Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study

moazez, Maryam; Miri, Sakineh; Foroughameri, Golnaz; Farokhzadian, Jamileh

doi:10.1111/jonm.13000

Cited by 15 publications

(22 citation statements)

References 36 publications

(58 reference statements)

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“…Our findings showed that nurses who had higher scores on systems thinking had a lower chance for involvement in the occurrence of AEs. This result confirmed the hypothesis that systems thinking increases quality and patient safety (Dolansky & Moore, 2013;Hwang & Park, 2017;Moazez et al, 2020;Niskanen et al, 2016). The results of a study in Iran found a positive association between systems thinking competency and safe nursing care, and a study conducted in South Korea showed that nurses with higher systems thinking had a lower chance to experience AEs (Hwang & Park, 2017;Moazez et al, 2020).…”

Section: Discussionsupporting

confidence: 84%

“…In general, the systems thinking is rated as moderate, which is lower than previous studies; the mean score for total systems thinking was 49.45 (SD = 12.10), which is lower than the mean scores for several previous studies, in Iran (63.25, SD = 9.20), in South Korea (54.5, SD = 7.3) and at Johns Hopkins, School of Medicine (61.15, SD = 10.55) (Aboumatar et al, 2012; Hwang & Park, 2017; Moazez et al, 2020). Furthermore, about a quarter of the study participants (24.85%) have high competency for systems thinking, which is slightly higher than a study conducted in Korea (20%) (Hwang & Park, 2017).…”

Section: Discussioncontrasting

confidence: 53%

“…Consequently, health care professionals who are well-qualified in systems thinking competence are anticipated to have a significant role in safety-enhancing behaviours such as preventing AEs, recognizing and reporting medical errors and safe nursing care and thus improving patients' outcomes (Dolansky & Moore, 2013;Hwang & Park, 2017;Moazez et al, 2020). Therefore, this study examined the systems thinking level and its relationship with reporting and the occurrence of AEs in Iranian nurses.…”

Section: Discussionmentioning

confidence: 99%

“…Systems thinking supports health care professionals to understand the diverse elements of health care systems, the interrelatedness and interdependencies of these elements in the health care systems, as well as identifying systems challenges towards more reliable and safe health care systems (Colbert et al, 2011; Dolansky & Moore, 2013). Consequently, health care professionals who are well‐qualified in systems thinking competence are anticipated to have a significant role in safety‐enhancing behaviours such as preventing AEs, recognizing and reporting medical errors and safe nursing care and thus improving patients' outcomes (Dolansky & Moore, 2013; Hwang & Park, 2017; Moazez et al, 2020). Therefore, this study examined the systems thinking level and its relationship with reporting and the occurrence of AEs in Iranian nurses.…”

Section: Discussionmentioning

confidence: 99%

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The impact of nurses' perceptions of systems thinking on occurrence and reporting of adverse events: A cross‐sectional study

Kakemam

Albelbeisi

Davoodabadi

et al. 2022

J Nursing Management

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Aims:To assess systems thinking level and its relationship with occurrence and reporting of adverse events in Iranian nurses.Background: Systems thinking has recently emerged as an important element of patient safety and quality improvement in health care systems. It helps health care professionals to understand the different elements of health care systems, the interrelatedness and interdependencies of these elements in the health care systems.Methods: This cross-sectional survey was carried out in 10 teaching hospitals in Tehran, Iran. A total of 511 nurses were selected using simple random sampling.Systems thinking was measured using the validated Systems Thinking Scale. Data analysis was performed by descriptive analyses, independent t test and logistic regression analysis. Results:The average score for total systems thinking was a mean of 49.45 (SD = 12.10; range 0-80). In total, 67.5% of participants reported the experience of the occurrence of adverse events leading to harm to patients, and 65.2% of them responded as having appropriate adverse events reporting behaviours. Nurses who had higher scores in systems thinking were found to be more likely to report adverse events (odds ratio = 1.07; 95% CI = 1.05-1.09), whereas they were less prone to experience adverse events (odds ratio = 0.97; 95% CI = 0.95-0.98). Conclusion:Our results indicated that the nurses' systems thinking level was moderate. Systems thinking had a significant role in preventing the occurrence of adverse events as well as improving the reporting of adverse events. Therefore, it is recommended to enhance the competency of nurses' systems thinking to prevent the occurrence of adverse events and to improve the reporting of adverse events.Implications for nursing management: Nursing managers need to focus on the systems thinking weaknesses and the occurrence and the reporting of adverse events in policymaking, practice and research. Also, systems thinking should be integrated with the health care system for preventing the occurrence of adverse events and

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Section: Discussionsupporting

confidence: 84%

Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of nurses' perceptions of systems thinking on occurrence and reporting of adverse events: A cross‐sectional study

Kakemam

Albelbeisi

Davoodabadi

et al. 2022

J Nursing Management

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show abstract

“…Systems thinking is the conceptual framework of an interdisciplinary domain that helps clarify the behaviour and structure of complex systems (Hossain et al, 2020). Systems thinking is a crucial factor for quality and safety education for nurses (Dolansky & Moore, 2013), occurrence and reporting of adverse events (Hwang & Park, 2017) and ensuring and promoting patient safety across all health care settings (Hwang & Park, 2017; Moazez et al, 2020; Rizany et al, 2018). Systems thinking can be improved by training (Phillips et al, 2018; Sanko et al, 2021), which improve nurses' perception of safety culture and decrease the prevalence of medical errors (Tetuan et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The association of professionalism and systems thinking on patient safety competency: A structural equation model

Kakemam

Ghafari

Rouzbahani

et al. 2022

J Nursing Management

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Aims:The aim of this study is to identify how professionalism and systems thinking contribute to patient safety competency among Iranian nurses.Background: Professionalism, systems thinking and patient safety competency play important roles in the quality of care. Strategies to enhance the patient safety competency of nurses must be devised by identifying the relationships between these variables.Methods: A cross-sectional, descriptive survey study was conducted in 10 teaching hospitals in Tabriz, Iran. A total of 358 nursing staff with at least 12 months of experience in nursing were enrolled. Data were collected using the Professionalism scale, Systems Thinking Scale and Patient Safety Competency Self-Evaluation tool. Structural equation modelling analysis was performed to test the relationship between variables. Results:The final model illustrated a good fit (χ 2 /df = 2.329, goodness-of-fit index = 0.990, Tucker-Lewis index = 0.906 and root mean square error of approximation = 0.068). Professionalism directly influenced patient safety competency (β = 0.59, p < 0.001) and indirectly influenced systems thinking (β = 0.29, p < 0.001).Systems thinking directly influenced patient safety competency (β = 0.46, p < 0.001).Results indicated that 91% of the variance in patient safety competency was explained by professionalism while 40.1% of the variance in the systems thinking was explained by professionalism. Conclusions:The professionalism and systems thinking of hospital nurses play a pivotal role as predictors in patient safety competency. Training opportunities, mentorship and nursing managers' leadership are needed to assist hospital nurses in their perceptions of professionalism and systems thinking.Implications for Nursing Management: Nursing educators and managers should implement patient safety training strategies and improve the professionalism and systems thinking of hospital nurses to promote patient safety and quality care.

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Working the system—An empirical analysis of the relationship between systems thinking, paradoxical cognition, and sustainability practices

Schulte,

Paris

2024

Corp Soc Responsibility Env

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Sustainability is an inherently complex problem. Often, a reductionist mindset underpins corporate sustainability practices. Understanding the collective impact of systems thinking and paradoxical cognition on sustainability practices could foster new cognitive strategies for sustainability efforts. Informed by stakeholder theory, this study investigates the impacts of systems thinking and paradoxical cognition on sustainability practices in small and medium‐sized enterprises (SMEs). Primary data was collected through a survey of SME managers in the United Arab Emirates (n = 554), and the hypothesized model was analyzed using structural equation modelling. The findings imply that systems thinking, paradoxical thinking, and the ability to recognize paradoxical tensions positively influenced sustainability practices. The study's findings offer novel insights advocating for the integration of cognitive frameworks and sustainability practices in the context SMEs, highlighting the need for a shift from traditional linear management approaches to more adaptive and integrative strategies.

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Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study

Cited by 15 publications

References 36 publications

The impact of nurses' perceptions of systems thinking on occurrence and reporting of adverse events: A cross‐sectional study

The impact of nurses' perceptions of systems thinking on occurrence and reporting of adverse events: A cross‐sectional study

The association of professionalism and systems thinking on patient safety competency: A structural equation model

Working the system—An empirical analysis of the relationship between systems thinking, paradoxical cognition, and sustainability practices

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