Patient safety culture, missed Nursing care and its reasons in Obstetrics

Abstract

Objective: to assess the correlations between the patient safety culture, the missed Nursing care, and the reasons for the omission in the obstetric area. Method: a cross-sectional study, conducted in 2019, with 62 Nursing professionals working in the obstetric area of a teaching hospital in southern Brazil. The MISSCARE-Brasil and Hospital Survey on Patient Safety Culture instruments were used. The data were analyzed using descriptive statistics, means comparison test and Spearman correlation. Results: the overall mean of positive answers for the safety culture was 34.9 (± 17.4). The care of assessing the vital signs and monitoring capillary blood glucose were the most prioritized, with airway aspiration and oral hygiene being the most overlooked. The main reasons for the omissions refer to labor resources and to inadequate staffing. A significant and inversely proportional correlation was found between the patient safety culture and overlooked nursing care (r=-0.393). Conclusion: the safety culture of the obstetric area was assessed as fragile by the Nursing professionals. The more the safety culture is strengthened and the greater investment in labor and human resources, the less care is overlooked.

Determinants of missed nursing care in Jordanian hospitals during COVID‐19 pandemic

“…Medications administered within 30 min before or after scheduled time 1.8 (0.5) health professional communication and resource allocation were identified as predictors of why MNC was being occurred. However, other studies found that the labour-related resource is the most prevalent reason for MNC (Al-Faouri et al, 2021;Chegini et al, 2020;da Silva et al, 2021;Kalisch, Landstrom, & Williams, 2009;Saqer & AbuAlRub, 2018). However, another qualitative study conducted in Iran has shown a different reason for MNC (Janatolmakan & Khatony, 2022).…”

“…Furthermore, this study showed that the reasons of MNC were mainly due to “ communication reasons ,” followed by “ labor resources reasons ” then “ material recourses reasons .” These findings are consistent with many global studies (Blackman et al, 2015 ; Elayan & Ahmad, 2017 ; Pan & Lin, 2021 ; Tou et al, 2020 ) as they found that health professional communication and resource allocation were identified as predictors of why MNC was being occurred. However, other studies found that the labour‐related resource is the most prevalent reason for MNC (Al‐Faouri et al, 2021 ; Chegini et al, 2020 ; da Silva et al, 2021 ; Kalisch, Landstrom, & Williams, 2009 ; Saqer & AbuAlRub, 2018 ). However, another qualitative study conducted in Iran has shown a different reason for MNC (Janatolmakan & Khatony, 2022 ).…”

Cultura de segurança em unidade de terapia intensiva materna [Safety culture in a maternal intensive care unit] [Cultura de seguridad en una unidad de cuidados intensivos maternos]

“…Uma organização institucional que tem uma comunicação acessível ao diálogo sobre segurança propõe liberdade aos profissionais para identificar e prevenir problemas que poderiam resultar em cuidados perdidos ou atrasados. Acredita-se que uma gestão empenhada na promoção da segurança facilite a comunicação entre a equipe 18 , proporcionando maior interação e resposta aos contextos apresentados.…”

Evidências de omissões de cuidados de enfermagem e suas razões: revisão integrativa

“…Entre as razões para a omissão do cuidado mais reconhecida foram, em dois estudos analisados, relacionados à escassez de força de trabalho, aumento inesperado de pacientes, número de pacientes críticos, falta de profissionais de enfermagem, recusa do paciente e família, equipe administrativa inadequada, aumento de alta e admissão, e número de casos desproporcional ao número de profissionais (Du et al, 2020;Falk et al, 2022). Ambientes com processos de trabalho estruturados e com um número adequado de profissionais podem contribuir para a diminuição dos cuidados omitidos e favorecer o planejamento da assistência (Silva et al, 2021).…”