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Nursing Research and Practice
Volume 2012, Article ID 847626, 7 pages
http://dx.doi.org/10.1155/2012/847626
Research Article

Differences in Perceptions of Patient Safety Culture between Charge and Noncharge Nurses: Implications for Effectiveness Outcomes Research

University of Michigan School of Nursing, Ann Arbor, 48109 MI, USA

Received 4 October 2011; Revised 15 January 2012; Accepted 15 January 2012

Academic Editor: John Daly

Copyright © 2012 Deleise Wilson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The implementation of evidence-based practice guidelines can be influenced by nurses’ perceptions of the organizational safety culture. Shift-by-shift management of each nursing unit is designated to a subset of staff nurses (charge nurses), whom are often recruited as champions for change. The findings indicate that compared to charge nurses, noncharge nurses were more positive about overall perceptions of safety ( 𝑃 = . 0 5 ) and teamwork ( 𝑃 < . 0 5 ). Among charge nurses, significant differences were observed based on the number of years’ experience in charge: perception of teamwork within units [ 𝐹 ( 3 , 3 6 5 ) = 3 . 5 2 , 𝑃 < . 0 1 ]; overall perceptions of safety, [ 𝐹 ( 3 , 3 6 5 ) = 4 . 2 0 , 𝑃 < . 0 5 ]; safety grade for work area [ 𝐹 ( 3 , 3 6 0 ) = 2 . 6 1 , 𝑃 < . 0 5 ]; number of events reported within the last month [ 𝐹 ( 3 , 3 6 2 ) = 3 . 4 9 , 𝑃 < . 0 5 ]. These findings provide important insights to organizational contextual factors that may impact effectiveness outcomes research in the future.