Jenny Milton1, Wendy Chaboyer2, N David Åberg3, Annette Erichsen Andersson4, Lena Oxelmark5. 1. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Electronic address: jenny.milton@gu.se. 2. Menzies Health Institute Queensland, School of Nursing, Griffith University, Gold Coast, Australia. Electronic address: w.chaboyer@griffith.edu.au. 3. Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine, Gothenburg, Sweden. Electronic address: david.aberg@medic.gu.se. 4. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Orthopedic Surgery, Sahlgrenska University Hospital/Mölndal, Gothenburg, Sweden. Electronic address: erichsen.andersson@gu.se. 5. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine, Gothenburg, Sweden. Electronic address: lena.oxelmark@gu.se.
Abstract
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.
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 impactspatient 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.
Authors: Justyna Kosydar-Bochenek; Sabina Krupa; Dorota Religa; Adriano Friganović; Ber Oomen; Elena Brioni; Stelios Iordanou; Marcin Suchoparski; Małgorzata Knap; Wioletta Mędrzycka-Dąbrowska Journal: Int J Environ Res Public Health Date: 2022-08-06 Impact factor: 4.614
Authors: Justyna Kosydar-Bochenek; Sabina Krupa; Dorota Religa; Adriano Friganovic; Ber Oomen; Ged Williams; Kathleen M Vollman; Maria Isabelita C Rogado; Sandra Goldsworthy; Violeta Lopez; Elena Brioni; Wioletta Medrzycka-Dabrowska Journal: Front Public Health Date: 2022-09-21