Birgit Heckemann1,2, Sabine Hahn1, Ruud J G Halfens3, Dirk Richter1, Jos M G A Schols3. 1. Division of Nursing, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland. 2. Institute of Health and Care Sciences, Gothenburg University, Gothenburg, Sweden. 3. CAPHRI - Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Abstract
AIMS: This study investigates nurse managers' perception of organisational safety culture and team efficacy in managing patient and visitor aggression , and determines the predictors of team efficacy. BACKGROUND: Patient and visitor aggression is a serious hazard in healthcare. A positive organisational safety culture regarding patient and visitor aggression enhances the safety and staff efficacy in managing patient and visitor aggression. METHODS: A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n = 446) was conducted in Switzerland, Austria and Germany (November 2016-February 2017). Data were analysed descriptively and through binary logistic regression. RESULTS: The key results are as follows: "Working in a mental health setting" was 3.5 times more likely, "consideration of the physical environment" was four times more likely and a "shared organisational attitude" was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organisational safety cultures to be less positive. CONCLUSIONS: A positive organisational safety culture leads to the perception that teams are more effective at managing patient and visitor aggression. IMPLICATIONS FOR NURSING MANAGEMENT: Consideration of the physical environment and a positive shared organisational attitude regarding patient and visitor aggression are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing patient and visitor aggression.
AIMS: This study investigates nurse managers' perception of organisational safety culture and team efficacy in managing patient and visitor aggression , and determines the predictors of team efficacy. BACKGROUND:Patient and visitor aggression is a serious hazard in healthcare. A positive organisational safety culture regarding patient and visitor aggression enhances the safety and staff efficacy in managing patient and visitor aggression. METHODS: A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n = 446) was conducted in Switzerland, Austria and Germany (November 2016-February 2017). Data were analysed descriptively and through binary logistic regression. RESULTS: The key results are as follows: "Working in a mental health setting" was 3.5 times more likely, "consideration of the physical environment" was four times more likely and a "shared organisational attitude" was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organisational safety cultures to be less positive. CONCLUSIONS: A positive organisational safety culture leads to the perception that teams are more effective at managing patient and visitor aggression. IMPLICATIONS FOR NURSING MANAGEMENT: Consideration of the physical environment and a positive shared organisational attitude regarding patient and visitor aggression are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing patient and visitor aggression.
Authors: Nathan Moore; Naseem Ahmadpour; Martin Brown; Philip Poronnik; Jennifer Davids Journal: JMIR Serious Games Date: 2022-07-06 Impact factor: 3.364