Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy.
aggression and violence
cross-sectional studies
general hospital
mental health
nurse manager
psychiatry
safety culture
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
18
09
2018
revised:
01
03
2019
accepted:
14
03
2019
pubmed:
20
3
2019
medline:
20
12
2019
entrez:
20
3
2019
Statut:
ppublish
Résumé
This study investigates nurse managers' perception of organisational safety culture and team efficacy in managing patient and visitor aggression , and determines the predictors of team efficacy. Patient and visitor aggression is a serious hazard in healthcare. A positive organisational safety culture regarding patient and visitor aggression enhances the safety and staff efficacy in managing patient and visitor aggression. A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n = 446) was conducted in Switzerland, Austria and Germany (November 2016-February 2017). Data were analysed descriptively and through binary logistic regression. The key results are as follows: "Working in a mental health setting" was 3.5 times more likely, "consideration of the physical environment" was four times more likely and a "shared organisational attitude" was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organisational safety cultures to be less positive. A positive organisational safety culture leads to the perception that teams are more effective at managing patient and visitor aggression. Consideration of the physical environment and a positive shared organisational attitude regarding patient and visitor aggression are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing patient and visitor aggression.
Sections du résumé
AIMS
OBJECTIVE
This study investigates nurse managers' perception of organisational safety culture and team efficacy in managing patient and visitor aggression , and determines the predictors of team efficacy.
BACKGROUND
BACKGROUND
Patient and visitor aggression is a serious hazard in healthcare. A positive organisational safety culture regarding patient and visitor aggression enhances the safety and staff efficacy in managing patient and visitor aggression.
METHODS
METHODS
A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n = 446) was conducted in Switzerland, Austria and Germany (November 2016-February 2017). Data were analysed descriptively and through binary logistic regression.
RESULTS
RESULTS
The key results are as follows: "Working in a mental health setting" was 3.5 times more likely, "consideration of the physical environment" was four times more likely and a "shared organisational attitude" was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organisational safety cultures to be less positive.
CONCLUSIONS
CONCLUSIONS
A positive organisational safety culture leads to the perception that teams are more effective at managing patient and visitor aggression.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Consideration of the physical environment and a positive shared organisational attitude regarding patient and visitor aggression are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing patient and visitor aggression.
Types de publication
Journal Article
Langues
eng
Pagination
1039-1046Subventions
Organisme : University of Applied Sciences, Bern, Switzerland
Organisme : STTI International small grant
Organisme : Stiftung Lindenhof [The Lindenhof Foundation], Bern, Switzerland
Organisme : Schweizer Berufsverband der Pflegefachfrauen und Pflegefachmänner (SBK) [the Swiss Professional Association of Nursing]
Informations de copyright
© 2019 John Wiley & Sons Ltd.