Predictors of safe behaviour and holistic framework for promoting proactive safety culture in healthcare and nursing homes
Laen...
Kuupäev
2023
Kättesaadav alates
Autorid
Ajakirja pealkiri
Ajakirja ISSN
Köite pealkiri
Kirjastaja
Estonian University of Life Sciences
Abstrakt
The poor safety culture in nursing homes is attributed to the lack of professional and
safety competencies, management commitment, and limited empirical data. The purpose of this
study is to identify potential predictors of safe behaviour among care workers and establish a
holistic framework for a proactive safety culture in healthcare and nursing homes. The study
was conducted in 25 care institutions between September 2014 to December 2017 using
mixed-methods with quantitative (NOSACQ-50; CCQ, COPSOQ II) and qualitative (focus-group
interview) components. Results revealed challenges with safety systems and management, lack
of resources and time, and the importance of leadership and psychosocial well-being. The study
identified subcultures of proactive safety culture, including professional competence culture and
psychosocial well-being culture. These subcultures aid in identifying weaknesses and improving
quality, emphasizing the need for a holistic approach to safety culture in healthcare institutions,
particularly in nursing homes. The author's proposition on positive safety culture, based on the
theory of situated cognition, highlights the significance of subcultures such as professional
competence culture and psychosocial well-being culture in influencing care workers' professional
identity and safety behaviour. In conclusion, the importance of these subcultures can be
emphasised due to ensuring adequate understanding and positive attitudes towards safety.
Adequate care worker training and a culture that supports professional competence are crucial for
patient safety and organizational outcomes. Addressing psychosocial risks and promoting a
culture of psychosocial well-being can create a safer workplace culture and improve employee
performance, job satisfaction, and overall organizational outcomes.
Kirjeldus
Received: January 30th, 2023 ; Accepted: May 21st, 2023 ; Published: May 26th, 2023 ; Correspondence: jaana.sepp@ttk.ee
Märksõnad
nursing homes, professional competence culture, psychosocial well-being culture, safety climate, safety culture, safety management, articles