Manager's influence on the registered nurse and nursing assistant relational quality and patient safety culture

Campbell, Amy Richmond; Kennerly, Susan M.; Swanson, Melvin; Forbes, Thompson H.; Scott, Elaine S.

doi:10.1111/jonm.13426

Cited by 6 publications

(9 citation statements)

References 41 publications

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“…Thirty-five studies from databases were included in the scoping review, and one study published from 2011 to 2021 were manually identified from the reference lists. Ultimately, we identified 36 eligible studies38–73 for our scoping review (figure 1).…”

Section: Resultsmentioning

confidence: 99%

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Administration approaches of nursing assistants in hospitals: a scoping review

et al. 2022

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ObjectivesThe administration of nursing assistants (NAs) is closely associated with patient outcomes, but studies evaluating intrahospital administration of NAs are limited. This study aimed to identify existing literature on intrahospital NAs’ administration approaches.DesignScoping review.Data sourcesPubMed, Embase, CINAHL, Scopus, ProQuest, CNKI, APA PsycInfo, Wanfang Med, SinoMed, Ovid Emcare, NICE, AHRQ, CADTH, JBI EBP and Cochrane DSR were searched for articles published between January 2011 and March 2022.Eligibility criteria for selecting studiesQualitative, quantitative or mixed-method studies and evidence syntheses that evaluate administration approaches, models and appraisal tools of intrahospital NAs were included.Data extraction and synthesisTwo independent reviewers conducted search, data selection and data extraction according to Joanna Briggs Institute guidance and methodology for scoping review. The quality of included studies was assessed using Mixed Methods Appraisal Tool or AMSTAR V.2. Data were synthesised using narrative methods and frequency effect size analysis.ResultsThirty-six studies were eligible, with acceptable quality. We identified 1 administration model, 9 administration methods, 15 educational programmes and 7 appraisal tools from the included studies. The frequency effect size analysis yielded 15 topics of the main focus at four levels, suggesting that included articles were mainly (33%) focused on the competency of NAs, and the lectures were the most (80%) used strategy in quality improvement projects. Evidence from the studies was of low-to-moderate quality, indicating huge gaps between evidence-based research and management practice.ConclusionsPractical intrahospital administration approaches were revealed, and fifteen primarily focused topics were identified. We should explore this area more thoroughly using structured frameworks and standardised methodology. This scoping review will help managers find more effective ways to improve the quality of care. Researchers may focus more on evidence-based practice in NA administration using the 15 topics as a breakthrough.

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Section: Resultsmentioning

confidence: 99%

“…38 2. A seven-item leader-member exchange relational quality questionnaire from Campbell et al 39 and developed by Graen and Uhl-Bien. 76 3.…”

Section: Appraisal Toolsmentioning

confidence: 99%

Administration approaches of nursing assistants in hospitals: a scoping review

et al. 2022

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“…(1) HCA & RNs' intention questionnaire; 38 (2) LMX-7 relational quality questionnaire from Campbell et al 39 and developed by Graen et al; 76 (3) NA working questionnaire 47 ; (4) the Nursing Culture Assessment Tool (NCAT); 49 (5) the Structured Multidisciplinary Evaluation Tool (SMET) from Haraldsson et al 48 and developed by the author in 2016; 77 (6) Self-Efficacy for Preventing Falls -Assistants (SEPFA); 42 (7) the Work Ability Index from Monteiro et al 54 and produced by Ilmarinen. 78 Three of seven papers developed original scales and tested reliability and validity.…”

Section: Appraisal Toolsmentioning

confidence: 99%

Administration approaches of nursing assistants in hospitals: a scoping review

Zeng

Jin

Cheng

et al. 2022

Preprint

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Objectives: Administration of nursing assistants is closely associated with patient outcomes, but the current circumstances are tough and need improvement. There was limited research evaluating the intrahospital administration of nursing assistants, and there is a lack of available systematic reviews of the area. The aim of this article was to identify and synthesize the literature on intrahospital nursing assistants' administration approaches. Design: Scoping review. Search strategy: We searched PubMed, Embase, APA PsycInfo, Wanfang Med, SinoMed, CINAHL, Ovid Emcare, Scopus, ProQuest, CNKI, NICE, AHRQ, CADTH, JBI EBP and Cochrane DSR for English and Chinese language articles published between January 2011 and March 2022. Publications on administration approaches, models and appraisal tools of nursing assistants in hospitals, including qualitative, quantitative, mix-methods studies and evidence syntheses, were considered eligible. Results: 36 eligible studies were included for the review with an acceptable quality. We identified one administration model, nine administration methods, fifteen educational programmes and seven appraisal tools from the included studies. The frequency effect size analysis yielded 15 topics of main focus at four levels, whilst suggesting that the previous articles were mostly (33%) focused on the competency of nursing assistants, and the lectures were the most (80%) used strategy in quality improvement projects. The evidence-based quality of the original studies was considerably low, indicating the huge gaps between the evidence-based research and the management practice. Conclusions: A series of practical intrahospital administration approaches was revealed, and fifteen mostly focused topics were identified. We need probe more thoroughly in this area, based more on effective management theories and frameworks, and employing methods of higher quality. This scoping review will help managers find more effective methods to improve the quality of care. Researchers may focus more on evidence-based nursing skills and methods in nursing assistant administration using the 15 topics as breakthrough points.

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“…Adequate staffing, managerial support for nurses and good nurse–physician relations contribute to a professional nurse work environment (IOM, 2004 ). Hospital manager behaviours that promote patient safety and transformational leadership styles influence and predict nurse‐perceived patient safety (Anderson et al, 2019 ; Campbell et al, 2021 ; Ferreira et al, 2022 ; Lee & Dahinten, 2020 ; Weaver et al, 2017 ). Transformational leadership had a significant indirect effect on adverse patient outcomes through structural empowerment (Boamah et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study

Harton

Skemp

2022

J Nursing Management

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Aim The aim of this study is to describe safety culture as experienced by medical–surgical nurse leaders. Background Safety culture remains a barrier in safer patient care. Nurse leaders play an important role in creating and supporting a safety culture. Methods We used an inductive qualitative descriptive study using semistructured interviews, document review and observations in a Midwestern community hospital in the United States. Results Results of the study are as follows: making sure nurses are keeping patients safe, making sure nurses have nursing interventions in place, expecting nurses to stop unsafe acts or escalate when they feel uncomfortable, making sure nurses have what they need to provide safe care, organization prioritizes patient safety and making sure nurses are learning and growing emerged as themes describing safety culture. Conclusions Nurse leaders made sure patients were safe by making sure everyone was doing their best to provide safe care. Insufficient time, too many priorities, insufficient resources, poor physician behaviours and lack of respect for their role emerged as barriers to leading a safety culture. Implications for Nursing Management Organizations must remove barriers for nurse leaders to develop and lead a safety culture. Nurse leaders must learn to advocate successfully for safe nursing care and professional work environments.

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Manager's influence on the registered nurse and nursing assistant relational quality and patient safety culture

Cited by 6 publications

References 41 publications

Administration approaches of nursing assistants in hospitals: a scoping review

Administration approaches of nursing assistants in hospitals: a scoping review

Administration approaches of nursing assistants in hospitals: a scoping review

Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study

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