دورية أكاديمية
أعرض في EDS

Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.

التفاصيل البيبلوغرافية
العنوان: Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.
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.)
References: Health Serv Res. 2008 Dec;43(6):2050-66. (PMID: 18671751)
Lancet. 2020 Nov 14;396(10262):1541-1543. (PMID: 32949501)
HRB Open Res. 2022 Nov 18;5:48. (PMID: 37485071)
J Med Libr Assoc. 2018 Oct;106(4):420-431. (PMID: 30271283)
Ann Intern Med. 2013 Mar 5;158(5 Pt 2):369-74. (PMID: 23460092)
J Adv Nurs. 2013 Jun;69(6):1428-37. (PMID: 22924808)
J Health Organ Manag. 2014;28(6):731-53. (PMID: 25420354)
BMC Nurs. 2020 Feb 05;19:10. (PMID: 32042265)
Hum Resour Health. 2021 Jan 6;19(1):5. (PMID: 33407554)
BMJ Qual Saf. 2011 Nov;20(11):914-22. (PMID: 21690249)
BMJ Qual Saf. 2014 Oct;23(10):814-22. (PMID: 24825895)
J Occup Organ Psychol. 2016 Sep;89(3):515-538. (PMID: 27773968)
BMC Med Educ. 2018 Jul 3;18(1):158. (PMID: 29970054)
Int J Nurs Stud. 2013 May;50(5):678-87. (PMID: 22841561)
Eur J Oncol Nurs. 2015 Feb;19(1):29-37. (PMID: 25266845)
BMJ. 2000 Mar 18;320(7237):726-7. (PMID: 10720336)
BMJ Qual Saf. 2013 May;22(5):383-93. (PMID: 23258388)
Qual Saf Health Care. 2010 Dec;19(6):547-54. (PMID: 21127113)
J Nurs Scholarsh. 2010 Jun;42(2):156-65. (PMID: 20618600)
J Contin Educ Health Prof. 2012 Spring;32(2):80-9. (PMID: 22733635)
BMC Health Serv Res. 2006 Apr 03;6:44. (PMID: 16584553)
J Patient Saf. 2020 Dec;16(4):e359-e366. (PMID: 31145175)
BMJ. 2021 Mar 29;372:n71. (PMID: 33782057)
Int J Evid Based Healthc. 2015 Sep;13(3):121-31. (PMID: 26196082)
Jt Comm J Qual Patient Saf. 2016 Aug;42(8):377-86. (PMID: 27456420)
Jt Comm J Qual Patient Saf. 2010 Jun;36(6):252-60. (PMID: 20564886)
BMJ Open. 2016 May 13;6(5):e010180. (PMID: 27178969)
BMJ Qual Saf. 2012 Jul;21(7):559-68. (PMID: 22562874)
Nurs Forum. 2014 Apr-Jun;49(2):139-50. (PMID: 24392690)
BMC Health Serv Res. 2019 Jul 8;19(1):460. (PMID: 31286979)
Jt Comm J Qual Patient Saf. 2011 Nov;37(11):509-14. (PMID: 22132663)
Prev Med. 2016 Oct;91:188-196. (PMID: 27527576)
J Eval Clin Pract. 2018 Jun;24(3):459-467. (PMID: 29464873)
Health Promot Pract. 2020 Nov;21(6):918-925. (PMID: 30966813)
Am J Surg. 2020 May;219(5):769-775. (PMID: 32216877)
JBI Evid Synth. 2020 Oct;18(10):2108-2118. (PMID: 32813460)
J Patient Saf. 2021 Dec 1;17(8):e1097-e1104. (PMID: 29432337)
JAMA Surg. 2020 Oct 1;155(10):934-940. (PMID: 32805054)
J Interprof Care. 2016;30(2):251-3. (PMID: 26854195)
BMJ Open. 2021 Jul 27;11(7):e043982. (PMID: 34315788)
J Surg Res. 2017 Jun 1;213:177-183. (PMID: 28601312)
Saf Sci. 2019 Dec;120:402-410. (PMID: 31787806)
Pract Radiat Oncol. 2015 Sep-Oct;5(5):286-294. (PMID: 26127007)
Annu Rev Public Health. 2014;35:29-45. (PMID: 24188053)
Health Serv Res. 2006 Aug;41(4 Pt 2):1599-617. (PMID: 16898981)
BMJ Glob Health. 2019 Apr 14;4(2):e001318. (PMID: 31139450)
J Safety Res. 2002 Summer;33(2):231-43. (PMID: 12216448)
Syst Rev. 2015 Jan 01;4:1. (PMID: 25554246)
J Nurs Manag. 2019 May;27(4):848-857. (PMID: 30784144)
Qual Saf Health Care. 2010 Aug;19(4):346-50. (PMID: 20693223)
Crit Care Med. 2011 May;39(5):934-9. (PMID: 21297460)
Br J Nurs. 2020 Feb 27;29(4):222-228. (PMID: 32105526)
J Nurs Adm. 2013 Apr;43(4):194-200. (PMID: 23528684)
J Nurs Manag. 2021 May;29(4):690-698. (PMID: 33128799)
BMJ Qual Saf. 2013 May;22(5):394-404. (PMID: 23436556)
Pract Radiat Oncol. 2014 Mar-Apr;4(2):e101-e108. (PMID: 24890355)
J Patient Saf. 2010 Dec;6(4):206-9. (PMID: 21500606)
J Patient Saf. 2015 Sep;11(3):135-42. (PMID: 24583952)
J Crit Care. 2008 Jun;23(2):207-21. (PMID: 18538214)
Pract Radiat Oncol. 2020 Sep - Oct;10(5):321-323. (PMID: 32888525)
PLoS One. 2021 Nov 18;16(11):e0259887. (PMID: 34793495)
Qual Saf Health Care. 2006 Jun;15(3):174-8. (PMID: 16751466)
Int J Environ Res Public Health. 2022 Mar 21;19(6):. (PMID: 35329410)
Am J Med Qual. 2017 Jul/Aug;32(4):384-390. (PMID: 27422314)
J Patient Saf. 2020 Jun;16(2):130-136. (PMID: 26741790)
BMC Med Res Methodol. 2020 Jan 13;20(1):7. (PMID: 31931747)
BMJ Qual Saf. 2018 Apr;27(4):261-270. (PMID: 28993441)
AJR Am J Roentgenol. 2015 Jan;204(1):105-10. (PMID: 25539244)
Int Emerg Nurs. 2020 Nov;53:100830. (PMID: 32029416)
Health Serv Res. 2005 Aug;40(4):997-1020. (PMID: 16033489)
Syst Rev. 2017 Mar 23;6(1):61. (PMID: 28335799)
West J Nurs Res. 2020 Jan;42(1):32-40. (PMID: 30915918)
AORN J. 2018 Jun;107(6):705-714. (PMID: 29851048)
West J Nurs Res. 2014 Jan;36(1):66-83. (PMID: 23743508)
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
الوصف
تدمد:2399-6641
DOI:10.1136/bmjoq-2023-002506