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Collaborating with nurse leaders to develop patient safety practices
Purpose The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety pract...
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Published in: | Leadership in health services (2007) 2017-07, Vol.30 (3), p.249-262 |
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container_title | Leadership in health services (2007) |
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creator | Kanerva, Anne Kivinen, Tuula Lammintakanen, Johanna |
description | Purpose
The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety practices. The purpose of this study is to describe the patient safety development process carried out by nursing leaders and directors. The research questions were: how the chosen development areas progressed in six months’ time and how nursing leaders view the participatory development process.
Design/methodology/approach
Participatory action research was used to engage frontline nursing leaders and directors into developing patient safety practices. Semi-structured group interviews (N = 10) were used in data collection at the end of a six-month action cycle, and data were analysed using content analysis.
Findings
The participatory development process enhanced collaboration and gave leaders insights into patient safety as a part of the hospital system and their role in advancing it. The chosen development areas advanced to different extents, with the greatest improvements in those areas with simple guidelines to follow and in which the leaders were most participative. The features of high-reliability organisation were moderately identified in the nursing leaders’ actions and views. For example, acting as a change agent to implement patient safety practices was challenging. Participatory methods can be used to support leaders into advancing patient safety. However, it is important that the participants are familiar with the method, and there are enough facilitators to steer development processes.
Originality/value
Research brings more knowledge of how leaders can increase their effectiveness in advancing patient safety and promoting high-reliability organisation features in the healthcare organisation. |
doi_str_mv | 10.1108/LHS-05-2016-0022 |
format | article |
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The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety practices. The purpose of this study is to describe the patient safety development process carried out by nursing leaders and directors. The research questions were: how the chosen development areas progressed in six months’ time and how nursing leaders view the participatory development process.
Design/methodology/approach
Participatory action research was used to engage frontline nursing leaders and directors into developing patient safety practices. Semi-structured group interviews (N = 10) were used in data collection at the end of a six-month action cycle, and data were analysed using content analysis.
Findings
The participatory development process enhanced collaboration and gave leaders insights into patient safety as a part of the hospital system and their role in advancing it. The chosen development areas advanced to different extents, with the greatest improvements in those areas with simple guidelines to follow and in which the leaders were most participative. The features of high-reliability organisation were moderately identified in the nursing leaders’ actions and views. For example, acting as a change agent to implement patient safety practices was challenging. Participatory methods can be used to support leaders into advancing patient safety. However, it is important that the participants are familiar with the method, and there are enough facilitators to steer development processes.
Originality/value
Research brings more knowledge of how leaders can increase their effectiveness in advancing patient safety and promoting high-reliability organisation features in the healthcare organisation.</description><identifier>ISSN: 1751-1879</identifier><identifier>EISSN: 1751-1887</identifier><identifier>DOI: 10.1108/LHS-05-2016-0022</identifier><identifier>PMID: 28693390</identifier><language>eng</language><publisher>England: Emerald Publishing Limited</publisher><subject>Cooperative Behavior ; Finland ; Health administration ; Health Services Research ; Humans ; Interviews as Topic ; Leadership ; Nurse Administrators ; Nursing Research ; Organizational Culture ; Organizational Innovation ; Organizational Objectives ; Patient Safety - standards ; Psychiatric Nursing</subject><ispartof>Leadership in health services (2007), 2017-07, Vol.30 (3), p.249-262</ispartof><rights>Emerald Publishing Limited</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-1e4b09f4dc042c852d6b096ca6b29c5667599c2e78f6b466f7afcf43761f8a393</citedby><cites>FETCH-LOGICAL-c339t-1e4b09f4dc042c852d6b096ca6b29c5667599c2e78f6b466f7afcf43761f8a393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,33612,34531,36061</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28693390$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kanerva, Anne</creatorcontrib><creatorcontrib>Kivinen, Tuula</creatorcontrib><creatorcontrib>Lammintakanen, Johanna</creatorcontrib><title>Collaborating with nurse leaders to develop patient safety practices</title><title>Leadership in health services (2007)</title><addtitle>Leadersh Health Serv (Bradf Engl)</addtitle><description>Purpose
The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety practices. The purpose of this study is to describe the patient safety development process carried out by nursing leaders and directors. The research questions were: how the chosen development areas progressed in six months’ time and how nursing leaders view the participatory development process.
Design/methodology/approach
Participatory action research was used to engage frontline nursing leaders and directors into developing patient safety practices. Semi-structured group interviews (N = 10) were used in data collection at the end of a six-month action cycle, and data were analysed using content analysis.
Findings
The participatory development process enhanced collaboration and gave leaders insights into patient safety as a part of the hospital system and their role in advancing it. The chosen development areas advanced to different extents, with the greatest improvements in those areas with simple guidelines to follow and in which the leaders were most participative. The features of high-reliability organisation were moderately identified in the nursing leaders’ actions and views. For example, acting as a change agent to implement patient safety practices was challenging. Participatory methods can be used to support leaders into advancing patient safety. However, it is important that the participants are familiar with the method, and there are enough facilitators to steer development processes.
Originality/value
Research brings more knowledge of how leaders can increase their effectiveness in advancing patient safety and promoting high-reliability organisation features in the healthcare organisation.</description><subject>Cooperative Behavior</subject><subject>Finland</subject><subject>Health administration</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Leadership</subject><subject>Nurse Administrators</subject><subject>Nursing Research</subject><subject>Organizational Culture</subject><subject>Organizational Innovation</subject><subject>Organizational Objectives</subject><subject>Patient Safety - standards</subject><subject>Psychiatric Nursing</subject><issn>1751-1879</issn><issn>1751-1887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNptkc1LwzAYh4Mobk7vniRHL3VJ2ubjKPNjwsCDeg5p-kYr7VqTVNl_b8amIHh688Lz-4U8QeickitKiZyvlk8ZKTNGKM8IYewATakoaUalFIe_Z6Em6CSEd0J4UQp5jCZMcpXnikzRzaJvW1P13sRm_Yq_mviG16MPgFswNfiAY49r-IS2H_CQIFhHHIyDuMGDNzY2FsIpOnKmDXC2nzP0cnf7vFhmq8f7h8X1KrPpsphRKCqiXFFbUjArS1bztHNreMWULTkXpVKWgZCOVwXnThhnXZELTp00ucpn6HLXO_j-Y4QQddcEC-kBa-jHoKmiQnFBSJ5QskOt70Pw4PTgm874jaZEb93p5E6TUm_d6a27FLnYt49VB_Vv4EdWAuY7ADrwpq3_q_zzHfk3XMp34A</recordid><startdate>20170703</startdate><enddate>20170703</enddate><creator>Kanerva, Anne</creator><creator>Kivinen, Tuula</creator><creator>Lammintakanen, Johanna</creator><general>Emerald Publishing Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170703</creationdate><title>Collaborating with nurse leaders to develop patient safety practices</title><author>Kanerva, Anne ; Kivinen, Tuula ; Lammintakanen, Johanna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-1e4b09f4dc042c852d6b096ca6b29c5667599c2e78f6b466f7afcf43761f8a393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Cooperative Behavior</topic><topic>Finland</topic><topic>Health administration</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Leadership</topic><topic>Nurse Administrators</topic><topic>Nursing Research</topic><topic>Organizational Culture</topic><topic>Organizational Innovation</topic><topic>Organizational Objectives</topic><topic>Patient Safety - standards</topic><topic>Psychiatric Nursing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanerva, Anne</creatorcontrib><creatorcontrib>Kivinen, Tuula</creatorcontrib><creatorcontrib>Lammintakanen, Johanna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Leadership in health services (2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanerva, Anne</au><au>Kivinen, Tuula</au><au>Lammintakanen, Johanna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Collaborating with nurse leaders to develop patient safety practices</atitle><jtitle>Leadership in health services (2007)</jtitle><addtitle>Leadersh Health Serv (Bradf Engl)</addtitle><date>2017-07-03</date><risdate>2017</risdate><volume>30</volume><issue>3</issue><spage>249</spage><epage>262</epage><pages>249-262</pages><issn>1751-1879</issn><eissn>1751-1887</eissn><abstract>Purpose
The organisational level and leadership development are crucial elements in advancing patient safety, because patient safety weaknesses are often caused by system failures. However, little is known about how frontline leader and director teams can be supported to develop patient safety practices. The purpose of this study is to describe the patient safety development process carried out by nursing leaders and directors. The research questions were: how the chosen development areas progressed in six months’ time and how nursing leaders view the participatory development process.
Design/methodology/approach
Participatory action research was used to engage frontline nursing leaders and directors into developing patient safety practices. Semi-structured group interviews (N = 10) were used in data collection at the end of a six-month action cycle, and data were analysed using content analysis.
Findings
The participatory development process enhanced collaboration and gave leaders insights into patient safety as a part of the hospital system and their role in advancing it. The chosen development areas advanced to different extents, with the greatest improvements in those areas with simple guidelines to follow and in which the leaders were most participative. The features of high-reliability organisation were moderately identified in the nursing leaders’ actions and views. For example, acting as a change agent to implement patient safety practices was challenging. Participatory methods can be used to support leaders into advancing patient safety. However, it is important that the participants are familiar with the method, and there are enough facilitators to steer development processes.
Originality/value
Research brings more knowledge of how leaders can increase their effectiveness in advancing patient safety and promoting high-reliability organisation features in the healthcare organisation.</abstract><cop>England</cop><pub>Emerald Publishing Limited</pub><pmid>28693390</pmid><doi>10.1108/LHS-05-2016-0022</doi><tpages>14</tpages></addata></record> |
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source | Social Science Premium Collection; ABI/INFORM Global; Emerald:Jisc Collections:Emerald Subject Collections HE and FE 2024-2026:Emerald Premier (reading list); Sociology Collection |
subjects | Cooperative Behavior Finland Health administration Health Services Research Humans Interviews as Topic Leadership Nurse Administrators Nursing Research Organizational Culture Organizational Innovation Organizational Objectives Patient Safety - standards Psychiatric Nursing |
title | Collaborating with nurse leaders to develop patient safety practices |
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