{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T22:51:09Z","timestamp":1762642269178,"version":"3.40.5"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T00:00:00Z","timestamp":1567987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008810","name":"NSW Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008810","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Mental health nurses have traditionally lagged in terms of physical healthcare skills and have been found to have poorer cultural safety\u2010related attitudes relative to other nurses. Organizational culture, including safety\u2010related culture, is associated with important aspects of care quality. The aim of the current study was to examine the relationships between safety\u2010related attitudes, physical healthcare\u2010related knowledge and organizational culture among mental health nurses. By doing so, the intention was to inform decisions about interventions to improve attitudes and care related to severe physiological deterioration among mental health nurses. The study design was cross\u2010sectional and correlational. The safety\u2010related attitudes of <jats:italic>N<\/jats:italic>\u00a0=\u00a0133 nurses from the inpatient mental health services of one Local Health District in New South Wales, Australia, were examined in terms of a range of potential predictor variables of safety attitudes (Safety Attitudes Questionnaire) including individual organizational\u2010perceiver type (Organisational Climate Assessment Inventory), knowledge of emergency medical healthcare (Lambeth In situ Training Questionnaire), use and perception of medical emergency teams (purpose\u2010designed questionnaire) and a range of demographic variables. Regression analyses revealed that those who perceived the organization to have a primarily market\u2010oriented culture had poorer safety\u2010related attitudes than those who perceived a more clan\u2010type culture. Number of years qualified was negatively associated with safety attitudes. To our knowledge, this is the first study in mental health which demonstrates a link between organizational culture\u2010perception and safety attitudes related to physical healthcare. Results suggest that, among nurses, individuals have quite different perceptions of the organizational culture. In turn, this suggests that the \u2018one\u2010size fits all\u2019 approach to changing organizational culture may be inappropriate.<\/jats:p>","DOI":"10.1111\/inm.12649","type":"journal-article","created":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T18:54:31Z","timestamp":1568055271000},"page":"1347-1362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Safety attitudes, perceived organizational culture and knowledge of the physiologically deteriorating patient among mental health nurses: Cross\u2010sectional, correlational study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8862-1527","authenticated-orcid":false,"given":"Geoffrey L.","family":"Dickens","sequence":"first","affiliation":[{"name":"Centre for Applied Nursing Research Ingham Institute for Medical Research Liverpool New South Wales Australia"},{"name":"School of Nursing and Midwifery Western Sydney University Penrith New South Wales Australia"},{"name":"South West Sydney Local Health District Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yenna","family":"Salamonson","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucie","family":"Ramjan","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Steel","sequence":"additional","affiliation":[{"name":"South West Sydney Local Health District Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bronwyn","family":"Everett","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-006-0039-1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/1541-1559.3.1.61"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3167-x"},{"volume-title":"Registered Nurse Accreditation Standards","year":"2012","author":"Australian Nursing and Midwifery Accreditation Council","key":"e_1_2_7_5_1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-016-1977-7"},{"key":"e_1_2_7_7_1","first-page":"15","article-title":"Physical healthcare for people with severe mental illness: the attitudes, practices, and training needs of nurses in three Asian countries","author":"Bressington D.","year":"2018","journal-title":"International Journal of Environmental Research and Public Health"},{"volume-title":"An Introduction to the Competing Values Framework","author":"Cameron K","key":"e_1_2_7_8_1"},{"volume-title":"Diagnosing and Changing Organizational Culture","year":"1999","author":"Cameron K. 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