DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization
DNP 835 Topic 6 DQ 1
Reflect on the “IHI Module PS 203: Pursuing Professional Accountability and a Just Culture.” As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization. Explain how you can create, shape, and sustain a culture of safety for your site or organization using the six domains of a culture of safety. How will you inspire, motivate, and inform your organization on a journey of zero harm? Provide rationale and support for your explanation.
Assessing the culture of my practice site will require data on the proportion of clinicians that have taken safety courses, the proportion of nurses that understand the safety risks, clinicians’ safety beliefs and attitudes, and the incidence of safety incidents and near misses (Azyabi, Karwowski, & Davahli, 2021). These qualitative and quantitative data will help create a more comprehensive picture of the overall culture in the practice site. Personal ideas and beliefs regarding safety captured by interviewing clinicians, patients, and culture experts will also be beneficial in assessing the culture in my practice setting.
The creation, shaping, and sustenance of a safety culture requires an understanding of each of the six domains of a culture of safety. Thus, I will endeavor to ensure that I understand the requirements in each of these domains. Secondly, implementing continuous monitoring of safety incidents will also be beneficial. Data from the monitoring systems will aid investigations into the root causes of errors and their elimination (Hunt et al., 2022). Patients will be involved in the reporting systems. The patients will be required to provide additional insights into safety incidents and near misses. Integration of evidence-based practices that have been proven to be effective in reducing safety incidents (Rosen & Kelz, 2021). I will keep abreast with research, guidelines, and best practices in research relating to safety within healthcare. I will then encourage my practice site to adopt some of these practices after assessing its readiness for change, the effectiveness of the intervention, and its relative efficiency. Motivating the worksite to create a culture of safety will require highlighting the costs and implications of safety incidents and corrective interventions to the facility, patients, and caregivers (Rosen & Kelz, 2021). These measures will ensure they develop an understanding of the gravity of safety issues and the value of proposed corrective interventions.
References
Azyabi, A., Karwowski, W., & Davahli, M. R. (2021). Assessing patient safety culture in hospital settings. International Journal of Environmental Research and Public Health, 18(5), 2466. https://doi.org/10.3390/ijerph18052466
Hunt, J., Gammon, J., Williams, S., Daniel, S., Rees, S., & Matthewson, S. (2022). Patient safety culture as a space of social struggle: Understanding infection prevention practice and patient safety culture within hospital isolation settings – a qualitative study. BMC Health Services Research, 22(1), 1446. https://doi.org/10.1186/s12913-022-08703-x
Rosen, C. B., & Kelz, R. R. (2021). Processes to create a culture of surgical patient safety. The Surgical Clinics of North America, 101(1), 29–36. https://doi.org/10.1016/j.suc.2020.09.008
Patient safety culture is vital for quality healthcare and is an issue of global concern. Patient safety is the product of individual and group attitudes, values, perceptions, competencies, and behavior patterns that show health providers’ commitment, style, and proficiency in safety management (Zubowski, 2021). Qualitative methods are usually good starting points to begin an assessment because this method can help describe a situation and provide insight into intervention (Churruca et al. 2021). In the culture of safety project, the observation method could be used, which means a trained professional conducting objective, discreet workplace observation. Management meetings could be used to introduce the program to help everyone understand the change and anticipated outcome as it will affect employees and the organization. The focus groups could also be used for in-depth probing of issues. Focus groups allow for interactions among members of the team and stimulate further discussion. Expert consultations will help gain broader perspectives on the topic at hand. These experts will include the researcher, union representative’s employee assistance program, representatives, and human resources; Questionnaires will be used to check validity, reliability, and consistency ( Churruca et al. 2021). On the other hand, quantitative means would be employed to gather data, edit, code, and interpret in Statistical Package for Social Science (SPSS) for analysis from pre-existing records. A self-report survey will also ensure an acceptable degree of objectivity (O’Leary et al. 2019)
To create and sustain a safety culture, we have improved working hours and level of staffing, increased teamwork, enforced communication openness, reported events, and exchanged feedback about the error (Zubowski 2021). Using the six domains of culture safety, to get sustainable positive change, we must establish a compelling vision o for inherent safety and demonstrate safety as a core value. We must show respect, be consistent with zero-harm perspectives, and trust our non-negotiable standards. The Board must ensure metrics that meaningfully assess organizational safety and systematically review and analyze results. The CEO, in collaboration with the Board, must be accountable for safety strategy development design and deliver delivery of safety training for all executives and clinical leaders throughout the organization. Leaders will address issues that contribute to errors and harm. Leadership must establish safety-mindfulness. These behaviors, according to IHI, are an effective way to create and sustain culture and safety in an organization (IHI.org).
Organizations will maintain a culture of safety by moving towards system change instead of blame and shame towards staff, encouraging speaking up without fear, listening, supports initiatives channeled towards the improvement of safety. The organization’s ability to routinely conduct patient safety rounds by leadership, request feedback, involve patients in safety initiatives, and relay patient reports at shift changes. Equally important is empowering employees to act in dangerous situations to reduce the likelihood of adverse events. This fair and just environment recognizes the contributions of individuals and systemic organizational features to errors, supportive staff, and fostering continuous learning (IHI.org).
To inspire organizations on the culture of zero ham, I would adopt the belief from Roberts (2020) to help install positive ideas that would drive the culture of staying up. , help create conditions that produce high-reliability performance, be preoccupied with failure, create a behavior of never being satisfied that there have not been any accidents in months, be on the alert, follow any slightest signal of error and fix it, encourage speak up policy, recognize obligations, remain resilient, have a mechanism of identify and appreciate individuals with significant expertise. The motivation is to get their commitment to zero patient harm which is the principle of safety culture for a highly reliable organization (Roberts 2020).
Churruca, K., Ellis, L. A., Pomare, C., Hogden, A., Bierbaum, M., Long, J. C., … & Braithwaite, J. (2021). Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. BMJ open, 11(7), e043982.
O’Leary ST, Lee M, Lockhart S, Eisert S, Furniss A, Barnard J, et al. Effectiveness and cost of bidirectional text messaging for adolescent vaccines and well care. Pediatrics 2015 Dec;136(5):e1220-e1227.
Roberts, S. D. (2020). Worker safety: zero harm messaging, reporting and the C-suite.
Six ways to lead a Culture of safety IHI.org Retrieved February 10th, 2023
Zubowski, D. R. (2021). Measuring Safety Culture: Qualitative and Quantitative Means of Measuring Safety Culture for Safety Management System Optimization. International Journal of Aviation, Aeronautics, and Aerospace, 8(4), 4.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
Check Out Also: NR 631 Week 5 Discussion Resource Management in Project Management
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.