The Impact of Organizational Context and Structure on Patient Safety Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/243197
Category:
Abstract
Type:
Presentation
Title:
The Impact of Organizational Context and Structure on Patient Safety Outcomes
Author(s):
Hung, Chang-Chiao
Author Details:
Hung, Chang-Chiao, PhD, dv749@hotmail.com;
Abstract:
Purpose:

Although efforts to identify factors that influence patient safety have focused on the organizational level (macro-level), only a few studies have been conducted. Thus, there is limited information on patient safety based on a macro-level perspective. This study was conducted to explore the relationships between macro-level factors and patient safety.

Methods:

Structural contingency theory was used as the framework for the study. A cross-sectional design was used and data were collected through self-administered questionnaires. A total of 1,300 staff nurses and 64 head nurses who worked in one medical center and two local hospitals in southern Taiwan were invited to participate in the study. The survey package was distributed to head nurses and nurses. After filling out the questionnaire, the participants returned questionnaire by sending to the researcher. Data were aggregated from the individual to the unit level, and path analysis of structural equation modeling (SEM) was used to examine the hypothesized model.

Results:

Sixty-two head nurses (96.8%) and 977 staff nurses (72%) completed and returned the questionnaire. Reliabilities for all instruments used in the current study ranged from 0.71 to 0.83. Eta-squared coefficient (h2), inter-item consistency (rwg), and F ratio showed that data at the individual level were appropriate to aggregate to the unit level. Path analysis shown significant positive relationship between professional autonomy and medication errors (b = .25,p< .05), and professional autonomy enhances the effect of unit size on medication errors. No relationship was found between participation in decision making and formalization and patient safety.

Conclusion:

This study provides support for the use of macro-level approaches to examine patient safety issues, and also provide some direction for head nurses in developing a nursing practice structure.

Keywords:
Patient safety; Medication error; Patient falls
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Impact of Organizational Context and Structure on Patient Safety Outcomesen_GB
dc.contributor.authorHung, Chang-Chiaoen_GB
dc.author.detailsHung, Chang-Chiao, PhD, dv749@hotmail.com;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243197-
dc.description.abstract<b>Purpose: </b> <p>Although efforts to identify factors that influence patient safety have focused on the organizational level (macro-level), only a few studies have been conducted. Thus, there is limited information on patient safety based on a macro-level perspective. This study was conducted to explore the relationships between macro-level factors and patient safety. <p><b>Methods: </b> <p>Structural contingency theory was used as the framework for the study. A cross-sectional design was used and data were collected through self-administered questionnaires. A total of 1,300 staff nurses and 64 head nurses who worked in one medical center and two local hospitals in southern Taiwan were invited to participate in the study. The survey package was distributed to head nurses and nurses. After filling out the questionnaire, the participants returned questionnaire by sending to the researcher. Data were aggregated from the individual to the unit level, and path analysis of structural equation modeling (SEM) was used to examine the hypothesized model. <p><b>Results: </b> <p>Sixty-two head nurses (96.8%) and 977 staff nurses (72%) completed and returned the questionnaire. Reliabilities for all instruments used in the current study ranged from 0.71 to 0.83. Eta-squared coefficient (h<sup>2</sup>), inter-item consistency (r<sub>wg</sub>), and <i>F</i> ratio showed that data at the individual level were appropriate to aggregate to the unit level. Path analysis shown significant positive relationship between professional autonomy and medication errors (b = .25&#65292;<i>p</i>&lt; .05), and professional autonomy enhances the effect of unit size on medication errors. No relationship was found between participation in decision making and formalization and patient safety. <p><b>Conclusion: </b> <p>This study provides support for the use of macro-level approaches to examine patient safety issues, and also provide some direction for head nurses in developing a nursing practice structure.en_GB
dc.subjectPatient safetyen_GB
dc.subjectMedication erroren_GB
dc.subjectPatient fallsen_GB
dc.date.available2012-09-12T09:18:51Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:18:51Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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