Longitudinal evaluation of a programme for safety culture change in a mental health service

Dickens, Geoffrey, Salamonson, Yenna, Johnson, Alisha, Ramjan, Lucie, Steel, Kelly, Taylor, Michelle and Everett, Bronwyn (2021) Longitudinal evaluation of a programme for safety culture change in a mental health service. Journal of Nursing Management, 29 (4). pp. 690-698. ISSN 0966-0429

jonm.13205.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (397kB) | Preview
Official URL: https://doi.org/10.1111/jonm.13205


Abstract: Aim: To evaluate whether a two‐part culture improvement programme aimed at nurses in clinical and managerial positions in an inpatient mental health service was associated with culture change, and safety‐related behaviour and knowledge improvements. Background: Due to serious failings in the delivery of physiological care to mentally disordered inpatients, it was deemed important that interventions be applied to improve service culture. Methods: A pre‐test and post‐test study was conducted to evaluate change associated with a mandated intervention aimed at culture change. Nurses in clinical and managerial positions at all levels attended relevant sessions. All were invited to participate in evaluation measures. Results: N = 241 nurses participated in the evaluation (n = 137 and n = 104, pre‐test and post‐test, respectively). There was a small but significant change in organisational culture indicating greater adhocracy and less clan culture in the second survey period and a small decline in reported safety behaviour. Measures of safety culture, knowledge and emergency‐related educational satisfaction were unchanged. Conclusion: Only a small change in measured culture was associated with the programme. Implications for Nursing Management: Attempts to evaluate culture change need to align anticipated outcomes with appropriate outcome measures. A mandated programme of culture change had little tangible effect on the outcomes measured.

Item Type: Article
Additional Information: Funding informationThe evaluation described in the current paper was supported by a grant to author BE from the New South Wales Nursing and Midwifery Office strategy reserve fund.
Uncontrolled Keywords: culture, mental health, nursing, organisational behaviour, patient safety, physiological deterioration
Subjects: A300 Clinical Medicine
B700 Nursing
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Rachel Branson
Date Deposited: 17 May 2021 13:37
Last Modified: 31 Jul 2021 16:17
URI: http://nrl.northumbria.ac.uk/id/eprint/46188

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics