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Nursing Home Culture: A Critical Component In Sustained Improvement, Jill Scott-Cawiezell, K. Jones, L. Moore, C. Vojir
Nursing Home Culture: A Critical Component In Sustained Improvement, Jill Scott-Cawiezell, K. Jones, L. Moore, C. Vojir
Jill Scott-Cawiezell
In the third in a series of articles exploring working conditions and quality improvement in nursing homes, 31 nursing homes were surveyed using an adaptation of the Competing Values Framework (CVF) Organizational Assessment. The CVF provides information about the organizational culture through describing dominant perceived values, distribution of values across organizational characteristics, and orientation of values toward flexibility. Staff reported a dominant group culture, reflecting a family and team orientation within their settings. Leaders, however, were more often reported to reflect a hierarchy value orientation, emphasizing efficiency of operations and following rules and procedures.
Exploring Nursing Home Staff's Perceptions Of Communication And Leadership To Facilitate Quality Improvement, Jill Scott-Cawiezell, M. Schenkman, L. Moore, C. Vojir, R. Connoly, M. Pratt, L. Palmer
Exploring Nursing Home Staff's Perceptions Of Communication And Leadership To Facilitate Quality Improvement, Jill Scott-Cawiezell, M. Schenkman, L. Moore, C. Vojir, R. Connoly, M. Pratt, L. Palmer
Jill Scott-Cawiezell
Leadership and clinical staff were surveyed to explore communication and leadership in nursing homes. Registered nurses and other professionals perceived communication as better than their nursing colleagues did. Overall, results suggest all factors of communication could improve. In terms of leadership, licensed practical nurses perceived less clarity of expectations, encouragement of initiative, and support than other groups. The study provides insight into what is organizationally necessary to improve quality of care in nursing homes.
An Exploration Of Nursing Home Organizational Processes, S. Forbes-Thompson, B. Gajewski, Jill Scott-Cawiezell, N. Dunton
An Exploration Of Nursing Home Organizational Processes, S. Forbes-Thompson, B. Gajewski, Jill Scott-Cawiezell, N. Dunton
Jill Scott-Cawiezell
The purpose of this study is to explore the relationship between nursing home staffs' perceptions of organizational processes (communication, teamwork, and leadership) with characteristics (turnover, tenure, and educational preparation) of the nursing home administrator (NHA) and director of nursing (DON). NHAs and DONs rate communication, teamwork, and leadership significantly higher than direct care staff do (registered nurses, licensed practical nurses, certified nurse aides [CNAs]). CNAs have the lowest ratings of communication and teamwork. Turnover of the NHA and DON is significantly and negatively associated with communication and teamwork. Two thirds of DONs surveyed hold less than a baccalaureate degree; this …
Quality Improvement In Long-Term Care. Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell
Quality Improvement In Long-Term Care. Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell
Jill Scott-Cawiezell
No abstract provided.
Influencing Leadership Perceptions Of Patient Safety Through Just Culture Training, A. Vogelsmeier, Jill Scott-Cawiezell, B. Miller, S. Griffith
Influencing Leadership Perceptions Of Patient Safety Through Just Culture Training, A. Vogelsmeier, Jill Scott-Cawiezell, B. Miller, S. Griffith
Jill Scott-Cawiezell
There are differences in perceptions of safety culture between healthcare leaders and staff. Evidence suggests that an organization's actual safety performance is more closely reflected in staff perceptions suggesting that frontline staff may be more aware than the leadership of actual patient safety challenges within their organization. Closing the perception gap between healthcare leaders and staff is critical to aligning the resources and strategies required to create a true culture of safety.
A Just Culture: The Role Of Nursing Leadership, A. Vogelsmeier, Jill Scott-Cawiezell
A Just Culture: The Role Of Nursing Leadership, A. Vogelsmeier, Jill Scott-Cawiezell
Jill Scott-Cawiezell
No abstract provided.
Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell
Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell
Jill Scott-Cawiezell
No abstract provided.
The Role Of Nursing Leadership In Successful Technology Implementation, A. Vogelsmeier, Jill Scott-Cawiezell
The Role Of Nursing Leadership In Successful Technology Implementation, A. Vogelsmeier, Jill Scott-Cawiezell
Jill Scott-Cawiezell
No abstract provided.
Preparation Of Nurse Leaders In The 21st Century Workplace, M. Flesner, Jill Scott-Cawiezell, M. Rantz
Preparation Of Nurse Leaders In The 21st Century Workplace, M. Flesner, Jill Scott-Cawiezell, M. Rantz
Jill Scott-Cawiezell
No abstract provided.
Moving From A Culture Of Blame To A Culture Of Safety In The Nursing Home Setting, Jill Scott-Cawiezell, A. Vogelsmeier, C. Mckenney, M. Rantz, L. Hicks, D. Zellmer
Moving From A Culture Of Blame To A Culture Of Safety In The Nursing Home Setting, Jill Scott-Cawiezell, A. Vogelsmeier, C. Mckenney, M. Rantz, L. Hicks, D. Zellmer
Jill Scott-Cawiezell
TOPIC: A culture of safety. PURPOSE: To explore the current culture of blame and what organizational elements must be impacted to move toward a culture of safety in the nursing home setting. METHODS: A mixed-method approach incorporating a case study and staff member survey results were used to explicate the organizational elements impacting the current nursing home culture. CONCLUSION: Nurse leaders can create an environment in which every member of the team feels a responsibility and an ability to insure that residents are safe by improving communication and participation in decision making.
Nursing Home Safety: A Review Of The Literature, Jill Scott-Cawiezell, A. Vogelsmeier
Nursing Home Safety: A Review Of The Literature, Jill Scott-Cawiezell, A. Vogelsmeier
Jill Scott-Cawiezell
The number of older persons in the United States is rapidly growing and, based on this growth projection, the number of consumers needing nursing home (NH) care will likely triple in the next 10 years. Although NHs have been bombarded and scrutinized about the care that they provide, the concept of safety (specifically, error prevention) remains at the margin of most quality improvement efforts. The purpose of this review is to explore what has recently been written (2000-2005) about the evolution of the NH as an organization focused on safety and the most critical clinical processes that must be closely …