Safety culture in healthcare: mixed method study

Abstract

PurposeHealthcare providers’ perceptions of management's effectiveness in achieving safety culture improvements are low, and there is little information in the literature on the subject. Objective: The overall aim of this study was to examine the patient safety culture within an interprofessional team – physicians, nurses, nurse technicians, speech therapist, psychologist, social worker, administrative support – practicing in an advanced neurology and neurosurgery center in Southern Brazil.Design/methodology/approachThe authors applied the safety attitudes questionnaire (SAQ) in a mixed methods study, with a quan→QUAL sequential explanatory approach.FindingsIn the quantitative phase, the authors found a negative safety climate through the SAQ. In the qualitative phase, the approach enabled participants to identify specific safety problems. For that, participants proposed improvements that were directly and quickly implemented in the workplace during the study. The joint analysis of the quantitative and qualitative data inferred that the information and reflections of the focus group participants supported and validated the SAQ statistical analysis results. This integrated approach illustrated the importance of various safety culture aspects as a multifaceted phenomenon related to healthcare quality.Originality/valueThis study provides explanations for why management is associated negatively with safety climate in healthcare institutions. In addition, the study provides a novel contribution adding value to mixed methods research methodology.

Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team

“…Integration of the analyses must occur in the analyses and the interpretation of results and can occur in different forms such as narration, data transformation, and joint display. Integration involves presenting and interpreting the quantitative and qualitative results in a coherent way, then confirming the results, and interpreting them together 21 …”

“…Integration involves presenting and interpreting the quantitative and qualitative results in a coherent way, then confirming the results, and interpreting them together. 21 Four stages of the mixed methods analysis put forth by Onwuegbuzie and Teddlie 22 were followed: (1) data reduction (eg, use of descriptive statistics in the quantitative phase), (2) data display (ie, use of a joint display), (3) data consolidation (ie, combining both data forms to create new or consolidated data; eg, researcher presenting the results of the quantitative stage to the participants in the first focus group discussions and asking the participants to discuss mainly the factors that could be negatively influencing the results of the care plan factor of the CTM-15 instrument), and (4) data integration (ie, integrating the quantitative data and qualitative data).…”

Evaluating the psychometric properties of the Chinese version of the Safety Attitudes Questionnaire among medical staff in Taiwan

“…Sexton et al (2006) found that the SAQ has good psychometric properties when applied to medical staff and could be a promising instrument for providing a snapshot of the climate of the healthcare organization. In addition, hospital management can identify the shortcomings and inadequacy of the implications with regard to patient safety by regularly conducting the SAQ survey (Lee et al, 2019a;Lorenzini et al, 2021).…”

“…In addition, hospital management can identify the shortcomings and inadequacy of the implications with regard to patient safety by regularly conducting the SAQ survey (Lee et al. , 2019a; Lorenzini et al. , 2021).…”