ArticleJoint Commission journal on quality and patient safety2021
Safety Culture and Workforce Well-Being Associations with Positive Leadership WalkRounds.
Article in Joint Commission journal on quality and patient safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 41 citations in OpenAlex.
- Well-Being Outcomes of Health Care Workers After a 5-Hour Continuing Education Intervention: The WELL-B Randomized Clinical Trial.JAMA network open · 2024Trial
- Effectiveness of a bite-sized web-based intervention to improve healthcare worker wellbeing: A randomized clinical trial of WISER.Frontiers in public health · 2022Trial
- Workplace bullying in intensive care units: intern nurses' experiences and responses.BMC nursing · 2026Article
- The impact of organizational blindness on nurses' commitment in healthcare settings.Journal of health organization and management · 2026Article
- Implementing Learning from Excellence in a postanaesthesia care unit: a qualitative study of healthcare professionals' experiences after six months.BMC health services research · 2025Observational
- Assessment of preoperative and intraoperative patient safety measures in government hospitals in the Gaza Strip: The nurses' perspective.SAGE open medicine · 2025Article
- Burnout and turnover risks for healthcare workers in the United States: downstream effects from moral injury exposure.Scientific reports · 2024Article
- Is It Still Time for Safety Walkaround? Pilot Project Proposing a New Model and a Review of the Methodology.Medicina (Kaunas, Lithuania) · 2024Article
- Motivational drivers for health professionals in a large quality improvement collaborative project in Brazil: a qualitative study.BMC health services research · 2024Article
- Leader Rounding for High Reliability and Improved Patient Safety.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Unbearable suffering while working as a nurse during the COVID-19 pandemic: A qualitative descriptive study.International journal of nursing studies advances · 2023Article
- Factors determining safety culture in hospitals: a scoping review.BMJ open quality · 2023Article
- Leadership Behavior Associations with Domains of Safety Culture, Engagement, and Health Care Worker Well-Being.Joint Commission journal on quality and patient safety · 2023Article
- Assessing Leadership Behavior in Health Care: Introducing the Local Leadership Scale of the SCORE Survey.Joint Commission journal on quality and patient safety · 2023Article
- A new look at an old well-being construct: evaluating the psychometric properties of 9, 5, and 1-item versions of emotional exhaustion metrics.Frontiers in psychology · 2023Article
- Emotional Exhaustion Among US Health Care Workers Before and During the COVID-19 Pandemic, 2019-2021.JAMA network open · 2022Article
- [Is this the parallel pandemic? : Measures to improve working conditions and stress levels among health care personnel].Der Internist · 2021Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundInterventions to decrease burnout and increase well-being in health care workers (HCWs) and improve organizational safety culture are urgently needed. This study was conducted to determine the association between Positive Leadership WalkRounds (PosWR), an organizational practice in which leaders conduct rounds and ask staff about what is going well, and HCW well-being and organizational safety culture.
methodsThis study was conducted in a large academic health care system in which senior leaders were encouraged to conduct PosWR. The researchers used data from a routine cross-sectional survey of clinical and nonclinical HCWs, which included a question about recall of exposure of HCWs to PosWR: "Do senior leaders ask for information about what is going well in this work setting (e.g., people who deserve special recognition for going above and beyond, celebration of successes, etc.)?"-along with measures of well-being and safety culture. T-tests compared work settings in the first and fourth quartiles for PosWR exposure across SCORE (Safety, Communication, Operational Reliability, and Engagement) domains of safety culture and workforce well-being.
resultsElectronic surveys were returned by 10,627 out of 13,040 possible respondents (response rate 81.5%) from 396 work settings. Exposure to PosWR was reported by 63.1% of respondents overall, with a mean of 63.4% (standard deviation = 20.0) across work settings. Exposure to PosWR was most commonly reported by HCWs in leadership roles (83.8%). Compared to work settings in the fourth (< 50%) quartile for PosWR exposure, those in the first (> 88%) quartile revealed a higher percentage of respondents reporting good patient safety norms (49.6% vs. 69.6%, p < 0.001); good readiness to engage in quality improvement activities (60.6% vs. 76.6%, p < 0.001); good leadership accessibility and feedback behavior (51.9% vs. 67.2%, p < 0.001); good teamwork norms (36.8% vs. 52.7%, p < 0.001); and good work-life balance norms (61.9% vs. 68.9%, p = 0.003). Compared to the fourth quartile, the first quartile had a lower percentage of respondents reporting emotional exhaustion in themselves (45.9% vs. 32.4%, p < 0.001), and in their colleagues (60.5% vs. 47.7%, p < 0.001).
conclusionExposure to PosWR was associated with better HCW well-being and safety culture.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.