The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Residents’ Patient Safety Behaviors

Abstract

Departments should focus on establishing a supportive patient safety climate to improve residents' patient safety behavior. Building a supportive learning climate might help to improve the patient safety climate and, in turn, residents' patient safety behavior.

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

“…The present investigation found significant negative associations between all work factors studied and burnout levels. Such findings confirm the importance of promoting consistent supervision, providing a collaborative and supportive atmosphere, facilitating progressive acquisition of autonomy and feelings of control and security to reduce the risk for developing burnout syndrome [ 16 ]. These results suggest that the more these organizational strategies are designed and implemented, the lower the level of burnout perceived and the fewer the errors; in other words, attention to these aspects implies promoting an adequate skill level, including emotional skills, reflection, critical thinking and values which will enable residents to cope more effectively with the difficulties of their daily work [ 27 , 29 ].…”

“…Among the work-related factors associated with burnout, overwork and few hours of sleep [ 11 , 12 ], together with lacking communication, poor relationships among peers and inefficient organizational and supervisory aspects [ 13 , 14 , 15 ] have been identified as the most significant. The relevance of the analysis of the work-related factors lies in the empirical evidence of the consequences of burnout, not only because of its impact on the residents’ health, but also on the quality of care that the residents provide to the patients, which might be deteriorated [ 16 ]. As such, one of the main focuses of recent studies in the field has been understanding how burnout levels relate to errors in the clinical practice of residents [ 17 , 18 ].…”

“…In other words, another important area in which the supervisor must be involved is determining that the level of autonomy and responsibility acquired is appropriate for the residents’ skills and for the year of residency [ 29 ]. Likewise, it has been demonstrated that a positive training environment has a direct influence on reducing levels of burnout, and it has also been observed that it is indirectly related with better teamwork, collaboration among peers and better quality of provided care to patients [ 16 ]. Accordingly, it has been found that wellbeing, self-confidence and skills of residents improve when they receive adequate supervision, which, in turn, would be reflected in their clinical practice, contributing to a better quality of care and reduction of errors [ 30 ].…”

An act of performance: Exploring residents’ decision‐making processes to seek help

“…Hence, our study suggests that to mitigate pressures on residents’ internal dialogue, a safe learning environment nurturing the sharing of uncertainty and vulnerability while paying attention to the individual resident and their personal learning needs is imperative 39,40 . In such environments, residents are more likely to speak up and disclose errors partly due to less hierarchy, which may be instrumental for providing safe and high‐quality patient care 41,42 …”

Perceptions of Teamwork in Schools of Nursing

“…found to enhance interdisciplinary collaboration and improve quality outcomes. 11,12 This same approach to teamwork may not be as strong in academia as the literature is lacking information about the perception of teamwork in the academic setting. However, evidence suggests that if teaching teams perceive positive team dynamics, mutual support, and trust, it may foster an overall positive departmental atmosphere.…”