The culture of patient safety from the perspective of the pediatric emergency nursing team

Abstract

Objective:To identify the patient safety culture in pediatric emergencies from the perspective of the nursing team. Method: A quantitative, cross-sectional survey research study with a sample composed of 75 professionals of the nursing team. Data was collected between September and November 2014 in three Pediatric Emergency units by applying the Hospital Survey on Patient Safety Culture instrument. Data were submitted to descriptive analysis. Results: Strong areas for patient safety were not found, with areas identified having potential being: Expectations and actions from supervisors/management to promote patient safety and teamwork. Areas identified as critical were: Non-punitive response to error and support from hospital management for patient safety. The study found a gap between the safety culture and pediatric emergencies, but it found possibilities of transformation that will contribute to the safety of pediatric patients. Conclusion: Nursing professionals need to become protagonists in the process of replacing the current paradigm for a culture focused on safety. The replication of this study in other institutions is suggested in order to improve the current health care scenario.

Clima de segurança do paciente entre trabalhadores de enfermagem: fatores contribuintes

“…(15) It is also necessary to identify potentials for strengthening workers and improving their qualification in the context of a patient safety culture. (19) The safety climate showed higher means among professionals who had worked less than five years, with statistical difference in the safety climate, teamwork climate, job satisfaction domains. This finding differs from those found in the literature, in which professionals with 21 years or more in the institution presented higher means.…”

“…(10) Studies aimed at evaluating institutions in general are incipient. (11,12) To date, part of the scientific evidence on the subject evaluates specific units of an institution, such as: medical and surgical clinics, (13,14) bone marrow transplant unit, (15) surgery center, (16) surgical units , (17) outpatient unit, (18) emergency department, (19) intensive care unit. (20,21) This denotes knowledge gaps in the literature, which relate to patient safety from the perspective of the entire institution.…”

Cultura De Segurança Do Paciente: Avaliação Pelos Profissionais De Enfermagem

“…The relationship between patient safety and the nursing quantitative emphasizes the importance of correct human resource dimensioning since mortality rates have been higher in hospitals where the dimensioning is inadequate. 14 In this sense, a study conducted with the same instrument considered the reduced number of professionals as one of the factors for the underreporting of adverse events, 17 which in this study, together with the overload, totaled a 95.9% rate of events numbers between 1 and 5, in the last 12 months prior to the survey.…”

“…One of the ways to improve communication and teamwork is to emphasize training programs in human resources management, aiming to reduce the levels of authority, and dynamics to increase the interaction between professionals, both from the same unit and distinct units. [7][8][9][10][11][12][13][14][15][16][17][18][19] In addition to actions that aim at patient safety, they need to be transcended by the nursing staff and become a culture of the institution. The involvement of management teams is fundamental to disseminate the patient safety culture and, consequently, to plan, implement and evaluate several improvement actions.…”

Dificuldades para implantar estratégias de segurança do paciente: perspectivas de enfermeiros gestores

“…The top management has a primordial decision making power to promote the improvement of the quality and the success of the implementation of the goals of patient safety (17) . Thus, it is necessary that the members of this administration support the development of actions and processes, and engage themselves directly in the issues related to a safe care (18) .…”