The Relationship Between Charge Nurses and Clinical Nurses' Perceptions of Patient Safety Culture and Leadership Practices

Year 2021, Volume: 14 Issue: 1, 29 - 37, 15.01.2021

Ayşegül Yılmaz , Sergül Duygulu

https://doi.org/10.46483/deuhfed.743446

Cited By: 5

Abstract

Background: A patient safety culture needs to be developed for quality and safe care in health care institutions. Executive nurses having transformational leadership behavior have an important effect on establishing a patient safety culture in hospitals. Objectives: The aim of this study is to reveal transformational leadership practices of unit charge nurses from their own perspective and the perspective of staff nurses they work with, to determine the patient safety culture perceptions of unit charge nurses and staff nurses, and to examine the relationship between transformational leadership practices and patient safety culture. Methods: This descriptive, relationship-seeking and cross-sectional study was conducted between March and June 2014 in four hospitals in Konya province. The sample of the study consisted of 70 unit charge nurses and 357 staff nurses working with these unit charge nurses. Participation rate in the study is 84.5%. Data were collected by using the Demographic Data Form, Leadership Practices Inventory and Patient Safety Culture Hospital Questionnaire. Means, t test, percentages, standard deviation and Spearman's tests were used in the analysis of the data. Results: According to the evaluations of the unit charge nurses and staff nurses; it was found that the unit charge nurses' averages scores for prodding others into action, encouraging others and questioning the process sub-dimension and total leadership practice were significantly higher than those of the staff nurses. Patient Safety Culture perceptions of unit charge nurses are higher than service nurses. According to the findings obtained from the study, there is a positive relationship between nurses' transformational leadership practices and patient safety culture. Conclusion: In the study, it has been shown that there is a positive relationship between nurses' transformational leadership practices and patient safety culture. In order to create a positive patient safety culture in the units of charge nurses, it is necessary to develop the unit charge nurses' transformational leadership practices.

Keywords

Nursing, Patient Safety Culture, Transformational Leadership Practice, Charge Nurses, Staff Nurses

Sorumlu Hemşireler ile Klinik Hemşirelerinin Hasta Güvenliği Kültürü Algıları ve Liderlik Uygulamaları Arasındaki İlişki

Abstract

Giriş: Sağlık kuruluşlarında kaliteli ve güvenli bir bakım için hasta güvenliği kültürünün geliştirilmesi gerekmektedir. Hemşire yöneticilerinin dönüşümcü liderlik becerileri hasta güvenliği kültürünün oluşturulmasında oldukça önemlidir. Amaç: Bu çalışmanın amacı, servis sorumlu hemşirelerinin dönüşümcü liderlik uygulamalarını kendileri ve birlikte çalıştıkları servis hemşireleri gözüyle ortaya koymak, servis sorumlu ve servis hemşirelerinin hasta güvenliği kültürü algısını belirlemek ve dönüşümcü liderlik uygulamaları ile hasta güvenliği kültürü arasındaki ilişkiyi incelemektir. Yöntem: Tanımlayıcı, ilişki arayıcı ve kesitsel tipteki bu çalışma, Konya ilinde bulunan dört hastanede Mart-Haziran 2014 tarihleri arasında gerçekleştirilmiştir. Çalışmanın örneklemini 70 servis sorumlu hemşiresi ve bu hemşireler ile birlikte çalışan 357 servis hemşiresi oluşturmuştur. Çalışmaya katılım oranı %84.5'dir. Veriler, Demografik Veri Formu, Liderlik Uygulamaları Envanteri ve Hasta Güvenliği Kültürü Hastane Anketi kullanılarak toplanmıştır. Verilerin analizinde, ortalama, t testi, yüzde, standart sapma ve Spearman's testleri kullanılmıştır. Bulgular: Servis sorumlu hemşireleri ve servis hemşirelerinin değerlendirmelerine göre; servis sorumlu hemşirelerinin, başkalarını harekete geçirme, cesaretlendirme ve süreci sorgulama alt boyut puanları ve toplam liderlik uygulama puan ortalamaları servis hemşirelerinden anlamlı olarak daha yüksek olduğu bulunmuştur. Servis sorumlu hemşirelerinin hasta güvenliği kültürü algılarının daha yüksek olduğu belirlenmiştir. Çalışmada hemşirelerin dönüşümcü liderlik uygulamaları ile hasta güvenliği kültürü arasında pozitif bir bulunmuştur. Sonuç: Çalışmada hemşirelerin dönüşümcü liderlik uygulamaları ile hasta güvenliği kültürü arasında pozitif bir ilişki olduğu gösterilmiştir. Sorumlu hemşirelerinin birimlerinde olumlu bir hasta güvenliği kültürünü oluşturulabilmesi için servis sorumlu hemşirelerinin dönüşümcü liderlik uygulamalarının geliştirilmesi gerekmektedir.

Keywords

Hemşirelik, Hasta Güvenliği Kültürü, Dönüşümcü Liderlik Uygulamaları, Sorumlu Hemşireler, Hemşireler

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