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The relationship among organizational structures, patient safety practices, and patient safety event reporting among nurses in hospitals in the United States

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TitleInfo
Title
The relationship among organizational structures, patient safety practices, and patient safety event reporting among nurses in hospitals in the United States
Name (type = personal)
NamePart (type = family)
Wafer
NamePart (type = given)
Mary Ann
DisplayForm
Mary Ann Wafer
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Thomas-Hawkins
NamePart (type = given)
Charlotte
DisplayForm
Charlotte Thomas-Hawkins
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Cadmus
NamePart (type = given)
Edna
DisplayForm
Edna Cadmus
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Johansen
NamePart (type = given)
Mary
DisplayForm
Mary Johansen
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Atkins
NamePart (type = given)
Robert
DisplayForm
Robert Atkins
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - Newark
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2015
DateOther (qualifier = exact); (type = degree)
2015-05
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2015
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
This study was undertaken to address a gap in knowledge by examining the interrelationships among organizational structures (hospital and nurse characteristics); patient safety practice dimensions of patient safety culture; and patient safety event reporting among Registered Nurses (RNs) who work in U.S. hospitals. Little is known of the extent to which hospital and nurse characteristics interact with patient safety practices to influence the patient safety event reporting practices of RNs working in U.S. hospitals. Method: Donabedian’s Healthcare Quality Model and the Patient Safety Culture Framework guided this research in exploring the interrelationships among hospital and nurse characteristics, patient safety practices, and patient safety event reporting practices of nurses working in U.S. hospitals. The study commenced following approval from the Institutional Review Board of Rutgers, The State University of New Jersey. Data used in this analysis were from the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture Comparative Database. The database is funded by AHRQ and managed by Westat under contract # HHSA 290201300003C. Data from U.S. hospitals that voluntarily submitted their Hospital Survey on Patient Safety Culture (HSOPSC) data to the AHRQ collected during July 2011 through June 2013 was analyzed. Results: Hospital bed size, ownership status, and two geographic regions were independent predictors of the frequency of event/near miss reporting and the number of event reports completed. The number of hours worked/week was a significant independent predictor of the frequency of event/near miss reporting. Amount of experience in the profession was a significant independent predictor of the number of event reports completed. Manager safety practices had the biggest effect on predicting event/near miss reporting. Mediation testing revealed a full or partial mediating role of all patient safety practices in the relationship between hospital or nurse characteristics and patient safety event reporting outcomes. Conclusion: All hospital characteristics and patient safety practices were significantly related to one or both event reporting outcomes. All nurse characteristics were significantly related to one of the two event reporting outcomes. Patient safety practices serve as a mediator between hospital and nurse characteristics and the frequency of event/near miss reporting.
Subject (authority = RUETD)
Topic
Nursing
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_6483
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (viii, 111 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Hospitals--Safety measures
Subject (authority = ETD-LCSH)
Topic
Patients--Safety measures
Note (type = statement of responsibility)
by Mary Ann Wafer
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3416ZZ3
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Wafer
GivenName
Mary Ann
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-04-30 09:19:33
AssociatedEntity
Name
Mary Ann Wafer
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - Newark
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
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