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

Abstract

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.

Master coach The Consequences Workplace of the Head Nurse's Adherence to Nursing Professional Educational Ethics and Knowledge of Moral Dilemmas at King Abdulaziz Hospital, Makkah, Saudi Arabia

“…reported that the majority of nurses score high on the professional values scale in nursing subscales and reported that all items on the professional values scale in nursing nurses are essential concluding that education in nursing plays a vital role in acquiring and maintaining values The current study found a positive correlation between staff nurses' professional values, awareness of moral and moral issues, and respect (knowledge, self-assessment) among all head nurses at different testing times. Its conformity to Harton & Skemp (2022), a mix of workgroup supervisors' and coworkers' commitment to participating in the CREW method is a significant predictor of higher post-intervention ratings of work respect and a fair more important predictor of higher post-intervention perceptions of workplace respect improvements reported a significant positive relationship was found between professional nursing values and levels of self-esteem as a predictor for adherence work setting that free from moral and ethical problems so that its useful to nursing educators to focus their effort on promoting professional, competent, ethical behaviors, practices of nursing care with nursing professional values of future nurses, and also supported…”

Influence of TQM Principles Implementation at King Abdul Aziz Hospital, Makkah City, Saudi Arabia

“…TQM, according to (3), improves performance by increasing quality, customer satisfaction, profitability, and productivity. However, even after implementing TQM practices, many organizations' performance, particularly public hospitals, remains uncertain (4). TQM systems implemented in healthcare organizations can improve patient safety.…”

“…True economic effectiveness will be established through vastly improved cost management practices, and the healthcare industry will be moved from its current lowperformance level to a new standard of excellence. Furthermore, implementing TQM in health care, which is a patient-centered process, results in safe health services, patientcentered care, improved health outcomes, and patient satisfaction, provided the processes are well designed, implemented, and consistently executed (4). The TQM approach has demonstrated the potential for dramatic improvements in quality and cost in healthcare organizations, but it has also proven difficult to implement.…”