000042905 001__ 42905 000042905 005__ 20240528124718.0 000042905 0247_ $$2doi$$a10.6083/bpxhc42905 000042905 037__ $$aETD 000042905 041__ $$aeng 000042905 245__ $$aCulture of safety and non-physical harm from disrespect in an Oregon multi-hospital health system 000042905 260__ $$bOregon Health and Science University 000042905 269__ $$a2024-05-24 000042905 336__ $$aDissertation 000042905 502__ $$bPh.D. 000042905 502__ $$gHealth Systems & Policy 000042905 520__ $$aPatients and families may suffer from non-physical harm during interactions with the health care system, leading to emotional, psychological, socio-behavioral, and financial impacts. This dissertation explored how a multi-hospital health system recognized and addressed non-physical harm within the context of organizational culture. In this mixed-methods study, an improvement-oriented framework was applied to patient/family-generated complaints and grievances; regression analyses assessed associations and variations between patient experiences of respect and staff perceptions of safety culture; and interviews with nurses, physicians, and executives were conducted to explore if and how the organization recognized non-physical harm as a priority. Recommendations across different key groups were presented. 000042905 540__ $$fCC BY 000042905 542__ $$fIn copyright - single owner 000042905 650__ $$aPatient Safety$$039887 000042905 650__ $$aOrganizational Culture$$028284 000042905 650__ $$aSafety Management$$030216 000042905 650__ $$aPatient Outcome Assessment$$040268 000042905 6531_ $$aculture of safety 000042905 6531_ $$anon-physical harm 000042905 6531_ $$adisrespect 000042905 691__ $$aOHSU-PSU School of Public Health$$041366 000042905 7001_ $$aWalia, Sasha$$uOregon Health and Science University$$041354 000042905 7201_ $$aGelmon, Sherril B.$$uPortland State University$$041357$$eChair$$7Personal 000042905 8564_ $$9188b2a9a-575a-4740-8822-4c9fa20effe6$$s3258645$$uhttps://digitalcollections.ohsu.edu/record/42905/files/Walia.Sasha.2024.pdf 000042905 909CO $$ooai:digitalcollections.ohsu.edu:42905$$pstudent-work 000042905 980__ $$aTheses and Dissertations 000042905 981__ $$aPublished$$b2024-05-28