ERIC Number: EJ947569
Record Type: Journal
Publication Date: 2011-Dec
Abstractor: As Provided
Organizational Climate Determinants of Resident Safety Culture in Nursing Homes
Arnetz, Judith E.; Zhdanova, Ludmila S.; Elsouhag, Dalia; Lichtenberg, Peter; Luborsky, Mark R.; Arnetz, Bengt B.
Gerontologist, v51 n6 p739-749 Dec 2011
Purpose of the Study: In recent years, there has been an increasing focus on the role of safety culture in preventing costly adverse events, such as medication errors and falls, among nursing home residents. However, little is known regarding critical organizational determinants of a positive safety culture in nursing homes. The aim of this study was to identify organizational climate predictors of specific aspects of the staff-rated resident safety culture (RSC) in a sample of nursing homes. Design and Methods: Staff at 4 Michigan nursing homes responded to a self-administered questionnaire measuring organizational climate and RSC. Multiple regression analyses were used to identify organizational climate factors that predicted the safety culture dimensions nonpunitive response to mistakes, communication about incidents, and compliance with procedures. Results: The organizational climate factors efficiency and work climate predicted nonpunitive response to mistakes (p less than 0.001 for both scales) and compliance with procedures (p less than 0.05 and p less than 0.001 respectively). Work stress was an inverse predictor of compliance with procedures (p less than 0.05). Goal clarity was the only significant predictor of communication about incidents (p less than 0.05). Implications: Efficiency, work climate, work stress, and goal clarity are all malleable organizational factors that could feasibly be the focus of interventions to improve RSC. Future studies will examine whether these results can be replicated with larger samples.
Descriptors: Safety, Nursing Homes, Health Facilities, Organizational Climate, Older Adults, Accident Prevention, Predictor Variables, Questionnaires, Work Environment, Efficiency, Stress Variables, Compliance (Legal), Goal Orientation
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A