دورية أكاديمية
Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.
العنوان: | Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. |
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المؤلفون: | Finn M; Graduate School of Healthcare Management, Royal College of Surgeons in Ireland, Dublin, Ireland maireadfinn@rcsi.ie finnm2@tcd.ie., Walsh A; Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin, Ireland., Rafter N; Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin, Ireland., Mellon L; Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland., Chong HY; School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland., Naji A; School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland., O'Brien N; Library Services, Royal College of Surgeons in Ireland, Dublin, Ireland., Williams DJ; Department of Geriatric and Stroke Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland., McCarthy SE; Graduate School of Healthcare Management, Royal College of Surgeons in Ireland, Dublin, Ireland. |
المصدر: | BMJ open quality [BMJ Open Qual] 2024 May 07; Vol. 13 (2). Date of Electronic Publication: 2024 May 07. |
نوع المنشور: | Journal Article; Systematic Review; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: London : BMJ Publishing Group |
مواضيع طبية MeSH: | Organizational Culture* , Safety Management*/methods , Safety Management*/standards , Health Personnel*/statistics & numerical data , Health Personnel*/psychology, Humans ; Hospitals/statistics & numerical data ; Hospitals/standards ; Patient Safety/standards ; Patient Safety/statistics & numerical data ; Job Satisfaction ; Leadership ; Quality Improvement |
مستخلص: | Background: In an era of safety systems, hospital interventions to build a culture of safety deliver organisational learning methodologies for staff. Their benefits to hospital staff are unknown. We examined the literature for evidence of staff outcomes. Research questions were: (1) how is safety culture defined in studies with interventions that aim to enhance it?; (2) what effects do interventions to improve safety culture have on hospital staff?; (3) what intervention features explain these effects? and (4) what staff outcomes and experiences are identified? Methods and Analysis: We conducted a mixed-methods systematic review of published literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search was conducted in MEDLINE, EMBASE, CINAHL, Health Business Elite and Scopus. We adopted a convergent approach to synthesis and integration. Identified intervention and staff outcomes were categorised thematically and combined with available data on measures and effects. Results: We identified 42 articles for inclusion. Safety culture outcomes were most prominent under the themes of leadership and teamwork. Specific benefits for staff included increased stress recognition and job satisfaction, reduced emotional exhaustion, burnout and turnover, and improvements to working conditions. Effects were documented for interventions with longer time scales, strong institutional support and comprehensive theory-informed designs situated within specific units. Discussion: This review contributes to international evidence on how interventions to improve safety culture may benefit hospital staff and how they can be designed and implemented. A focus on staff outcomes includes staff perceptions and behaviours as part of a safety culture and staff experiences resulting from a safety culture. The results generated by a small number of articles varied in quality and effect, and the review focused only on hospital staff. There is merit in using the concept of safety culture as a lens to understand staff experience in a complex healthcare system. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
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فهرسة مساهمة: | Keywords: Healthcare quality improvement; Patient safety; Safety Management; Safety culture; Staff Development |
تواريخ الأحداث: | Date Created: 20240508 Date Completed: 20240508 Latest Revision: 20240604 |
رمز التحديث: | 20240604 |
مُعرف محوري في PubMed: | PMC11086522 |
DOI: | 10.1136/bmjoq-2023-002506 |
PMID: | 38719514 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2399-6641 |
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DOI: | 10.1136/bmjoq-2023-002506 |