What causes an improved safety climate among the staff of a dialysis unit? Report of an evaluation in a large network

A, Di Benedetto; Pelliccia, Francesco; Moretti, Miriane Melo Silveira; d'Orsi, W; Starace, Fabrizio; Scatizzi, Laura; Mt, Parisotto; Marcelli, Daniele

doi:10.5301/jn.2011.6306

Cited by 8 publications

(15 citation statements)

References 28 publications

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“…Factors such as age, retirement, and the presence of companions were related to an increased risk of infection (Keyvani, Agah, Kabir, & Alavian, 2013). Nursing care for infection control in patients undergoing hemodialysis involves an effective therapeutic approach, such as hand hygiene, antisepsis of the skin for venipuncture, and the use of masks and aprons (Di Benedetto et al, 2011; Higgins & Evans, 2008).…”

Section: Discussionmentioning

confidence: 99%

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

et al. 2018

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This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection. Hemodialysis may trigger a set of clinical indicators that predict the presence of ineffective health management. This knowledge provides evidence to clinical practices for hemodialysis patients and contributes to the best clinical performance of nurse practitioners.

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Section: Discussionmentioning

confidence: 99%

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

et al. 2018

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“…Communication is one of the most important leadership skills and one of the most influential when it comes to organisational culture and safety (Currie & Watterson, 2010;Di Benedetto et al, 2011;Martinez et al, 2011;Pronovost et al, 2009;Richardson & Storr, 2010;Singer & Vogus, 2012). Adjectives used to describe communication as it relates to influence on SC include "openness" (Martinez et al, 2011;Richardson & Storr, 2010;Wong & Cummings, 2007), "transparent" (Sammer, Lykens, Singh, Mains, & Lackan, 2010), "bottom-up" (Sammer et al, 2010) and "authentic" (Shirey, 2006 was expanded significantly to include three bullet-pointed adjectives, honest/trustworthy, proactively transparent and bi-directional/ inclusive.…”

Section: Secondary Category: Communicationmentioning

confidence: 99%

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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“…A1 16 A pontuação média do clima de segurança foi de 81,9%. Houve diferença, sem significância, nos escores de clima entre diretores médicos (91,5%) e enfermeiros supervisores pelo setor da qualidade (87,4%) em comparação com médicos (82,4%), enfermeiros assistenciais (81,1%) e auxiliares de saúde (78,8%).…”

Section: Artigo Principais Resultados Conclusõesunclassified

Clima E Cultura De Segurança Do Paciente Em Unidades De Hemodiálise:

Leite¹,

Batista

2022

Var. Sci. - Ci. Saúde

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Objetivo: Identificar na literatura a percepção de profissionais de saúde atuantes em unidades de hemodiálise acerca do clima e da cultura de segurança do paciente. Método: Revisão integrativa de literatura com coleta de dados ocorrida entre os meses de fevereiro e março de 2021 nas seguintes bases de dados: MEDLINE, IBECS, LILACS e BDENF, sem recorte temporal. Resultados: Foram encontrados 47 estudos; quatro foram elegíveis. As publicações concentraram-se no período de 2011 a 2018, com destaque para duas pesquisas realizadas no continente europeu (50%). Dois estudos apresentaram percepção de segurança de enfermeiros maior em comparação aos profissionais médicos. Um estudo revelou que os profissionais que ocupam cargos gerenciais possuem clima de segurança superior aos profissionais de linha de frente. A dimensão passagem de plantão/turnos e transferências esteve relacionada à redução de eventos adversos em um dos estudos analisados. Conclusão: há percepções diferentes no clima/cultura de segurança entre enfermeiros e médicos e de gestores em comparação aos trabalhadores da assistência.

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What causes an improved safety climate among the staff of a dialysis unit? Report of an evaluation in a large network

Abstract: A relatively high value for Safety Climate was evaluated within the FME network of Italian dialysis clinics. Management showed higher Safety Climate scores than frontline staff. Fostering communication and implementation of training programs are considered valid tools to improve safety.

Cited by 8 publications

References 28 publications

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

Ineffective Health Management in Hemodialysis Patients: Diagnostic Accuracy Study

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

Clima E Cultura De Segurança Do Paciente Em Unidades De Hemodiálise:

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