Organizational Citizenship Behaviours: A Relational Perspective on the Critical Care Nursing Workforce to Patient Safety and Quality Care
Bibliographic record
Abstract
One underrecognized essential component of highly reliable safety performance is the adaptive capacity and engagement of the front-line nursing workforce. Findings from a review of the literature revealed (a) conflicting evidence between studies creating a lack of consensus as to the nature and influence of nurses’ workplace behaviours on patient safety outcomes, (b) a gap in understanding nurses’ workplace behaviours in the context of high reliability settings, and (c) a lack of evidence on the Organizational Citizenship Behaviours (OCB) of nurses in critical care settings. Thus, this study explored the social functioning of relational work environments and workplace behaviours of Registered Nurses (RN) in critical care settings that promote safe patient outcomes and high quality care. This study was conducted using a sequential explanatory mixed methods design (Teddlie Tashakkori, 2009). The quantitative portion of the study included administration of a survey distributed to critical care nurses in Ontario with a response rate of 29.3% (N = 508) and administrative patient outcome data. The qualitative portion of the study included individual interviews with a random sample of seven nurses and six nurse leaders. Multivariable regression exploring linear, non-linear, multi-level, moderation, and mediation relationships was conducted and triangulated with qualitative findings. The study found that co-worker exchange relationships were the strongest relational work environment variable in predicting nurses’ workplace behaviours. Nurses frequently engaged in OCB for the benefit of co-workers and patients/families. At the individual-level, nurses’ OCB was associated with decreased self-reported medication errors ( = -0.07, p = 0.007), missed care ( = -0.16, p = 0.001), and increased nurse-perceived quality of care ( = 0.28, p = 0.01). Safety organizing behaviour (SOB) based on high reliability practices accounted for 57.3% of the total mediation effect between OCB and medication errors. Nurses’ organizational identification was influenced by the interprofessional teamwork climate ( = 0.23, p = 0.001) and SOB ( = 0.29, p = 0.001). Results from this study provide nurses, leaders, and researcher insights into the importance of the relational environment in critical care that contribute to highly reliable, safe, and high quality care through engagement in workplace behaviours.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.012 |
| Scholarly communication | 0.006 | 0.005 |
| Open science | 0.001 | 0.006 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".