scholarly journals Assessment of safety culture by surgical unit nursing teams

2014 ◽  
Vol 23 (3) ◽  
pp. 581-590 ◽  
Author(s):  
Monique Mendes Marinho ◽  
Vera Radünz ◽  
Sayonara de Fátima Faria Barbosa

The objective was to evaluate the patient safety culture from the perspective of the nursing teams at two surgical inpatient units of a university hospital, using the Safety Attitudes Questionnaire. Cross-sectional survey with quantitative approach, conducted at the two surgical inpatient units of the university hospital in Florianópolis, SC, Brazil. The Safety Attitudes Questionnaire was applied to 46 nursing professionals. Data analysis used descriptive and inferential statistics. The results show that all dimensions measured values scored lower than the minimum positive safety culture. The lower scores were found in the dimensions "perceptions of management" and "working conditions". Concerning the age of the professionals, young professionals stood out with higher scores. As for the professional categories, the higher scores were related to nursing assistants. The evaluation of the safety culture in the units studied demonstrates weakness in the six dimensions assessed.

2019 ◽  
Vol 13 (06) ◽  
pp. 496-503
Author(s):  
Mabel Duarte Alves Gomides ◽  
Astrídia Marília de Souza Fontes ◽  
Amanda Oliveira Soares Monteiro Silveira ◽  
Geraldo Sadoyama

Introduction: Patient safety culture has been the reason for great concern for the scientific community due to the high number of failures resulting from the provision of health care. The objective of this study was to evaluate the perception regarding the patient safety culture and their differences between categories, in the professional teams of the adult intensive care unit (ICU). Methodology: This is a cross-sectional descriptive study, with a quantitative approach, to evaluate the patient safety culture developed in the unit adult ICU of a public university hospital. Results: In this survey, 138 employees of the ICU participated, among them: physicians, psychologists, nutritionists, physiotherapists, nurses, nursing technicians, and secretaries. There was a predominance of nursing technicians (76.8%) and work experience time from 5 to ≥ 21 years (62.3%). The overall mean of the safety culture in the ICU was 57.80, and the domains with the best average were stress perception (73.84) and satisfaction at work (72.38) and with the worst mean was the perception of hospital management (42.69). The perception of safety attitudes in the professional category of physicians presented a general average of 61.63, being strengthened to job satisfaction (77,89) and with a higher perception in relation to nurses. Conclusions: The overall ICU average for the patient safety culture was less than 75, which demonstrates a team with weakened safety attitude and, in addition, low perceptions of safety attitudes based on the results of management domains, working conditions and communication failures.


2019 ◽  
Vol 13 ◽  
Author(s):  
Elaine Cristina de Souza Ferreira ◽  
Natália Soares Melo

Objetivo: realizar um levantamento do diagnóstico de cultura de segurança do paciente para investigar a percepção da equipe multiprofissional de uma maternidade de risco habitual sobre a segurança do paciente. Método: trata-se de estudo quantitativo, descritivo, transversal, com profissionais de uma maternidade de risco habitual. Coletaram-se os dados por meio da aplicação de 98 questionários Safety Attitudes Questionnaire – short form 2006. Resultados: observou-se que somente 47 (87,03%) questionários eram válidos e, dos 47 questionários analisados sobre a avaliação da cultura de segurança, os domínios ficaram abaixo da média de pontos considerada adequada (≥75) em: Satisfação no trabalho (70,10%); Clima do trabalho em equipe (62,68%) e Percepção do estresse (57,19%); os domínios Percepção da gerência do setor e gerência geral (46,49%) e Condições de trabalho obtiveram a média mais baixa do estudo (44,61%). Conclusão: entende-se que a instituição estudada possui uma cultura de segurança frágil e encontra-se em estágio patológico em relação ao modelo de maturidade de cultura de segurança do paciente. Descritores: Segurança do Paciente; Maternidade; Equipe Multiprofissional; Cultura de Segurança; Diagnóstico da Cultura e Eventos Adversos.AbstractObjective: to conduct a survey of the patient safety culture diagnosis to investigate the perception of the multi-professional team of a habitual risk maternity ward on patient safety. Method: this is a quantitative, descriptive, cross-sectional study with professionals from a usual risk maternity hospital. Data was collected through the application of 98 questionnaires Safety Attitudes Questionnaire - short form 2006. Results: it was observed that only 47 (87.03%) questionnaires were valid and, of the 47 questionnaires analyzed about safety culture evaluation, the domains were below the points average considered adequate (≥75) in: Job Satisfaction (70.10%); Teamwork climate (62.68%) and Stress perception (57.19%); the Perceptions of Sector Management and General Management (46.49%) and Working Conditions domains had the lowest study average (44.61%). Conclusion: it is understood that the institution studied has a fragile safety culture and is in a pathological stage in relation to the patient safety culture maturity model.  Descriptors: Patient Safety; Maternity; Multiprofessional Team; Safety Culture; Diagnosis of Culture and Adverse Events.ResumenObjetivo: realizar una encuesta sobre el diagnóstico de la cultura de seguridad del paciente para investigar la percepción del equipo multiprofesional de una sala de maternidad de riesgo habitual sobre la seguridad del paciente. Método: este es un estudio cuantitativo, descriptivo, transversal con profesionales de un hospital de maternidad de riesgo habitual. Los datos se recolectaron mediante la aplicación de 98 cuestionarios Safety Attitudes Questionnaire – short form 2006. Resultados: se observó que solo 47 (87.03%) cuestionarios eran válidos y, de los 47 cuestionarios analizados sobre la evaluación del cultivo de seguridad, los dominios estaban por debajo del promedio de puntos considerado adecuado (≥75) en: Satisfacción laboral (70,10%); Clima de trabajo en equipo (62.68%) y Percepción de estrés (57.19%); las Percepciones de los ámbitos de gestión del sector y gestión general (46,49%) y Condiciones de trabajo tuvieron el promedio de estudio más bajo (44,61%). Conclusión: se entiende que la institución estudiada tiene una cultura de seguridad frágil y se encuentra en una etapa patológica en relación con el modelo de madurez de la cultura de seguridad del paciente. Descriptores: Seguridad del Paciente; Responsabilidad Parental; Cultura de Seguridad; Diagnóstico de la Cultura y Eventos Adversos.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chih-Hsuan Huang ◽  
Ying Wang ◽  
Hsin-Hung Wu ◽  
Lee Yii-Ching

PurposeThe aims of this study are to (1) evaluate physicians and nurses' perspectives on patient safety culture amid the COVID-19 pandemic and (2) integrate the emotional exhaustion of physicians and nurses into an evaluation of patient safety culture to provide insights into appropriate implications for medical care.Design/methodology/approachPatient safety culture was assessed with the Chinese version of the Safety Attitudes Questionnaire. Confirmatory factor analysis was conducted to validate the structure of the data (i.e. reliability and validity), and Pearson's correlation analysis was performed to identify relationships between safety-related dimensions.FindingsSafety climate was strongly associated with working conditions and teamwork climate. In addition, working conditions was highly correlated with perceptions of management and job satisfaction, respectively. It is worth noting that the stress and emotional exhaustion of the physicians and nurses during this epidemic were high and needed attention.Practical implicationsFor healthcare managers and practitioners, team-building activities, power of public opinions, IoT-focused service, and Employee Assistance Programs are important implications for inspiring the patient safety-oriented culture during the period of the COVID-19 pandemic.Originality/valueThis paper considers the role of emotional state into patient safety instrument, a much less understood but equally important dimension in the field of patient safety.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2316-2322 ◽  
Author(s):  
Isabelly Costa Lima de Oliveira ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Samia Freitas Aires ◽  
Rodrigo Jácob Moreira de Freitas ◽  
Beatriz Viana da Silva ◽  
...  

ABSTRACT Objective: To evaluate the culture of patient safety in a mental health service. Method: Cross-sectional study conducted with health professionals in a mental hospital, by applying the Safety Attitudes Questionnaire (SAQ). Descriptive and inferential analyses were performed. Results: One-hundred and three professionals participated in the study, with female predominance (64.1%) and time of performance equal to or greater than 21 years (32.4%). The nursing professionals of technical level and with statutory work regime were the most participative, 54.4% and 52% respectively. The total score was 69 points. The domain that reached the highest score was Job satisfaction (80 points) and the lowest was Working conditions (57 points). The statutory professionals and those with longer professional experience obtained better scores in the perception of safety culture. Conclusion: The result of safety culture was below the recommended, indicating the need for strengthening this construct in mental health hospitals.


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.


2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 252-258
Author(s):  
Paloma Aparecida Carvalho ◽  
Carla Albina Soares Laundos ◽  
Juliana Ventura Souza Juliano ◽  
Luiz Augusto Casulari ◽  
Leila Bernarda Donato Gottems

ABSTRACT Objective: to assess the perception of health professionals regarding safety culture of a high complexity public hospital of the Federal District, Brazil. Method: cross-sectional and descriptive study. The Safety Attitudes Questionnaire was used in electronic format. Descriptive and inferential analyses were carried out. Results: 358 professionals participated, with 242 (67.6%) being female. Of these, 224 (62.6%) worked directly or indirectly with patients in assistance activities; 79 (22.1%) in administrative activities; 14 (3.9%) in management; and 41 (11.5%) in others. The total score was 57.1. Job satisfaction factors and stress perception had the most expressive results, 76.2 and 68.8, respectively. The category "working conditions" presented the lowest result, 40.7. Conclusion: the results are below the score of 75, value recommended as indicative of a positive safety atmosphere. We suggest the implementation of actions for the promotion of safety culture and new studies with representative samples of all segments of workers.


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