Improving work environments in health care

Rathert, Cheryl; Ishqaidef, Ghadir; May, Douglas R.

doi:10.1097/hmr.0b013e3181abce2b

Cited by 70 publications

(51 citation statements)

References 37 publications

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“…Leaders' engagement and commitment to safety affect the safety culture of the team (Derickson et al, 2015;Nembhard & Edmondson, 2006;Rathert et al, 2009). Leader inclusiveness and behavioural integrity encourage psychological safety within health care teams and has important effects on employee engagement, communication and continuous improvement in relation to quality and safety (Newman et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

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Aim Explore the recent literature to examine the factors that affect safety culture within health care teams. Background Health care organisations must understand and improve their safety culture. However, safety culture is a complex phenomenon which interacts with a myriad of factors, making it difficult to define, measure and improve. Evaluation A comprehensive search strategy was used to search four major databases. Peer‐reviewed which were published in English between 2006 and 2017 and presented research studies related to safety culture in health care teams were included. A narrative analysis was undertaken. Key issues Issues relevant to the definition, measurement and improvement of safety culture, the impact of teamwork and communication on safety culture, the role of leaders and accountability are explored. Conclusion The above themes inform our understanding of developing, measuring and sustaining safety culture in health care teams. However, further research is warranted to accurately understand how to measure and improve safety culture. Implications for nursing management To support a safety culture, initiatives to facilitate effective communication between nurse practitioners and other health care professionals must be introduced. Nurse managers should adopt leadership strategies that will support nurses’ psychological safety and create a just culture.

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Section: Discussionmentioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

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“…Since research indicates that professionals who perceive their work as more patient-centred are significantly more satisfied with their jobs compared to those whose units were perceived as less patient-centred [35], we expect that higher levels of PCC positively affect levels of job satisfaction among professionals. Therefore, we tested construct validity with the Measurement of Job Satisfaction (MJS) questionnaire [39].…”

Section: Methodsmentioning

confidence: 99%

“…Enhancing the eight dimensions of PCC is expected to improve outcomes for PWIDs by addressing their needs and preferences. In addition, because PCC is designed to improve coordination among professionals as well as interactions between patients and professionals, parallel gains are expected for both patients and professionals [35]. Indeed, research suggests that PCC enhances patient care and positively affects job satisfaction by improving the working conditions of professionals [35, 36].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, because PCC is designed to improve coordination among professionals as well as interactions between patients and professionals, parallel gains are expected for both patients and professionals [35]. Indeed, research suggests that PCC enhances patient care and positively affects job satisfaction by improving the working conditions of professionals [35, 36]. Research, for example, shows that professionals who perceive their work units as more patient-centred are significantly more satisfied with their jobs compared to those whose units were perceived as less patient-centred [35].…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, research suggests that PCC enhances patient care and positively affects job satisfaction by improving the working conditions of professionals [35, 36]. Research, for example, shows that professionals who perceive their work units as more patient-centred are significantly more satisfied with their jobs compared to those whose units were perceived as less patient-centred [35]. Furthermore, healthcare professionals prefer to work in organizations that promote interdisciplinary coordination and teamwork, which enhances job satisfaction [37].…”

Section: Introductionmentioning

confidence: 99%

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Validation of an instrument to assess the delivery of patient-centred care to people with intellectual disabilities as perceived by professionals

Cramm

Nieboer

2017

BMC Health Serv Res

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BackgroundPatient/Person Centred Care (PCC) has achieved widespread attention which resulted in the identification of eight dimensions of PCC: Respect for the patients’ values, preferences and expressed needs; information and education; access to care; emotional support to relieve fear and anxiety; involvement of family and friends; continuity and secure transition between healthcare settings; physical comfort; coordination of care. An instrument to assess patient centeredness of care delivery according to these eight dimensions among professionals is however lacking. The main objective of this study is therefore to develop and validate an instrument to assess the eight PCC dimensions among professionals providing care to institutionalized People With Intellectual Disabilities (PWIDs).MethodsThis cross-sectional survey study was conducted in a disability care centre in the region Twente in the Netherlands, the Twentse Zorgcentra. All professionals delivering care to institutionalized PWIDs (n = 1146) were invited to participate. An instrument was developed to assess the eight dimensions of PCC, which was tested among 464 professionals (response rate = 40%). We tested the instrument by means of structural equation modelling, and examined its validity and reliability.ResultsIndices of the 35-item PCC version are satisfactory but showed that the model left room for improvement and shortening of the instrument (RMSEA >0.06 and CFI < 0.95). Confirmatory factor analyses revealed good indices of fit with the 24-item PCC-instrument among professionals. Internal consistency of the overall instrument was also good.ConclusionsThe psychometric properties of the 24-item PCC-instrument were satisfactory, rendering it a valid and reliable instrument for assessing the eight dimensions of PCC among professionals providing care to institutionalized PWIDs.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2424-8) contains supplementary material, which is available to authorized users.

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Relaxing into differences and energizing into differences: How group‐based play enables demographically diverse adults to co‐create a climate of psychological safety

Ubaka,

Cardador,

Wayne

2024

J Organ Behavior

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SummaryPsychological safety is a beneficial social‐psychological state that promotes positive outcomes in the workplace, such as greater information sharing and enhanced organizational learning. Yet, how psychological safety dynamically develops as a process in groups generally and in demographically diverse groups particularly is understudied. Moreover, there is an insufficient understanding of how peer group members—group members who are not the leader—influence the progression and maintenance of psychological safety. We address these theoretical gaps through an inductive, qualitative study of a group‐based play context. Grounded in data collected from 97 participants, including 56 interviews and 70 h of participant observation, we build a theory that illuminates how psychological safety is co‐created through peer group member interactions during group‐based play. We find that the opportunities afforded by group‐based play disrupt exclusionary dynamics among demographically diverse adults and permit them to shift their relational risk motivation from pursuing goals of individualized self‐protection to pursuing goals of relationship promotion with one another. This breaking out of default, protective relational patterns during group play enables diverse group members to have a greater willingness to (1) engage in relational risk‐taking with each other and (2) support each other's relational risk‐taking—a process we refer to as the relational risk promotion cycle. As diverse group members relationally play off of one another during this cycle, they begin to co‐create a climate of psychological safety, in which they experience discrete events of relaxing and energizing into their differences. Our research makes theoretical contributions to the literatures on psychological safety, diversity in groups and play in organizations. Additionally, our findings suggest a critical role for leaders in which they are not solely creating the conditions for group psychological safety but supporting group members in working together to co‐create a climate of psychological safety for themselves.

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Improving work environments in health care

Cited by 70 publications

References 37 publications

Safety culture in health care teams: A narrative review of the literature

Safety culture in health care teams: A narrative review of the literature

Validation of an instrument to assess the delivery of patient-centred care to people with intellectual disabilities as perceived by professionals

Relaxing into differences and energizing into differences: How group‐based play enables demographically diverse adults to co‐create a climate of psychological safety

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