Modeling attitudes and perceptions as predictors for changing safety margins during organizational change

Lofquist, Eric Arne; Greve, Arent; Olsson, Ulf

doi:10.1016/j.ssci.2010.11.007

Cited by 17 publications

(10 citation statements)

References 33 publications

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“…Leadership commitment to safety was expanded to include the original intent behind values and allocation of resources , which was changed to leadership behaviours and priorities , a broader heading. The change improved categorisation, yet still emphasised the importance of the influence of allocate resources to safety programmes as a fundamental priority for the leader and for the organisation (Feng et al., ; Lofquist et al., ; Pronovost et al., ; Sammer et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…These findings reinforce the call to action within the Institute of Medicine report (Kohn, Corrigan, & Donaldson, ) urging health care organisations to strengthen their patient safety culture as a strategy to minimise preventable error. SC is defined as “a surface feature, or manifestation, of an underlying safety culture that provides an understanding of the attitudes and perceptions of a workforce at any given point in time” (Lofquist, Greve, & Olsson, : p. 531). Together, TFL and SC are integral concepts to the safety chain, and a deeper dive into the relationship and factors between them is essential to a full understanding of how leaders minimise preventable error.…”

Section: Introductionmentioning

confidence: 99%

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Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management

2017

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Aim:To validate a framework of factors that influence the relationship of transformational leadership and safety climate, and to enable testing of safety chain factors by generating hypotheses regarding their mediating and moderating effects.Background: Understanding the patient safety chain and mechanisms by which leaders affect a strong climate of safety is essential to transformational leadership practice, education, and research. Methods:A systematic review of leadership and safety literature was used to develop an organising framework of factors proposed to influence the climate of safety. A panel of 25 international experts in leadership and safety engaged a three-round modified Delphi study with Likert-scored surveys.Results: Eighty per cent of participating experts from six countries were retained to the final survey round. Consensus (>66% agreement) was achieved on 40 factors believed to influence safety climate in the acute care setting. Conclusions:Consensus regarding specific factors that play important roles in an organisation's climate of safety can be reached. Generally, the demonstration of leadership commitment to safety is key to cultivating a culture of patient safety. Implications for Nursing Management:Transformational nurse leaders should consider and employ all three categories of factors in daily leadership activities and decision-making to drive a strong climate of patient safety. K E Y W O R D SDelphi survey, nursing, patient safety, safety climate, transformational leadership | INTRODUCTIONHuman suffering caused by preventable medical error has taken a significant toll on patients, families and the second victims, health care organisations and clinicians (James, 2013). As care providers and consumers have become increasingly aware of the high rates of preventable patient deaths worldwide, the global health care community has called for transformational improvement in patient care quality and safety. To achieve this goal, an understanding of specifically how nurse leaders improve patient safety is essential. According to Wong (2015: p. 276), "the development and testing of robust conceptualisations of leadership that clearly describe leadership behaviours and identify the | BACKGROUNDTransformational leadership has a salient role in the safety chain by developing cultures of safety in the patient care environment (Buckner et al., 2014). This leadership style is associated with im- Despite a growing body of evidence related to TFL and its influence on patient safety outcomes (Merrill, 2015;Ross, 2011;Weng et al., 2015), further research is needed to explain how, why, or when these factors affect the safety chain by testing mediating and moderating effects (McFadden et al., 2014;Wong, 2015). A mediator specifies how the relationship between TFL and SC occurs, while a moderator interacts with TFL to vary the strength of the relationship with SC (Baron & Kenny, 1986). The framework validated by this study serves as an organising tool for this testing.The review of current evidence and prop...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management

2017

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“…Although active role modeling, teaching, and coaching is perhaps only realistic at the work group level, leaders at the system and organizational level can also use this embedding mechanism by role modeling positive attitudes and actions towards the EBP being implemented. Provider attitudes are an important predictor of EBP implementation effectiveness (2; 41; 47; 96), and leader attitudes influence provider attitudes, particularly during times of change (70; 85; 98). Thus, even though system and organization leaders may not have the opportunities to work directly with teaching and coaching providers, they can serve as important role models in other ways to support the overall development of a positive climate for EBP implementation.…”

Section: Climate Embedding Mechanismsmentioning

confidence: 99%

Aligning Leadership Across Systems and Organizations to Develop a Strategic Climate for Evidence-Based Practice Implementation

Aarons

Ehrhart²,

Farahnak

et al. 2014

Annu. Rev. Public Health

336

341

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There has been a growing impetus to bridge the gap between basic science discovery, development of evidence-based practices (EBPs) and their availability and delivery in order to improve public health impact of such practices. In seeking to capitalize on factors that support implementation and sustainment of EBPs, it is important to consider that healthcare is delivered within the outer context of public health systems, and the inner context of healthcare organizations and workgroups. Leaders have a key role in determining the nature of system and organizational context. This article will addresses the role of leadership across levels in developing strategic climate for EBP implementation within the outer (i.e., system) and inner (i.e., organization, work group) contexts of healthcare. Within the framework of Edgar Schein’s “climate embedding mechanisms,” we describe strategies that leaders at the system, organization, and work group levels can consider and apply to develop a strategic climates that support the implementation and sustainment of EBP in healthcare and allied healthcare settings.

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“…Measuring safety is generally considered a very difficult task, at least compared with many other aspects of measuring the results of changes in organizations (Lofquist et al, 2011). In 2002, human error was credited with 15% of unplanned outages (Margeson, 2003 …”

Section: Figure 1 Classification Of Mistakes (After Reason 2004)mentioning

confidence: 99%

Decision Analysis in Management of Information Systems Incidents

Tchoffa¹,

Duță²,

Mhamedi³

2013

SIC

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Distributed systems are characterized by heterogeneity and also by multiple applications often interdependent whose programming is done by separate teams with no communications between them. Dysfunctions and problems that occur in these systems have multiple and important consequences. Difficulties encountered during discovering origins and causes of these problems are proportional with user information quality demand. In this paper a method to manage incidents in information systems using decision analysis is proposed.

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Modeling attitudes and perceptions as predictors for changing safety margins during organizational change

Cited by 17 publications

References 33 publications

Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management

Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management

Aligning Leadership Across Systems and Organizations to Develop a Strategic Climate for Evidence-Based Practice Implementation

Decision Analysis in Management of Information Systems Incidents

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