Ohutuskultuuri raamistik hooldusteenuseid pakkuvate asutuste näitel

Taust. Edukad organisatsioonid suudavad olukorda ennetades reageerida makrokeskkonna muutustele ja muutuda tänapäevaseks võrgustikuks, kus eri osapoolte koosmõjul moodustub vastastikku kasu toov süsteem. Proaktiivsuses nähakse organisatsioonisisest võimet ennetuseks ja kohanemiseks, mille keskmes on ohutuskultuur oma toetava töökeskkonna, kaasava ja läbipaistva juhtimissüsteemi ning võimekate juhtidega. Varasemad uuringud on näidanud, et hoolekandeasutustes on pigem reaktiivne ohutuskultuur, ebaproportsionaalne füüsiline ja vaimne töökoormus ning võimalik negatiivne mõju pakutavate teenuste kvaliteedile.Eesmärk. Töö eesmärgiks oli luua holistiline tervishoiu- ja sotsiaalhoolekandeasutuste ohutuskultuuri raamistik, mis põhineks võimalikel ohutust ennustavatel teguritel ning soodustaks hooldustöötajate ning patsientide/klientide ohutust ja heaolu.Järeldused. Proaktiivse ohutuskultuuri eelduseks on karistusvaba kultuur ja toetav töökeskkond, mille keskmes on töötajate kaasamine ja vigadest õppimine. Hoolekandeasutustes ei ole vigadest õppimine laialt levinud praktika, pigem domineerib hirm karistuse ees. Ennetav ohutuskultuur sõltub organisatsiooni valmisolekust suurendada töötajate erialaoskusi ja soodustada töötajate psühhosotsiaalset heaolu. Kirjutises on defineeritud kaks uut subkultuuri: professionaalsete kompetentside kultuur ja psühhosotisaalse heaolu kultuur, mis on nimetatud ohutuskultuuri proaktiivsuse eelduseks ja töötajate ohutut käitumist soodustavaks teguriks

Predictors of safe behaviour and holistic framework for promoting proactive safety culture in healthcare and nursing homes

Received: January 30th, 2023 ; Accepted: May 21st, 2023 ; Published: May 26th, 2023 ; Correspondence: [email protected] poor safety culture in nursing homes is attributed to the lack of professional and safety competencies, management commitment, and limited empirical data. The purpose of this study is to identify potential predictors of safe behaviour among care workers and establish a holistic framework for a proactive safety culture in healthcare and nursing homes. The study was conducted in 25 care institutions between September 2014 to December 2017 using mixed-methods with quantitative (NOSACQ-50; CCQ, COPSOQ II) and qualitative (focus-group interview) components. Results revealed challenges with safety systems and management, lack of resources and time, and the importance of leadership and psychosocial well-being. The study identified subcultures of proactive safety culture, including professional competence culture and psychosocial well-being culture. These subcultures aid in identifying weaknesses and improving quality, emphasizing the need for a holistic approach to safety culture in healthcare institutions, particularly in nursing homes. The author's proposition on positive safety culture, based on the theory of situated cognition, highlights the significance of subcultures such as professional competence culture and psychosocial well-being culture in influencing care workers' professional identity and safety behaviour. In conclusion, the importance of these subcultures can be emphasised due to ensuring adequate understanding and positive attitudes towards safety. Adequate care worker training and a culture that supports professional competence are crucial for patient safety and organizational outcomes. Addressing psychosocial risks and promoting a culture of psychosocial well-being can create a safer workplace culture and improve employee performance, job satisfaction, and overall organizational outcomes

Õpetajate ja koolipsühholoogide hinnangud psühhomeetriliste testide vajalikkusele kaasava hariduse põhimõtete valguses

http://tartu.ester.ee/record=b2656610~S27*es

Human factors and ergonomics in safety management in healthcare: building new relationships

ArticleHuman factors are playing an essential role in ensuring occupational health and safety at work. In the healthcare sector, relevant factors include optimizing the interaction of humans with their technical, social working environment, and human characteristics such as knowledge and motivation. Those fac tors affect the ability to provide good quality of healthcare and safety performance. The aim of this paper is to analyse factors related to safety knowledge, communication and professional competence among caregivers in nursing homes. A group of professio nals studied (n = 241, includes nurses and caregivers) completed a validated questionnaire. Descriptive statistics and correlation analyses were applied, using SPSS Statistics 24. Our study revealed that over half of the respondents possess an occupational certificate and the majority of employers organize regular in - service training at workplaces. Respondents who claimed that in - service trainings are not regular still stated that they generally receive safety and ergonomic related trainings, trainings for working with special equipment. However, only a quarter of responden ts have access to occupational safety trainings that f ocus on specific risks at work. Based on the results of the study, we emphasize the need of integrating human factors in the safety ma nagement system in nursing homes with a special focus on adequate safety training in order to develop necessary skills and knowledge of workers. This would enhance employees’ ability to cope successfully with the elderly and people with special needs, to p rovide safe and high - quality care as well as confidence and the knowledge how successfully they manage conflicts in order to ke ep good relationships at work

Relationship Between Nursing Home Safety Climate and Caregivers’ Competence

To provide quality healthcare, strong teamwork, safety commitment and collaboration between workers are needed. The aim of this paper is to analyse factors related to safety climate and professional competence among caregivers and to compare the results between different age groups in Estonian nursing homes. A Nordic Safety Climate Questionnaire (NOSACQ-50), measuring 7 dimensions of safety climate, was used in order to assess caregivers’ perceptions of the safety climate in Estonian nursing homes, on a sample of 233 caregivers. In order to supplement results from the safety climate study, a Caregivers’ Competence Questionnaire (CCQ) measuring 6 scales of the caregivers’ competences, their perceptions towards received education and safety-related procedures in nursing homes, was used on a sample of 241 caregivers. Results show differences between age groups of caregivers. The most experienced caregivers tended to have a better understanding of their specialty and more positive ratings of the dimensions of safety climate and safety commitment than younger age groups of caregivers. Result show that the age group with respondents born in the period of 1961–1970 gave more positive ratings of “Necessary skills, knowledge in living questions and caring activities” than did other groups of caregivers (mean = 4.46 and 4.41) and of “First aid” (mean = 4.47). The study sheds new light on the usability and applicability of the existing assessment tools NASACQ-50 and CCQ. Interventions to promote safety climate in the nursing homes should be tailored to the target group with a special focus on age and work experiences as attitudes and perceptions may differ among those groups

Enhancing Patient Safety Through Leadership: A Comprehensive Literature Review on the Role of Head Nurses in Hospital Settings

The aim of the study is to analyse the process through which nursing management affects patient outcomes to promote a culture of safety. Patient safety has moral, ethical, and economic implications. Medical errors significantly increase healthcare costs, prolong hospital stays and lead to the need for additional treatment, accompanied by legal expenses that can impact the reputation of a healthcare institution. Therefore, patient safety in healthcare is important, and the role of management in shaping this culture and practice is central. To achieve this goal, a systematic review is conducted, including searches in electronic databases such as PubMed, Scopus, Web of Science, EBSCO Discovery, MedLine, EBSCO host, and ScienceDirect, from the year 2013 onwards. Additionally, manual searches are carried out in leading journals in the field. After evaluating and analysing the articles, 28 remain, focusing on four main themes: nurse engagement and patient safety climate, the impact of management style on patient outcomes, challenges in implementing safety culture in practice, and innovative practices and general management skills. Based on the results, it can be argued that a transformative nursing leadership style plays a significant role in reducing unfavourable patient outcomes. These findings emphasize the involvement of nursing leaders and the associated challenges in addition to proposing strategies for enhancing patient safety and shaping the future of nursing management in the healthcare system

Work-Related Psychosocial Risk Factors and Care Workers Mental Health (In Estonian Nursing Homes)

The humankind is ageing rapidly, and as a result, there is an increasing need for old people’s homes. The nursing homes face different problems in financing and recruiting the labour force and management. Lack of resources causes the situation, when managers have to find possibilities to accomplish services and to provide quality care with the limited funds. This situation has an additional impact on the nursing professionals, who have to deal with many psychosocial risk factors in their work. The aim of the paper is to explore the work-related psychosocial risk factors and their relationships with mental health problems (MHPs) amongst care workers. A cross-sectional survey was undertaken amongst the care workers in nine Estonian nursing homes. Psychosocial work factors and MHPs (stress, somatic symptoms, depressive symptoms, burnout, cognitive symptoms, and sleep disorders) were analysed using the second version of the Copenhagen Psychosocial Questionnaire (COPSOQ II). Descriptive statistics and Pearson’s r correlation were used to analyse the data. The analysis was based on 340 care worker surveys. The highest mean scores for the studied work-related psychosocial factors were recorded for the quantitative demands, influence, rewards, role conflicts, trust, insecurity and work-family balance. Low mean scores were recorded for the meaning of work, role clarity, social relationships at work. The lowest score was followed by burnout and the highest - by cognitive symptoms

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics : A role theory perspective

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