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Establishing Patient Safety in Intensive Care -A Grounded Theory.: Building Trust-Important for Patient Safety
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0001-8669-416x
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.ORCID iD: 0000-0002-3907-2197
2017 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 07, no 10Article in journal (Refereed) Published
Abstract [en]

Background: The modern intensive care unit (ICU) is a complex and high-risk environment, and even small adverse events and changes may deteriorate the patient’s conditions and eventually cause harm. Many factors can potentially be associated within an increased amount of errors, leading to adverse events. Nurses, nurse managers, and other leaders all play important roles in establishing patient safety. Aim: This study aimed to obtain a deeper understanding of leaders’ and nurses’ main concerns in establishing patient safety in Swedish intensive care units. Method: A grounded theory methodology was used. Data from 15 interviews with leaders and nurses involved in critical care in Sweden were collected, analysed and constant compared. Findings: The main concern in establishing patient safety was promoting quality of care, work engagement, and staffs well-being in strained ICUs. The core category building trust explained how the leaders’ and nurses’ strove for quality of care and wished a healthy, safe work environment. This is further explained in the categories “Being an accessible and able leader”, “Creating knowledge and understanding”, and “Establishing collaborative practice”. Conclusion: Establishing patient safety in the ICU requires that staffs enjoy going to work, have good work relations, are committed and want to stay at the unit. A healthy, salutogenetic unit with a work environment marked by trust provides a better opportunity to establish patient safety, and various leaders have potential to achieve this.

Place, publisher, year, edition, pages
2017. Vol. 07, no 10
Keyword [en]
Critical Care, Grounded Theory, Nursing Management, Patient Safety, Organisational Trust
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-32473DOI: 10.4236/ojn.2017.710084OAI: oai:DiVA.org:miun-32473DiVA, id: diva2:1166614
Available from: 2017-12-15 Created: 2017-12-15 Last updated: 2017-12-22Bibliographically approved

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Häggström, MarieRising Holmström, MalinJong, Mats
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