Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.

Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.
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DOI:
10.1136/bmjqs-2013-002042
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发表时间:
2014-10
影响因子:
5.4
通讯作者:
Profit J
Profit J
中科院分区:
医学1区
文献类型:
--
作者:
Sexton JB;Sharek PJ;Thomas EJ;Gould JB;Nisbet CC;Amspoker AB;Kowalkowski MA;Schwendimann R;Profit J

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Leadership WalkRounds (WR) 广泛应用于医疗机构,以提高患者安全。 WR 和护理人员对患者安全文化的评估以及医护人员倦怠之间的关系尚不清楚。这项横断面调查研究评估了 44 个积极参与结构化产房管理质量改进计划的新生儿重症监护病房 (NICU) 中收到的关于 WR 所采取行动的反馈与医护人员对患者安全文化和职业倦怠的评估之间的关联。在 3294 项调查中,返回 2073 项,总体响应率为 62.9%。更多的 WR 反馈与 NICU 更好的安全文化结果和更低的倦怠率相关。与成人临床领域的基准比较相比,NICU 中参与 WR 和接收有关 WR 的反馈不太常见。 WR 与患者安全和倦怠有关。在新生儿重症监护病房(NICU)中,这种情况发生得更频繁,工作场所似乎是提供和接受护理的更好场所。
Leadership WalkRounds (WR) are widely used in healthcare organisations to improve patient safety. The relationship between WR and caregiver assessments of patient safety culture, and healthcare worker burnout is unknown. This cross-sectional survey study evaluated the association between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture and burnout across 44 neonatal intensive care units (NICUs) actively participating in a structured delivery room management quality improvement initiative. Of 3294 administered surveys, 2073 were returned for an overall response rate of 62.9%. More WR feedback was associated with better safety culture results and lower burnout rates in the NICUs. Participation in WR and receiving feedback about WR were less common in NICUs than in a benchmarking comparison of adult clinical areas. WR are linked to patient safety and burnout. In NICUs, where they occurred more often, the workplace appears to be a better place to deliver and to receive care.
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