Interpersonal relationships and safety culture in Brazilian health care organisations

Migowski, Eliana Rustick; Júnior, Nery Oliveira; Riegel, Fernando; Migowski, Sérgio Almeida

doi:10.1111/jonm.12615

Cited by 7 publications

(6 citation statements)

References 29 publications

(52 reference statements)

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“…Havermans et al (2018) found that a supportive organizational culture that provides a feeling of unity reduces the stress level of employees. Similar to the findings of Migowski et al (2018), in the construction industry, to effectively enhance interpersonal relationships, bottlenecks such as difficulty in information sharing, bureaucracy in workplace leadership and unsupportive culture need to be eliminated.…”

Section: Discussionmentioning

confidence: 88%

Evaluation of multi-level intervention strategies for a psychologically healthy construction workplace in Nigeria

Nwaogu

Chan

2020

JEDT

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Purpose The need to improve the mental health of construction personnel has increased owing to high rates of mental health problems. Hence, a proper evaluation of a mix of implementable intervention strategies in the workplace will assist in achieving good mental health. Although there are recommendations in occupational health literature on strategies that can be adopted, it is unknown how they fit appropriately into the construction industry. Therefore, the purpose of this study is to identify the mix of strategies for the construction industry and their criticality. Design/methodology/approach Drawing from the context of developing countries with Nigeria as a case study, data was collected using the quantitative technique. A questionnaire survey consisting of 31 intervention strategies was administered to a purposive sample of 45 experts in the Nigerian construction industry. The data collected was analyzed using mean score analysis and fuzzy synthetic evaluation. Findings The study revealed that strategies focused on boosting employee morale and engagement and interpersonal relationship offer higher chances of improving mental health among construction personnel. The study showed that implementing job crafting and sculpting may benefit the industry. The analysis showed that the overall criticality of the intervention strategies to the Nigerian construction workplace is high, suggesting that if implemented, the mental health of construction personnel can be improved. Originality/value The study provides an initial understanding of the most critical multi-level intervention strategies to enhance good mental health among construction personnel in Nigeria and the global construction industry. These findings serve as a guide to policymakers and advocate the implementation of strategies to adopt for a psychologically healthy construction workplace in developing countries.

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Section: Discussionmentioning

confidence: 88%

Evaluation of multi-level intervention strategies for a psychologically healthy construction workplace in Nigeria

Nwaogu

Chan

2020

JEDT

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“…Through a joint multidisciplinary effort and the development of synergies, it is also possible to minimize the AEs occurrence and improve the quality of nursing care. Empirical evidence supports this association, considering the impact of interpersonal relationships and multidisciplinary collaboration, particularly among physicians and nurses, on overall quality of care (Gittell, Godfrey, & Thistlethwaite, ; Migowski, Oliveira Júnior, Riegel, & Migowski, ; Piers, Versluys, Devoghel, Vyt, & Van Den Noortgate, ).…”

Section: Discussionmentioning

confidence: 96%

Nurse managers' perceptions of nurse staffing and nursing care quality: A cross‐sectional study

et al. 2020

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Aim To verify the association between the nurse staffing and the quality of nursing care, mediated by the care process, based on a hypothetical model, in Portuguese public hospitals. Background Nurse staffing influences health outcomes. Understaffing is associated with an increased risk for adverse events (AEs) and a reduction in the quality of care. Method A cross‐sectional study was conducted using a sample of 55 Portuguese nurse managers. A path model was developed to analyse potential causal mediation effects on care quality. Results Nurse staffing (number and competencies) and teamwork indirectly influence the quality of care. This process is mediated by the response capacity, the use of new techniques and work methods and patient's surveillance capacity. The AEs occurrence also has a mediating role, being negatively associated with the quality of care. Conclusions Optimizing nursing care safety and quality requires an adequate nurse staffing level, both in terms of number and competencies, as well as teamwork. Process components seem to play a mediating role in these relations. Implications for Nursing Management These results deserve the attention of nursing management for investment in the nursing staff and in the care process, to improve quality and create value in health care.

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“…Por lo tanto, se cree que esta circunstancia prevé realizar líneas de comunicación más verticales que imputan atención insegura, obstaculizan la notificación de incidentes sanitarios y facilitan la interrupción de la transición de la atención entre equipos y departamentos. Las fallas en la consolidación de las relaciones interpersonales parecen estar relacionadas con dificultades para consolidar la cultura de seguridad del paciente e impactar proactivamente su seguridad (21) .…”

Section: Discussionunclassified

Diferenças entre profissionais de enfermagem e medicina acerca da cultura de segurança do paciente cirúrgico

Batista¹,

Cruz²,

Alpendre³

et al. 2021

Enf Global

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Objetivo: Investigar si la percepción de la cultura de la seguridad de los pacientes quirúrgicos difiere entre los profesionales de enfermería y medicina que trabajan en una institución educativa pública brasileña. Método: Survey, estudio transversal realizado en un hospital en el sur de Brasil. El cuestionario Hospital Survey on Patient Safety Culture fue aplicado a 158 profesionales entre mayo y septiembre de 2017. Las 12 dimensiones se analizaron mediante estadísticas descriptivas e inferenciales y pruebas de coherencia interna. Las dimensiones con índices del 75% se consideraron reforzadas. Resultados: Hubo fragilidad en la cultura de seguridad, con un índice más bajo en la dimensión “Respuesta no punitiva al error”, con 23,9% y 13,9%, respectivamente, entre la enfermería y la medicina. Las puntuaciones más positivas fueron consideradas por la enfermería en ocho dimensiones, con diferencia (p<0.05) en relación con los profesionales médicos. Conclusión: La cultura de seguridad difiere entre las dos categorías profesionales, con respuestas más positivas por la enfermería; sin embargo, son necesarias acciones para fortalecer la seguridad de los pacientes quirúrgicos en ambos grupos profesionales. Objective: To investigate whether the perception of the surgical patient safety culture differs between nursing and medical professionals working in a Brazilian public educational institution. Method: Survey and cross-sectional study conducted in a hospital in southern Brazil. The Hospital Survey on Patient Safety Culture questionnaire was applied to 158 professionals between May and September 2017. The 12 dimensions were analyzed by descriptive, inferential statistics and internal consistency test. Dimensions with indexes ≥75% were considered strengthened. Results: There was fragility in the safety culture, with a lower index in the dimension “Nonpunitive response to error”, with 23.9% and 13.9%, respectively, between nursing and medicine. More positive scores were considered by nursing in eight dimensions, with difference (p<0.05) in relation to medical professionals. Conclusion: The safety culture differs between the two professional categories, with more positive responses by nursing; however, actions are necessary to strengthen the surgical patient safety in both professional groups Objetivo: Investigar se a percepção da cultura de segurança do paciente cirúrgico difere entre profissionais de enfermagem e medicina atuantes em instituição pública de ensino brasileira. Método: Survey e transversal conduzido em hospital da região sul do Brasil. Foi aplicado o questionário Hospital Survey on Patient Safety Culture a 158 profissionais entre maio e setembro de 2017. As 12 dimensões foram analisadas por estatística descritiva, inferencial e teste da consistência interna. Dimensões com índices ≥75% foram consideradas fortalecidas.Resultados: Evidenciou-se fragilidade na cultura de segurança, com menor índice na dimensão “Resposta não punitiva ao erro”, com 23,9% e 13,9%, respectivamente, entre enfermagem e medicina. Escores mais positivos foram considerados pela enfermagem em oito dimensões, com diferença (p<0,05) em relação aos profissionais médicos. Conclusão: A cultura de segurança difere entre as duas categorias profissionais, com respostas mais positivas pela enfermagem; porém demanda ações promotoras para fortalecer a segurança do paciente cirúrgico em ambos os grupos profissionais.

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Interpersonal relationships and safety culture in Brazilian health care organisations

Cited by 7 publications

References 29 publications

Evaluation of multi-level intervention strategies for a psychologically healthy construction workplace in Nigeria

Evaluation of multi-level intervention strategies for a psychologically healthy construction workplace in Nigeria

Nurse managers' perceptions of nurse staffing and nursing care quality: A cross‐sectional study

Diferenças entre profissionais de enfermagem e medicina acerca da cultura de segurança do paciente cirúrgico

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