Files and links (1)
PDFOpen Access (License Unspecified), Open Access
Dissertation
Speaking Up for Patient Safety: Examination of Self-Efficacy
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2021
DOI:
https://doi.org/10.17918/00001539
Abstract
Frontline nurses are accountable and responsible for cultivating their ability "to speak up and speak out" regarding patient safety. As healthcare strives to become a high-reliability organization, the reporting of adverse safety events becomes essential. The results of safety surveys and anecdotal evidence within a 1500 bed, urban, academic hospital's perioperative environment revealed opportunities for improvement in identifying, speaking up, and reporting concerns surrounding patient safety. The published evidence generated best practices and factors leading to successful reporting, including self-efficacy, motivation, clinical context, general contextual issues, individual concerns, and perceived psychological safety. The Clinical Communication Self Efficacy Tool Kit pre-intervention survey offered baseline insight into the fifteen participants' self-efficacy levels. Interactive education, simulation, and debriefing sessions framed the intervention. The Clinical Communication Self-Efficacy Tool Kit was readministered post-intervention to measure levels of self-efficacy. Comparison between the pre and post-intervention survey using a t-test: paired two samples for means with an alpha of 0.05 noted a statistically significant improvement resulting in a t(11), df(30) and a p<.001 A combination of interactive education, simulation, and reflection sessions seems to improve the competency and confidence of frontline team members participating in this study. Further expansion of the program will provide additional insight into self-efficacy behaviors regarding speaking up for patient safety. Key Words: Perioperative nursing, nurse leaders, nurses, self-efficacy, patient safety, speak up, speak out, psychological safety, leadership, adverse event, operating room culture, organizational culture, and leader.
Metrics
42 File views/ downloads
67 Record Views
Details
- Title
- Speaking Up for Patient Safety
- Creators
- Terry Emerson
- Contributors
- Linda Wilson (DNP Chair)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 57 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991020220848104721