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dc.contributor.authorBrandis, Susan
dc.contributor.authorSchleimer, Stephanie
dc.contributor.authorRice, John
dc.description.abstractPurpose: Creating a culture of patient safety and developing a skilled workforce are major challenges for health managers. However, there is limited information to guide managers as to how patient safety culture can be improved. The purpose of this paper is to explore the concept of reflexivity and develop a model for magnifying the effect of patient safety culture and demonstrating a link to improved perceptions of quality of care. Design/methodology/approach: This research employed a correlational case study design with empirical hypothesis testing of quantitative scores derived from validated survey items. Staff perceptions of patient safety, reflexivity and quality of patient care were obtained via a survey in 2015 and analysed using inferential statistics. The final sample included 227 health service staff from clinical and non-clinical designations working in a large Australian tertiary hospital and health service delivering acute and sub-acute health care. Findings: Both patient safety culture and reflexivity are positively correlated with perceived quality of patient care at the p<0.01 level. The moderating role of reflexivity on the relationship between patient safety culture and quality of care outcomes was significant and positive at the p<0.005 level. Practical implications: Improving reflexivity in a health workforce positively moderates the effect of patient safety culture on perceptions of patient quality of care. The role of reflexivity therefore has implications for future pre-professional curriculum content and post-graduate licencing and registration requirements. Originality/value: Much has been published on reflection. This paper considers the role of reflexivity, a much less understood but equally important construct in the field of patient safety.
dc.relation.ispartofjournalJournal of Health Organization and Management
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchCommerce, Management, Tourism and Services
dc.title“Pixie dust”: The moderating effect of reflexivity on patient safety culture and quality patient care
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBrandis, S; Schleimer, S; Rice, J, “Pixie dust”: The moderating effect of reflexivity on patient safety culture and quality patient care, Journal of Health Organization and Management, 2019, 33 (5), pp. 635-646
gro.hasfulltextNo Full Text
gro.griffith.authorSchleimer, Stephanie C.

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