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A social exchange perspective for achieving safety culture in healthcare organizations
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| Zeitschriftentitel: | International Journal of Public Sector Management |
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| Personen und Körperschaften: | , , |
| In: | International Journal of Public Sector Management, 32, 2019, 2, S. 142-156 |
| Medientyp: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Emerald
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| Schlagwörter: |
| Zusammenfassung: | <jats:sec><jats:title content-type="abstract-subheading">Purpose</jats:title><jats:p>Using social exchange theory (SET) and Cooper’s (2000) model, the purpose of this paper is to operationalise a comprehensive model of safety culture and tests whether SET factors (supervisor-employee relationships and engagement) predict safety culture in a causal chain.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Design/methodology/approach</jats:title><jats:p>The model was tested using surveys from 648 healthcare staff in an Italian acute care hospital and analysed using structural equation modelling.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Findings</jats:title><jats:p>Safety behaviours of clinical staff can be explained by the quality of the supervisor-employee relationship, their engagement, their feelings about safety and the quality of organisational support.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Practical implications</jats:title><jats:p>The model provides a roadmap for strategically embedding effective safe behaviours. Management needs to improve healthcare staff’s workplace relationships to enhance engagement and to shape beliefs about safety practices.</jats:p></jats:sec><jats:sec><jats:title content-type="abstract-subheading">Originality/value</jats:title><jats:p>The contribution of this paper is that it has empirically developed and tested a comprehensive model of safety culture that identifies a causal chain for healthcare managers to follow so as to embed an effective safety culture.</jats:p></jats:sec> |
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| Umfang: | 142-156 |
| ISSN: |
0951-3558
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| DOI: | 10.1108/ijpsm-06-2017-0168 |