Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, Illinois, USA.
J Nurs Manag. 2022 Oct;30(7):2781-2790. doi: 10.1111/jonm.13775. Epub 2022 Sep 13.
The aim of this study is to describe safety culture as experienced by medical-surgical nurse leaders.
Safety culture remains a barrier in safer patient care. Nurse leaders play an important role in creating and supporting a safety culture.
We used an inductive qualitative descriptive study using semistructured interviews, document review and observations in a Midwestern community hospital in the United States.
Results of the study are as follows: making sure nurses are keeping patients safe, making sure nurses have nursing interventions in place, expecting nurses to stop unsafe acts or escalate when they feel uncomfortable, making sure nurses have what they need to provide safe care, organization prioritizes patient safety and making sure nurses are learning and growing emerged as themes describing safety culture.
Nurse leaders made sure patients were safe by making sure everyone was doing their best to provide safe care. Insufficient time, too many priorities, insufficient resources, poor physician behaviours and lack of respect for their role emerged as barriers to leading a safety culture.
Organizations must remove barriers for nurse leaders to develop and lead a safety culture. Nurse leaders must learn to advocate successfully for safe nursing care and professional work environments.
本研究旨在描述外科护士领导者所体验到的安全文化。
安全文化仍然是患者安全护理的障碍。护士领导者在创建和支持安全文化方面发挥着重要作用。
我们在美国中西部社区医院使用了一种归纳性定性描述研究方法，采用半结构式访谈、文件审查和观察。
研究结果如下：确保护士确保患者安全，确保护士有适当的护理干预措施，期望护士在感到不适时停止不安全行为或升级，确保护士有提供安全护理所需的东西，组织优先考虑患者安全，确保护士学习和成长，这些都是描述安全文化的主题。
护士领导者通过确保每个人都尽力提供安全护理来确保患者的安全。时间不足、优先级过多、资源不足、医生行为不佳以及对其角色缺乏尊重等因素，成为领导安全文化的障碍。
组织必须为护士领导者消除障碍，以发展和领导安全文化。护士领导者必须学会成功倡导安全的护理和专业的工作环境。
