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Exploring the role of managers in the development of a safety culture in seven French healthcare facilities: a qualitative study

dc.rights.licenseopenen_US
dc.contributor.authorQUENON, J. L.
dc.contributor.authorVACHER, A.
dc.contributor.authorFAGET, M.
dc.contributor.authorLEVIF-LECOURT, M.
dc.contributor.authorROBERTS, T.
dc.contributor.authorFUCKS, I.
dc.contributor.authorPROMÉ-VISINONI, M.
dc.contributor.authorCADOT, C.
dc.contributor.authorBOUSIGUE, J. Y.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorQUINTARD, Bruno
dc.contributor.authorPARNEIX, P.
dc.contributor.authorPOURIN, C.
dc.date.accessioned2021-02-12T15:39:15Z
dc.date.available2021-02-12T15:39:15Z
dc.date.issued2020
dc.identifier.issn1472-6963en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/26237
dc.description.abstractEnBackground Numerous studies have been conducted over the past 15 years to assess safety culture within healthcare facilities; in general, these studies have shown the pivotal role that managers play in its development. However, little is known about what healthcare managers actually do to support this development, and how caregivers and managers represent managers’role. Thus the objectives of this study were to explore: i) caregivers and managers’ perceptions and representations of safety, ii) the role of managers in the development of safety culture as perceived by themselves and by caregivers, iii) managers’ activities related to the development of safety culture. Methods An exploratory, multicentre, qualitative study was conducted from May 2014 to March 2015 in seven healthcare facilities in France. Semi-structured interviews were conducted with managers (frontline, middle and top level) and caregivers (doctors, nurses and nurse assistants) and on-site observations of two managers were carried out in all facilities. A thematic analysis of semi-structured interviews was performed. Observed activities were categorised using Luthans’ typology of managerial activities. Results Participants in semi-structured interviews (44 managers and 21 caregivers) expressed positive perceptions of the level of safety in their facility. Support from frontline management was particularly appreciated, while support from top managers was identified as an area for improvement. Six main categories of safety-related activities were both observed among managers and regularly expressed by participants. However, caregivers’ expectations of their managers and managerial perceptions of these expectations only partially overlapped. Conclusions The present study highlights current categories of managerial activities that foster safety culture, and points out an important gap between caregivers’ expectations of their managers, and managerial perceptions of these expectations. The findings underline the need to allow more time for managers and caregivers to talk about safety issues. The results could be used to develop training programs to help healthcare managers to understand their role in the development of safety culture.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectSEPIA
dc.title.enExploring the role of managers in the development of a safety culture in seven French healthcare facilities: a qualitative study
dc.title.alternativeBMC Health Serv Resen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s12913-020-05331-1en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed32513157en_US
bordeaux.journalBMC Health Services Researchen_US
bordeaux.page517en_US
bordeaux.volume20en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamSEPIAen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03140269
hal.version1
hal.date.transferred2021-02-12T15:39:21Z
hal.exporttrue
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