Intimidation: a concept analysis.
ABSTRACT Patient safety is being compromised by intimidating communication and ineffective teamwork among healthcare providers. The Joint Commission Update indicates that ineffective communication has been the leading root cause of the majority of sentinel events since 1996. Furthermore, the organizational implementation of policies and procedures for addressing this dangerous situation is now mandated by The Joint Commission Sentinel Event Alert. However, in order to consistently identify and address this problem, there must be a clear and universal definition of intimidation.
The purpose of this article is to clarify the definition of intimidation in healthcare settings. Without this clarity, the role of intimidation as a precursor to the occurrence of medical errors will inevitably be obscured. The framework for concept analysis proposed by Walker and Avant is used to explicate the definition, attributes, antecedents, consequences, and cases of intimidation.
Analyzing the extent of the relationship between intimidation and medical errors will provide healthcare organizations and professionals with a foundation for the development of strategies to combat the effects of intimidation on medical errors and patient safety.
The necessity to create a culture of safety in healthcare settings is paramount.
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ABSTRACT: Team-based learning (TBL) is an active learning method developed to help students achieve course objectives while learning how to function in teams. Many faculty members have adopted TBL because it is a unique teaching method, but evidence about its effectiveness is unclear. Seventeen original studies on TBL are presented in this systematic review of research. The studies include descriptive, explanatory, and experimental research published from 2003 to 2011 in the nursing, medical, education, and business literature. Generally, students are satisfied with TBL and student engagement is higher in TBL classes. Evidence also exists that students in TBL classes score higher on examinations. However, further high-quality experimental studies are needed to confirm that TBL positively affects examination scores and other learning outcomes and to determine whether TBL produces students who have the ability to function well in groups.Journal of Nursing Education 12/2011; 50(12):665-9. DOI:10.3928/01484834-20111017-01 · 0.76 Impact Factor
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ABSTRACT: ACCESSIBLE SUMMARY: • The literature review was intended to form an understanding of the patient safety concept and its intension in psychiatric inpatient care and its constitutive factors from the perspective of organization management, staff and patients. • Organization safety culture is present in all aspects of patient safety and within it organization management has a major role in creating good working conditions and environment for the staff. Staff produces its individual output, which is influenced by management, while the patient's role is more that of an informant according to the existing literature. In future, there will definitely be a need to emphasize the patient's role in developing patient safety practices and organization safety culture. • It is important to develop inpatient care by paying attention to the diversity of the patient safety concept as different aspects are so closely connected. Lack of attention in one area may affect others, leading to errors and adverse events in care. The diversity of the concept should be noted in research, education, and when making patient safety plans in organizations. ABSTRACT: Patient safety is widely discussed, but little has been written from the perspective of psychiatric inpatient care, nor on which factors create its patient safety. This paper seeks to understand the concept of patient safety and its intension in psychiatric inpatient care, and to identify factors in organization management, staff and patients' roles which constitute patient safety in such units. A literature search was conducted, and the articles selected were analysed by identifying factors defined to be connected to patient safety and classifying them according to their connection to organization management, staff and patient roles. According to the literature, organization safety culture is present in all aspects of patient safety. Organization management has the main role in patient safety within the organization culture, for example, through leadership, safety practices and creating good working conditions and environment for the staff. Staff's role is influenced by management, but has more individual input in different areas, while the patient's role is more that of an informant so that care can be planned according to the patient's preferences. When developing patient safety it is important to remember the diversity of the concept so that all areas are considered in the developmental work.Journal of Psychiatric and Mental Health Nursing 07/2012; 20(6). DOI:10.1111/j.1365-2850.2012.01949.x · 0.98 Impact Factor
Article: Redesigning OR orientation.[Show abstract] [Hide abstract]
ABSTRACT: The nursing shortage triggered by retiring nurses is expected to affect all areas of nursing but particularly specialized nursing areas, such as perioperative units. In addition, the perioperative environment is a difficult place for novice nurses to fit in. Many factors contribute to making the OR environment stressful, and novice nurses often feel the effects of not being readily accepted into the social culture of the OR. Leaders in the OR department of a busy trauma center with a large number vacancies, an inability to recruit experienced perioperative nurses, and difficulty retaining new nurses redesigned the orientation process with the intent of recruiting high quality RNs, improving the nurse retention rate after orientation, and making the perioperative area a positive learning environment. The new process is a consistent, structured program that includes AORN's Periop 101: A Core Curriculum, dedicated preceptors, daily feedback and goals for orientees, regular meetings for new staff members, and increased inclusion of existing staff members.AORN journal 04/2012; 95(4):453-62. DOI:10.1016/j.aorn.2012.01.022