Use of the PSCHO questionnaire in the patient safety climate assessment: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14200

Keywords:

Patient Safety; Organizational Culture; Surveys and questionnaires.

Abstract

Objective: To identify in the literature studies that used the Patient Safety Climate in Healthcare Organizations (PSCHO) questionnaire to assess the patient safety climate in hospital health services. Method: This is an integrative literature review, defined as a concise survey in a specific area. The search and selection of studies were carried out by two reviewers, independently in the databases LILACS, MEDLINE, CINAHL, and WoS. The results were presented using the PRISMA flowchart. Results: Six articles were retrieved in the search, of which four were included and analyzed. The studies were carried out in China and the United States and the dimensions "fear of blame and punishment" and "fear of shame" stood out negatively in Chinese studies. The PSCHO showed similarities when compared to other studies that evaluated the patient's safety climate using other climate questionnaires. Conclusion: The results demonstrated that the PSCHO is useful for assessing the patient's safety climate. The absence of Brazilian studies using the questionnaire indicates a potential for its application in new research, as a strategy for improving the quality and promoting patient safety in Health Organizations.

References

Abreu, I. M., Rocha, R. C., Avelino, F. V. S. D., Guimarães, D. B. O., Nogueira, L. T., & Madeira, M. Z. A. (2019). Cultura de segurança do paciente em centro cirúrgico: visão da enfermagem. Rev. Gaúcha Enferm. 40(spe): e20180198.

Arboit, E. L., Bellini, G., Schütz, C. R., Moraes, M. C. S., Kinalski, S. S., & Barcellos, R. A. (2020). Patient safety culture in the multiprofessional perspective. Research, Society and Development. 9(5).

Benzer, J. K., Meterko, M., & Singer, S. J. (2017). The patient safety climate in healthcare organizations (PSCHO) survey: Short‐form development. J Eval Clin Pract. 23:853–859.

Carvalho, R. E., Arruda, L P., Nascimento, N. K., Sampaio, R. L., Cavalcante, & M. L., Costa, A. C. (2017). Assessment of the culture of safety in public hospitals in Brazil. Rev Lat Am Enfermagem. 2;25:e2849.

Cauduro, F. L. F., Sarquis, L. M., Sarquis, L. M. M., & Cruz, E. D. A. (2015). Cultura de segurança entre profissionais de centro cirúrgico. Cogitare Enfermagem. 20(1).

Cunha, M. R. P. D., & Guirardello, E. B. (2018). Patient Safety Climate in Healthcare Organizations: tradução e adaptação para a cultura brasileira. Rev. Gaúcha Enferm. 39:e20180010.

Creswell, W. J., & Creswell, J. D. (2018). Research design: qualitative, quantitative, and mixed methods approaches (5 ed). Los Angeles: SAGE.

Gonzáles-Limas, W. R., Bastidas-Jurado, C. F., Figueiroa-Chaves, H. Á., Zambrano-Guerrero, C. A., & Matabanchoy-Tulcán, S. M. (2018). Revisión sistemática de las concepciones de cultura organizacional. Univ. Salud. 20(2).

Hartmann, C. W., Meterko, M., Rosen, A.K., Zhao, S., Singer, S., & Gaba, D.M. (2009). Relationship of Hospital Organizational Culture to Patient Safety Climate in the Veterans Health Administration. Medical Care Research and Review. 66(3).

Haytham, M. A., Kaafarani, M. D., Kamal, M. F., Itani, M. D., Rosen, A. K., Shibei, Z., Hartmann, C. W., Gaba, D. M. (2009). How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? The American Journal Surgery. 198(70-75).

Lemos, G. C., Azevedo, C., Bernardes, M. F. V. G., Ribeiro, H. C. T. C., Menezes, A. C., & Mata, L. R. F. (2018). A cultura de segurança do paciente no âmbito da enfermagem: reflexão teórica. Revista de Enfermagem do Centro-Oeste Mineiro. 8:e2600.

Marx, D. (2001). Patient safety and the ‘just culture:’ a primer for health care executives. New York: Columbia University.

Ministério da Saúde (BR). Portaria nº 529, de 1º de abril de 2013: institui o Programa Nacional de Segurança do Paciente (PNSP) [internet]. Brasília: Ministério da Saúde.

Mendes, K. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto enfermagem. 17(4).

Moher, D., Liberati, A., Tetzlaff, J. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine. 151(4).

Pagani, S., Crozeta, K. F., & Crisigiovanni, A. B. R. (2019). Cultura de segurança do paciente: avaliação de enfermeiros. Rev Rene. 20:e39782.

Reason, J. (2000). Human error: models and management. BMJ; 320(7237):768–70.

Russo, G.M. (2017). Diagnóstico da cultura organizacional: o impacto dos valores organizacionais no desempenho das terceirizações. Rio de Janeiro: Alta Books.

Santiago, T. H., & Turrini, R. N. (2015). Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva. Rev Esc Enferm USP. 49:123-130.

Schein, E. H. (2001). Guia de sobrevivência da Cultura corporativa. Rio de Janeiro: José Olympio.

Singer, S., Meterko, M., Baker, L., Gaba, D., Falwell, A., & Rosen, A. (2007). Workforce Perceptions of Hospital Safety Culture: Development and Validation of the Patient Safety Climate in Healthcare Organizations Survey. HSR: Health Services Research. 42(5).

Souza, L. S., Rocha, F. R., Mazzo, L. L. (2018). Clima organizacional e ocorrência de acidentes com materiais perfurocortantes em um hospital público do Estado de São Paulo. Cad. Bras. Ter. Ocup. 26(1).

Vasconcelos, P. F., Arruda, L. P., Freire, V. E. C. S., & Carvalho, R. E. F. L. (2018). Instruments for evaluation of safety culture in primary health care: integrative review of the literature. Public Health. 156.

Zhou, P., Bundorf, M. K., Gu, J., He, X., & Xue, D. (2015). Survey on patient safety climate in public hospitals in China. BMC Health Services Research. 15(53).

Zhou, P., Bai, F., Tang, H-Q., Bai, J., Li, M-Q., & Xue, D. (2018). Patient safety climate in general public hospitals in China: differences associated with department and job type based on a cross-sectional Survey. BMJ Open. 8(015604).

Published

10/04/2021

How to Cite

SILVA, T. A.; PORTELLA, P. C. .; FIGUEIREDO, K. C.; WOLFF, L. D. G.; LIMA, E. de F. A. Use of the PSCHO questionnaire in the patient safety climate assessment: an integrative review. Research, Society and Development, [S. l.], v. 10, n. 4, p. e28210414200, 2021. DOI: 10.33448/rsd-v10i4.14200. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14200. Acesso em: 8 may. 2021.

Issue

Section

Health Sciences