Managing creativity and compliance in the pursuit of patient safety
Abstract Background Are creativity and compliance mutually exclusive? In clinical settings, this question is increasingly relevant. Hospitals and clinics seek the creative input of their employees to help solve persistent patient safety issues, such as the prevention of bloodstream infections, while...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-019-3935-2 |
| _version_ | 1819229668028448768 |
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| author | Sharon H. Kim Sallie J. Weaver Ting Yang Michael A. Rosen |
| author_facet | Sharon H. Kim Sallie J. Weaver Ting Yang Michael A. Rosen |
| author_sort | Sharon H. Kim |
| collection | DOAJ |
| description | Abstract Background Are creativity and compliance mutually exclusive? In clinical settings, this question is increasingly relevant. Hospitals and clinics seek the creative input of their employees to help solve persistent patient safety issues, such as the prevention of bloodstream infections, while simultaneously striving for greater adherence to evidence-based guidelines and protocols. Extant research provides few answers about how creativity works in such contexts. Methods Cross-sectional survey data were collected from employees in 24 different U.S.-based outpatient hemodialysis clinics. Linear mixed-effects models were utilized to test study hypotheses. Professional status, clinic climate variables, and interaction terms were modeled as fixed effects, with a random effect for clinic included in all models. Results Our results show that high status employees contributed more creative patient safety improvement ideas compared to low status employees. However, when high status employees were part of clinics with a stronger safety climate of compliance, they contributed fewer creative ideas compared to their counterparts working in clinics with a reduced compliance orientation. We also predicted low status employees working in less punitive clinics would contribute more creative ideas, but this hypothesis was not fully supported. Conclusions This study suggests that in hospitals and clinics that rely on strict protocols and formal hierarchies to meet their goals, the factors that promote creativity may be distinctively context-dependent. Implications for theory, practice, as well as future directions for research examining creativity in healthcare and safety critical contexts are discussed. |
| first_indexed | 2024-12-23T11:16:50Z |
| format | Article |
| id | doaj.art-faeca022be0a4fb19c6975485c410504 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-23T11:16:50Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-faeca022be0a4fb19c6975485c4105042022-12-21T17:49:12ZengBMCBMC Health Services Research1472-69632019-02-011911910.1186/s12913-019-3935-2Managing creativity and compliance in the pursuit of patient safetySharon H. Kim0Sallie J. Weaver1Ting Yang2Michael A. Rosen3Johns Hopkins University Carey School of BusinessDepartment of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of MedicineDepartment of Medicine, Division of Rheumatology, Lyme Disease Research Center, Johns Hopkins University School of MedicineDepartment of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of MedicineAbstract Background Are creativity and compliance mutually exclusive? In clinical settings, this question is increasingly relevant. Hospitals and clinics seek the creative input of their employees to help solve persistent patient safety issues, such as the prevention of bloodstream infections, while simultaneously striving for greater adherence to evidence-based guidelines and protocols. Extant research provides few answers about how creativity works in such contexts. Methods Cross-sectional survey data were collected from employees in 24 different U.S.-based outpatient hemodialysis clinics. Linear mixed-effects models were utilized to test study hypotheses. Professional status, clinic climate variables, and interaction terms were modeled as fixed effects, with a random effect for clinic included in all models. Results Our results show that high status employees contributed more creative patient safety improvement ideas compared to low status employees. However, when high status employees were part of clinics with a stronger safety climate of compliance, they contributed fewer creative ideas compared to their counterparts working in clinics with a reduced compliance orientation. We also predicted low status employees working in less punitive clinics would contribute more creative ideas, but this hypothesis was not fully supported. Conclusions This study suggests that in hospitals and clinics that rely on strict protocols and formal hierarchies to meet their goals, the factors that promote creativity may be distinctively context-dependent. Implications for theory, practice, as well as future directions for research examining creativity in healthcare and safety critical contexts are discussed.http://link.springer.com/article/10.1186/s12913-019-3935-2CreativityCompliancePatient safetyOrganizational climate |
| spellingShingle | Sharon H. Kim Sallie J. Weaver Ting Yang Michael A. Rosen Managing creativity and compliance in the pursuit of patient safety BMC Health Services Research Creativity Compliance Patient safety Organizational climate |
| title | Managing creativity and compliance in the pursuit of patient safety |
| title_full | Managing creativity and compliance in the pursuit of patient safety |
| title_fullStr | Managing creativity and compliance in the pursuit of patient safety |
| title_full_unstemmed | Managing creativity and compliance in the pursuit of patient safety |
| title_short | Managing creativity and compliance in the pursuit of patient safety |
| title_sort | managing creativity and compliance in the pursuit of patient safety |
| topic | Creativity Compliance Patient safety Organizational climate |
| url | http://link.springer.com/article/10.1186/s12913-019-3935-2 |
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