Nurse leadership: Sustaining a culture of safety

Background: 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. Aim: To describe the specific actions required by nurse leadership to enhance the sustainability of a saf...

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Main Authors: Helena E.M. Haskins, Lizeth Roets
Format: Article
Language:Afrikaans
Published: AOSIS 2022-10-01
Series:Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
Subjects:
Online Access:https://hsag.co.za/index.php/hsag/article/view/2009
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author Helena E.M. Haskins
Lizeth Roets
author_facet Helena E.M. Haskins
Lizeth Roets
author_sort Helena E.M. Haskins
collection DOAJ
description Background: 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. Aim: 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. Setting: Two hospitals in the United Arab Emirates (UAE) were selected purposively, based on the diversity of the nursing team. Methods: 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. Results: 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. Conclusion: 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. Contribution: The study contributes by providing a structured integration of specific actions for nurse leaders to sustain practices ensuring positive patient outcomes.
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spelling doaj.art-81cc9a30abf24393b992d9a3e34809de2022-12-22T02:39:43ZafrAOSISHealth SA Gesondheid: Journal of Interdisciplinary Health Sciences1025-98482071-97362022-10-01270e1e810.4102/hsag.v27i0.2009942Nurse leadership: Sustaining a culture of safetyHelena E.M. Haskins0Lizeth Roets1Department of Health Studies, University of South Africa, PretoriaDepartment of Health Studies, University of South Africa, PretoriaBackground: 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. Aim: 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. Setting: Two hospitals in the United Arab Emirates (UAE) were selected purposively, based on the diversity of the nursing team. Methods: 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. Results: 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. Conclusion: 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. Contribution: The study contributes by providing a structured integration of specific actions for nurse leaders to sustain practices ensuring positive patient outcomes.https://hsag.co.za/index.php/hsag/article/view/2009nursing leadershipculture of safetypatient safetycultural diversitypositive work environment
spellingShingle Helena E.M. Haskins
Lizeth Roets
Nurse leadership: Sustaining a culture of safety
Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
nursing leadership
culture of safety
patient safety
cultural diversity
positive work environment
title Nurse leadership: Sustaining a culture of safety
title_full Nurse leadership: Sustaining a culture of safety
title_fullStr Nurse leadership: Sustaining a culture of safety
title_full_unstemmed Nurse leadership: Sustaining a culture of safety
title_short Nurse leadership: Sustaining a culture of safety
title_sort nurse leadership sustaining a culture of safety
topic nursing leadership
culture of safety
patient safety
cultural diversity
positive work environment
url https://hsag.co.za/index.php/hsag/article/view/2009
work_keys_str_mv AT helenaemhaskins nurseleadershipsustainingacultureofsafety
AT lizethroets nurseleadershipsustainingacultureofsafety