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Patient-centric workplace culture: a balancing act for nursing leaders


Siddiqui, N and Fitzgerald, A, Patient-centric workplace culture: a balancing act for nursing leaders, American Journal of Nursing Research, 5, (5) pp. 165-172. ISSN 2378-5594 (2017) [Refereed Article]


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Copyright 2017 Science and Education Publishing. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

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DOI: doi:10.12691/ajnr-5-5-2


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 patientcentric 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.

Item Details

Item Type:Refereed Article
Keywords:organizational culture, nursing leadership, patient-centric workplace culture, quality of care, nurse staffing
Research Division:Commerce, Management, Tourism and Services
Research Group:Strategy, management and organisational behaviour
Research Field:Organisational behaviour
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in commerce, management, tourism and services
UTAS Author:Siddiqui, N (Dr Nazlee Siddiqui)
ID Code:122454
Year Published:2017
Deposited By:TSBE
Deposited On:2017-11-15
Last Modified:2018-05-24
Downloads:98 View Download Statistics

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