ArticleInternational journal of qualitative studies on health and well-being2015
Rocky milieu: challenges of effective integration of clinical risk management into hospitals in Iran.
Article in International journal of qualitative studies on health and well-being, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Perceptions and experiences of risk management by managers of residential aged care facilities: a qualitative study from Hunan Province, China.International journal of qualitative studies on health and well-being · 2021Article
- The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses.BMC health services research · 2018Article
- Nurses' perception of the strategies to gaining professional power: A qualitative study.Electronic physician · 2017Article
- Nurses' professional competency and organizational commitment: Is it important for human resource management?PloS one · 2017Article
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Authors and funding
3 authors.
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Abstract
Healthcare risks and clinical risks have been recognized as a major challenge in healthcare. Clinical risks can never be eliminated and can have serious adverse effects on patient safety. Thus, a clinical risk management (CRM) system has been introduced in the healthcare system to improve quality services. The aim of this study was to explore nurses' experiences related to the challenges of implementing CRM in the organizational context. This qualitative study was based on the conventional content analysis of the Lundman and Graneheim approach, and it consisted of 22 interview sessions with 20 nurses. The purposive sampling method was used to choose the participants from three hospitals affiliated with the Kerman University of Medical Sciences. We used semi-structured interviews and review of relevant documents to collect data. The analysis of the data led to the emergence of "rocky milieu" as the main theme, and it consisted of three categories that, along with their subcategories, explain the challenges of implementing CRM. The three categories and their subcategories were (1) organizational culture and leadership challenges (decision and performance of leadership and cultural resistance to change), (2) limitation of resources (financial, human, and physical and equipment resources), and (3) variations and complexities in working conditions (the emotional, psychological, and social atmosphere and the heaviness of workload). Attempts have been made to establish CRM through clinical governance and accreditation, but organizational challenges have created a rocky milieu for implementing CRM. However, from an organizational context concerning the suitability of healthcare in Iran, there are obvious needs to move toward quality improvement and safe practices through the effective implementation of CRM.
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