Comparing the impact of management on public and private sector nurses in the UK, Italy, and Australia

The research examined the impact of management upon employee outcomes (perceptions of discretionary power, well-being, engagement, and affective commitment), comparing public and private sector nurses in Australia, the United Kingdom, and Italy. Overall, 1,945 nurses participated in a self-report survey within these core- and laggard-New Public Management countries. While management influenced employee outcomes for each country, there were significant differences between the public and private sectors, with private sector nurses reporting higher perceptions of outcomes. Importantly, nurses’ engagement was affected by management practice for each country. This study raises important implications for nurse managers, especially public sector managers, described within

Trasformazione della geografia dei servizi e ruolo delle professioni sanitarie: un’analisi di casi nella Regione Lazio

Analisi di nuovi modelli di presa in carico del paziente

With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals

Against the backdrop of decreased organizational slack in public sector organizations, we investigate the direct and indirect effect of teams on safety behaviour in an Italian acute care hospital. Quantitative and qualitative findings confirm the positive contribution of teams to individuals’ safety behaviour. The study contributes to the limited empirical research on safety behaviour in high-reliability settings as part of a wider conversation about public sector professionals under crisis. The findings can assist managers of public sector hospitals to facilitate conditions for effective team communication in the interest of patient safety, and can, conceivably, be extended to other public sector high-reliability settings

Cross-cultural Adaptation and Validation of Patient Safety Culture Assessment Tool for Clinical Staff in Kazakhstan

BACKGROUND: Modern healthcare systems lack empirical models and appropriate tools to evaluate the safety culture, which encourages the need for their development. The national healthcare system of Kazakhstan has no empirically tested robust tools to evaluate the safety culture. AIM: The present paper aims at performing translation, cross-cultural adaptation, and validation of the "Patient safety culture" tool (from here – the tool) as a means for evaluating safety culture in healthcare establishments of the Republic of Kazakhstan. METHODS: The study design was cross-sectional. The original "Patient safety culture" tool is an integrated evaluation framework consisting of 7 scales and 62 items (6 general questions and 56 targeted questions) and reflecting different aspects of risk-related components of safety culture. The Cronbach's alpha coefficient ranging from 0.0 to 1.0 was used to measure the internal consistency of the tool. To evaluate the tool's reproducibility, we performed a test-retest assessment after 15 days and evaluated it using Pearson's correlation coefficient. RESULTS: The overall Cronbach's alpha for different scales ranged from 0.27 to 0.75. Subscales "Safety procedures" and "Safety Training" had the lowest coefficients. At test-retest, the Pearson's correlation coefficient ranged from 0.934 to 0.969 among the scales. CONCLUSION: The study is dedicated to cross-cultural adaptation and validation of the "Patient safety culture" tool and describes the development of a translation protocol with subsequent cognitive debriefing and field testing. The field testing helped to confirm good validity, reliability, and reproducibility. The tool might undergo additional modification after further testing

Case management: approccio sistemico alla gestione del paziente

Case management strategy for coordinating health care services to high risk and high-cost populations

L’approccio sistemico alla gestione dei rischi in sanità

Per la gestione dei rischi di una azienda sanitaria emerge come sia fondamentale il supporto della direzione aziendale e dei direttori delle unità operativa e come sia necessario intervenire in modo integrato e coordinato: i) sia sulla struttura organizzativa, attraverso l’istituzione aziendale di una funzione aziendale di governo dei rischi; ii) sia sui meccanismi operativi di funzionamento, attraverso: l’implementazione di buone pratiche, raccomandazioni e linee guida; l’attivazione di progetti e processi trasversali; la realizzazione di un efficace sistema informativo e di reporting e l’investimento nella gestione del personale in termini di motivazione, formazione continua, presidio dei carichi di lavoro, job description; iii) sia sulla cultura aziendale della sicurezza

Sistemi di assessment del rischio tra azienda sanitaria e settore assicurativo

Proposte: a) Testare il collegamento con outcome/performance b) Identificare ambiti essenziali a livello ministeriale su cui sviluppare standard di rischio per i sistemi di accreditamento regionali: Livelli Essenziali di Safety c) Identificare una Commissione di accreditamento a livello nazionale multistakeholders:– audit commission – authority che faccia presidio attiv

Workplace relationships, psychological capital, employees\u27 performance, accreditation and safety culture : the case of healthcare professionals in Italian acute care settings

Patient safety is a crucial issue in healthcare organisations all over the world. The Italian healthcare system is not an exception, and there is a growing agenda to increase safety processes of care. The ability to influence safety culture among clinical staff has been widely recognised as one of the main mechanisms that can be used to affect patients’ outcomes. The thesis identifies the lack of viable safety framework models to assess safety culture within the Italian healthcare sector. Hence, it uses three theoretical frameworks – Blau’s (1964) Social Exchange Theory (SET), Positive Organisational Behaviour (POB) (Luthans, Youssef & Avolio 2007) and Cooper’s (2000) framework of safety culture – to operationalise a new comprehensive model of patient safety culture, and to test whether SET factors (supervisor-employee relationships, supervisor-employee relationships safety-related, and engagement) predict accreditation and safety culture in a causal chain. The main theoretical contribution of the research project is that it uses for the first time SET and POB to conceptualise the impact of workplace relationships on accreditation and safety culture in the healthcare sector. Moreover, it delivers a new structured definition of accreditation culture, and it develops new knowledge about the impact of workplace relationships on psychological, behavioural and situational aspects of accreditation and safety culture in the healthcare sector. Finally, the findings provide healthcare managers with an empirically robust model for examining accreditation and safety culture within Italian hospitals. The research results emphasise the role and responsibilities of hospitals’ top and middle management to guide staff involved in the processes of care in the right direction. The research acknowledges limitations regarding the use of self-report surveys to collect data among professionals in the Italian acute care settings. The choice of this research method relies on the willingness to deliver a model that allows hospitals to run internal, functional, and competitive benchmarking of their results, and the feasibility of the approach was paramount in developing the research design. Since the reliability of this model has been proven using Italian hospitals’ data, further research is needed to re-test it to confirm the generalisability of the model. Finally, future research should also address and improve the ability of the model to fully capture the psychological component of safety culture, that in the proposed model has been assessed using the Katz-Navon, Naveh and Stern (2005) priority of safety construct, adopted from Zohar (2000) (Trinchero, Farr-Wharton & Brunetto 2017