Mediating Role of Work Environment in The Effect of Occupational Health, Safety Management System, And Teamwork over Patient Safety Climate According to Nurses’ Perception

Roveny Roveny, Rokiah Kusumapradja, CSP Wekadigunawan

Abstract


Patient safety has been recognized as the biggest challenge in the global public health system. A good patient safety climate initiates planning for safe care. Also, the patient safety climate issue has become a top priority in the X Hospital. This study aims to reveal empirical evidence of the effect of occupational health and safety management systems, teamwork on patient safety climate with the mediation effect over work environment based on empirical research. In this research, we use cross-sectional method to processed path analysis with a 49 of total sampling at X Hospital. The data is obtained using a questionnaire form. The results show, path analysis of occupational health and safety management system had a positive effect on the patient safety climate, teamwork had a positive effect on the patient safety climate, the work environment had a positive effect on patient safety climate, and the safety and health management system had a positive effect on the work environment, teamwork had a positive effect on the work environment. In the case of the mediating effect of the work environment, the correlation of the occupational health and safety management system and teamwork was also positive. Improved occupational health and safety management systems, as well as teamwork mediated by the work environment, will enhance the patient safety climate

Keywords


Healthcare, Hospital, Patient Safety Climate, Occupational Health and Safety Management System, Teamwork, Work Environment

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References


. WHO. (2018). Global Action on Patient Safety. Executive Board 144th Session, World Health Organization, https://apps.who.int/gb/ebwha/pdf_files/ EB144/B144_29-en.pdf

. Sandars, John and Gary Cook. (2007). ABC of Patient Safety. (Massachusetts: BMJ Books

. Slawomirski, L., Auraaen, A., & Klazinga, N.S. (2017). The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level. OECD. DOI:10.1787/5a9858cd-en

. Asefzadeh, S., Kalhor, R., & Tir, M. (2017). Patient safety culture and job stress among nurses in Mazandaran, Iran. Electronic Physician, 9(12), 6010–6016. https://doi.org/10.19082/6010

. WHO. (2019). Global action on patient safety. Seventy-Second World Health Assembly. World Health Organization. https://apps.who.int/gb/ebwha/pdf_files/ WHA72/A72_R6-en.pdf?ua=1

. National Academies of Sciences, Engineering, and Medicine. (2018). Crossing the Global Quality Chasm: Improving Health Care Worldwide. Washington, DC: The National Academies Press. https://doi.org/10.17226/25152

. Croll, Z., Coburn, A. F., & Pearson, K. B. (2012) Promoting a culture of safety: Use of the hospital survey on patient safety culture in critical access hospitals Policy Brief#27.https://www.researchgate.net/

publication/261097464_Promoting_a_culture_of_safety_Use_of_the_Hospital_Survey_On_Patient_Safety_Culture_in_Critical_Access_Hospitals

. Hansen LO, Williams MV, Singer SJ. (2011). Perceptions of hospital safety climate and incidence of readmission. Health Serv Res 46:596–616. https://doi.org/10.1111/j.1475- 6773.2010.01204.x

. Huang DT, Clermont G, Kong L, Weissfeld LA, Sexton JB, Rowan KM et al. (2010). Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care 22: 151–161. https://doi.org/10.1093/intqhc/mzq017

. Kolankiewicz, Adriane Cristina Bernat et al. (2017). Patient safety climate among nursing staff: contributing factors. Acta paul. enferm. [online]. vol.30, n.5, pp.531-537. ISSN 1982-0194. https://doi.org/10.1590/1982-0194201700076

. Yari S, Naseri MH, Akbari H, Shahsavari S, Akbari H. (2019) Interaction of Safety Climate and Safety Culture: A Model for Cancer Treatment Centers. Asian Pac J Cancer Prev. 20(3):961‐969. Published 2019 Mar 26. doi:10.31557/APJCP.2019.20.3.961

. Mascherek AC, Schwappach DLB. (2017). Patient safety climate profiles across time: Strength and level of safety climate associated with a quality improvement program in Switzerland—A cross-sectional survey study. PLOS ONE 12(7): e0181410. https://doi.org/10.1371/

journal.pone.0181410

. Iskandar, Heru, Halimi Maksum, dan Nafisah. (2014). Faktor Penyebab Penurunan Pelaporan Insiden Keselamatan Pasien Rumah Sakit. Jurnal Kedokteran Brawijaya, Vol. 28, Suplemen No. 1.

. Saudi Patient Safety Center, International Council of Nurses. (2019). Nurse Staffing Levels For Patient Safety and Workforce safety. SPSC and ICN White Paper. Riyadh, Saudi Arabia. https://spsc.gov.sa and icn.ch

. Abdalla, A. (2017). Nurses are a Key to Ensure Patient Safety : A systematic Review. International Journal of Research Studies in Medical and Health Sciences, 2(9), 10–15

. Alharbi, A.A. (2018). The impact of nurse work environment on nurse outcomes, nurse-perceived quality of care and patient safety in Saudi Arabia. The University of British Colombia. https://dx.doi.org/10.14288/1.0365705

. Edgar, H. (2017). The Role of the Nurse in Patient Safety: Moving to Level II Relationships. JOJ Nursing & Health Care, 1(3), 3–5. https://doi.org/10.19080/jojnhc.2017.01.555563

. Loeppke, R., Boldrighini, J., Bowe, J., Braun, B., Eggins, E., Eisenberg, B. S., Grundy, P., Hohn, T., Hudson, T. W., Kannas, J., Kapp, E. A., Konicki, D., Larson, P., McCutcheon, S., McLellan, R. K., Ording, J., Perkins, C., Russi, M., Stutts, C., & Yarbrough, M. (2017). Interaction of Health Care Worker Health and Safety and Patient Health and Safety in the US Health Care System: Recommendations from the 2016 Summit. Journal of Occupational and Environmental Medicine, 59(8), 803–813. https://doi.org/10.1097/JOM.0000000000001100

. Alves, D. F. D. S., & Guirardello, E. de B. (2016). Nursing work environment, patient safety and quality of care in pediatric hospital. Revista Gaucha de Enfermagem, 37(2), e58817. https://doi.org/10.1590/19831447.2016.02.58817

. Janakiraman, R., Parish, J. T., & Berry, L. L. (2011). The effect of the work and physical environment on hospital nurses' perceptions and attitudes: Service quality and commitment. Quality Management Journal. 18. 36-49, 10.1080/10686967.2011.11918334

. OSHA Occupational Safety and Health Administration. (2013). Safety and Health Management Systems: A Road Map for Hospitals. Nursing Made Incredibly Easy, 11(6), 4. https://doi.org/10.1097/01.NME.0000435132.69702.91

. Kramer, William & Thayer, Amanda & Salas, Eduardo. (2013). Goal setting in teams. Routledge

. Katz-Navon, Tal & Naveh, Eitan & Stern, Zvi. (2005). Safety Climate in Healthcare Organizations: A Multidimensional Approach. The Journal of the Academy of Management. 48. 1075-1089. 10.5465/AMJ.2005.19573110.

. Joint Comission International. (2017). Joint Comission International Accreditation Standards for Hospitals, 6th Edition.

. Mohr, D. C., Eaton, J. L., McPhaul, K. M., & Hodgson, M. J. (2018). Does Employee Safety Matter for Patients Too? Employee Safety Climate and Patient Safety Culture in Health Care. Journal of patient safety, 14(3), 181– 185. https://doi.org/10.1097/PTS.0000000000000186

. Naveh, Eitan & Katz-Navon, Tal & Stern, Zvi. (2011). The effect of safety management systems on continuous patient safety improvement: the moderating role of safety climate and autonomy. Journal of Quality Management. 18. 54-67. 10.1080/10686967.2011.11918302

. Eriksson N, Müllern T, Andersson T, et al. (2016). Involvement drivers: a study of nurses and physicians in improvement work. Quality Management in Health Care, Vol.25:85-91

. Ballangrud, R., Husebø, S.E., Aase, K. et al. (2017). “Teamwork in hospitals”: a quasi- experimental study protocol applying a human factors approach. BMC Nurs 16, 34 https://doi.org/10.1186/s12912-017-0229-z

. Ajeigbe, David & McNeese-Smith, Donna & Leach, Linda Searle & Phillips, Linda. (2013). Nurse-physician teamwork in the emergency department: Impact on perceptions of job environment, autonomy, and control over practice. The Journal of nursing administration. 43. 142-8. 10.1097/NNA.0b013e318283dc23.

. Ma, Chenjuan & Park, Shin Hye & Shang, Jingjing. (2018). Inter- and Intra-Disciplinary Collaboration and Patient Safety Outcomes in U.S. Acute Care Hospital Units: A Cross-Sectional Study. International Journal of Nursing Studies. 85. DOI: 10.1016/j.ijnurstu.2018.05.001

. Kusumapradja, R. (2016). Analisis Budaya Keselamatan Pasien di Rumah Sakit Wilayah DKI Jakarta. 14, 1–2.

. Fujita, S., Wu, Y., Iida, S., Nagai, Y., Shimamori, Y., & Hasegawa, T. (2019). Patient safety management systems, activities and work environments related to hospital-level patient safety culture: A cross-sectional study. Medicine (United States), 98(50). https://doi.org/10.1097/MD.0000000000018352

. Manojlovich, Milisa & Kerr, Mickey & Davies, Barbara & Squires, Janet & Mallick, Ranjeeta & Lemire Rodger, Ginette. (2014). Achieving a climate for patient safety by focusing on relationships. International Journal for Quality in Health Care. 26. 10.1093/intqhc/mzu068

. Zaheer S, Ginsburg LR, Wong HJ, et al. (2018) Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety. BMJ Open Quality;7:e000433. doi:10.1136/bmjoq-2018-000433

. Diab, Gehan Mohammed and Faten Abdelghani Ahmed. (2015). Nurses' perceptions of teamwork climate in hospital: the impact on patient safety climate. International Journal of Current Research, Vol. 7, Issue, 02, pp.12553-12561, http://www.journalcra.com/sites/default/files/issue-pdf/7833.pdf

. Sexton, J. B., Schwartz, S. P., Chadwick, W. A., Rehder, K. J., Bae, J., Bokovoy, J., Doram, K., Sotile, W., Adair, K. C., & Profit, J. (2017). The associations between work-life balance behaviours, teamwork climate and safety climate: Cross-sectional survey introducing the work-life climate scale, psychometric properties, benchmarking data and future directions. BMJ Quality and Safety, 26(8), 632–640. https://doi.org/10.1136/bmjqs-2016-006032

. Bower, P., Campbell, S., Bojke, C., & Sibbald, B. (2003). Team structure, team climate and the quality of care in primary care: an observational study. Quality & safety in health care, 12(4), 273–279. https://doi.org/10.1136/qhc.12.4.273

. Anderson, H. M. (2017). Effective Communication and Teamwork Improve Patient Safety. Walden Dissertations and Doctoral Studies.

. Ismainar, Hetty & Dahesihdewi, Andaru & Dwiprahasto, Iwan. (2012). Efektivitas Kepemimpinan dan Komunikasi Tim Keselamatan Pasien di RSI Ibnu Sina Pekanbaru Riau. Jurnal Kesehatan Komunitas. 2. 2-8. 10.25311/keskom.Vol2.Iss1.34.

. Lee, Seung & Scott, Linda. (2016). Hospital Nurses' Work Environment Characteristics and Patient Safety Outcomes: A Literature Review. Western journal of nursing research. 40. 10.1177/0193945916666071.

. Kaplan, G. S., & Stokes, C. D. (2017). Leading a Culture of Safety: A Blueprint for Success. www.npsf.org/LLI.%0Ahttp://c.ymcdn.com

/sites/www.npsf.org/resource/resmgr/lli/Leading_a_Culture_of_Safety_.pdf

. Ausserhofer, Dietmar. (2012). High-Reliability in Healthcare: Nurse Reported Patient Safety Climate and Its Relationship With Patient Outcomes In Swiss Acute Care Hospitals. Medizinischen Fakultät der Universität Basel Avramchuk, Andre & McGuire, Stephen. (2018). Patient Safety Climate: A Study of Southern California Healthcare Organizations. Journal of Healthcare Management. 63. 175-192. 10.1097/JHM-D-16-00004

. Arnetz J, Sudan S, Goetz C, Counts S, Arnetz B. (2019). Nurse Work Environment and Stress Biomarkers: Possible Implications for Patient Outcomes. J Occup Environ Med. 61(8):676-681. doi:10.1097/JOM.0000000000001642

. Sevilla-Zeigen, N. (2016). A Grounded Theory Approach to Healthy Work Environment: Its Impact on Nurses, Patient Safety, and Significance in Healthcare Settings. ProQuest Dissertations and Theses, https://search.proquest.com/docview/1840916821?accountid=150292

. Blake, N.T., Gilmore, K., Dang, P.D., & Villareal, D. (2014). Reducing worker fatigue to create a healthy work environment. AACN advanced critical care, 25 4, 326- 9, https://doi.org/10.4037

/NCI.0000000000000052

. Wåhlin, Charlotte & Kvarnström, Susanne & Öhrn, Annica & Nilsing, Emma. (2019). Patient and healthcare worker safety risks and injuries. Learning from incident reporting. European Journal of Physiotherapy. 1-7. 10.1080/21679169.2018.1549594.

. Fagerström, L., Kinnunen, M., & Saarela, J. (2018). Nursing workload, patient safety incidents and mortality: An observational study from Finland. BMJ Open, 8(4). https://doi.org/10.1136/bmjopen-2017-016367

. Health and Safety Authority. (2005). Guide to the Safety, Health and Welfare at Work Act 2005. http://www.liftingandhandling.ie/sites/default/files/TEST/Guide%20to%20Safety%2C%20Health%20and%20Welfare%20at%20Work%20Act%202005.pdf

. Habib, R. R., Blanche, G., Souha, F., El-Jardali, F., & Nuwayhid, I. (2016). Occupational health and safety in hospitals accreditation system: the case of Lebanon. International Journal of Occupational and Environmental Health, 22(3), 201–208. https://doi.org/10.1080/10773525.2016.1200211

. Deussom, R., International, I., Jaskiewicz, W., International, I., Adams, E., Tulenko, K., & International, I. (2012). Ensuring a Positive Practice Environment: Occupational Safety and Health for Health Worker Productivity. August.

. Kalisch, B.J. & Lee, H. (2009). Nursing teamwork, staff characteristics, work schedules, and staffing. Health Care Management Review, 34(4), 323-333.

. Hinno, S., Partanen, P., & Vehvilainen-Julkunen, K. (2011). Hospital nurses’ work environment, quality of care provided and career plans. International Nursing Review, 58, 255-262

. Sepp, J., & Tint, P. (2017). The Components of Non-Punitive Environment in Nursing. Safety of Technogenic Environment, 8(1), 24–30. https://doi.org/10.1515/ste-2017-0004

. Rochon, A. (2014). Teamwork and Staffing in an Acute Care Hospital. Laurentian Université.https://zone.biblio.laurentian.ca

/bitstream/10219/2237/1/Rochon,%20Andrea%20 %20Final%20Thesis%20Aug%2013.pdf

. Eddy, Kylie. (2014). The experiences of health professionals who participatein teamwork education programmes in acute hospital settings: A systematic review of qualitative evidence.The School of Translational Health Science. https://digital.library.adelaide.edu.au/

dspace/bitstream/2440/103734/2/02wh ole.pdf

. Horn D, Lindström M, Rosengren K. (2018). Managing a Stressful Work Environment through Improved Teamwork - A Qualitative Content Analysis of Nurses Working Environment within Emergency Care. Int Arch Nurs Health Care 4:109. doi.org/10.23937/2469-5823/15100109

. Oshodi TO, Bruneau B, Crockett R, Kinchington F, Nayar S, West E. (2019). The nursing work environment and quality of care: Content analysis of comments made by registered nurses responding to the Essentials of Magnetism II scale. Nursing Open. 6:878–888. https://doi.org/10.1002/nop2.268

. Agnew C, Flin R, Mearns K. (2013). Patient safety climate and worker safety behaviours in acute hospitals in Scotland. J Safety Res. 45:95–101.

. Bronkhorst, B., Tummers, L., Steijn, B., & Vijverberg, D. (2015). Organizational climate and employee mental health outcomes: A systematic review of studies in health care organizations. Health Care Management Review, 40(3), 254– 271.

. Welp, A., & Manser, T. (2016). Integrating teamwork, clinician occupational well- being and patient safety - development of a conceptual framework based on a systematic review. BMC health services research, 16, 281. https://doi.org/10.1186/s12913-016-1535-y

. Alharbi, A.A. (2018). The impact of nurse work environment on nurse outcomes, nurse-perceived quality of care and patient safety in Saudi Arabia. The University of British Colombia. https://dx.doi.org/10.14288/1.0365705

. Rosen, M. A., Diazgranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., & Weaver, S. J. (2019). HHS Public Access. 73(4), 433–450.https://doi.org/10.1037/amp0000298

. Milton, Jenny, Wendy Chaboyer, N. David Åberg, Annette Erichsen Andersson, Lena Oxelmark. (2020). Safety attitudes and working climate after organizational change in a major emergency department in Sweden. International Emergency Nursing, 100830, ISSN 1755-599X, https://doi.org/10.1016/j.ienj.2020.100830

. McGonagle, A. K., Essenmacher, L., Hamblin, L., Luborsky, M., Upfal, M., & Arnetz, J. (2016). Management Commitment to Safety, Teamwork, and Hospital Worker Injuries. Journal of hospital administration, 5(6), 46–52. https://doi.org/10.5430/jha.v5n6p46

. Alli, B. O. (2008). Fundamental principles of occupational health and safety. International Labour Office – Geneva: ILO.

. Pasternack, I. (2005). Good practice in occupational health care. Duodecim; Lääketieteellinen Aikakauskirja, 121(17), 1803–1805.


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