Thirst for change in a challenging environment: healthcare providers' perceptions of safety culture in a large Irish teaching hospital

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dc.contributor.authorGleeson, Laura
dc.contributor.authorO'Brien, Gary L.
dc.contributor.authorO'Mahony, Denis
dc.contributor.authorByrne, Stephen
dc.date.accessioned2021-05-06T10:41:43Z
dc.date.available2021-05-06T10:41:43Z
dc.date.issued2021-04-06
dc.date.updated2021-05-06T08:29:22Z
dc.description.abstractBackground: The Irish healthcare system is currently recognised as being understaffed and under-resourced due to historic underfunding and the aftermath of the 2008 global financial crisis. This descriptive study investigated healthcare providers’ perceptions of the safety culture in a large Irish teaching hospital. Aim: The aim of this study was to investigate healthcare workers’ perceptions of the safety culture in a large Irish teaching hospital in a climate of national under-resourcing of healthcare. Methods: Seventeen semi-structured interviews were carried out with patient-attending staff between February and June 2019. Interviews were transcribed verbatim and analysed using thematic analysis. Results: Two predominant themes emerged from the interviews: (1) challenging environment and (2) thirst for change. Study participants described the poor working conditions in the hospital, but also recognised the importance of teamwork and communication in maintaining patient safety and had a strong appetite for change regarding the safety culture in the hospital. Conclusion: This study highlights the complex relationship between working conditions and safety culture. Hospital staff were committed to providing the best possible care for their patients but struggled to provide safe care in a challenging work environment. A clear appetite for change was identified amongst HCPs regarding patient safety culture in Irish healthcare.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGleeson, L. L., O'Brien, G. L., O'Mahony, D. and Byrne, S. (2021) 'Thirst for change in a challenging environment: healthcare providers' perceptions of safety culture in a large Irish teaching hospital', Irish Journal of Medical Science. doi: 10.1007/s11845-021-02611-5en
dc.identifier.doi10.1007/s11845-021-02611-5en
dc.identifier.eissn1863-4362
dc.identifier.issn0021-1265
dc.identifier.journaltitleIrish Journal of Medical Scienceen
dc.identifier.urihttps://hdl.handle.net/10468/11251
dc.language.isoenen
dc.publisherSpringer Nature Switzerland AGen
dc.rights© 2021, Royal Academy of Medicine in Ireland. Published by Springer Nature Switzerland AG. This is a post-peer-review, pre-copyedit version of an article published in the Irish Journal of Medical Science. The final authenticated version is available online at: https://doi.org/10.1007/s11845-021-02611-5en
dc.subjectInterdisciplinary careen
dc.subjectIrish healthcareen
dc.subjectSafety cultureen
dc.subjectTertiary careen
dc.titleThirst for change in a challenging environment: healthcare providers' perceptions of safety culture in a large Irish teaching hospitalen
dc.typeArticle (peer-reviewed)en
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