Patient safety culture among nursing professionals in a philanthropic hospital in Minas Gerais
DOI:
https://doi.org/10.15649/cuidarte.1990Keywords:
Patient Safety, Organizational Culture, Nursing Assessment, NursingAbstract
Introduction: Different initiatives have been carried out with a view to improving the quality of patient care and safety in Brazil. However, compliance with these standards as a number of requirements does not seem to correspond to the actual incorporation of changes and improvement in security. Objectives: Evaluate the patient's safety culture in a philanthropic hospital in Minas Gerais, also possible differences between work, day and night shiftes Methods: This is an observational cross-sectional study. The study population consisted of nursing professionals working in this philanthropic institution. For the evaluation of the safety culture, the Hospital Survey on Patient Safety Culture (HSOPSC), created by the Agency for Healthcare Research and Quality (AHRQ), validated, translated and adapted transculturally in Brazil was used. In the analysis and interpretation of the data, the guidelines of the AHRQ were followed, and strengthened and fragile dimensions were observed. This work was approved by the Research Ethics Committee. Results: We included 118 participants in the study, 17.2% of these total nurses and the rest of the nursing technicians. No dimension of the security culture has been identified as strengthened in the institution. Fragile areas were considered: "communication openness", the "teamwork within units", the "staffing", the "handoffs and transitions", and the "nonpunitive response to error". In some dimensions, differences were observed by work shift, day and night. Conclusion: The analysis of the safety culture in this hospital can contribute to a better direction of conduct so as to ensure safer care.
How to cite this article: Magalhães, Eduarda Vieira; de Paiva, Fernanda Oliveira; Alves, Maria Eduarda Soares; de Almeida, Meire Cavalieri. Cultura de segurança do paciente entre profissionais de Enfermagem em um hospital filantrópico de Minas Gerais. Revista Cuidarte. 2021;12(3): e1990. http://dx.doi.org/10.15649/cuidarte.1990
References
Attewell A. Prospects: The quarterly. Review of Comparative Education. The evaluation of education systems: the view at the end of the 1990s. 1998; 28(1): 153-66. http://www.ibe.unesco.org/sites/default/files/resources/prospects-105_eng.pdf
Trindade L, Lage MJ. A perspectiva histórica e principais desenvolvimentos de segurança do paciente. Segurança do paciente: conhecendo os riscos nas organizações de saúde. v. 1. Rio de Janeiro, Fiocruz;EAD, 2014. p.39-56. https://pesquisa.bvsalud.org/portal/resource/pt/lil-762370
Kohn LT, Corrigan JM, Donaldson MS. Institute of Medicine (US) Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Washington (DC): National Academies Press (US). 2000. PMID: 25077248. https://doi.org/10.17226/9728
Mendes W, Martins M, Rozenfeld S, Travassos C. The assessment of adverse events in hospitals in Brazil. International Journal for Quality in Health. Care 2009; 21:279-84. https://doi.org/10.1093/intqhc/mzp022
Reis AT, Silva CRA. Segurança do paciente. Cad. Saúde Pública. 2016; 32:3. https://doi.org/10.1590/0102-311XRE020316
Ministério Saúde. Documento de referência para o Programa Nacional de Segurança do Paciente. Acessado em: (10/04/2019). http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_ nacional_seguranca.pdf.
Reis CT, Paiva CG, Souza P. The patient safety culture: a systematic review by characteristics of Hospital Survey on patient Culture dimensions. Int J Qual Health Care. 2018; 30(9): 660-77. https://dx.doi.org/10.1093/intqhc/mzy080
Nascimento JC, Draganov PB. History of quality of patient safety. Hist enferm Rev eletrônica. 2015; 6(2): 299-309. http://here.abennacional.org.br/here/seguranca_do_paciente.pdf
Batalha EMSS, Melleiro MM. Patient safety culture in a teaching hospital: differences in perception existing in the different scenarios of this institution. Texto e Contexto-Enfermagem. 2015; 24(2): 432-41. https://doi.org/10.1590/0104-07072015000192014
Reis CT, Laguardia J, Martins M. Translation a cross – cultural adaptation of the Brazilian version of the Hospital Survey on Patient Safety Culture: initial stage. Cad Saúde Pública 2012; 28(11): 2199-210. https://doi.org/10.1590/S0102-311X2012001100019
Reis CT, Paiva SG, Sousa P. The patient safety cultive: a systematic review by characteristics of hospital survey on patient safety culture dimensions. Int J Qual Health Care. 2018; 30(9): 660-77. https://doi.org/10.1093/intqhc/mzy080
Sora JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD: Agency for Healthcare Research and Quality. September 2004.
Reis CT, Laguardia J, Vasconcelos AGG, Martins M. Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study. Cad Saúde Pública. 2016; 32(11): 01-10. https://doi.org/10.1590/0102-311x00115614
Agency for Healthcare Research and Quality. Hospital Survey On Patient Safety Culture. Hospital Survey on Patient Safety Culture: User's Guide (ahrq.gov). Acessado em: 15/10/2019.
Reis CT. A cultura de segurança do paciente: validação de um instrumento de mensuração para o contexto hospitalar brasileiro. Rio de Janeiro. Tese [Doutorado em Saúde Pública] – Fundação Oswaldo Cruz. Repositorio Institucional da Fiacrz. 2013. https://www.arca.fiocruz.br/handle/icict/14358
Al-Mandhari A, Al-Zakwani I, Al-Kindi M, et al. Patient safety culture assessment in Oman. Oman Med J. 2014; 29: 264-70. https://doi.org/10.5001/omj.2014.70
Pinheiro MP, Junior OCS. Avaliação da cultura de segurança do paciente na organização hospitalar de um hospital universitário. Revista Eletrônica Trimestral de Enfermería. 2017; 45: 326-36. https://scielo.isciii.es/pdf/eg/v16n45/pt_1695-6141-eg-16-45-00309.pdf
Abreu IM, Rocha RC, Avelino FVSD, Guimarães DBO, Nogueira LT, Madeira MZA. Cultura de segurança do paciente em centro cirúrgico: visão da enfermagem. Rev Gaúcha Enferm. 2019; 40(esp): 2-6. https://doi.org/10.1590/1983-1447.2019.20180198
Needleman J, Shehekelle PG. More ward nursing staff improves inpatient outcomes, but how much is enough?. BMJ Quality & Safety. 2019; 28(8): 603-5. https://doi.org/10.1136/bmjqs-2018-009266
Griffiths P, Maruotti A, Recio Saucedo A, Redfern OC, Ball JE, Briggs J, et al. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. BMJ Quality & Safety. 2019; 28 (8): 609-17. https://doi.org/10.1136/bmjqs-2018-008043
Reis GAX, Oliveira JLC, Ferreira AMD, Vituri DW, Marcon SS, Matsuda LM. Dificuldades para implantar estratégias de segurança do paciente: perspectivas de enfermeiros gestores. Rev Gaúcha Enferm. 2019; 40(spe): e20180366. https://doi.org/10.1590/1983-1447.2019.20180366
Paese F, Sasso GTMD. Cultura de segurança do paciente na atenção primária. Texto Contexto Enferm. 2013; 22(2): 302-10. https://doi.org/10.1590/S0104-07072013000200005
Hughes LC, Chang Y, Mark BA. Quality and strength of patient safety climate on medical –surgical units. Health Care Management Review. 2012. 42(10): 19-28. https://doi.org/10.1097/01.HMR.0000342976.07179.3a
Reis CT, Laguardia J, Vasconcelos AGG, Martins M. Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study. Cad. Saúde Pública. 2016; 32(11): 1-13. https://doi.org/10.1590/0102-311x00115614
Fassarella CS, et al. Indicador organizacional da cultura de segurança em hospital universitário. Rev enferm UERJ. 2019. 27: e34073. https://doi.org/10.12957/reuerj.2019.34073
Sine DM, Northcutt AND. Interactive qualitative assessment of patient safety culture survey scores. J Patient Saf . 2008. 4: 78-83. https://doi.org/10.1097/PTS.0b013e3181730322
Blegen MA, Gearhart S, O’Brien R et al. AHRQ Hospital Survey on Patient Safety Culture: psychometric analyses. J Patient Saf. 2009; 5: 139-44. https://doi.org/10.1097/PTS.0b013e3181b53f6e
Al-Mandhari A, Al-Zakwani I, Al-Kindi M, et al. Patient safety culture assessment in Oman. Oman Med J. 2014; 29: 264-70. https://doi.org/10.5001/omj.2014.70
Abreu IM, Rocha RC, Avelino FVSD, Guimarães DBO, Nogueira LT, Madeira MZA. Cultura de segurança do paciente em centro cirúrgico: visão da enfermagem. Rev Gaúcha Enferm. 2019; 40(spe): e20180198. https://doi.org/10.1590/1983-1447.2019.20180198
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