Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Arts in Nursing (MAN)




Hospitals are challenged to create a strong culture of safety within their organization to eliminate harm to patients. This paper describes a project to advance a culture of safety on a cardiovascular acute care unit at an urban hospital through the creation of a unit-based safety team. Based on the premise that patient safety is a local phenomenon, the rationale for the project is to aim interventions at the unit level where they will have the greatest impact. Four key steps in creating an effective unit-based safety team are highlighted: team member selection, team development, enacting interventions, and evaluating interventions for effectiveness. Transformational leadership plays a key role in inspiring and promoting a vision for patient safety, as well as being instrumental in the development of the safety team. Madeline Leininger's theory of culture care diversity and universality provides support for the project by identifying the cultural values and norms of the hospital unit and guiding the development of a unit's culture of safety.


SC 11.MAN.2011.Carr.LK

Included in

Nursing Commons