Relationships Among Teams, Culture, Safety, and Cost Outcomes

Author:

Brewer Barbara B.1

Affiliation:

1. John C. Lincoln North Mountain Hospital, Phoenix, AZ

Abstract

The objective of this study is to test the transtheoretical integration model, which proposes relationships among team-based phenomena and patient safety and resource-use outcome variables. The sample consisted of 411 nursing staff ( n = 372) and multidisciplinary team members ( n = 39) from 16 medical surgical units. Staff were surveyed to evaluate their perceptions of hospital culture, work group design, and positive and negative team processes. Managers provided data concerning outcome variables of patient falls with injury, average length of stay (LOS), and labor and supply expenses for their patient care units. A group-type hospital culture predicted fewer patient falls with injury; a developmental-type hospital culture predicted higher patient care unit costs. Team design and processes were predictive of longer LOS for patients on medical-surgical units. Conclusions of the study were that hospital contexts external to the patient care unit may be important contributors to patient safety and resource use on nursing units.

Publisher

SAGE Publications

Subject

General Nursing

Cited by 40 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Speaking Up and Taking Action: Psychological Safety and Joint Problem-Solving Orientation in Safety Improvement;Healthcare;2024-04-10

2. Handoffs and Teamwork: A Framework for Care Transition Communication;The Joint Commission Journal on Quality and Patient Safety;2022-06

3. Categories of context in realist evaluation;Evaluation;2021-04

4. Revisiting Relational Coordination: A Systematic Review;The Journal of Applied Behavioral Science;2021-02-15

5. Safety Leadership, Safety Climate & Safety Performance Within TNB's Technical Workforce;European Proceedings of Social and Behavioural Sciences;2020-12-28

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3