Safety Culture and Workforce Well-Being Associations with Positive Leadership WalkRounds.

Sexton, J Bryan; Adair, Kathryn C; Profit, Jochen; Bae, Jonathan; Rehder, Kyle J; Gosselin, Tracy; Milne, Judy; Leonard, Michael; Frankel, Allan

Safety Culture and Workforce Well-Being Associations with Positive Leadership WalkRounds.

dc.contributor.author	Sexton, J Bryan
dc.contributor.author	Adair, Kathryn C
dc.contributor.author	Profit, Jochen
dc.contributor.author	Bae, Jonathan
dc.contributor.author	Rehder, Kyle J
dc.contributor.author	Gosselin, Tracy
dc.contributor.author	Milne, Judy
dc.contributor.author	Leonard, Michael
dc.contributor.author	Frankel, Allan
dc.date.accessioned	2021-09-01T13:53:01Z
dc.date.available	2021-09-01T13:53:01Z
dc.date.issued	2021-07
dc.date.updated	2021-09-01T13:53:01Z
dc.description.abstract	Background Interventions to decrease burnout and increase well-being in health care workers (HCWs) and improve organizational safety culture are urgently needed. This study was conducted to determine the association between Positive Leadership WalkRounds (PosWR), an organizational practice in which leaders conduct rounds and ask staff about what is going well, and HCW well-being and organizational safety culture. Methods This study was conducted in a large academic health care system in which senior leaders were encouraged to conduct PosWR. The researchers used data from a routine cross-sectional survey of clinical and nonclinical HCWs, which included a question about recall of exposure of HCWs to PosWR: "Do senior leaders ask for information about what is going well in this work setting (e.g., people who deserve special recognition for going above and beyond, celebration of successes, etc.)?"-along with measures of well-being and safety culture. T-tests compared work settings in the first and fourth quartiles for PosWR exposure across SCORE (Safety, Communication, Operational Reliability, and Engagement) domains of safety culture and workforce well-being. Results Electronic surveys were returned by 10,627 out of 13,040 possible respondents (response rate 81.5%) from 396 work settings. Exposure to PosWR was reported by 63.1% of respondents overall, with a mean of 63.4% (standard deviation = 20.0) across work settings. Exposure to PosWR was most commonly reported by HCWs in leadership roles (83.8%). Compared to work settings in the fourth (< 50%) quartile for PosWR exposure, those in the first (> 88%) quartile revealed a higher percentage of respondents reporting good patient safety norms (49.6% vs. 69.6%, p < 0.001); good readiness to engage in quality improvement activities (60.6% vs. 76.6%, p < 0.001); good leadership accessibility and feedback behavior (51.9% vs. 67.2%, p < 0.001); good teamwork norms (36.8% vs. 52.7%, p < 0.001); and good work-life balance norms (61.9% vs. 68.9%, p = 0.003). Compared to the fourth quartile, the first quartile had a lower percentage of respondents reporting emotional exhaustion in themselves (45.9% vs. 32.4%, p < 0.001), and in their colleagues (60.5% vs. 47.7%, p < 0.001). Conclusion Exposure to PosWR was associated with better HCW well-being and safety culture.
dc.identifier	S1553-7250(21)00094-5
dc.identifier.issn	1553-7250
dc.identifier.issn	1938-131X
dc.identifier.uri	https://hdl.handle.net/10161/23672
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Joint Commission journal on quality and patient safety
dc.relation.isversionof	10.1016/j.jcjq.2021.04.001
dc.subject	Humans
dc.subject	Cross-Sectional Studies
dc.subject	Reproducibility of Results
dc.subject	Leadership
dc.subject	Safety Management
dc.subject	Organizational Culture
dc.subject	Patient Safety
dc.subject	Surveys and Questionnaires
dc.subject	Workforce
dc.title	Safety Culture and Workforce Well-Being Associations with Positive Leadership WalkRounds.
dc.type	Journal article
duke.contributor.orcid	Sexton, J Bryan\|0000-0002-0578-2924
duke.contributor.orcid	Adair, Kathryn C\|0000-0003-4886-0002
pubs.begin-page	403
pubs.end-page	411
pubs.issue	7
pubs.organisational-group	School of Medicine
pubs.organisational-group	Pediatrics, Critical Care Medicine
pubs.organisational-group	Duke
pubs.organisational-group	Pediatrics
pubs.organisational-group	Clinical Science Departments
pubs.organisational-group	Psychiatry & Behavioral Sciences, General Psychiatry
pubs.organisational-group	Psychiatry & Behavioral Sciences
pubs.organisational-group	Staff
pubs.organisational-group	Medicine, General Internal Medicine
pubs.organisational-group	Medicine
pubs.publication-status	Published
pubs.volume	47