Changing the Perceptions of a Culture of Safety for the Patient and the Caregiver: Integrating Improvement Initiatives to Create Sustainable Change

Joyce M. Black, Susan Salsbury, Kathleen M. Vollman

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Evidence indicates that chances for a successful patient mobility program, prevention of pressure injury and falls, and safe patient handling are enhanced when an organization possesses an appropriate culture for safety. Frequently, these improvement initiatives are managed within silos often creating a solution for one and a problem for the others. A model of prevention integrating early patient mobility, preventing pressure injuries and falls while ensuring caregiver safety, is introduced. The journey begins by understanding why early mobility and safe patient handling are critical to improving overall patient outcomes. Measuring current culture and understanding the gaps in practice as well as strategies for overcoming some of the major challenges for success in each of these areas will result in sustainable change.

Original languageEnglish (US)
Pages (from-to)226-239
Number of pages14
JournalCritical Care Nursing Quarterly
Volume41
Issue number3
DOIs
StatePublished - 2018

Keywords

  • falls
  • immobility
  • mobility
  • pressure ulcer prevention
  • safe patient handling

ASJC Scopus subject areas

  • Critical Care

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