International Emergency Nursing Vol. 53 November 2020
Safety attitudes and working climate after organizational change in a major emergency department in Sweden
Dublin Core
Title
International Emergency Nursing Vol. 53 November 2020
Safety attitudes and working climate after organizational change in a major emergency department in Sweden
Safety attitudes and working climate after organizational change in a major emergency department in Sweden
Subject
Interprofessional, Teamwork, Patient safety, Safety attitude, Emergency department
Description
Background: Medically complex patients present challenges to the health care system, particularly in the emergency department (ED) setting. Specifically, teamwork is thought to affect staff safety climate, which in
turn impacts patient safety.
Aim: This study aimed to evaluate the effect of organizational changes to interprofessional team assessment processes on staff perception of teamwork and safety attitudes in the ED.
Methods: This prospective observational study used cross-sectional design and measured ED staff perception of patient safety related domains at two time-points (before and after an organizational intervention), using the Safety Attitude Questionnaire.
Results: Statistically significant changes were seen among the overall sample (n = 112 at time point one and n = 121 at time point two) for the safety climate, working conditions, and stress recognition domains. Nurses and doctors showed different baseline attitudes and different responses to the intervention between the two time points.
Conclusion: The results reflect improved positive attitudes overall though there were differences in responses between the nursing and medical professions. The findings highlight opportunities to improve attitudes among ED team members through defined organizational change and learning from one another. Organizational change can affect staff perceptions of the safety climate and interprofessional teamwork, which may improve the ED working environment.
turn impacts patient safety.
Aim: This study aimed to evaluate the effect of organizational changes to interprofessional team assessment processes on staff perception of teamwork and safety attitudes in the ED.
Methods: This prospective observational study used cross-sectional design and measured ED staff perception of patient safety related domains at two time-points (before and after an organizational intervention), using the Safety Attitude Questionnaire.
Results: Statistically significant changes were seen among the overall sample (n = 112 at time point one and n = 121 at time point two) for the safety climate, working conditions, and stress recognition domains. Nurses and doctors showed different baseline attitudes and different responses to the intervention between the two time points.
Conclusion: The results reflect improved positive attitudes overall though there were differences in responses between the nursing and medical professions. The findings highlight opportunities to improve attitudes among ED team members through defined organizational change and learning from one another. Organizational change can affect staff perceptions of the safety climate and interprofessional teamwork, which may improve the ED working environment.
Creator
Jenny Milton, Wendy Chaboyer, N. David Åberg, Annette Erichsen Andersson, Lena Oxelmark
Publisher
Elsevier Ltd.
Date
November 2020
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 53 November 2020
Files
Citation
Jenny Milton, Wendy Chaboyer, N. David Åberg, Annette Erichsen Andersson, Lena Oxelmark, “International Emergency Nursing Vol. 53 November 2020
Safety attitudes and working climate after organizational change in a major emergency department in Sweden,” Repository Horizon University Indonesia, accessed February 4, 2025, https://repository.horizon.ac.id/items/show/1582.
Safety attitudes and working climate after organizational change in a major emergency department in Sweden,” Repository Horizon University Indonesia, accessed February 4, 2025, https://repository.horizon.ac.id/items/show/1582.