HASTA EMNİYET TUTUMLARI VE HATA YÖNETİMİ İKLİMİ İLE ALGILANAN LİDERLİK TARZLARI ETKİLEŞİMİ: SAĞLIK ÇALIŞANLARI ÜZERİNDE BİR ARAŞTIRMA

Bu çalışmada sağlık çalışanlarının hasta emniyetine ilişkin tutumları ile örgütte algılanan hatayönetim iklimi ve liderlik tarzının etkileşimi tanımlayıcı ve ilişkisel modellerle incelenmiştir.Tanımlayıcı araştırma modelinde; örnekleme ait tanımlayıcı demografik bulgular sunulmuştur.İstanbul’da özel bir hastane zincirinde, 258 sağlık çalışanı üzerinde araştırma gerçekleştirilmiştir.İlişkisel model kapsamında değişkenler arasındaki ilişki korelâsyon analizleri ile etkileşim ise regresyonanalizleri vasıtasıyla yorumlanmıştır. Elde edilen bulgulara göre, örgütte algılanan hata yönetimi iklimive algılanan etkileşimsel liderlik tarzı ile sağlık çalışanlarının hasta emniyetine ilişkin tutumları arasındaanlamlı ilişkiler olduğunu göstermiştir.

THE INTERACTIONS BETWEEN PATIENT SAFETY ATTITUDES, ERROR MANAGEMENT CLIMATE AND LEADERSHIP STYLES: A RESEARCH ON THE PRIVATE HOSPITAL STAFF

In this study the interactions between patient safety attitudes, error management climate and leadership styles has been analyzed through descriptive and relational models. In the descriptive model; the demographic information of the sample is presented. The research has been conducted on 258 employees of a private hospital chain staff in İstanbul. In the relational model, interaction between the variables has been interpreted by correlation and regression analysis. The results reveals that there are statistically significant relationships between the error management climate, leadership styles and patient safety attitudes.

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  • ACSNI, (1993). Advisory committee for the safety of nuclear installations: Human Factors Study Group Third Report: Organising for Safety. HSE Books, Sheffiel.
  • Arıkan, R. (2004). Araştırma teknikleri ve rapor hazırlama, Ankara: Asil Yayın Dağıtım.
  • Aron, D. ve Headrick, L. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care. 11(2), 168-173.
  • Avolio, B. J., Bass, B. M., ve Jung, D. I. (1999). Re‐examining the components of transformational and transactional leadership using the Multifactor Leadership. Journal of Occupational And Organizational Psychology, 72(4), 441-462.
  • Baker, D., Day, R. ve Salas, E. (2006). Teamwork as an essential component of high‐ reliability organizations. Health Services Research. 41(4p2), 1576-1598.
  • Barling, J., Loughlin, C. ve Kelloway, E. K. (2002). Development and test of a model linking safety-specific transformational leadership and occupational safety. Journal of Applied Psychology, 87(3), 488-496.
  • Baykal Ü. Ş., Nevin H. ve Altuntaş S. (2010). Hasta güvenliği tutum ölçeği’nin Türkçeye uyarlanması, Hemşirelikte Eğitim ve Araştırma Dergisi, 7(1), 39- 45.
  • Bodur, S. ve Filiz, E. (2009). A survey on patient safety culture in primary healthcare services in Turkey, International Journal for Quality in Health Care, 21(5), 348-355.
  • Büyüköztürk, Ş. (2010). Sosyal bilimler için veri analizi el kitabı: İstatistik, araştırma deseni, SPSS uygulamaları ve yorum. Ankara: Pegem Akademi Yayıncılık.
  • Catchpole, K. R., Giddings, A. E., Wilkinson, M., Hirst, G., Dale, T. ve de Leval, M. R. (2007). Improving patient safety by identifying latent failures in successful operations. Surgery, 142(1), 102-110.
  • Champoux, D. ve Brun, J. P. (2003). Occupational health and safety management in small size enterprises: an overview of the situation and avenues for intervention and research. Safety Science, 41(4), 301-318.
  • Chillarege, K. A., Nordstrom, C. R. ve Williams, K. B. (2003). Learning from our mistakes: Error management training for mature learners. Journal of Business And Psychology, 17(3), 369-385.
  • Chu-Weininger, M. Y. L., Wueste, L., Lucke, J. F., Weavind, L., Mazabob, J. ve Thomas, E. J. (2010). The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Quality and Safety in Health Care, 19(6), e39- e39.
  • Cigularov, K. P., Chen, P. Y. ve Rosecrance, J. (2010). The effects of error management climate and safety communication on safety: A multi-level study. Accident analysis & prevention, 42(5), 1498-1506.
  • Dağdeviren, M. ve Yüksel İ. (2008). Developing a fuzzy analytic hierarchy process (AHP) model for behavior-based safety management. Information Sciences, 178(6), 1717-1733.
  • de Koster, R. B., Stam, D., ve Balk, B. M. (2011). Accidents happen: The influence of safety-specific transformational leadership, safety consciousness, and hazard reducing systems on warehouse accidents. Journal of Operations Management, 29(7-8), 753-765.
  • Deilkas, E. ve Hofoss, D. (2010). Patient safety culture lives in departments and wards: Multilevel partitioning of variance in patient safety culture, BMC Health Services Research, 10(85), 1-5.
  • Eraslan, L. (2006). Liderlikte post-modern bir paradigma: Dönüşümcü liderlik. International Journal of Human Sciences. 1(1), 1-32.
  • Fernández-Muñiz, B., Montes-Peón, J. M. ve Vázquez-Ordás, C. J. (2007). Safety management system: Development and validation of a multidimensional scale. Journal of Loss Prevention in The Process Industries. 20(1), 52-68.
  • Firth-Cozens, J. ve Mowbray, D. (2001). Leadership and the quality of care. Quality in Health Care. 10(suppl 2), ii3-ii7.
  • Flanagan, B., Nestel, D. ve Joseph, M. (2004). Making patient safety the focus: crisis resource management in the undergraduate curriculum. Medical Education. 38(1), 56-66.
  • Flin, R. (2007). Measuring safety culture in healthcare: A case for accurate diagnosis. Safety Science. 45(6), 653-667.
  • Flin, R. ve Yule, S. (2004). Leadership for safety: Industrial experience. Quality and Safety in Health Care. 13(suppl 2), ii45-ii51.
  • Flin, R., Fletcher, G., McGeorge, P., Sutherland, A. ve Patey, R. (2003). Anaesthetists’ attitudes to teamwork and safety. Anaesthesia. 58(3), 233-242.
  • Greenberg, C. C., Regenbogen, S. E., Studdert, D. M., Lipsitz, S. R., Rogers, S. O., Zinner, M. J. ve Gawande, A. A. (2007). Patterns of communication breakdowns resulting in injury to surgical patients. Journal of the American College of Surgeons. 204(4), 533-540.
  • Guchait, P., Kim, M. G. ve Namasivayam, K. (2012). Error management at different organizational levels–Frontline, manager, and company. International Journal of Hospitality Management. 31(1), 12-22.
  • Gürbüz, S. ve Şahin, F. (2018). Sosyal bilimlerde araştırma yöntemleri. (5. Baskı), Ankara: Seçkin Yayıncılık.
  • Hales, B. M. ve Pronovost, P. J. (2006). The checklist-a tool for error management and performance improvement. Journal of Critical Care, 21(3), 231-235.
  • Helmreich, R. L. (1998). Error management as organisational strategy. Proceedings of the IATA Human Factors Seminar, Citeseer.
  • Huang, D. T., Clermont, G., Long, L., Weissfeld, L. A., Sexton, J. B., Rowan, K. M. ve Angus, D. C. (2010). Intensive care unit safety culture and outcomes: a US multicenter study. International Journal for Quality In Health Care. 22(3), 151-161.
  • Kohn L. T., Corrigan J. M. ve Donaldson M. S. (2000). To err is human: Building a Safer Health System, 6, Washington, DC: National Academy Press.
  • Manser, T. (2009). Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiologica Scandinavica. 53(2), 143- 151.
  • Mccoll, K., Janet R. ve Anderson, R. D. (2002). Impact of leadership style and emotions on subordinate performance. The Leadership Quarterly. 13, 545-559.
  • McConaughey, E., (2008). Crew resource management in healthcare: The evolution of teamwork training and MedTeams®. The Journal of Perinatal & Neonatal Nursing. 22(2), 96-104.
  • McCulloch, P., Mishra, A., Handa, A., Dale, T., Hirst, G. ve Catchpole, K., (2009). The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Quality and Safety in Health Care. 18(2), 109-115.
  • McDonald, N., Corrigan, S., Daly, C. ve Cromie, S., (2000). Safety management systems and safety culture in aircraft maintenance organisations. Safety Science. 34(1), 151-176.
  • McFadden, K. L., Stock, G. N., ve Gowen III, C. R. (2015). Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. Health Care Management Review, 40(1), 24-34.
  • Mohr, J. J., Abelson, H. T. ve Barach, P., (2002). Creating effective leadership for improving patient safety. Quality Management in Healthcare. 11(1), 69-78.
  • Naveh, E., Katz-Navon, T. ve Stren, Z., (2005). Treatment errors in healthcare: A safety climate approach. Management Science. 51(6), 948-960.
  • Orhunbilge, N. (2010). Çok değişkenli istatistik yöntemler. İstanbul: İstanbul Üniversitesi İşletme Fakültesi Yayını.
  • Pfeffer, J. (1997). The ambiguity of leadership. Academy of management review. 2(1), 104-112.
  • Pronovost, P., Weast, B., Holzmueller, C. G., Rosenstein, B. J., Kidwell, R. P., Haller, K. B., Feroli, E. R., Sexton, J. B. ve Rubin, H. R. (2003). Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Quality and safety in health care. 12(6), 405-410.
  • Reiman, T., Pietikainen, E., Reiman, T. ve Oedewald, P. (2010). Multilayered approach to patient safety culture. Quality and Safety in Health Care. qshc. 2008.029793.
  • Sargut, A. S. (2015). Lider yöneticinin benliğine yolculuk, İstanbul: Beta Basım Yayım Dağıtım.
  • Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., ve Thomas, E. J. (2006). The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6(1), 44.
  • Siu, O.-l., Philips, D. R. ve Leung, T. (2003). Age differences in safety attitudes and safety performance in Hong Kong construction workers. Journal of Safety Research. 34(2), 199-205.
  • Solis‐Trapala, I. L., Carthey, J., Farewell, V. T. ve de Leval, M. R., (2007). Dynamic modelling in a study of surgical error management. Statistics in Medicine. 26(28), 5189-5202.
  • Tekarslan, E., Kılınç, T., Şencan, H. ve Baysal, C. (2000). Davranışın sosyal psikolojisi. İstanbul: İ.Ü. İşletme Fakültesi. Yayın No: 278.
  • Thomas, E. J., Sexton, J. B., Neilands, T. B., Frankel, A. ve Helmreich, R. L. (2005). The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. BMC Health Services Research. 5(1), 28.
  • Thomas, M. J. (2004). Predictors of threat and error management: Identification of core nontechnical skills and implications for training systems design. The International Journal of Aviation Psychology. 14(2), 207-231.
  • Van Dyck, C., Frese, M., Baer, M. ve Sonnentag, S. (2005). Organizational error management culture and its impact on performance: A two-study replication. Journal of Applied Psychology. 90(6), 1228-1240.
  • Wu, T. C., Chang, S. H., Shu, C. M., Chen, C. T., ve Wang, C. P. (2011). Safety leadership and safety performance in petrochemical industries: The mediating role of safety climate. Journal of Loss Prevention in The Process Industries, 24(6), 716-721.
  • Wu, T. C., Chen, C. H., ve Li, C. C. (2008). A correlation among safety leadership, safety climate and safety performance. Journal of Loss Prevention in the Process Industries, 21(3), 307-318.
  • Yang, C.-C., Wang, Y.-S., Chang, S.-T., Guo, S.-E. ve Huang, M.-F. (2009). A study on the leadership behavior, safety culture, and safety performance of the healthcare industry. World Academy of Science, Engineering and Technology. 53,1148-1155.
  • Zohar, D. (2002). The effects of leadership dimensions, safety climate, and assigned priorities on minor injuries in work groups. Journal of Organizational Behavior. 23(1), 75-92.
  • Zohar, D., Livne, Y., Tenne-Gazit, O. ve Donchin, Y. (2007). Healthcare climate: A framework for measuring and improving patient safety. Critical Care Medicine. 35(5), 1312-1317.
Erciyes Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi-Cover
  • ISSN: 1301-3688
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1981
  • Yayıncı: -