Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.

<h4>Background</h4>Occupational worker wellness and safety climate are key determinants of healthcare organizations' ability to reduce medical harm to patients while supporting their employees. We designed a longitudinal study to evaluate the association between work environment cha...

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Autores principales:	Kirsten Brubakk, Martin Veel Svendsen, Ellen Tveter Deilkås, Dag Hofoss, Paul Barach, Ole Tjomsland
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bca8bd8e5e454ed0a3c13f8680bb50f5
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spelling	oai:doaj.org-article:bca8bd8e5e454ed0a3c13f8680bb50f52021-12-02T20:07:51ZHospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.1932-620310.1371/journal.pone.0258471https://doaj.org/article/bca8bd8e5e454ed0a3c13f8680bb50f52021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258471https://doaj.org/toc/1932-6203<h4>Background</h4>Occupational worker wellness and safety climate are key determinants of healthcare organizations' ability to reduce medical harm to patients while supporting their employees. We designed a longitudinal study to evaluate the association between work environment characteristics and the patient safety climate in hospital units.<h4>Methods</h4>Primary data were collected from Norwegian hospital staff from 970 clinical units in all 21 hospitals of the South-Eastern Norway Health Region using the validated Norwegian Work Environment Survey and the Norwegian version of the Safety Attitudes Questionnaire. Responses from 91,225 surveys were collected over a three year period. We calculated the factor mean score and a binary outcome to measure study outcomes. The relationship between the hospital unit characteristics and the observed changes in the safety climate was analyzed by linear and logistic regression models.<h4>Results</h4>A work environment conducive to safe incident reporting, innovation, and teamwork was found to be significant for positive changes in the safety climate. In addition, a work environment supportive of patient needs and staff commitment to their workplace was significant for maintaining a mature safety climate over time.<h4>Conclusions</h4>A supportive work environment is essential for patient safety. The characteristics of the hospital units were significantly associated with the unit's safety climate scores, hence improvements in working conditions are needed for enhancing patient safety.Kirsten BrubakkMartin Veel SvendsenEllen Tveter DeilkåsDag HofossPaul BarachOle TjomslandPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258471 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kirsten Brubakk Martin Veel Svendsen Ellen Tveter Deilkås Dag Hofoss Paul Barach Ole Tjomsland Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
description	<h4>Background</h4>Occupational worker wellness and safety climate are key determinants of healthcare organizations' ability to reduce medical harm to patients while supporting their employees. We designed a longitudinal study to evaluate the association between work environment characteristics and the patient safety climate in hospital units.<h4>Methods</h4>Primary data were collected from Norwegian hospital staff from 970 clinical units in all 21 hospitals of the South-Eastern Norway Health Region using the validated Norwegian Work Environment Survey and the Norwegian version of the Safety Attitudes Questionnaire. Responses from 91,225 surveys were collected over a three year period. We calculated the factor mean score and a binary outcome to measure study outcomes. The relationship between the hospital unit characteristics and the observed changes in the safety climate was analyzed by linear and logistic regression models.<h4>Results</h4>A work environment conducive to safe incident reporting, innovation, and teamwork was found to be significant for positive changes in the safety climate. In addition, a work environment supportive of patient needs and staff commitment to their workplace was significant for maintaining a mature safety climate over time.<h4>Conclusions</h4>A supportive work environment is essential for patient safety. The characteristics of the hospital units were significantly associated with the unit's safety climate scores, hence improvements in working conditions are needed for enhancing patient safety.
format	article
author	Kirsten Brubakk Martin Veel Svendsen Ellen Tveter Deilkås Dag Hofoss Paul Barach Ole Tjomsland
author_facet	Kirsten Brubakk Martin Veel Svendsen Ellen Tveter Deilkås Dag Hofoss Paul Barach Ole Tjomsland
author_sort	Kirsten Brubakk
title	Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
title_short	Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
title_full	Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
title_fullStr	Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
title_full_unstemmed	Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.
title_sort	hospital work environments affect the patient safety climate: a longitudinal follow-up using a logistic regression analysis model.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bca8bd8e5e454ed0a3c13f8680bb50f5
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Hospital work environments affect the patient safety climate: A longitudinal follow-up using a logistic regression analysis model.

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