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Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.

Publication ,  Journal Article
Sexton, JB; Adair, KC; Leonard, MW; Frankel, TC; Proulx, J; Watson, SR; Magnus, B; Bogan, B; Jamal, M; Schwendimann, R; Frankel, AS
Published in: BMJ Qual Saf
April 2018

BACKGROUND: There is a poorly understood relationship between Leadership WalkRounds (WR) and domains such as safety culture, employee engagement, burnout and work-life balance. METHODS: This cross-sectional survey study evaluated associations between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture, employee engagement, burnout and work-life balance, across 829 work settings. RESULTS: 16 797 of 23 853 administered surveys were returned (70.4%). 5497 (32.7% of total) reported that they had participated in WR, and 4074 (24.3%) reported that they participated in WR with feedback. Work settings reporting more WR with feedback had substantially higher safety culture domain scores (first vs fourth quartile Cohen's d range: 0.34-0.84; % increase range: 15-27) and significantly higher engagement scores for four of its six domains (first vs fourth quartile Cohen's d range: 0.02-0.76; % increase range: 0.48-0.70). CONCLUSION: This WR study of patient safety and organisational outcomes tested relationships with a comprehensive set of safety culture and engagement metrics in the largest sample of hospitals and respondents to date. Beyond measuring simply whether WRs occur, we examine WR with feedback, as WR being done well. We suggest that when WRs are conducted, acted on, and the results are fed back to those involved, the work setting is a better place to deliver and receive care as assessed across a broad range of metrics, including teamwork, safety, leadership, growth opportunities, participation in decision-making and the emotional exhaustion component of burnout. Whether WR with feedback is a manifestation of better norms, or a cause of these norms, is unknown, but the link is demonstrably potent.

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Published In

BMJ Qual Saf

DOI

EISSN

2044-5423

Publication Date

April 2018

Volume

27

Issue

4

Start / End Page

261 / 270

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Safety Management
  • Patient Safety
  • Leadership
  • Humans
  • Formative Feedback
  • Cross-Sectional Studies
  • Burnout, Psychological
  • 4206 Public health
  • 4203 Health services and systems
 

Citation

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Sexton, J. B., Adair, K. C., Leonard, M. W., Frankel, T. C., Proulx, J., Watson, S. R., … Frankel, A. S. (2018). Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf, 27(4), 261–270. https://doi.org/10.1136/bmjqs-2016-006399
Sexton, J Bryan, Kathryn C. Adair, Michael W. Leonard, Terri Christensen Frankel, Joshua Proulx, Sam R. Watson, Brooke Magnus, et al. “Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.BMJ Qual Saf 27, no. 4 (April 2018): 261–70. https://doi.org/10.1136/bmjqs-2016-006399.
Sexton JB, Adair KC, Leonard MW, Frankel TC, Proulx J, Watson SR, et al. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf. 2018 Apr;27(4):261–70.
Sexton, J. Bryan, et al. “Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.BMJ Qual Saf, vol. 27, no. 4, Apr. 2018, pp. 261–70. Pubmed, doi:10.1136/bmjqs-2016-006399.
Sexton JB, Adair KC, Leonard MW, Frankel TC, Proulx J, Watson SR, Magnus B, Bogan B, Jamal M, Schwendimann R, Frankel AS. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf. 2018 Apr;27(4):261–270.

Published In

BMJ Qual Saf

DOI

EISSN

2044-5423

Publication Date

April 2018

Volume

27

Issue

4

Start / End Page

261 / 270

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Safety Management
  • Patient Safety
  • Leadership
  • Humans
  • Formative Feedback
  • Cross-Sectional Studies
  • Burnout, Psychological
  • 4206 Public health
  • 4203 Health services and systems