Hospital staffing patterns and safety culture perceptions: The mediating role of perceived teamwork and perceived handoffs.
Background: As hospitals are under increasing pressure to improve quality and safety, safety culture has become a focal issue for high-risk organizations, including hospitals. Prior research has examined howstructural characteristics directly impact safety culture. However, and based on Donabedian's...
| Published in: | Health Care Management Review Vol. 46; no. 3; pp. 227 - 237 |
|---|---|
| Main Authors: | , , , , |
| Format: | equations & formulas research tables/charts Journal Article |
| Published: |
Lippincott Williams & Wilkins
Jul-Sep2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150858554&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150858554 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03616274 HCM jtl: Health Care Management Review issn: 03616274 maglogo: N pubinfo: dt: Jul-Sep2021 vid: 46 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 150858554 150858554 150858554 10.1097/HMR.0000000000000264 150858554 ppf: 227 ppct: 10 formats: tig: atl: Hospital staffing patterns and safety culture perceptions: The mediating role of perceived teamwork and perceived handoffs. aug: au: Upadhyay, Soumya Weech-Maldonado, Robert Lemak, Christy H. Stephenson, Amber L. Smith, Dean G. affil: Assistant Professor, Department of Healthcare Administration and Policy, School of Public Health, University of Nevada at Las Vegas sug: subj: Personnel Staffing and Scheduling Hospitals Organizational Culture Occupational Safety Psychosocial Factors Human Models, Theoretical Hospitalists Registered Nurses Quality of Health Care Teamwork Hand Off (Patient Safety) United States Agency for Healthcare Research and Quality Questionnaires Data Management Nonresponse Bias Investments Multivariate Analysis Regression Mediation Analysis Electronic Health Records ab: Background: As hospitals are under increasing pressure to improve quality and safety, safety culture has become a focal issue for high-risk organizations, including hospitals. Prior research has examined howstructural characteristics directly impact safety culture. However, and based on Donabedian's structure--process--outcome qualitymodel, there is a need to understand the processes that intermediate the relationship between structural characteristics and safety culture perceptions. Purpose: The processes by which registered nurse (RN) and hospitalist staffing may affect safety culture perceptions were examined in this study. Specifically, this study investigates the processes of perceived teamwork across units and perceived handoffs. Methodology: Data sources for this research included Hospital Survey on Patient Safety Culture from the Agency for Healthcare Research and Quality, the American Hospital Association's Annual Survey Data, the American Hospital Association Information Technology supplement, and the Area Health Resource File. Two separate mediation models for each process were used. Propensity weights were assigned to each hospital in the sample (N = 207) to adjust for potential nonresponse bias of hospitals that did not assess employee's safety culture perceptions. Results: Results suggest that RN staffing influences safety culture perceptions, but hospitalist staffing does not. In addition, RN staffing has an indirect effect on safety culture perceptions through better processes. Practice Implications: Our study sheds light on how staffing affects safety culture perceptions. Specifically, our findings suggest that positive perceptions of teamwork across units and handoffs are integral in the relationship between RN staffing and safety culture perceptions. Hospital managers should, therefore, invest resources in staff recruitment and retention. In addition, a targeted focus on perceived teamwork and handoffs may allow hospital managers to improve safety culture perceptions. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|