Safety climate of health professionals in a university hospital
DOI:
https://doi.org/10.33448/rsd-v9i3.2523Keywords:
Patient safety; Attitude of health personnel; Health professionals; Hospitals; Culture; Ethics.Abstract
To analyze the predictors and factors associated with the patient safety culture in the hospital environment. Quantitative cross-sectional study, conducted with 263 professionals randomly selected and submitted to the application of the Safety Attitude Questionnaire Instrument. Descriptive statistical analysis, Pearson correlation, variance analysis and linear regression were performed. In this context, the construct that obtained the highest average was the Satisfaction at work, while the lowest was the Perception of the performance of unit and organization management under the professional's eyes. When comparing the means of the constructs, there was statistical significance between the teamwork climate and the unit of action, as well as the same construct with professional performance; Perception and influence of stress on work performance and professional positions; Job satisfaction and gender. In linear regression, the construct that most impacted was that of Perception of the performance of unit and organization management under the professional's eyes. It is concluded that the most relevant predictor factor was the perception of the performance of the unit and organization management under the professional's eyes. Such results may serve as a basis for further studies that take into account the influence of culture on patient safety actions.
References
Alayed, A. S., Loof, H. & Johansson, U. B. (2014). Saudi Arabian ICU safety culture and nurse’s attitudes. Int J Health Care Qual Assur, 27(7):581-659.
Anvisa. (2013). Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada da ANVISA- RDC nº 36 de 35 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências. Diário Oficial da União, 26 de julho de 2013.
Bohrer, D. C. et al. (2016). Comunicação e cultura de segurança do paciente no ambiente hospitalar: visão da equipe multiprofissional. Rev. enferm. UFSM, 6(1):50-60.
Brasil. (2012). Conselho Nacional de Saúde; Resolução n o 466, de 12 de dezembro de 2012. Brasília.
Brasil. (2013). Ministério da Saúde. Portaria Nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasília.
Brasil. (2014). Ministério da Saúde. Documento de referência para o Programa Nacional de Segurança do Paciente/ Ministério da Saúde; Fundação Oswaldo Cruz; Agência Nacional de Vigilância Sanitária. Brasília.
Carlesi, K. C. et al. (2017). Patient Safety Incidents and Nursing Workload. Rev. Latino-Am. Enfermagem, 25:1-8.
Carvalho, R. E. F. L. & Cassiani, S. H. B. (2012). Questionário Atitudes de Segurança: adaptação transcultural do Safety Attitudes Questionnaire - Short Form 2006 para o Brasil. Rev. Latino-Am. Enferm, 20(3):1-8.
Carvalho, R. E. F. L. et al. (2017). Assessment of the culture of safety in public hospitals in Brazil. Rev. Latino-Am. Ernfermagem, 25:1-8.
Cnes. (2016). Cadastro Nacional dos Estabelecimentos de Saúde. Relatórios. CNES.
Erestam, S. et al. (2017). Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study. Patient Safety in Surgery, 11:4.
Feng, X. et al. (2012). Factors associated with nurses’ perceptions of patient safety culture in China: a crosssectional survey study. J Evid Based Med, 5(2):50-56.
Fermo, V. C. et al. (2016). Atitudes profissionais em direção a cultura de segurança do paciente em uma unidade de transplante de medula óssea. Rev. gaúch. Enferm, 37(1):1-9.
Gabrani, A. et al. (2015). Application of the Safety Attitudes Questionnaire (SAQ) in Albanian hospitals: a cross-sectional study. BMJ Open, 5:1-11.
Göras, C. et al. (2013). Swedish translation and psychometric testing of the safety attitudes questionnaire (operating room version). BMC Health Services Research, 13:104.
Hair, J. F. et al. (2009). Análise multivariada de dados. Tradução Adonai Schlup Sant’Anna. 6ª ed. Porto Alegre: Bookman.
Hill, M. M. & Hill, A. (2008). Investigação por questionário. 2ª ed. Lisboa: Ed Sílabo.
Hinde, T. et al. (2016). A study to assess the influence of interprofessional point of care simulation training on safety culture in the operating theatre environment of a university teaching hospital. J Interprof Care, 30(2): 51-53.
Kawamoto, A. M. et al. (2016). Liderança e cultura de segurança do paciente: percepções de profissionais em um hospital universitário. J. res.: fundam. care, 8(2):4387-4398.
Kristensen, S. (2015). Adaption and validation of the Safety Attitudes Questionnaire for the Danish hospital setting. Clin. Epidemiol, 7:149-160.
Magill, S. T. et al. (2017). Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurgery, 107:597-603.
Marinho, M. M., Radünz, V. & Barbosa, S. F. F. (2014). Avaliação da cultura de segurança pelas equipes de enfermagem de unidades cirúrgicas. Texto Contexto Enferm, 23(3):581-590.
Mattar, F. N. (2014). Pesquisa de Marketing - Metodologia, Planejamento, Execução e Análise. 7ª ed. Elsevier.
Minuzzi, A. P., Salum, N. C. & Locks, M. O. H. (2016). Avaliação da cultura de segurança do paciente em terapia intensiva na perspectiva da equipe de saúde. Texto Contexto Enferm, 25(2):1-9.
Nguyen, G. et al. (2015). Validation of the safety attitudes questionnaire (short form 2006) in Italian in hospitals in the northeast of Italy. BMC Health Serv Res, 24(15):1-8.
Nie, Y. et al. (2013). Hospital survey on patient safety culture in China. BMC Health Serv Res, 13:228.
Paese, F. & Dal Sasso, G. T. M. (2013). Cultura da Segurança do Paciente na Atenção Primária à Saúde. Texto Contexto Enferm, 22(2):302-310.
Parker, D. et al. (2015). Measurement tools and process indicators of patient safety culture in primary care. A mixedmethods study by the LINNEAUS collaboration onpatient safety in primary care. Eur J Gen Pract, 21(Sup 1):26-30.
Pereira, L. A. et al. (2015). Enfermagem e liderança: percepções de enfermeiros gestores de um hospital do sul do Brasil. J. res.: fundam. care. Online. 7(1):1875-1882.
Raftopoulos, V. & Pavlakis, A. (2013). Safety climate in 5 intensive care units: a nationwide hospital survey using the Greek-Cypriot version of the Safety Attitude Questionnaire. J Crit Care, 28(1):51-61.
Rigobello, M. C. G. et al. (2012). Clima de segurança do paciente: percepção dos profissionais de enfermagem. Acta Paul. Enferm, 25(5):728-735.
Scwendimann, R. et al. (2013). Variation in safety culture dimensions within and between Swiss hospitals units and US: an exploratory study. BMJ Qual Saf, 22(1):32-41.
Sexton, J. B. et al. (2006). The Safety Atittudes Questionnaire: psychometric properties, benchmarking data, and emergecy research. BMC health serv. res, 6(4): 1-10.
Sexton, J. B., Thomas, E. J. & Helmreich, R. L. (2000). Errors, stress, and teamwork in medicine and aviation cross sectional survey. BMJ, 320(7237):745-749.
Silva-Batalha, S. E. M. & Melleiro, M. M. M. (2015). Cultura de Segurança do Paciente em um hospital de ensino: diferenças de percepção existentes nos diferentes cenários dessa instituição. Texto Contexto Enferm, 24(2):432-441.
Sousa, M. R. G. et al. (2013) Eventos adversos em hemodiálise: relatos de profissionais de enfermagem. Rev. Esc. Enferm. USP. 47(1): 76-83.
Souza, C. S. et al. (2019). Cultura de segurança em unidades de terapia intensiva: perspectiva dos profissionais de saúde. Rev Gaúcha Enferm. 40(esp):1-9.
St.Pierre, M. et al. (2017). Beeinflusst jährliches Simulationstraining das Sicherheitsklima einer universitären Klinik? Prospektive Fünfjahresuntersuchung anhand Dimensionendes, Safety Attitudes Questionnaire. Anaesthesist, 66(12):910-923.
Zenere, A. et al. (2016). Assessing safety culture in NICU: psychometric properties of the Italian version of Safety Attitude Questionnaire and result implications. J Eval Clin Pract, 22(2):275–82.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
