Developing Psychological Empowerment and Patient Safety Culture: A Pre-experimental Study

Year 2021, Volume: 5 Issue: 2, 94 - 103, 27.05.2021

Ayşegül Yılmaz , Sergül Duygulu

https://doi.org/10.30621/jbachs.907526

Cited By: 3

Abstract

Aims: This study aimed to examine the development of the perceptions of the psychological empowerment and patient safety culture among Turkish nurses by implementing a training-based empowerment program for unit charge nurses.
Methods: A pre-experimental, one-group pretest-posttest test design was used. The sample consisted of (n = 38) unit charge nurses and (n = 174) staff nurses; the program included theoretical components, group work, and individual study assignments. Data was collected using the Demographic Data Sheet, Psychological Empowerment Scale and Hospital Survey on Patient Safety Culture before, immediately after, and four months after the program. Data were analysed by percentages, repeated measures analysis of variance, and the Friedman analysis was used for the abnormally distributed data. The Cochran's Q test was used to analyze the number of events reported.
Results: There was a statistically significant increase found in the results of the Psychological Empowerment Scale's scores on the competence and meaning subscales, the mean positive response to teamwork within the unit’s composite of Hospital Survey on Patient Safety Culture (p < 0.05), and event reporting (p < 0.001).
Conclusion: The results of this study suggest that creating a positive patient safety culture requires a review of the structures and processes of an organization. Creating, maintaining a desirable patient safety culture in health institutions is a long and hard process. The duration of future empowerment programs may be determined to allow for the long-term monitoring of their effects.

Keywords

empowerment program, patient safety culture, pre-experimental study, psychological empowerment, unit charge nurse

Thanks

We thank the experts for their opinions on the empowerment program. We also thank the hospital management for supporting the study and the UCNs and staff nurses for their participation.

References

• World Health Organization. (2020). Patient safety. Retrieved from: https://www.who.int/health-topics/patient-safety#tab=tab_2.
• Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. The Joint Commission Journal on Quality and Patient Safety 2018; 44: 23–32.
• Singer S, Lin S, Falwell A, Gaba D, Baker L. Relationship of safety climate and safety performance in hospitals. Health Services Research 2009;44:399-421.
• Kim KJ, Yoo MS, Seo EJ. Exploring the Influence of Nursing Work Environment and Patient Safety Culture on Missed Nursing Care in Korea. Asian Nursing Research 2018; 12:121-126.
• Trus M, Doran D, Martinkenas A, Asikainen P, Suominen T. Perception of work-related empowerment of nurse managers. Journal of Research in Nursing 2018;23(4):317-330.
• Voegtlin C, A Boehm, S, Bruch H. How to empower employees: using training to enhance work units' collective empowerment. International Journal of Manpower 2015; 36: 354-373.
• Oducado RMF. Leader Empowering Behaviors and Psychological Empowerment as Perceived by Young Hospital Staff Nurses: A Pilot Study. Jurnal Ners 2019;14:47-54.
• Laschinger HKS, Fida R. Linking nurses' perceptions of patient care quality to job satisfaction: The role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration 2015;45:276-283.
• Conger JA, Kanung RN. The empowerment process: ıntegrating theory and practice. Academy of Management Review 1998:13;471-428.
• Thomas KW, Velthouse BA. Cognitive elements of empowerment: An interpretive model of intrinsic task motivation. Management Review 1990;15:666-681.
• Spreitzer GM. Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal1995;38:1442-1465.
• Chang LC, Liu CH, Yen EH. Effects of an empowerment-based education program for public health nurses in Taiwan. Journal of Clinical Nursing 2008;17(20):2782-90.
• Han Y, Kim JS, Seo Y. Cross-Sectional Study on Patient Safety Culture, Patient Safety Competency, and Adverse Events. West J Nurs Res 2020;42(1):32-40.
• Ginsburg L, Norton PG, Casebeer A, Lewis S. An Educational Intervention to Enhance Nurse Leaders' Perceptions of Patient Safety Culture. HSR: Health Services Research 2005;40:997-1020.
• AbuAlRub RF, Abualhaja AA. The Impact of Educational Interventions on Enhancing Perceptions of Patient Safety Culture Among Jordanian Senior Nurses. Nursing Forum 2014;49 (2):139–50.
• Xie J, Ding S, Zhong Z, et al. A safety culture training program enhanced the perceptions of the patient safety culture of nurse managers. Nurse Education in Practice 2017;27:128-133.
• Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. MC Medical Education 2018;18:158.
• Habahbeh AA, Alkhalaileh MA. Effect of an educational program on the attitudes towards patient safety of operation room nurses. British Journal of Nursing 2020; 29: 222-228.
• Cranmer CA. One-Group Pretest–Posttest Design (In The SAGE Encyclopedia of Communication Research Methods, Editors: Allen M.). Thousand Oaks; SAGE Publications 2017;1125-1126. Available from: https://methods.sagepub.com/base/download/ReferenceEntry/the-sage-encyclopedia-of-communication-research-methods/i9778.xml.
• Huber DL. Management Principles. Huber, D.L. (Ed.). Leadership and Nursing Care Management. 4. Edition Saunders Elsevier, Missouri. 2010
• Uner S, Turan S. The construct validity and reliability of the Turkish version of Spreitzer's psychological empowerment scale. BMC Public Health 2010;10: 117.
• Sorra J, Yount N, Famolaro T, et al. AHRQ Hospital Survey on Patient Safety Culture Version 2.0: User’s Guide. (Prepared by Westat, under Contract No. HHSP233201500026I/ HHSP23337004T). Rockville, MD: Agency for Healthcare Research and Quality; September 2019. AHRQ Publication No. 19-0076. https://www.ahrq.gov/sops/surveys/hospital/ index.html.
• Bodur S, Filiz E. Validity and reliability of Turkish version of hospital survey on patient safety culture and perception of patient safety in public hospitals in Turkey. BMC Health Services Research 2010; 10: 28-36.
• Büyüköztürk Ş. Büyüköztürk Ş.Data analysis handbook for social sciences: Statistics, research design, SPSS applications and interpretation (Extended 5th edition). 2005. Ankara: Pegem publications.
• Atlı Özbaş A, Tel H. The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses. Palliat Support Care 2016; 14: 393-401.
• Spreitzer GM. Taking stock: A review of more than twenty years of research on empowerment at work. In C. Cooper, & J. Barling (Eds.), The Handbook of Organizational Behavior. Thousand Oaks, CA: Sage Publications. 2007; 54-72.
• Yıldız A, Kaya S, Teleş M, Korku C. The effect of nurses' empowerment perceptions on job safety behaviours: a research study in Turkey. International Journal of Occupational Safety and Ergonomics 2018; 26(3): 489-496.
• Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. Journal of Patient Safety 2020; 16 (4): 310-316.
• Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' BMJ Quality and Safety 2016; 25: 92-99.
• Kuosmanen A, Tiihonen J, Repo-Tiihonen E, Eronen M, Turunen H. Changes in Patient Safety Culture: A Patient Safety Intervention for Finnish Forensic Psychiatric Hospital Staff. Journal of Nursing Management 2019; 27: 848-857.
• Verbakel N, Langelaan M, Verheij T, Wagner C, Zwart D. Effects of patient safety culture interventions on incident reporting in general practice: a cluster-randomized trial. British Journal of General Practice 2015; 65: 319-329.
• Spurlock DR. The single-group, pre-and post-test design in nursing education research: it is time to move on. J Nurs Educ 2015; 57: 69-71.