Vazquez Christian E
Steve Hicks School of Social Work, University of Texas at Austin , Texas, Texas, USA.
Leadersh Health Serv (Bradf Engl). 2019 May 7;32(2):296-308. doi: 10.1108/LHS-08-2018-0038.
The purpose of this study is to gather information about work culture characteristics from four successful pediatric heart programs to better understand how they continue to maintain high standards of quality and safety.
DESIGN/METHODOLOGY/APPROACH: For this qualitative study, data were collected through semi-structured in-depth individual interviews with four physician leaders. Those interviews were transcribed and coded for themes, first individually and then across all four.
Three themes emerged from the analysis. According to the experts, the three most salient elements for sustaining a successful work culture that is conducive to maintaining high standards of care are: the 'right' people, an effective leadership team and efficient systems.
RESEARCH LIMITATIONS/IMPLICATIONS: This was a small homogenous sample, which is a limitation of the study. All of the programs were from non-profit teaching hospitals in urban areas. This study has important research implications, as it offers descriptive information useful for guiding a future explanatory study.
Recommendations have been made for leaders in healthcare settings to benchmark against the work being done at these programs that maintain high standards of quality and safety.
This information has important social and practical implications as healthcare leaders continue to work on improving quality and safety that affects patients across the country.
ORIGINALITY/VALUE: This study contributes to the literature by offering perspectives on successful work cultures from a diverse compilation of physician leaders and medical institutions across the USA.
本研究旨在收集来自四个成功的儿科心脏项目的工作文化特征信息，以更好地理解它们如何持续保持高质量和安全标准。
设计/方法/途径：对于这项定性研究，通过对四位医生领导者进行半结构化深度个人访谈来收集数据。这些访谈被转录并编码以提取主题，首先单独进行，然后对所有四位进行综合分析。
分析得出三个主题。专家认为，维持有助于保持高标准护理的成功工作文化的三个最显著要素是：“合适的”人员、有效的领导团队和高效的系统。
研究局限性/启示：这是一个规模较小的同质化样本，这是本研究的一个局限性。所有项目均来自城市地区的非营利性教学医院。本研究具有重要的研究启示，因为它提供了有助于指导未来解释性研究的描述性信息。
已向医疗保健机构的领导者提出建议，以便参照这些保持高质量和安全标准的项目所开展的工作进行对标。
随着医疗保健领导者继续努力提高影响全国患者的质量和安全，这些信息具有重要的社会和实际意义。
原创性/价值：本研究通过提供来自美国各地不同的医生领导者和医疗机构对成功工作文化的观点，为文献做出了贡献。
