Patient safety culture in the multiprofessional perspective

Authors

DOI:

https://doi.org/10.33448/rsd-v9i5.3088

Keywords:

Patient safety; Multiprofessional team; Organizational culture.

Abstract

Aim: to analyze the dimensions of patient safety culture from a multiprofessional perspective. Methodo: an exploratory descriptive study with a quantitative approach conducted in two hospitals in southern Brazil. The study included 108 workers from the multiprofessional health team. Data collection was performed from August to December 2017, using the Survey on Patient Safety Culture questionnaire as an instrument. Data analysis was performed by descriptive and analytical statistics. Results: the beliefs, attitudes and perceptions of health professionals regarding patient safety still present important weaknesses in the evaluated hospitals. Even considering the general perception of the safety culture as adequate, we highlight the weaknesses regarding staff sizing, non-punitive responses to errors and teamwork among the units. Conclusions: the consolidation of patient safety is a strategy for quality improvement and process remodeling, enabling safe practices to qualify multiprofessional work and at the same time guarantee the quality of care, which is a patient right.

Author Biographies

Éder Luís Arboit, Universidade de Cruz Alta

Nurse, Master and PhD student in Nursing by the Graduate Program in Nursing - PPGEnf / UFSM. Professor in the Nursing Course at the University of Cruz Alta. Cruz Alta - RS, Brazil.

Gabriela Bellini, Universidade de Cruz Alta

2Academic of the 8th semester of the Undergraduate Nursing Course at the University of Cruz Alta (UNICRUZ), Scholarship holder PIBEX / UNICRUZ.

Cassiana Ribeiro Schütz, Universidade de Cruz Alta

Academic of the 8th semester of the Undergraduate Nursing Course at the University of Cruz Alta (UNICRUZ).

Maria Cristina Schettert Moraes, Universidade de Cruz Alta

Graduated in Mathematics, Master in Education, Professor in the Nursing Course at the University of Cruz Alta. Cruz Alta - RS, Brazil.

Sandra da Silva Kinalski, Universidade Federal de Santa Maria

5Nurse, Master in Comprehensive Health Care, PhD student in Nursing at PPGEnf at the Federal University of Santa Maria. Santa Maria -RS, Brazil.

Ruy de Almeida Barcellos, Serviço de Enfermagem em Terapia Intensiva do Hospital de Clínicas de Porto Alegre

Nurse, Post-doctorate in Health Sciences. Professor of the Specialization in Nursing in Intensive Care at the Federal University of Rio Grande do Sul (UFRGS). Nursing Service in Intensive Care at Hospital de Clínicas de Porto Alegre - RS.

References

Ahrq - Agency for Healthcare Research and Quality (2016). Medical Office Survey on Patient Safety Culture: user’s guide. Rockville (MD): AHRQ. (AHRQ Publicaction, 15).

Andrade, L. L. et al. (2018). Patient safety culture in three Brazilian hospitals with different types of management. Ciência & Saúde Coletiva, Rio de Janeiro, 3(1):161-172.

Arboit, E. L. et al. (2018). Incidentes relacionados à terapia medicamentosa: percepções de profissionais de enfermagem. Rev. Evidentia, Espanha, 15:01-07.

Barcellos, R. A. et al. (2016). Effectiveness of clinical risk management in intensive care. Cogitare Enfermagm, Curitiba, 21(esp):1-08.

Barcellos, R. A. (2018). Impacto da aplicação de uma lista de verificação em round multiprofissional nos tempos de ventilação mecânica e permanência em unidades de terapia intensiva. Porto Alegre [tese]. Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-graduação em Medicina e Ciências da Saúde.

Bião e Silva, A. C. V.; Rosa, D. O. S. (2016). Patient safety culture in hospital organization. Cogitare Enfermagm, Curitiba, 21(esp):01-10.

Bohrer, C, D. et al. (2016). Comunicação e cultura de segurança do paciente no ambiente hospitalar: visão da equipe multiprofissional. Rev Enferm UFSM, Santa Maria, 6(3):50-60.

Borba Netto, C. F.; Severino, F. G. (2016). Results of a safety culture survey in a teaching public hospital in Ceará. Rev Bras Promoç Saúde, Fortaleza, 6(3):34-41.

Brasil, M. S. (2013). Conselho Nacional de Saúde. Portaria nº 529/2013 - Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasília, DF.

Burström, L. et al. (2014). The patient safety culture as perceived by staff at two different emergency departments be¬fore and after introducing a flow-oriented working model with team triage and lean principles: a repeat¬ed cross-sectional study. BMC Health Serv Res, Londres, 14:296.

Dirik, H. F.; Intepeler. S. S. (2017). The work environment and empowerment as predictors of patient safety culture in Turkey. J Nurs Manag, Reino Unido, v. 25(4):256-65.

Edwards, M. T. (2016). An organizational learning framework for patient safety. Am J Med Qual, Filadélfia, 32(2):148-55.

GIL, A. C. (2019). Métodos e técnicas de pesquisa social. 7. ed. São Paulo: Atlas.

Golle, L. et al. (2018). Culture of patient safety in hospital private. Rev Fund Care, Rio de Janeiro, Online, 10(1):85-89.

Günes, Ü. Y.; Öznur, G.; Sonmez, M. (2016). A survey of the patient safety culture of hospital nurses in Turkey. Collegian, Australia, 23(2):25-32.

Lima Junior, J. A.; Gerhardt, L. M. (2017). Desafio global da organização mundial da saúde: redução de danos associados à administração de medicamentos. Revista Contexto & Saúde, 17(32):1-4.

Hastings, S. E. et al. (2016). Introduction of a team-based care model in a general medical unit. BMC Health Serv Res, Londres, 16:245.

Macedo, T.R. (2016). The culture of patient safety from the perspective of the pediatric emergency nursing team. Rev Esc Enferm USP, São Paulo, 50(5):756-762.

Minuzz, A. P.; Salum, N. C.; Lock, M. O. H. (2016). Assessment of patient safety culture in intensive care from the health team’s perspective. Texto contexto - enferm. [online],Florianopolis, 25(2):1-9.

Nie Y, et al. (2013). Hospital survey on patient safety culture in China. BMC Health Serv Res, Londres, 13:228.

Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 19 março 2020.

Picolotto, A. et al. (2019). The Patient Safety Culture of a Nursing Team From a Central Ambulatory. Rev Fund Care Online, Rio de janeiro, 11(esp)333-338.

Reis CT. (2013). A cultura de segurança do paciente: validação de um instrumento de mensuração para o contexto hospitalar brasileiro. Rio de Janeiro. [tese]. Escola Nacional de Saúde Pública Sergio Arouca.

Silva, A. T. et al. (2018). Patient safety and the nurse's performance in hospital. Rev enferm UFPE on line., Recife, 12(6):1532-8.

Siman, A.G.; Cunha, S. G. S.; Brito, M. J. M. (2017). The practice of reporting adverse events in a teaching hospital. Rev Esc Enferm USP, São Pulo, 51:e03243.

Tavares, A. P. M. (2018). Cultura de segurança do paciente na perspectiva da equipe de enfermagem. Rev Rene, Fortaleza, 19:e3152.

Wami, S. D. et al. (2016). Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers’ view in Jimma zone Hospitals, Southwest Ethiopia. BMC health services research, Londres, 16(1):495.

Wegner W. et al. (2016). Education for culture of patient safety: Implications to professional training. Esc Anna Nery, Rio de Janeiro, 20(3):1-8.

Published

31/03/2020

How to Cite

ARBOIT, Éder L.; BELLINI, G.; SCHÜTZ, C. R.; MORAES, M. C. S.; KINALSKI, S. da S.; BARCELLOS, R. de A. Patient safety culture in the multiprofessional perspective. Research, Society and Development, [S. l.], v. 9, n. 5, p. e125953088, 2020. DOI: 10.33448/rsd-v9i5.3088. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/3088. Acesso em: 21 dec. 2024.

Issue

Section

Health Sciences