Challenges in the implementation of patient security culture in Brazil: integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i2.40035

Keywords:

Patient Safety; Patient Safety Culture; Health care.

Abstract

Patient Safety consists of a set of actions aimed at preventing errors and adverse events in health care. Thus, implementing a safety culture demands the construction of values, attitudes and norms that guide the healthcare organization. Thus, the aim is to understand what are the challenges for the implementation of a patient safety culture in health care in Brazil. The construction of the research question adopted the Population, Concept and Context strategy and to answer it, searches were conducted in the PubMed/Medline, BVS Regional and Portal Capes databases, and seven articles were selected to compose the final study sample. The lack of training of care teams, lack of notification systems, as well as management support and a punitive culture to the occurrence of errors were identified as the main barriers to the implementation of the culture of safety in health care. Thus, the importance of recognizing the barriers to the implementation of safety culture as a strategy for the creation of improvement actions in the Brazilian health services in order to ensure adequate working conditions, training and supplies to the teams is evident.

References

Araripe, M. C., Silva, G. M., Lima, M. V. M., Bezerra, I. M. P., Melo, W. A. L. & Laporta, G. Z. (2020). Perception of Patient Safety Culture in the Framework of the Psychosocial Care Network in Western Amazon: A Cross-Sectional Study. Health Care(Basel), 8(3), 289.

Bardin, L. (2010). Análise de conteúdo. Edições 70.

Batista, J., Cruz, E. D. A., Sarquis, L. M. M., Seiffert, L.S. & Wolff, L. D. G. (2020). Effect of the administrative transition of hospital management on the safety culture in surgical units. Texto & Contexto – enferm., 29, 1-17.

Caldana, G., Guirardello, E. B., Urbanetto, J. S., Peterlini, M. A. S. & Gabriel, C. S. (2015). Rede brasileira de enfermagem e segurança do paciente: desafios e perspectivas. Texto Contexto Enferm, 24(3), 906-911.

Cavalcante, E. F. O., Pereira, I. R. B. O., Leite, M. J. V. F., Santos, A. M. D. & Cavalcante, C. A. A. (2019). Implementação dos Núcleos de Segurança do Paciente e as infecções relacionadas à assistência à saúde, Rev Gaúcha Enferm.;40(esp), 1-10.

Clark, R., & Lake, E. T. (2020). Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN. The American Journal of Maternal Child Nursing, 45(5), 265–270.

Colosp, S., Caldas, B. N., Pereira, M. S. R., Calazans, M. S. C., Lima, E. F. A. & Portugal, F. B. (2022). Estrutura e atividades dos Núcleos de Segurança do Paciente em hospitais: uma revisão integrativa. Vigil. Sanit. Debate, 10(1), 55-63.

Costa, D. B., Ramos, D., Gabriel, C. S., & Bernardes, A. (2018). Patient Safety Culture: evaluation by nursing professionals. Texto Contexto Enferm, 27(3), 2-9.

Etchegaray, J. M., & Thomas, E.J. (2012). Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. BMJ Qual Saf, 21(0), 490-498.

Fassarella, C. S., Camerini, F. G., Henrique, D. D. M., Almeida, L. F. D., & Figueiredo, M. D. C. B. (2018). Evaluation of patient safety culture: Comparative study in university hospitals. Revista da Escola de Enfermagem da USP, 52(0), 1–7.

Hamdan, M. & Saleem, A.A. (2018). Changes in patient safety culture in Palestinian public hospitals: impact of quality and patient safety initiatives and programs. J Patient Saf, 14(3), 67-73.

Kuriakose, R., Aggarwal, A., Sohi, R. K., Goel, R., NC, R. & Gambhir, R. S. (2020). Patient Safety in primary and outpatient health care. Journal of Family Medicine and Primary Care, 9(1), 7-11.

Lawati, M. H. A. L., Dennis, S., Short, S.D. & Abdulhadi, N. N. (2018). Patient safety and safety culture in primary health care: a systematic review. BMC Family Practice, 19(104), 1-12.

Mendonça, V. S., Gallagher, T. H. & Oliveira, R. A. The function of disclosing medical erros: New cultural challenges for physicians. HEC Forum, 31(3), 167-175.

Mira, J.J., Carrillo, I. García-Elorrio, E. Andrade-Lourenção, D.C.D.E., Pavan-Baptista, P.C., Franco-Herrera, A.L. ... Sousa, P. (2020). What Ibero-American hospitals do when things go wrong? A cross-sectional intrenational study. International Journal for Quality in Health Care, 32(5), 313-318.

Moreira, F. T. L. S., Callou, R. C. M., Albuquerque, G. A. & Oliveira, R. M. (2019). Estratégias de comunicação efetiva no gerenciamento de comportamentos destrutivos e promoção da segurança do paciente. Rev Gaúcha Enferm., 40(esp), 1-9.

Pimenta Lopes Ribeiro, O. M., de Lima Trindade, L., Silva Fassarella, C., de Abreu Pereira, S. C., Figueiredo Cabral Teles, P. J., Gomes da Rocha, C., da Silva Leite, P. C., Almeida Ventura-Silva, J. M., & Neves Sousa, C. (2022). Impact of COVID-19 on professional nursing practice environments and patient safety culture. Journal of nursing management, 30(5), 1105–1114.

Prieto, M. M. N., Fonseca, R. E. P., & Zem-Mascarenhas, S. H. (2021). Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review. Ver. Bras. Enferm, 74(6), 1-10.

Silla, I., Navajas, J., & Koves, G. K. (2017). Organizational culture and a safety‐conscious work environment: The mediating role of employee communication satisfaction. Journal of Safety Research, 61, 121–127.

Singer, S. J. & Vogus, T. J. (2013). Reducing hospital errors: Interventions that build safety culture. Annu Rev Public Health., 34, 373-96.

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Integrative review: what is it? How to do it? Einstein, 8(1), 102-106.

Published

13/02/2023

How to Cite

VIANA, I. S. .; DEL SARTO, R. B. O. .; MARTINS FILHO, I. E. .; VILELA, A. B. A. . Challenges in the implementation of patient security culture in Brazil: integrative literature review. Research, Society and Development, [S. l.], v. 12, n. 2, p. e28212240035, 2023. DOI: 10.33448/rsd-v12i2.40035. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40035. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences