Moving From a Culture of Blame to a Culture of Safety in the Nursing Home Setting

被引：39

作者：

Scott-Cawiezell, Jill ^{[1
]}

Vogelsmeier, Amy ^{[2
]}

McKenney, Charlotte ^{[3
]}

Rantz, Marilyn ^{[3
]}

Hicks, Lanis ^{[4
]}

Zellmer, Dave ^{[1
]}

机构：

[1] Univ Missouri, Sinclair Sch Nursing, Columbia, MO 65211 USA

[2] Univ Missouri, Acad Geriatr Nursing Capac Scholar & Res Nurse, Columbia, MO 65211 USA

[3] Univ Missouri, Columbia, MO 65211 USA

[4] Univ Missouri, Hlth Serv Management Programs, Sch Med, Hlth Serv Management, Columbia, MO 65211 USA

来源：

NURSING FORUM | 2006年 / 41卷 / 03期

基金：

美国医疗保健研究与质量局;

关键词：

Culture of safety; medication error; nursing home;

D O I：

10.1111/j.1744-6198.2006.00049.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

TOPIC. A culture of safety. PURPOSE. To explore the current culture of blame and what organizational elements must be impacted to move toward a culture of safety in the nursing home setting. METHODS. A mixed-method approach incorporating a case study and staff member survey results were used to explicate the organizational elements impacting the current nursing home culture. CONCLUSION. Nurse leaders can create an environment in which every member of the team feels a responsibility and an ability to insure that residents are safe by improving communication and participation in decision making.

引用

页码：133 / 140

页数：8

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