The Association of Organizational Culture and Quality Improvement Implementation With Neonatal Outcomes in the NICU

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
Sukhy MahlCanadian Institutes of Health Research Team in Maternal-Infant Care

Abstract

Studies of adult patient populations suggest that organizational culture is associated with quality improvement (QI) implementation, as well as patient outcomes. However, very little research on organizational culture has been performed in neonatal patient populations. This combined cross-sectional survey and retrospective cohort study assessed employee perceptions of organizational culture and QI implementation within 18 Canadian neonatal intensive care units. The associations between these data and neonatal outcomes in extremely preterm infants (born at < 29 weeks' gestation) were then assessed using multivariable analyses. Perceptions of unit culture and QI implementation varied according to occupation and age. Higher hierarchical culture was associated with increased survival without major morbidities (odds ratio, 1.04; 95% confidence interval, 1.01-1.06), as were higher QI implementation scores (odds ratio range, 1.20-1.36 by culture type). Our data suggest that organizational culture, particularly hierarchical culture, and level of QI implementation may play a role in neonatal outcomes.

References

Jun 25, 2002·Quality & Safety in Health Care·K Walshe, T Freeman
Jun 25, 2003·Journal of Health Services Research & Policy·Tim ScottHuw Davies
Jul 13, 2005·Archives of Ophthalmology·UNKNOWN International Committee for the Classification of Retinopathy of Prematurity
Aug 4, 2005·Quality & Safety in Health Care·M E KhoD J Cook
Jun 26, 2008·BMJ : British Medical Journal·Loes M T SchoutenRichard P T M Grol
Oct 28, 2009·Health Care Management Review·Sara J SingerLaurence Baker
Sep 17, 2010·Health Care Management Review·James M CarmanEdward J O'Connor
Feb 18, 2012·Archives of Disease in Childhood. Fetal and Neonatal Edition·Jochen ProfitEric J Thomas
Nov 20, 2012·Social Science & Medicine·Rowena JacobsKieran Walshe
Jun 20, 2013·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Diane Storer Brown, Robert Wolosin
Apr 15, 2014·Research in Nursing & Health·Geneviève RochSean P Clarke

❮ Previous
Next ❯

Citations

Mar 3, 2015·The Journal of Hospital Infection·E Castro-Sánchez, A H Holmes
Jan 24, 2018·Qualitative Health Research·Sally ThorneSusan Albersheim
Mar 8, 2020·Medicine, Health Care, and Philosophy·Michal Stanak
Apr 4, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Hatoko SasakiTakeo Nakayama
Sep 9, 2018·Medicine, Health Care, and Philosophy·Michal Stanak

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Perinatology
Kate L BassilCanadian Neonatal Network
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
Yin-Zhu CuiChun Chen
Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Roberta G Pineda
Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
Sharon KirkbyRoy Schneiderman
Journal of Perinatology : Official Journal of the California Perinatal Association
E Sell
© 2021 Meta ULC. All rights reserved