Patient safety culture according to nursing professionals of an accredited hospital

Abstract

Objective: To evaluate the perception of the nursing team regarding the patient safety culture of an accredited hospital and to identify the differences between shifts, professional category and units. Method: Cross-sectional study, conducted in a private hospital in the city of São Paulo, SP, Brazil, with application of the Survey on Patient Safety Culture Hospital to 497 nursing professionals. Descriptive analysis, instrument consistency and generalized linear mixed model were performed. Results: The organizational learning and continuous improvement dimension was considered a strong area (77%) and the personal adequacy (47%), shift / shift change and transfer (47%) and non-punitive response to errors (25%) dimensions were considered. fragile. Differences in perception were found between the professional categories in two dimensions; between shifts in six and between units in seven dimensions. Conclusion: The nursing team identified weaknesses in the patient safety culture in the hospital, with the need to standardize the improvement processes.

Impact of Hospital Nurses’ Perception on Clinical Alarms and Patient Safety Culture on Alarm Management Practice

“…In the present study, patient safety culture had the greatest impact on alarm management practice. In a well-developed patient safety culture, nurses can clearly recognize that all nursing activities are directly related to patient safety and take action when necessary [ 30 , 31 ]. Besides, nurses can face positive pressure from other healthcare providers and departments that shape their safety culture [ 4 ].…”

“…Patient safety is defined as the absence of preventable harm to patients and preventing unnecessary harm by healthcare professionals [ 30 , 31 ]. In this regard, the development of a patient safety culture has also been considered as an effective strategy to improve patient safety [ 30 ]. Patient safety culture is defined as the shared values, beliefs, and behavioral norms related to patient safety among members of an organization, unit, or team [ 31 ].…”

Job Satisfaction is Dominant Factor Influencing of Nurse Performance in X Hospital Pekanbaru

“…If the hospital management has a high commitment to patient safety, it is necessary to improve a good working climate as well. 20 The work environment is a comfortable work environment and the availability of facilities needed to provide services.…”

Cultura de segurança do paciente segundo a equipe de enfermagem de um hospital terciário

“…33,[35][36][37][38] Diferentemente, as dimensões de aprendizado organizacional e melhoria contínua foram consideradas áreas fortes em uma investigação que incluiu a equipe de enfermagem de um hospital acreditado. 39 Outra investigação apontou que a dimensão pontuada como forte referiu-se ao o aprendizado organizacional e melhoria contínua. 33 De maneira geral, as dimensões da cultura de segurança mais fortalecidas incluem o trabalho em equipe dentro das unidades e a aprendizagem organizacional com melhoria contínua, conforme evidenciado em uma revisão sistemática, apontando que as dificuldades de implementação dessa cultura não se limitam a nossa realidade.…”

“…Resultados similares foram evidenciados em estudos nacionais, cujos cenários incluíram Unidades de Terapia Intensiva Neonatais, hospital de referência em cardiopneumologia, três instituições hospitalares de alta complexidade e um hospital acreditado. 36,38,39,48 Contudo, na percepção da equipe de enfermagem atuante em um centro cirúrgico, a dimensão da cultura de segurança com resultados menos positivos foram abertura para comunicação seguida do feedback e comunicação sobre erros. 33 No cenário internacional, estudo realizado na China identificou cinco áreas enfraquecidas, dentre elas a resposta não punitiva ao erro, enquanto outro, desenvolvido na Croácia, destacou as respostas não punitivas aos erros como dimensão com pior pontuação.…”