Trial reportHealth services research2005
An educational intervention to enhance nurse leaders' perceptions of patient safety culture.
Trial report in Health services research, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.BMJ open quality · 2024Pooled it
- Local opinion leaders: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2019Pooled it
- Local opinion leaders: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2011Pooled it
- Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Trial
- Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey.Health services research · 2007Trial
- Impact of an educational intervention on nurses' perception of handoff process in public hospitals in Katsina, Nigeria: a cluster-randomized trial.BMC nursing · 2025Article
- Editorial: Healthy Healthcare: Empirical Occupational Health Research and Evidence-Based Practice.Frontiers in psychology · 2020Article
- The effect of education around ethical principles on nurses' perception to patient safety culture in an Iranian mental health inpatient unit: a pilot study.BMC nursing · 2020Article
- Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy.BMC health services research · 2019Article
- Patient Safety Competence of Nursing Students in Saudi Arabia: A Self-Reported Survey.International journal of health sciences · 2015Article
- Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors?BMC health services research · 2015Article
- 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.BMJ quality & safety · 2014Article
- The relationship between organizational leadership for safety and learning from patient safety events.Health services research · 2010Article
- Development of a measure of patient safety event learning responses.Health services research · 2009Article
- Relationship of safety climate and safety performance in hospitals.Health services research · 2009Article
- Advancing measurement of patient safety culture.Health services research · 2009Article
- Factors associated with system-level activities for patient safety and infection control.Health policy (Amsterdam, Netherlands) · 2009Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo design a training intervention and then test its effect on nurse leaders' perceptions of patient safety culture. STUDY
settingThree hundred and fifty-six nurses in clinical leadership roles (nurse managers and educators/CNSs) in two Canadian multi-site teaching hospitals (study and control). STUDY
designA prospective evaluation of a patient safety training intervention using a quasi-experimental untreated control group design with pretest and posttest. Nurses in clinical leadership roles in the study group were invited to participate in two patient safety workshops over a 6-month period. Individuals in the study and control groups completed surveys measuring patient safety culture and leadership for improvement prior to training and 4 months following the second workshop. EXTRACTION
methodsIndividual nurse clinical leaders were the unit of analysis. Exploratory factor analysis of the safety culture items was conducted; repeated-measures analysis of variance and paired t-tests were used to evaluate the effect of the training intervention on perceived safety culture (three factors). Hierarchical regression analyses looked at the influence of demographics, leadership for improvement, and the training intervention on nurse leaders' perceptions of safety culture. PRINCIPAL
findingsA statistically significant improvement in one of three safety culture measures was shown for the study group (p<.001) and a significant decline was seen on one of the safety culture measures for the control group (p<.05). Leadership support for improvement was found to explain significant amounts of variance in all three patient safety culture measures; workshop attendance explained significant amounts of variance in one of the three safety culture measures. The total R(2) for the three full hierarchical regression models ranged from 0.338 and 0.554.
conclusionsSensitively delivered training initiatives for nurse leaders can help to foster a safety culture. Organizational leadership support for improvement is, however, also critical for fostering a culture of safety. Together, training interventions and leadership support may have the most significant impact on patient safety culture.
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