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The benefits of agreeing on what matters most: Team cooperative norms mediate the effect of co-leaders' shared goals on safety climate in neonatal intensive care units

  • BACKGROUND: Safety climate research suggests that a corresponding climate in work units is crucial for patient safety. Intensive care units are usually co-led by a nurse and a physician, who are responsible for aligning an interprofessional workforce and warrant a high level of safety. Yet, little is known about whether and how these interprofessional co-leaders jointly affect their unit's safety climate. PURPOSE: This empirical study aims to explain differences in the units' safety climate as an outcome of the nurse and physician leaders' degree of shared goals. Specifically, we examine whether the degree to which co-leaders share goals in general fosters a safety climate by pronouncing norms of interprofessional cooperation as a behavioral standard for the team members' interactions. METHODOLOGY/APPROACH: A cross-sectional design was used to gather data from 70 neonatal intensive care units (NICUs) in Germany. Survey data for our variables were collected from the unit's leading nurse and the leading physician, as well as from the unit's nursing and physician team members. Hypotheses testing at unit level was conducted using multivariate linear regression. RESULTS: Our analyses show that the extent to which nurse-physician co-leaders share goals covaries with safety climate in NICUs. This relationship is partially mediated by norms of interprofessional cooperation among NICU team members. Our final model accounts for 54% of the variability in safety climate of NICUs. CONCLUSION: Increasing the extent to which co-leaders share goals is an effective lever to strengthen interprofessional cooperation and foster a safety climate among nursing and physician team members of hospital units.

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Metadaten
Author:Ludwig Kuntz, Nadine Scholten, Hendrik Wilhelm, Michael WittlandGND, Hendrik Ansgar Hillen
URN:urn:nbn:de:bsz:960-opus4-16576
DOI original:https://doi.org/10.1097/HMR.0000000000000220
Parent Title (English):Health Care Management Review
Document Type:Article
Language:English
Year of Completion:2018
Publishing Institution:Hochschule Hannover
Release Date:2020/05/20
Tag:co-leaders; cooperative norms; interprofessional cooperation; safety climate
GND Keyword:Führungskraft; Intensivstation; Kooperation; Neugeborenes; Sicherheit
Link to catalogue:1698692668
Institutes:Fakultät V - Diakonie, Gesundheit und Soziales
DDC classes:610 Medizin, Gesundheit
Licence (German):License LogoCreative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International