Haskins Helena E M, Roets Lizeth
Department of Health Studies, University of South Africa, Pretoria, South Africa.
Health SA. 2022 Oct 25;27:2009. doi: 10.4102/hsag.v27i0.2009. eCollection 2022.
Nurse leaders are essential to manage nursing practices that affect patient safety; therefore, they must create and sustain a sound safety culture in a diverse cultural environment.
To describe the specific actions required by nurse leadership to enhance the sustainability of a safety culture in hospitals and among a diverse nursing team, ultimately improving patient outcomes.
Two hospitals in the United Arab Emirates (UAE) were selected purposively, based on the diversity of the nursing team.
A quantitative design, using Reason's safety culture framework and Ekenedo's behavioural safety model, formed the theoretical background of this study to identify the safety culture and positive work environment that exist among culturally diverse nurses. Thirty-four nurse managers and 417 nurses were conveniently selected to participate. Various instruments were used to gather hospital outcomes and other data from respondents pertaining to their demographics, patient safety, positive work environments and safety culture.
Findings received from the nursing team describe the correlation between patient safety, a diverse nursing workforce and positive work environment affecting a safety culture and promoting positive patient outcomes.
Nurse leaders' integration of specific actions to address the system, as well as diverse nursing teams' behavioural practices, create a patient care environment that adequately contributes to safety culture practices and enhances positive patient outcomes, which are essential for a culture of safety.
The study contributes by providing a structured integration of specific actions for nurse leaders to sustain practices ensuring positive patient outcomes.
护士领导者对于管理影响患者安全的护理实践至关重要；因此，他们必须在多元文化环境中营造并维持良好的安全文化。
描述护士领导力为增强医院及多元护理团队中安全文化的可持续性所需采取的具体行动，最终改善患者结局。
基于护理团队的多样性，有目的地选取了阿拉伯联合酋长国（阿联酋）的两家医院。
采用定量设计，以瑞森的安全文化框架和埃克内多的行为安全模型为理论背景，以识别多元文化背景护士群体中存在的安全文化和积极的工作环境。便利选取了34名护士管理者和417名护士参与研究。使用多种工具收集医院结局以及来自受访者的有关其人口统计学、患者安全、积极工作环境和安全文化的其他数据。
从护理团队获得的调查结果描述了患者安全、多元护理人员队伍和积极工作环境之间的关联，这些因素影响安全文化并促进积极的患者结局。
护士领导者将解决系统问题的具体行动与多元护理团队的行为实践相结合，营造了有助于安全文化实践并增强积极患者结局的患者护理环境，而这对于安全文化至关重要。
本研究的贡献在于为护士领导者提供了具体行动的结构化整合，以维持确保积极患者结局的实践。
