ArticleBMC health services research2020
Exploring the role of managers in the development of a safety culture in seven French healthcare facilities: a qualitative study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed.
- Exploring demographic and organisational variations in patient safety culture: a cross-sectional, multicentre study in operating theatres of six Norwegian hospitals.BMC health services research · 2026Article
- Servant leadership and patient safety culture in Ethiopian public hospitals: a qualitative study.BMC health services research · 2025Article
- An exploration of patient safety culture in NICUs: a convergent parallel mixed-method study.BMC health services research · 2024Article
- Exploring presence practices: a study of unit managers in a selected Provincial Hospital in Free State Province.BMC nursing · 2024Article
- Perceived patient safety culture and its associated factors among clinical managers of tertiary hospitals: a cross-sectional survey.BMC nursing · 2023Article
- Perceptions of managerial staff on the patient safety culture at a tertiary hospital in South Africa.International journal of qualitative studies on health and well-being · 2022Article
- Staying ahead of the curve: avigating changes and maintaining gains in patient safety culture - a mixed-methods study.BMJ open · 2021Article
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12 authors.
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Abstract
backgroundNumerous studies have been conducted over the past 15 years to assess safety culture within healthcare facilities; in general, these studies have shown the pivotal role that managers play in its development. However, little is known about what healthcare managers actually do to support this development, and how caregivers and managers represent managers'role. Thus the objectives of this study were to explore: i) caregivers and managers' perceptions and representations of safety, ii) the role of managers in the development of safety culture as perceived by themselves and by caregivers, iii) managers' activities related to the development of safety culture.
methodsAn exploratory, multicentre, qualitative study was conducted from May 2014 to March 2015 in seven healthcare facilities in France. Semi-structured interviews were conducted with managers (frontline, middle and top level) and caregivers (doctors, nurses and nurse assistants) and on-site observations of two managers were carried out in all facilities. A thematic analysis of semi-structured interviews was performed. Observed activities were categorised using Luthans' typology of managerial activities.
resultsParticipants in semi-structured interviews (44 managers and 21 caregivers) expressed positive perceptions of the level of safety in their facility. Support from frontline management was particularly appreciated, while support from top managers was identified as an area for improvement. Six main categories of safety-related activities were both observed among managers and regularly expressed by participants. However, caregivers' expectations of their managers and managerial perceptions of these expectations only partially overlapped.
conclusionsThe present study highlights current categories of managerial activities that foster safety culture, and points out an important gap between caregivers' expectations of their managers, and managerial perceptions of these expectations. The findings underline the need to allow more time for managers and caregivers to talk about safety issues. The results could be used to develop training programs to help healthcare managers to understand their role in the development of safety culture.
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