THE IMPACT OF WORK UNIT AND ORGANIZATION SUPPORT ON HOSPITAL PATIENT SAFETY
Issue Date
2009-01-27Author
Kemper, Carol Ann
Publisher
University of Kansas
Format
pages
Type
Dissertation
Degree Level
Ph.D.
Discipline
Nursing
Rights
This item is protected by copyright and unless otherwise specified the copyright of this thesis/dissertation is held by the author.
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Show full item recordAbstract
Based on the construct of a culture of safety, the study purpose was to discern the relationships between Organization Support (OS) and Work Unit Support (WS)
on Hospital Patient Safety. OS and WS were operationalized using the National
Database for Nursing Quality Indicators® (NDNQI®) RN Survey with Job
Satisfaction Scales. Patient Safety was operationalized using four Agency for
Healthcare Research and Quality (AHRQ) Patient Safety Indicators: Decubitus
Ulcer, Selected Infections due to Medical Care, Failure to Rescue (FTR), and Deep
Vein Thrombosis. A structural equation model was developed with adequate fit
indices (χ2 = 40.811, df= 27, p= 0.234; CFI= 0.930; RMSEA= 0.065; SRMR=
0.074). Unexpectedly, increased OS was associated significantly (p= .030) with
increase Patient Safety events. A promising, though non-significant finding, was
increased WS and OS were associated with decreased FTR rates. Teamwork, a
component of WS was associated with decreased rates of FTR and Patient Safety
events.
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