Cultura de segurança do paciente na perspectiva da equipe de enfermagem em uma maternidade pública

Silva, Paula Lima da; Gouveia, Márcia Teles de Oliveira; Magalhães, Rosilane de Lima Brito; Borges, Bráulio; Rocha, Ruth Cardoso; Guimarães, Tatiana Maria Melo

doi:10.6018/eglobal.386951

Cited by 7 publications

(6 citation statements)

References 20 publications

(21 reference statements)

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“…The review included 30 studies from five Latin American countries: 22 studies in Brazil [ 88 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 ], 3 studies in Mexico [ 112 , 113 , 114 ], 3 studies in Colombia [ 115 , 116 , 117 ], 1 study in Peru [ 67 ], and 1 study in Argentina [ 118 ]. All studies reported data from the HSOPSC 1.0; none reported data from the HSOPSC 2.0.…”

Section: Resultsmentioning

confidence: 99%

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Rodríguez

Baza

Domínguez-Cancino

et al. 2022

IJERPH

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Introduction: Adverse events in hospitals are prevented through risk reduction and reliable processes. Highly reliable hospitals are grounded by a robust patient safety culture with effective communication, leadership, teamwork, error reporting, continuous improvement, and organizational learning. Although hospitals regularly measure their patient safety culture for strengths and weaknesses, there have been no systematic reviews with meta-analyses reported from Latin America. Purpose: Our systematic review aims to produce evidence about the status of patient safety culture in Latin American hospitals from studies using the Hospital Survey on Patient Safety Culture (HSOPSC). Methods: This systematic review was guided by the JBI guidelines for evidence synthesis. Four databases were systematically searched for studies from 2011 to 2021 originating in Latin America. Studies identified for inclusion were assessed for methodological quality and risk of bias. Descriptive and inferential statistics, including meta-analysis for professional subgroups and meta-regression for subgroup effect, were calculated. Results: In total, 30 studies from five countries—Argentina (1), Brazil (22), Colombia (3), Mexico (3), and Peru (1)—were included in the review, with 10,915 participants, consisting primarily of nursing staff (93%). The HSOPSC dimensions most positive for patient safety culture were “organizational learning: continuous improvement” and “teamwork within units”, while the least positive were “nonpunitive response to error” and “staffing”. Overall, there was a low positive perception (48%) of patient safety culture as a global measure (95% CI, 44.53–51.60), and a significant difference was observed for physicians who had a higher positive perception than nurses (59.84; 95% CI, 56.02–63.66). Conclusions: Patient safety culture is a relatively unknown or unmeasured concept in most Latin American countries. Health professional programs need to build patient safety content into curriculums with an emphasis on developing skills in communication, leadership, and teamwork. Despite international accreditation penetration in the region, there were surprisingly few studies from countries with accredited hospitals. Patient safety culture needs to be a priority for hospitals in Latin America through health policies requiring annual assessments to identify weaknesses for quality improvement initiatives.

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Section: Resultsmentioning

confidence: 99%

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Rodríguez

Baza

Domínguez-Cancino

et al. 2022

IJERPH

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show abstract

“…Os pontos mais importantes identificados pelos estudos, com fator negativo da cultura de segurança que exigem melhorias foram: a alta carga e condições de trabalho, (15-16-,17) percepção e relação com a gerência (7, 10, 11, 18,) respostas não punitivas aos erros, (5,9,10) comunicação de eventos adversos, (6,7) clima de segurança, (11) percepção de estresse (19) transferências internas e passagem de plantão (8) e na comunicação (15) Já os fatores positivos predominantemente identificados nos estudos foram trabalho em equipe (9-10-12-13) , satisfação no trabalho (5-7-12-) e aprendizado organizacional (6)(7)(8)(9) .…”

Section: Discussionunclassified

“…O escore geral de cultura de segurança nas três maternidades pesquisadas foi de 40,7%. (5)(6)(7)(8)(9)(10)(11)(12)(13)(14) As principais ferramentas utilizadas para entrevista aberta para compor os dados qualitativos, sendo o único com uso de métodos mistos. (5)(6)(7)(8)(9)(10)(11)(12) Quanto ao público-alvo das amostras, sete estudos eram voltados para equipe multiprofissional, existindo estudos com somente parteiras e outros estudos foram somente com equipe de enfermagem.…”

Section: Hsopsc/ Nãounclassified

“…(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) As principais ferramentas utilizadas para entrevista aberta para compor os dados qualitativos, sendo o único com uso de métodos mistos. (5)(6)(7)(8)(9)(10)(11)(12) Quanto ao público-alvo das amostras, sete estudos eram voltados para equipe multiprofissional, existindo estudos com somente parteiras e outros estudos foram somente com equipe de enfermagem. Porém, dos estudos com equipe multiprofissional, quatro tiveram a taxa de respostas com maioria da equipe de enfermagem, com variação de 62,9% a 85,7% do total de participantes.…”

Section: Hsopsc/ Nãounclassified

“…Porém, dos estudos com equipe multiprofissional, quatro tiveram a taxa de respostas com maioria da equipe de enfermagem, com variação de 62,9% a 85,7% do total de participantes. ( 9,(12)(13)(14)(15)(16)…”

Section: Hsopsc/ Nãounclassified

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Cultura De Segurança Do Paciente Em Maternidades: Uma Revisão Integrativa

Queiroz¹,

Oliveira

Lima³

et al. 2022

Rev. Enferm. Atual In Derme

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Objetivo: Este estudo tem o objetivo caracterizar a cultura de segurança do paciente em maternidades e os instrumentos e métodos utilizados baseado na literatura. Método: Trata-se de uma revisão integrativa de abordagem qualitativa, após busca nas bases de dados Medline via Pubmed, Embase e BVS, foram selecionados 11 estudos para compor esta revisão. Resultados: As principais ferramentas utilizadas para medir a Cultura de Segurança do Paciente (CSP) foram o instrumento validado HSOPSC, o SAQ, e um estudo utilizou além dele, entrevista aberta para compor os dados qualitativos, sendo o único com uso de métodos mistos. Foi possível avaliar que dos onze estudos, nove identificaram em seus resultados uma cultura de segurança com aspectos negativos ou neutros na maioria de seus domínios, de acordo com seus instrumentos de análise. Os pontos mais importantes identificados pelos estudos, com fator negativo que exigem melhorias foram: a alta carga e condições de trabalho; percepção e relação com a gerência; respostas não punitivas aos erros; comunicação de eventos adversos; clima de segura; percepção de estresse; transferências internas e passagem de plantão e na comunicação. Considerações finais: Foi possível evidenciar que estes serviços ainda apresentam uma cultura tímida, punitiva, e com muitas áreas que necessitam de melhorias. E que ações e intervenções que possam capacitar os profissionais para a melhoria da assistência e do ambiente de trabalho produzem melhorias na CSP

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Safety culture in maternity hospital: Perception of nurse‐midwives

Brás,

Figueiredo,

Ferreira

2023

Journal of Advanced Nursing

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AimTo explore nurse‐midwives' perceptions of safety culture in maternity hospitals.DesignA descriptive phenomenological study was conducted using focus groups and reported following the Consolidated Criteria for Reporting Qualitative Research.MethodsData were obtained through two online focus group sessions in June 2022 with 13 nurse‐midwives from two maternity hospitals in the central region of Portugal. The first focus group comprised 6 nurse‐midwives, and the second comprised 7 nurse‐midwives. Qualitative data were analysed using content analysis.FindingsTwo main themes emerged from the data: (i) barriers to promoting a safety culture; (ii) safety culture promotion strategies. The first theme is supported by four categories: ineffective communication, unproductive management, instability in teams and the problem of errors in care delivery. The second theme is supported by two categories: managers' commitment to safety and the promotion of effective communication.ConclusionThe study results show that the safety culture in maternity hospitals is compromised by ineffective communication, team instability, insufficient allocation of nurse‐midwives, a prevailing punitive culture and underreporting of adverse events. These highlight the need for managers to commit to providing better working conditions, encourage training with the development of a fairer safety culture and encourage reporting and learning from mistakes. There is also a need to invest in team leaders who allow better conflict management and optimization of communication skills is essential.ImpactDisseminating these results will provide relevance to the safety culture problem, allowing greater awareness of nurse‐midwives and managers about vulnerable areas, and lead to the implementation of effective changes for safe maternal and neonatal care.Patient or Public ContributionThere was no patient or public contribution as the study only concerned service providers, that is, nurse‐midwives themselves.

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Cultura de segurança do paciente na perspectiva da equipe de enfermagem em uma maternidade pública

Cited by 7 publications

References 20 publications

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Cultura De Segurança Do Paciente Em Maternidades: Uma Revisão Integrativa

Safety culture in maternity hospital: Perception of nurse‐midwives

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