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An exploratory survey study of disorder and its association with safety culture in four hospitals

BACKGROUND: Signs of disorder in neighbourhoods (e.g., litter, graffiti) are thought to influence the behaviour of residents, potentially leading to violations of rules and petty criminal behaviour. Recently, these premises have been applied to the hospital context, with physical and social disorder...

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Autores principales: Churruca, Kate, Ellis, Louise A., Long, Janet C., Pomare, Chiara, Liauw, Winston, O’Donnell, Caroline M., Braithwaite, Jeffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026660/
https://www.ncbi.nlm.nih.gov/pubmed/35449014
http://dx.doi.org/10.1186/s12913-022-07930-6
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author Churruca, Kate
Ellis, Louise A.
Long, Janet C.
Pomare, Chiara
Liauw, Winston
O’Donnell, Caroline M.
Braithwaite, Jeffrey
author_facet Churruca, Kate
Ellis, Louise A.
Long, Janet C.
Pomare, Chiara
Liauw, Winston
O’Donnell, Caroline M.
Braithwaite, Jeffrey
author_sort Churruca, Kate
collection PubMed
description BACKGROUND: Signs of disorder in neighbourhoods (e.g., litter, graffiti) are thought to influence the behaviour of residents, potentially leading to violations of rules and petty criminal behaviour. Recently, these premises have been applied to the hospital context, with physical and social disorder found to have a negative association with patient safety. Building on these results, the present study investigates whether physical and social disorder differ between hospitals, and their relationship to safety culture. METHODS: We conducted a cross sectional survey with Likert-style and open response questions administered in four Australian hospitals. All staff were invited to participate in the pilot study from May to September 2018. An analysis of variance (ANOVA) was used to examine differences in disorder by hospital, and hierarchical linear regression assessed the relationship of physical and social disorder to key aspects of safety culture (safety climate, teamwork climate). Open responses were analysed using thematic analysis to elaborate on manifestations of hospital disorder. RESULTS: There were 415 survey respondents. Significant differences were found in perceptions of physical disorder across the four hospitals. There were no significant differences between hospitals in levels of social disorder. Social disorder had a significant negative relationship with safety and teamwork climate, and physical disorder significantly predicted a poorer teamwork climate. We identified five themes relevant to physical disorder and four for social disorder from participants’ open responses; the preponderance of these themes across hospitals supported quantitative results. CONCLUSIONS: Findings indicate that physical and social disorder are important to consider in attempting to holistically understand a hospital’s safety culture. Interventions that target aspects of physical and social disorder in a hospital may hold value in improving safety culture and patient safety. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07930-6.
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spelling pubmed-90266602022-04-23 An exploratory survey study of disorder and its association with safety culture in four hospitals Churruca, Kate Ellis, Louise A. Long, Janet C. Pomare, Chiara Liauw, Winston O’Donnell, Caroline M. Braithwaite, Jeffrey BMC Health Serv Res Research BACKGROUND: Signs of disorder in neighbourhoods (e.g., litter, graffiti) are thought to influence the behaviour of residents, potentially leading to violations of rules and petty criminal behaviour. Recently, these premises have been applied to the hospital context, with physical and social disorder found to have a negative association with patient safety. Building on these results, the present study investigates whether physical and social disorder differ between hospitals, and their relationship to safety culture. METHODS: We conducted a cross sectional survey with Likert-style and open response questions administered in four Australian hospitals. All staff were invited to participate in the pilot study from May to September 2018. An analysis of variance (ANOVA) was used to examine differences in disorder by hospital, and hierarchical linear regression assessed the relationship of physical and social disorder to key aspects of safety culture (safety climate, teamwork climate). Open responses were analysed using thematic analysis to elaborate on manifestations of hospital disorder. RESULTS: There were 415 survey respondents. Significant differences were found in perceptions of physical disorder across the four hospitals. There were no significant differences between hospitals in levels of social disorder. Social disorder had a significant negative relationship with safety and teamwork climate, and physical disorder significantly predicted a poorer teamwork climate. We identified five themes relevant to physical disorder and four for social disorder from participants’ open responses; the preponderance of these themes across hospitals supported quantitative results. CONCLUSIONS: Findings indicate that physical and social disorder are important to consider in attempting to holistically understand a hospital’s safety culture. Interventions that target aspects of physical and social disorder in a hospital may hold value in improving safety culture and patient safety. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07930-6. BioMed Central 2022-04-21 /pmc/articles/PMC9026660/ /pubmed/35449014 http://dx.doi.org/10.1186/s12913-022-07930-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Churruca, Kate
Ellis, Louise A.
Long, Janet C.
Pomare, Chiara
Liauw, Winston
O’Donnell, Caroline M.
Braithwaite, Jeffrey
An exploratory survey study of disorder and its association with safety culture in four hospitals
title An exploratory survey study of disorder and its association with safety culture in four hospitals
title_full An exploratory survey study of disorder and its association with safety culture in four hospitals
title_fullStr An exploratory survey study of disorder and its association with safety culture in four hospitals
title_full_unstemmed An exploratory survey study of disorder and its association with safety culture in four hospitals
title_short An exploratory survey study of disorder and its association with safety culture in four hospitals
title_sort exploratory survey study of disorder and its association with safety culture in four hospitals
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026660/
https://www.ncbi.nlm.nih.gov/pubmed/35449014
http://dx.doi.org/10.1186/s12913-022-07930-6
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