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Identifying influential individuals on intensive care units: using cluster analysis to explore culture
Author(s) -
Fong Allan,
Clark Lindsey,
Cheng Tianyi,
Franklin Ella,
Fernandez Nicole,
Ratwani Raj,
Parker Sarah Henrickson
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.12476
Subject(s) - influencer marketing , acknowledgement , culture change , psychological intervention , safety culture , psychology , cluster (spacecraft) , organizational culture , nursing management , social network analysis , intervention (counseling) , applied psychology , knowledge management , nursing , social media , medicine , business , public relations , sociology , computer science , marketing , social science , computer security , management , world wide web , relationship marketing , economics , political science , programming language , marketing management
Aim The objective of this paper is to identify attribute patterns of influential individuals in intensive care units using unsupervised cluster analysis. Background Despite the acknowledgement that culture of an organisation is critical to improving patient safety, specific methods to shift culture have not been explicitly identified. Methods A social network analysis survey was conducted and an unsupervised cluster analysis was used. Results A total of 100 surveys were gathered. Unsupervised cluster analysis was used to group individuals with similar dimensions highlighting three general genres of influencers: well‐rounded, knowledge and relational. Conclusions Culture is created locally by individual influencers. Cluster analysis is an effective way to identify common characteristics among members of an intensive care unit team that are noted as highly influential by their peers. To change culture, identifying and then integrating the influencers in intervention development and dissemination may create more sustainable and effective culture change. Additional studies are ongoing to test the effectiveness of utilising these influencers to disseminate patient safety interventions. Implications for nursing management This study offers an approach that can be helpful in both identifying and understanding influential team members and may be an important aspect of developing methods to change organisational culture.