned Behavior: Towards the prediction of unsafe behavior

Barriers to patient education and their relationship to nurses’ perceptions of patient education climate

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