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The work environment and empowerment as predictors of patient safety culture in Turkey
Author(s) -
Dirik Hasan Fehmi,
Intepeler Seyda Seren
Publication year - 2017
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12458
Subject(s) - nursing management , empowerment , patient safety , nursing , organizational culture , descriptive statistics , health care , work (physics) , safety culture , work environment , perception , psychology , medicine , job satisfaction , public relations , social psychology , management , political science , mechanical engineering , statistics , mathematics , law , economics , engineering , neuroscience
Aim and Background As scant research based information is available regarding the work environment, empowerment and patient safety culture, this study from a developing country (Turkey) in which health care institutions are in a state of transition, aimed to investigate further the relationships between these three variables. Method A cross‐sectional descriptive design was employed. The sample comprised 274 nurse participants working in a university hospital located in Izmir (Turkey). In data evaluation, descriptive statistics and hierarchical regression analyses were applied. Results The work environment and structural empowerment were related to the patient safety culture and explained 55% of the variance in patient safety culture perceptions. ‘Support for optimal patient care’, ‘nurse/physician relationships’ and ‘staff involvement in organisational affairs’ were the significant predictors. Conclusion An enhancement of the work environment and providing access to empowerment structures may help health care organisations improve the patient safety culture. Implications for nursing management In light of the findings, the following actions can be recommended to inform health care leaders: providing necessary resources for nursing practise, encouraging nurses’ participation in decision‐making, strengthening communication within the team and giving nurses the opportunities to cope with challenging work problems to learn and grow.