Patient safety culture in surgicenters: perception of nursing team
DOI:
https://doi.org/10.5327/Z1414-4425201900030004Keywords:
Enfermagem Perioperatória, Segurança do Paciente, Cultura Organizacional.Abstract
Objective: To analyze the perception of nursing professionals from a surgicenter at a private hospital of patient’s safety culture dimensions. Method: This is a descriptive and exploratory study with a quantitative approach, conducted in a private and accredited hospital institution, including 37 nursing professionals from surgicenters. It used the Hospital Survey on Patient Safety Culture instrument for data collection. Results: The dimension “Organizational learning and continuous improvement” was identified as a strong area (77.4%) in the institution. We found four weak areas regarding the dimensions: “Teamwork within units” (47.4%); “Communication opening” (45.8%); “Nonpunitive response to errors” (29.2%); and “Team Adequacy” (42%). Conclusion: Implementing changes that require efforts from the entire hospital institution at the strategic, administrative, and operational levels are required, mainly to encourage professionals’ attention when conducting actions that strengthen a nonpunitive culture, and to study their dimensioning regarding patient’s care during the perioperative periodReferences
Word Health Organization (WHO). Estrutura Concetual da Classificação Internacional sobre Segurança do Doente. Relatório Técnico Final, 2009. [Trad.] Divisão de Segurança do Doente, Departamento da Qualidade na Saúde. Direção-Geral da Saúde, 2011, Portugal. [Citado 2018 Out 10]. Disponível em: file:///C:/Users/User/Downloads/i015730.pdf
Lourenção DCA, Tronchin DM. Patient safety in the surgical environment: translation and cross-cultural adaptation of validated instrument. Acta Paul Enferm. 2016; 29(1):1-8. Doi: http://dx.doi.org/10.1590/1982- 0194201600002
Carvalho PA, Göttems LBD, Pires MRGM, Oliveira MLCl. Safety culture in the operating room of a public hospital in the perception of health care professionals. Rev. Latino-Am. Enfermagem. 2015;23(6):1041-8. Doi: http://dx.doi.org/10.1590/0104-1169.0669.2647
World Health Organization [Internet]. Geneva: World Health Organization. Safe surgery saves lives: the second global patient safety challenge; 2009 [cited 2018 Oct 20]. Available from: http://apps.who.int/iris/bitstream/handle/10665/44185/9789241598552_eng.pdf;jsessionid=72CC6373244DEA74629F67F2933B9D72?sequence=1
Halverson AL, Neumayer L, Dagi TF. Leadership skills in the OR: Part II: Recognizing disruptive behavior. Bull Am Coll Surg. 2012;97(6):17-23.
Gözlü K, Kaya S. Patient safety culture asp by nurses in a Joint Commission International Accredited Hospital in Turkey and its comparison with Agency for Healthcare Research and Quality Data. Patient Saf Qual Improv, 2016 [cited 2018 Oct 20]; 4(4):441-9. Available from: http://psj.mums.ac.ir/article_7640.html. Doi: 10.22038/PSJ.2016.7640
Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Safety. 2011;20(4):338-43. doi: 10.1136/ bmjqs.2010.040964.
Correggio TC, Amante LN, Barbosa SFF. Avaliação da cultura de segurança do paciente em centro cirúrgico. Rev. SOBECC, 2014;19(2):67-73. Doi: http://dx.doi.org/10.4322/sobecc.2014.012
Brasil. Portaria n. 529, de 1º de Abril de 2013: Institui o Programa Nacional de Segurança do Paciente (PNSP) [online]. Brasília (DF): Ministério da Saúde; 2013 [acesso 2018 Out 22]. Disponível em: http://www.saude.mt.gov.br/upload/controle-infeccoes/pasta2/portaria-msgm-n-529-de-01-04-2013.pdf
Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture (Prepared by Westat, under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD. September 2004.
Reis CT, Laguardia J, Vasconcelos AGG, Martins M. Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study. Cad. Saúde Pública. 2016; 32(11): e00115614. Doi: http://dx.doi.org/10.1590/0102-311x00115614
Fiocruz. Pesquisa inédita traça perfil da enfermagem no Brasil. Agência Fiocruz de Notícias. [Citado 2018 Out 22] Disponível em: https://portal.fiocruz.br/pt-br/content/pesquisa-inedita-traca-perfil-da-enfermagem-no-brasil.
Günes ÜY, Gürlek Ö, Sönmez M.A survey of the patient safety culture of hospital nurses in Turkey. Collegian, 2016;23:225-32. Doi: http://dx.doi.org/10.1016/j.colegn.2015.02.005
Paula P, Stefano SR, Andrade SM, Zampier MA. Clima e cultura organizacional em uma organização. G&R, 2011 [citado 2018 Out 20]; 27(81). Disponível em: file:///C:/Users/Unifesp/Downloads/Paula_Stefano_Andrade_Zampier_2011_Clima-e-cultura-organizacional_3348.pdf
Manzo BF, Ribeiro HCTC, Brito MJM, Alves M. A enfermagem no processo de acreditação hospitalar: atuação e implicações no cotidiano de trabalho. Rev. Latino-Am. Enfermagem, 2012;20(1):151-8. Doi: http://dx.doi.org/10.1590/S0104-11692012000100020.
Najjar S, Baillien E, Vanhaecht K, Hamdan M, Euwema M, Vleugels A et al. Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: a national cross-sectional study in Palestinian and Belgian hospitals. BMJ Open 2018; [cited 2018 Oct 22]; 8:e021504. Available from: https://bmjopen.bmj.com/content/8/7/e021504. Doi:10.1136/bmjopen-2018-021504
Adams-Pizarro I, Walker Z, Robinson J, Kelly S, Toth M. Using the AHRQ Hospital Survey on Patient Safety Culture as an intervention tool for regional clinical improvement collaboratives. [cited 2018 Oct 22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK43728/
Silva-Batalha EMS, Melleiros MM. Cultura de segurança do paciente em um hospital de ensino: diferenças de percepção existentes nos diferentes cenários dessa instituição. Texto Contexto Enferm, 2015;24(2):432-41. Doi: http://dx.doi.org/10.1590/0104-07072015000192014
Gonçalves LA, Andolhe R, Oliveira EM, Barbosa RL, Faro ACM, Gallotti RMD et al. Nursing allocation and adverse events/incidents in intensive care units. Rev Esc Enferm USP. 2012; 46(Spec):71-7. Doi: http://dx.doi.org/10.1590/S0080-62342012000700011
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.