Abstract:
OBJECTIVES:Although nursing homes provide complex care requiring attention to safety, research on safety climate in nursing homes is limited. Our study assessed differences in attitudes about safety among nursing home personnel and piloted a new survey, specifically designed for the nursing home context. METHODS:Drawing on previous safety climate surveys for hospitals and nursing homes, researchers developed the Survey on Resident Safety in Nursing Homes and administered it March to June 2008 to frontline caregivers and managers in 8 randomly selected Massachusetts nursing homes. Our sample consisted of 751 employees, including all full-time, direct-care staff and managers from participating facilities. First, we performed factor analysis and determined Cronbach alphas for the Survey on Resident Safety in Nursing Homes. Then, we described facilities' safety climate and variation by personnel category and among facilities by calculating the proportion of responses that were strongly positive by item, personnel category, and nursing home. RESULTS:Of 432 respondents (57% response), 29% gave their nursing home an excellent rating overall. Scores varied by personnel category and home: 51% of senior managers gave an excellent safety grade versus 26% of nursing assistants; the range in top safety grades among nursing homes was 30 percentage points. CONCLUSIONS:Safety climate varied substantially among this small sample of nursing homes and by personnel category; managers had more positive perceptions about safety than frontline workers. Efforts to measure safety climate in nursing homes should include the full range of staff at a facility and comparisons among staff categories to provide a full understanding for decision making and to promote targeted response to improve resident safety.
journal_name
J Patient Safjournal_title
Journal of patient safetyauthors
Singer S,Kitch BT,Rao SR,Bonner A,Gaudet J,Bates DW,Field TS,Gurwitz JH,Keohane C,Campbell EGdoi
10.1097/PTS.0b013e31824badcesubject
Has Abstractpub_date
2012-09-01 00:00:00pages
104-24issue
3eissn
1549-8417issn
1549-8425journal_volume
8pub_type
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journal_title:Journal of patient safety
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更新日期:2015-03-01 00:00:00
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doi:10.1097/PTS.0000000000000124
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更新日期:2010-09-01 00:00:00
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更新日期:2017-12-27 00:00:00
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更新日期:2017-06-14 00:00:00