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...nursessand (b) expressed aspects of workload that was citedsby nurses as influencing SDQ.s3. Team Composition. Teamwork measures exist insalmost all surveys of culture and safety (Smith et al.,s2005; =-=Larrabee et al., 2003-=-; Shortell et al., 1991;sSexton et al., 2006; Sorra et al., 2010). The nurses’scomments reinforced the conclusion that teamwork issan important contributor to day quality. Whilesteamwork tends to be s...

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... whichsrequire minimal medical interventions, usually result inslower workload. While workload is a common term insthe literature (e.g. Sieveking et al., 1993) and can alsosbe a function of staffing (=-=Sorra & Dyer, 2010-=-), thesoverarching themes was termed as “acuity” because thesterm (a) concisely communicated the concept to nursessand (b) expressed aspects of workload that was citedsby nurses as influencing SDQ.s3....

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...atient, physician, and nurse satisfaction have beensanalyzed together to develop strategic initiatives forsimprovement of the overall practice environment andsenhance the organization's safety level (=-=Flin, 2007-=-).sHowever, a shortcoming of safety culture assessmentssis that they are broad in scope, and culture generally issconceptualized as relatively stable quality of ansenvironment. “Patient safety” is a q...

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...f safety, teamwork, communication,sorganizational learning, staffing, management support ofspatient safety, and hospital handoffs and transitions.sLikewise, the Safety Attitude Questionnaires (SAQs)s(=-=Sexton et al., 2006-=-) assesses six dimensions of safety,sincluding teamwork, safety climate, perceptions ofsmanagement, job satisfaction, working conditions, andsstress recognition. These assessments may take up to fives...

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... may vary on an individual level and day-to-daysbasis. Benson (2005) and Kiel (1994) both suggest thatsoften “the best results come not from large-scale efforts,sbut from small well-focused actions” (=-=Kiel, 1994-=-) whichsmay be addressed by understanding how day-to-daysactivities have an effect on patient safety and care.sExisting measures of safety culture do not adequatelysaddress activities at this individu...

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...ves quantitative measures, typicallysusing self-report surveys regarding perceptions ofsconditions like workloads, supervision, training,senvironment, and systems of communication (West et al.,s2006; =-=Yassi and Hancock, 2005-=-). In addition, Grindel andscolleagues (1996) found that quality patient care occurredsin practice environments with high degrees of patientssatisfaction, physician satisfaction with patient care, and...

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...it isspossible to predict the quality of a day at its outset, actionsscould be taken to mitigate the bad days. Since nursessatisfaction with the workplace has been directly related tospatient safety (=-=Lin & Liang, 2007-=-), determining whatsmakes good and bad days is an important patient safetysissue.sPatient safety and safety culture itself has been wellsresearched over the past decade. Safety culture refers to thesd...

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...while having (lowersacuity) “feeders and growers,” e.g. patients whichsrequire minimal medical interventions, usually result inslower workload. While workload is a common term insthe literature (e.g. =-=Sieveking et al., 1993-=-) and can alsosbe a function of staffing (Sorra & Dyer, 2010), thesoverarching themes was termed as “acuity” because thesterm (a) concisely communicated the concept to nursessand (b) expressed aspects...

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... nurses’ appreciation for thesesenvironmental influences is substantiated by thesgrowing research interest in evidence-based design forsmedical environments (Bosch et al., 2012; Stevens etsal., 2012; =-=Trickey et al. 2012-=-).s2. Acuity. Nurses universally mentioned that thesparticular patients they were assigned have assignificant impact on the quality of their day. Thesnurses explained that sicker (higher acuity) patie...