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    An exploration of safety climate in nursing homes

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    Authors
    Singer, Sara
    Kitch, Barrett T.
    Rao, Sowmya R.
    Bonner, Alice F.
    Gaudet, Jennifer
    Bates, David W.
    Field, Terry S.
    Gurwitz, Jerry H.
    Keohane, Carol
    Campbell, Eric G.
    UMass Chan Affiliations
    Department of Medicine, Division of Geriatric Medicine
    Meyers Primary Care Institute
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2012-09-01
    Keywords
    Nursing Homes
    Safety
    Geriatrics
    Health Services Research
    
    Metadata
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    Link to Full Text
    http://dx.doi.org/10.1097/PTS.0b013e31824badce
    Abstract
    OBJECTIVES: Although nursing homes provide complex care requiring attention to safety, research on safety climate in nursing homes is limited. Our study assessed differences in attitudes about safety among nursing home personnel and piloted a new survey, specifically designed for the nursing home context. METHODS: Drawing on previous safety climate surveys for hospitals and nursing homes, researchers developed the Survey on Resident Safety in Nursing Homes and administered it March to June 2008 to frontline caregivers and managers in 8 randomly selected Massachusetts nursing homes. Our sample consisted of 751 employees, including all full-time, direct-care staff and managers from participating facilities. First, we performed factor analysis and determined Cronbach alphas for the Survey on Resident Safety in Nursing Homes. Then, we described facilities' safety climate and variation by personnel category and among facilities by calculating the proportion of responses that were strongly positive by item, personnel category, and nursing home. RESULTS: Of 432 respondents (57% response), 29% gave their nursing home an excellent rating overall. Scores varied by personnel category and home: 51% of senior managers gave an excellent safety grade versus 26% of nursing assistants; the range in top safety grades among nursing homes was 30 percentage points. CONCLUSIONS: Safety climate varied substantially among this small sample of nursing homes and by personnel category; managers had more positive perceptions about safety than frontline workers. Efforts to measure safety climate in nursing homes should include the full range of staff at a facility and comparisons among staff categories to provide a full understanding for decision making and to promote targeted response to improve resident safety.
    Source
    J Patient Saf. 2012 Sep;8(3):104-24. Link to article on publisher's site
    DOI
    10.1097/PTS.0b013e31824badce
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46589
    PubMed ID
    22814710
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1097/PTS.0b013e31824badce
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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