scholarly journals Patient safety climate from the nursing perspective

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Vanessa Leal Lira ◽  
Sônia Maria de Araújo Campelo ◽  
Nayra Ferreira Lima Castelo Branco ◽  
Herica Emilia Félix de Carvalho ◽  
Denise de Andrade ◽  
...  

ABSTRACT Objective: To analyze the patient safety climate in intensive care units from the nursing perspective. Methods: Cross-sectional study developed with 87 nursing professionals working in three Intensive Care Units of a public hospital for emergency services in Piauí from October to November 2018. The study used a validated Safety Attitudes Questionnaire (SAQ). In the inferential analysis, the Student’s t-test, Mann-Whitney, and Kruskal-Wallis were performed. Results: The total SAQ score obtained a mean of 68.57. In analyzing the scores obtained for each domain in the general SAQ, the Job Satisfaction, and Teamwork Climate domains were those that obtained the highest scores, and the lowest score was for the Perception of Hospital Management domain. Conclusion: The safety attitudes assessed from the perspective of the nursing team proved to be unfavorable.

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ranielle de Lima Silva Nunes ◽  
Ana Elisa Bauer de Camargo Silva ◽  
Juliana Carvalho de Lima ◽  
Dayse Edwiges Carvalho ◽  
Cristina Alves Bernardes ◽  
...  

Abstract Background Measuring the patient safety climate of a health service provides important information about the safety status at a given time. This study aimed to determine the factors influencing the patient safety climate in Intensive Care Units. Methods An analytical and cross-sectional study conducted in 2017 and 2018 in two adult Intensive Care Units of a Brazilian Teaching Hospital. The Safety Attitudes Questionnaire instrument was applied with the multidisciplinary teams to determine the factors influencing the patient safety climate. Data were double entered into a database and processed using the R (version 3.5.0) statistical software. Position, central tendency and dispersion measures were taken and absolute and relative frequencies, mean and confidence intervals were calculated for the quantitative variables. Linear regression was performed to verify the effect of variables on the SAQ domains. Variables with a p-value of less than 0.25 were selected for multivariate analysis. Results A total of 84 healthcare providers participated in the study. The mean Safety Attitudes Questionnaire score was 59.5, evidencing a negative climate. The following factors influenced the safety climate: time since course completion, professional category, type of employment contract, complementary professional training, and weekly workload. Conclusions The factors identified indicate items for planning improvements in communication, teamwork, work processes, and management involvement, aiming to ensure care safety and construct a supportive safety climate.


2021 ◽  
Author(s):  
Ranielle de Lima Silva Nunes ◽  
Ana Elisa Bauer de Camargo Silva ◽  
Juliana Carvalho de Lima ◽  
Dayse Edwiges Carvalho ◽  
Cristina Alves Bernardes ◽  
...  

Abstract Background:Measuring the patient safety climate of a health service provides important information about the safety status at a given time. This study aimed to determine the factors influencing the patient safety climate in Intensive Care Units.Methods:An analytical and cross-sectional study conducted in 2017 and 2018 in two adult Intensive Care Units of a Brazilian Teaching Hospital. The Safety Attitudes Questionnaire instrument was applied with the multidisciplinary teams to determine the factors influencing the patient safety climate. Data were double entered into a database and processed using the R (version 3.5.0) statistical software. Position, central tendency and dispersion measures were taken and absolute and relative frequencies, mean and confidence intervals were calculated for the quantitative variables. Linear regression was performed to verify the effect of variables on the SAQ domains. Variables with a p-value of less than 0.25 were selected for multivariate analysis.Results:A total of 84 healthcare providers participated in the study. The mean Safety Attitudes Questionnaire score was 59.5, evidencing a negative climate. The following factors influenced the safety climate: time since course completion, professional category, type of employment contract, complementary professional training, and weekly workload. Conclusions:The factors identified indicate items for planning improvements in communication, teamwork, work processes, and management involvement, aiming to ensure care safety and construct a supportive safety climate.


2017 ◽  
Vol 56 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Zalika Klemenc-Ketiš ◽  
Ellen Tveter Deilkås ◽  
Dag Hofoss ◽  
Gunnar Tschudi Bondevik

Abstract Introduction Patient safety culture is a concept which describes how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. We aimed to investigate patient safety culture in Slovenian out-of-hours health care (OOHC) clinics, and determine the possible factors that might be associated with it. Methods This was a cross-sectional study, which took place in Slovenian OOHC, as part of the international study entitled Patient Safety Culture in European Out-of-Hours Services (SAFE-EUR-OOH). All the OOHC clinics in Slovenia (N=60) were invited to participate, and 37 agreed to do so; 438 employees from these clinics were invited to participate. We used the Slovenian version of the Safety Attitudes Questionnaire – an ambulatory version (SAQAV) to measure the climate of safety. Results Out of 438 invited participants, 250 answered the questionnaire (57.1% response rate). The mean overall score ± standard deviation of the SAQ was 56.6±16.0 points, of Perceptions of Management 53.6±19.6 points, of Job Satisfaction 48.5±18.3 points, of Safety Climate 59.1±22.1 points, of Teamwork Climate 72.7±16.6, and of Communication 51.5±23.4 points. Employees working in the Ravne na Koroškem region, employees with variable work shifts, and those with full-time jobs scored significantly higher on the SAQ-AV. Conclusion The safety culture in Slovenian OOHC clinics needs improvement. The variations in the safety culture factor scores in Slovenian OOHC clinics point to the need to eliminate variations and improve working conditions in Slovenian OOHC clinics.


Author(s):  
Maria Beatriz Guimarães Ferreira ◽  
Márcia Marques Santos Felix ◽  
Rebeca Ainoã Souza Lopes ◽  
Vanderlei José Haas ◽  
Cristina Maria Galvão ◽  
...  

2019 ◽  
Vol 7 (21) ◽  
pp. 3667-3672
Author(s):  
Marwa Salem ◽  
John Labib ◽  
Ahmed Mahmoud ◽  
Silvia Shalaby

BACKGROUND: Patient safety culture is a relatively new focus where little is known about its current status in Egypt’s teaching hospitals, mainly intensive care units (ICUs). Therefore, the authors of this study attempted to assess the patient safety culture dimensions from the nurses’ perspective. METHODS: An exploratory cross-sectional study was conducted in two ICUs (pediatric ICU and adult ICU) at the University Hospital over 3 months from October till December 2018. Sixty nurses were interviewed using the Hospital Survey on Patient Safety Culture. RESULTS: The current study findings revealed an average positive response to individual items ranging from 6% to 51%. The “Organizational learning” dimension had the highest average percent positive patient safety dimension score (51%) among all respondents, while the “Frequency of events reported” dimension had the lowest one (6%). No statistically significant difference was reported between the pediatric and adult ICUs for all mean scores except for the “Non-punitive response to error” dimension which was reported to be greater in the pediatric intensive care unit (PICU) compared to adult ICU (P < 0.005). The overall patient safety grade was rated acceptable by 47.5% of the interviewed nurses. CONCLUSION: The current study shows that patient safety is fragile in ICUs, and more effort is recommended to increase the awareness of health care providers. Also, hospital managers need to enhance the performance and practices of patient safety within a non-punitive reporting environment.


1969 ◽  
Vol 48 (2) ◽  
pp. 71-77
Author(s):  
José H. Arias-Botero ◽  
Ángela M Segura-Cardona ◽  
Fernando Acosta Rodríguez ◽  
Carlos A. Saldarriaga ◽  
Rubén D. Gómez-Arias

Introduction: The safety climate (SC) measurement in the hospitals, is essential for the development of a patient safety policy (PSP). Information about SC in the operating rooms is scarce. Objective: To measure the dimensions of SC in Colombian Operating Rooms according to characteristics of surgical staff. Methods: Cross-sectional study. The Hospital Survey on Patient Safety and an additional module for operating rooms were administered to healthcare workers in 6 high-complexity hospitals in the Metropolitan Area of Medellín (Colombia). The positive responses percentage for each dimension was measured. Differences by profession and type of contract were analyzed. Results: A total of442 participants were included. The workers in the operating rooms perceive a weak SC in terms of non-punitive response to error and workload (49.4% and 59.3% positive responses, respectively). Differences were found between physicians and nurses with lower scores in nursing for dimensions related to patient care. Anesthesiologists present low scores in events reporting. There are also differences by the type of work contract. Conclusion: Despite the PSP, the perception of a punitive culture to error, with a high workload. Recognizing differences between the groups within the surgical units helps to focus interventions strengthening the patient safety.


Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43868
Author(s):  
Ana Kele Arcanjo de Sousa ◽  
Silvania Braga Ribeiro ◽  
Patrícia Freire de Vasconcelos ◽  
Roberta Meneses Oliveira ◽  
Maria Eliane da Silva ◽  
...  

Objective: to analyze the relationship between Burnout Syndrome and perceptions about safety climate among intensive care professionals. Methods: a cross-sectional study with 51 health professionals from a public hospital in northeastern Brazil. The following instruments were applied: the Maslach Burnout Inventory, the Safety Attitudes Questionnaire, and a Sociodemographic questionnaire. Descriptive, analytical (Spearman’s test) and inferential statistics were adopted. Results: there was a high level of emotional exhaustion (64.7%) and low levels of depersonalization (74.5%) and personal accomplishment (56.8%) in the Burnout assessment. The safety climate was considered satisfactory, with the Safe Behaviors domain having the highest average. There was a moderate correlation between the Stress recognition and Depersonalization subscales. Conclusion: there was a correlation between safety climate and Burnout in the Stress recognition and Depersonalization dimensions, with the latter being considered a consequence of stressful factors which distance professionals from patients.


Sign in / Sign up

Export Citation Format

Share Document