Structural Factors Determine Patient Safety in Taiwanese Nursing Units: Mechanistic Versus Organic Structure

2.50
Hdl Handle:
http://hdl.handle.net/10755/304022
Category:
Abstract
Type:
Presentation
Title:
Structural Factors Determine Patient Safety in Taiwanese Nursing Units: Mechanistic Versus Organic Structure
Author(s):
Hung, Chang-Chiao
Lead Author STTI Affiliation:
Non-member
Author Details:
Chang-Chiao Hung, PhD, dv749@hotmail.com
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose: Patient safety has long been identified as a major issue for healthcare organizations globally. Only a few studies have been conducted to explore the effects of nursing unit structure on patient safety. The purpose of this study therefore was designed to determine the effects of structural factors on patient safety in Taiwanese nursing units.

Methods: The study framework derived from the concept of structural contingency theory. A cross-sectional design was used and data were collected through self-administered questionnaires using Dillman’s Tailored Design Method. A total of 1,364 participants who worked in 64 surgical and medical units were invited. Data aggregation included Eta-squared coefficient, inter-item consistency, and F ration were used to aggregate data from the individual to the unit level. Multiple regression was used for data analysis.

Results: A total of 1,039 participants (76.7%) completed and returned the questionnaire. 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. Results shown that the medication error rate was higher on units with a high degree of professional autonomy (b =.59; p < .05) and participation in decision making (b =.25; p < .05). Similarly, the nursing units with a high degree of participation in decision making would have high rates of patient fall (b =.25; p < .05).

Conclusion: This study provides support for the use of structural approaches to examine patient safety issues, and also provide some directions for head nurses in developing a nursing practice structure.

Keywords:
Organizational Structure; Patient Safety
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleStructural Factors Determine Patient Safety in Taiwanese Nursing Units: Mechanistic Versus Organic Structureen_GB
dc.contributor.authorHung, Chang-Chiaoen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsChang-Chiao Hung, PhD, dv749@hotmail.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304022-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b> Patient safety has long been identified as a major issue for healthcare organizations globally. Only a few studies have been conducted to explore the effects of nursing unit structure on patient safety. The purpose of this study therefore was designed to determine the effects of structural factors on patient safety in Taiwanese nursing units. <p><b>Methods: </b> The study framework derived from the concept of structural contingency theory. A cross-sectional design was used and data were collected through self-administered questionnaires using Dillman’s Tailored Design Method. A total of 1,364 participants who worked in 64 surgical and medical units were invited. Data aggregation included Eta-squared coefficient, inter-item consistency, and <i>F</i> ration were used to aggregate data from the individual to the unit level. Multiple regression was used for data analysis. <p><b>Results: </b> A total of 1,039 participants (76.7%) completed and returned the questionnaire. 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. Results shown that the medication error rate was higher on units with a high degree of professional autonomy (b =.59; <i>p </i>< .05) and participation in decision making (b =.25; <i>p </i>< .05). Similarly, the nursing units with a high degree of participation in decision making would have high rates of patient fall (b =.25; <i>p </i>< .05). <p><b>Conclusion: </b>This study provides support for the use of structural approaches to examine patient safety issues, and also provide some directions for head nurses in developing a nursing practice structure.en_GB
dc.subjectOrganizational Structureen_GB
dc.subjectPatient Safetyen_GB
dc.date.available2013-10-22T20:27:47Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:27:47Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.