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dc.contributor.authorMilton, J
dc.contributor.authorChaboyer, W
dc.contributor.authorÅberg, ND
dc.contributor.authorErichsen Andersson, A
dc.contributor.authorOxelmark, L
dc.date.accessioned2020-06-03T01:26:20Z
dc.date.available2020-06-03T01:26:20Z
dc.date.issued2020
dc.identifier.issn1755-599X
dc.identifier.doi10.1016/j.ienj.2020.100830
dc.identifier.urihttp://hdl.handle.net/10072/394334
dc.description.abstractBackground: Medically complex patients present challenges to the health care system, particularly in the emergency department (ED) setting. Specifically, teamwork is thought to affect staff safety climate, which in turn impacts patient safety. Aim: This study aimed to evaluate the effect of organizational changes to interprofessional team assessment processes on staff perception of teamwork and safety attitudes in the ED. Methods: This prospective observational study used cross-sectional design and measured ED staff perception of patient safety related domains at two time-points (before and after an organizational intervention), using the Safety Attitude Questionnaire. Results: Statistically significant changes were seen among the overall sample (n = 112 at time point one and n = 121 at time point two) for the safety climate, working conditions, and stress recognition domains. Nurses and doctors showed different baseline attitudes and different responses to the intervention between the two time points. Conclusion: The results reflect improved positive attitudes overall though there were differences in responses between the nursing and medical professions. The findings highlight opportunities to improve attitudes among ED team members through defined organizational change and learning from one another. Organizational change can affect staff perceptions of the safety climate and interprofessional teamwork, which may improve the ED working environment.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofjournalInternational Emergency Nursing
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode1110
dc.subject.keywordsEmergency department
dc.subject.keywordsInterprofessional
dc.subject.keywordsPatient safety
dc.subject.keywordsSafety attitude
dc.subject.keywordsTeamwork
dc.titleSafety attitudes and working climate after organizational change in a major emergency department in Sweden
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationMilton, J; Chaboyer, W; Åberg, ND; Erichsen Andersson, A; Oxelmark, L, Safety attitudes and working climate after organizational change in a major emergency department in Sweden, International Emergency Nursing, 2020
dcterms.dateAccepted2020-01-03
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-06-03T01:11:01Z
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.rights.copyright© 2020 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorChaboyer, Wendy


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