Use of Champions Identified by Social Network Analysis to Reduce Health Care Worker Patient-Assist Injuries

Hurtado, David; Greenspan, Samuel A.; Dumet, Lisset M.; Heinonen, Gregory

doi:10.1016/j.jcjq.2020.08.003

Cited by 2 publications

(6 citation statements)

References 28 publications

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“…Four included studies met the level-1 [ 13 , 25 – 27 ], 74 the level-2 [ 15 – 17 , 19 – 21 , 23 , 28 – 94 ], and 24 the level-3 [ 18 , 22 , 24 , 95 – 115 ] criteria.…”

Section: Resultsmentioning

confidence: 99%

“…van der Eijk et al [ 13 ] employed ‘induction’ through training events. The remaining two studies [ 25 , 27 ] focused on ‘individuals’, by using social network methods to identify individuals who would act as champions. The impacts reported in the papers included structural network changes as well as changes in working practices and, in one study, staff safety outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…None of the studies reported on the impact on patient outcomes. The overall aim of the reported interventions was to improve organizational performance [ 26 ], patient care across the Parkinson’s network [ 13 ], safe patient manual handling [ 25 ], and hand hygiene [ 27 ]. All four papers used the information from SNA to improve connectedness within the networks.…”

Section: Resultsmentioning

confidence: 99%

“…Hurtado et al [ 25 ] used social network survey data to identify highly influential co-workers who were recruited as local champions in a safe patient handling education program. The Authors reported that previous studies in this context showed variable short- and long-term impact and that this may be due to a lack of proper methods for selecting workers best suited to exert influence.…”

Section: Resultsmentioning

confidence: 99%

“…The four studies that we identified as reporting the results of a network intervention (level-1), or those recommending a follow-up intervention in their conclusion section (level-2), mainly focused on improving specific structural features of the networks. Of the four level-1 studies, only two measured the impact of network intervention on health-related outcomes [ 25 , 27 ]. The reason for this may lie in the difficulty of envisioning clear-cut causal links between behaviors at one level (e.g., health professionals) and outcomes at another level (e.g., patients).…”

Section: Discussionmentioning

confidence: 99%

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Network approaches and interventions in healthcare settings: A systematic scoping review

2023

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Introduction The growing interest in networks of interactions is sustained by the conviction that they can be leveraged to improve the quality and efficiency of healthcare delivery systems. Evidence in support of this conviction, however, is mostly based on descriptive studies. Systematic evaluation of the outcomes of network interventions in healthcare settings is still wanting. Despite the proliferation of studies based on Social Network Analysis (SNA) tools and techniques, we still know little about how intervention programs aimed at altering existing patterns of social interaction among healthcare providers affect the quality of service delivery. We update and extend prior reviews by providing a comprehensive assessment of available evidence. Methods and findings We searched eight databases to identify papers using SNA in healthcare settings published between 1st January 2010 and 1st May 2022. We followed Chambers et al.’s (2012) approach, using a Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We distinguished between studies relying on SNA as part of an intervention program, and studies using SNA for descriptive purposes only. We further distinguished studies recommending a possible SNA-based intervention. We restricted our focus on SNA performed on networks among healthcare professionals (e.g., doctors, nurses, etc.) in any healthcare setting (e.g., hospitals, primary care, etc.). Our final review included 102 papers. The majority of the papers used SNA for descriptive purposes only. Only four studies adopted SNA as an intervention tool, and measured outcome variables. Conclusions We found little evidence for SNA-based intervention programs in healthcare settings. We discuss the reasons and challenges, and identify the main component elements of a network intervention plan. Future research should seek to evaluate the long-term role of SNA in changing practices, policies and behaviors, and provide evidence of how these changes affect patients and the quality of service delivery.

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“…Four included studies met the level-1 [ 13 , 25 – 27 ], 74 the level-2 [ 15 – 17 , 19 – 21 , 23 , 28 – 94 ], and 24 the level-3 [ 18 , 22 , 24 , 95 – 115 ] criteria.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Network approaches and interventions in healthcare settings: A systematic scoping review

2023

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Contributory factors related to patient safety incidence: A nursing perspective

Adu,

Zuma

2024

Health SA Gesondheid

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Background: There are growing concerns about patient safety and quality assurance enhancement in the healthcare setting because of the increase in the incidence of patient harm and adverse events over the years.Aim: This study explored the contributory factors associated with patient safety practices.Setting: The study was conducted in two private hospitals in Gauteng province, South Africa.Methods: A qualitative approach was used to gain an in-depth understanding of the issues pertaining to patient safety incidence. Purposive sampling was used to select professional nurses practicing within the two private hospitals. Thematic analysis was used. The study utilised the Donabedian model of patient safety and quality.Results: The study revealed that majority of the professional nurses did not understand the concept of patient safety; there was poor communication between the multidisciplinary team. There was poor adherence to patient safety policies.Conclusion: Patient safety issues remain an issue of concern in public health. There is a need for nurses to be capacitated on the implementation of patient safety programmes as well as improving communication within the multidisciplinary team. Identifying and addressing risk and contributory factors will help reduce the global burden of patient harm.Contribution: The study has presented the challenges as seen with patient safety and made recommendations on how to improve patient safety from the nursing perspective. It is anticipated that the results of this study may be used to create awareness on patient safety issues. This should promote a good healthcare climate in private healthcare institutions.

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Use of Champions Identified by Social Network Analysis to Reduce Health Care Worker Patient-Assist Injuries

Cited by 2 publications

References 28 publications

Network approaches and interventions in healthcare settings: A systematic scoping review

Network approaches and interventions in healthcare settings: A systematic scoping review

Contributory factors related to patient safety incidence: A nursing perspective

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