“Pixie dust”: The moderating effect of reflexivity on patient safety culture and quality patient care

Susan Brandis, Stephanie Schleimer, John Rice

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose: Creating a culture of patient safety and developing a skilled workforce are major challenges for health managers. However, there is limited information to guide managers as to how patient safety culture can be improved. The purpose of this paper is to explore the concept of reflexivity and develop a model for magnifying the effect of patient safety culture and demonstrating a link to improved perceptions of quality of care. 

Design/methodology/approach: This research employed a correlational case study design with empirical hypothesis testing of quantitative scores derived from validated survey items. Staff perceptions of patient safety, reflexivity and quality of patient care were obtained via a survey in 2015 and analysed using inferential statistics. The final sample included 227 health service staff from clinical and non-clinical designations working in a large Australian tertiary hospital and health service delivering acute and sub-acute health care. 

Findings: Both patient safety culture and reflexivity are positively correlated with perceived quality of patient care at the p<0.01 level. The moderating role of reflexivity on the relationship between patient safety culture and quality of care outcomes was significant and positive at the p<0.005 level. 

Practical implications: Improving reflexivity in a health workforce positively moderates the effect of patient safety culture on perceptions of patient quality of care. The role of reflexivity therefore has implications for future pre-professional curriculum content and post-graduate licencing and registration requirements. 

Originality/value: Much has been published on reflection. This paper considers the role of reflexivity, a much less understood but equally important construct in the field of patient safety.

Original languageEnglish
Pages (from-to)635-646
Number of pages12
JournalJournal of Health Organization and Management
Volume33
Issue number5
DOIs
Publication statusPublished - 8 Aug 2019

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Safety Management
Quality of Health Care
Patient Safety
Dust
Patient Care
Health Services
Subacute Care
Health Manpower
Moderating effect
Reflexivity
Patient care
Safety culture
Patient safety
Licensure
Tertiary Care Centers
Curriculum
Delivery of Health Care
Health

Cite this

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“Pixie dust”: The moderating effect of reflexivity on patient safety culture and quality patient care. / Brandis, Susan; Schleimer, Stephanie; Rice, John.

In: Journal of Health Organization and Management, Vol. 33, No. 5, 08.08.2019, p. 635-646.

Research output: Contribution to journalArticleResearchpeer-review

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