American Journal of Nursing Research
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American Journal of Nursing Research. 2017, 5(5), 165-172
DOI: 10.12691/ajnr-5-5-2
Open AccessArticle

Patient-centric Workplace Culture: A Balancing Act for Nursing Leaders

Nazlee Siddiqui1, and Anneke Fitzgerald2

1Australian Institute of Health Services Management, University of Tasmania, Hobart, Australia

2Griffith Business School, Griffith University, Gold Cost, Queensland, Australia

Pub. Date: October 13, 2017

Cite this paper:
Nazlee Siddiqui and Anneke Fitzgerald. Patient-centric Workplace Culture: A Balancing Act for Nursing Leaders. American Journal of Nursing Research. 2017; 5(5):165-172. doi: 10.12691/ajnr-5-5-2

Abstract

In Australia and globally, developing a patient-centric workplace culture is an ongoing challenge. Nurse managers must reflect on what a balanced functioning of patient-centric workplace culture entails and how to develop it in a context constrained by rising healthcare costs. This study has investigated nurses’ perspective of the association between a patient-centric workplace culture and practical issues such as nurse staffing and perceived quality of nursing care. A mixed methods study design involved sequential (equal status and partially mixed) data gathering from nurses in public hospitals in NSW, Australia. First, a survey questionnaire was employed and yielded 136 responses after adjustment for missing data. This data was analysed using descriptive analysis techniques in SPSS. Then 21 self-nominated nurse managers were interviewed face to face. This qualitative data was transcribed and analysed for recurring themes using a continuous comparative method (CCM). Correlations of patient-centric workplace culture, with nurse staffing (rS = .655) and perceived quality of nursing care (rS = .593) were moderate. Correlation between nurse staffing and perceived quality of nursing care (rS = .410) also existed. Analysis of the interview data resulted in two major themes: the first theme confirmed the association between the three constructs of patient-centric workplace culture, nurse staffing and perceived quality of nursing care. The second theme identified gaps in embedding the espoused patient-centric workplace culture. The study revealed that a patient-centric workplace culture could facilitate positive relationships between nurse staffing and the perceived quality of nursing care. This would happen when patient-centric workplace culture focuses on proactive change management, teamwork and prioritises patient care and adequate nurse staffing. A critical need for nurse managers is to become positive leaders, who can build and embed a patient-centric workplace culture in today’s resource constrained environment.

Keywords:
organizational culture nursing leadership patient-centric workplace culture quality of care nurse staffing

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