The challenges of safety improvement in New Zealand public hospitals

Beaver, Peter

doi:10.1080/1177083x.2018.1561476

Cited by 5 publications

(10 citation statements)

References 20 publications

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“…Others are lax accident management techniques, safety bureaucracy leading to bottlenecks in safety matters and facilities not built to make evacuation easy. Beaver (2019) recommended safety improvement, which includes practices and implementation. The focus of this paper is on information necessary to develop the FSMP framework for public hospital buildings.…”

Section: Fire Safety Management Plan In Healthcare Buildingsmentioning

confidence: 99%

Developing a framework for fire safety management plan: the case of Malaysia's public hospital buildings

Jaafar

Salim

Salleh

et al. 2021

IJBPA

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PurposeGlobally, several studies have shown that hospital building is charged with multiple inherent risks because a large number of users are vulnerable in tragic events. Thus, the need for the fire safety management plan (FSMP) has been proved as an instrument to mitigate fire and related risks in healthcare facilities. In Malaysia, FSMP regarding public healthcare building is yet to be explored in-depth. Therefore, this paper explores the information necessary to develop the FSMP framework for public hospital buildings.Design/methodology/approachThe paper’s objectives were accomplished via a combination of five face-to-face interviews and observations of five selected public hospitals in Pulau Pinang, Malaysia. The five key participants were across the five public hospitals and collated data analysed through thematic analysis with the assistance of MAXQDA 2018.FindingsFindings show that fire safety stakeholders practice system, fire safety action plan and fire risk management were the three main variables that promote fire safety programme and will improve FSMP for Malaysia’s public hospital buildings.Research limitations/implicationsThis paper’s data collection is limited to Penang, Malaysia, and a qualitative research approach was used, but this does not deteriorate the strength of the findings. Future studies are needed to consider validating findings from this paper via a quantitative approach.Practical implicationsThe suggested framework can be employed by Malaysia’s public hospital authorities as a guideline to mitigate fire hazards in the country’s healthcare facilities.Originality/valueThis paper is encouraging hospital operators and other key stakeholders to improve on their FSMP for healthcare buildings across Malaysia as part of the study implications.

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Section: Fire Safety Management Plan In Healthcare Buildingsmentioning

confidence: 99%

Developing a framework for fire safety management plan: the case of Malaysia's public hospital buildings

Jaafar

Salim

Salleh

et al. 2021

IJBPA

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“…While quality improvement is a fundamental competency for nurses practicing in New Zealand, they often do not feel well prepared to accomplish this task 10,11. In a qualitative study in 2 New Zealand hospitals where nurses, physicians, and managers were interviewed about their perspectives on quality improvement activities, nurses described themselves as “comprehensively involved.”12 (p118) Nevertheless, barriers for nurses completing quality improvement projects included the following: (1) lack of resources to the extent that projects were difficult to implement and only partially completed; inability to provide time release for nurses' involvement; (2) projects starting well and becoming neglected as priorities changed; and (3) lack of resources for projects that were not of apparent economic benefit. Based on outcomes of this qualitative study, the researchers concluded that, with some exceptions, staff felt little ownership of the improvement process, and those who engaged in these projects faced frustration and a risk of burnout 12.…”

Section: Introductionmentioning

confidence: 99%

“…Based on outcomes of this qualitative study, the researchers concluded that, with some exceptions, staff felt little ownership of the improvement process, and those who engaged in these projects faced frustration and a risk of burnout. 12 They further recommend ensuring adequate resources of time and expertise, as well as efforts to empower staff to take control of quality improvement processes.…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of Barriers and Facilitators for a Pressure Injury Prevention Link Nurse Role

Moir

Taylor

Seaton

et al. 2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The purpose of this study was to identify barriers and facilitators for nurses in a pressure injury prevention (PIP) link nurse role. DESIGN: Mixed-methods study that used nominal group technique with focus groups, followed by online surveys. SAMPLE AND SETTING: The PIP link nurse project recruited 52 RNs; 32 completed the PIP educational program and participated in data collection. The sample was drawn from PIP link nurses, who were invited to participate in focus groups at the end of the project to identify perceived facilitators and barriers to their role. Focus groups were specific to work areas: aged care and community visiting, and hospital. Two were in an urban setting and one in a rural environment. Twenty-two PIP link nurses participated across 3 groups. To ensure comprehensive data from all involved in the project, online surveys were created using focus group priorities as the basis for questions to send to all PIP link nurses, their managers, and workplace colleagues. METHODS: Participants were invited to participate in focus groups to identify perceived facilitators and barriers to their role. These focus groups were organized around care settings: aged care, community visiting, and hospital. Using a nominal group technique focus group process, participants were asked to identify barriers and facilitators to their role. These were shared with the group until all answers were declared and understood. Voting on order of priority then took place, with majority voting leading to a prioritized list of facilitators and barriers for each group. Considering the similarities and differences across group priorities, researchers developed online surveys representing the main facilitators and barriers from the focus groups. Surveys were then distributed to all PIP link nurses, their managers, and colleagues. Survey data were collected and analyzed in REDCap and reported as percentages of agreement to the questions for each group of respondents. RESULTS: Focus group data indicated facilitating priorities included PIP link nurses' commitment to the role, the support they received from their managers and colleagues, and time release to complete the role. Barriers included lack of time—when other work pressures took priority, and PIP link nurses felt the focus on applying quality improvement theory was more challenging than they had anticipated. Surveys from all groups reiterated the importance of the support of the workplace team in facilitating the role, and the time pressures for the PIP link nurse were a barrier to the role. CONCLUSION: While the funding of such projects is advantageous, it should be carefully and generously considered how much time is required if the project is to succeed so that lack of time to complete the role does not become a barrier to successful completion.

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“…An efficiently designed process still needs to be implemented on a daily basis by people. This research builds on the findings in the literature about the challenges of implementing change in hospitals and that there has been a lack of in-depth engagement with frontline staff about their experiences (Beaver, 2019;Johnston et al, 2016;Person et al, 2013;Rixon et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…The barriers to implementing change in the healthcare context are well known to those working in patient safety and quality improvement. Research into the challenges of implementing safety improvement initiatives in New Zealand hospitals highlights the importance of understanding cultural factors (Beaver, 2019). In addition to more dedicated resources and time to focus on improvement projects, staff need to be more empowered to take control of these projects within their localities.…”

Section: Opportunity For Systemic Reform In New Zealandmentioning

confidence: 99%

Emergency futures: An ethnographic design exploration of a public health crisis

Bialostocki¹

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<p>Overcrowding in emergency departments is becoming a public health crisis in Aotearoa New Zealand. As demand for acute care continues to rise, and hospitals are running over capacity, emergency department patients requiring admission to hospital wards have nowhere to go. Healthcare workers are being forced to use unsafe interim solutions like corridor stays. Despite numerous attempts at intervention, the situation is not improving, posing serious risks to patient safety and staff wellbeing. This research explores, first, what we can learn from the voices of frontline healthcare workers when trying to understand the problem of emergency department overcrowding and, second, how design might enable us to imagine possible futures for emergency care as a way to reflect on the values and assumptions underpinning the current system. Through in-depth interviews and onsite observations, I discovered that the key challenges staff face relate back to the relationship with patients, staff, and the organisation. Moral distress, victimisation and scepticism towards change were the key themes constructed across these different levels. My research suggests that speculative design can offer a fresh approach for the healthcare sector to ask questions and open up space for thinking about how things could be radically different, as well as building new connections between the disciplines of healthcare and design.</p>

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The challenges of safety improvement in New Zealand public hospitals

Cited by 5 publications

References 20 publications

Developing a framework for fire safety management plan: the case of Malaysia's public hospital buildings

Developing a framework for fire safety management plan: the case of Malaysia's public hospital buildings

An Evaluation of Barriers and Facilitators for a Pressure Injury Prevention Link Nurse Role

Emergency futures: An ethnographic design exploration of a public health crisis

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