Patient safety culture from the perspective of nursing technicians of an emergency sector

Authors

DOI:

https://doi.org/10.15253/2175-6783.20212260734

Keywords:

Licensed Practical Nurses; Patient Safety; Emergencies; Organizational Culture; Safety Management.

Abstract

Objective: to characterize the culture of patient safety from the perspective of nursing technicians of an emergency sector. Methods: cross-sectional study, developed in the emergency sector of a state hospital with 175 nursing technicians, from a 12-dimensional instrument on safety culture. The analysis of the data made based on the percentages of positive, negative and neutral responses of each dimension. Results: the culture of patient safety was characterized positively from the dimension Expectations about its supervisor/head and actions promoting patient safety (56.6%); negatively in the sphere Adequacy of professionals (75.5%); and in a neutral way, in the scope of Organizational Learning - continuous improvement (61.1%). Conclusion: it was understood that nursing technicians characterize the culture of patient safety in the emergency sector as an important aspect of the work environment, but that it needs to be optimized.

References

Pinheiro MP, Silva Júnior OC. Evaluation of the patient safety culture within the hospital organization of a university hospital. Enfermería Glob. 2017; 20(3):325-38. doi: http://dx.doi.org/10.6018/eglobal.16.1.238811

Paixão DPSS, Batista J, Maziero ECS, Alpendre FT, Amaya MR, Cruz EDA. Adhesion to patient safety protocols in emergency care units. Rev Bras Enferm. 2018; 71(Suppl 1):577-84. doi: http://dx.doi.org/10.1590/0034-7167-2017-0504

Cruz EDA, Rocha DJM, Mauricio AB, Ulbrich FS, Batista J, Maziero ECS. Safety culture among health professionals in a teaching hospital. Cogitare Enferm. 2018; 23(1):e50717. doi: http://dx.doi.org/10.5380/ce.v23i1.50717

Conselho Federal de Enfermagem. Resolução nº. 543, de 18 de abril de 2017. Atualiza e estabelece parâmetros para o Dimensionamento do Quadro de Profissionais de Enfermagem nos serviços/locais em que são realizadas atividades de enfermagem [Internet]. 2017 [cited Aug 30, 2020]. Available from: http://www.cofen.gov.br/resolucao-cofen-5432017_51440.html

Brandão MGSA, Brito OD, Barros LM. Gestão de riscos e segurança do paciente: mapeamento dos riscos de eventos adversos na emergência de um hospital de ensino. Rev Adm Saúde. 2018; 18(70):1-13. doi: https://dx.doi.org/10.23973/ras.70.84

Malta DC, Szwarcwald CL, Barros MBA, Gomes CS, Machado IE, Souza Júnior PRB, et al. The COVID-19 Pandemic and changes in adult Brazilian lifestyles: a cross-sectional study, 2020. Epidemiol Serv Saúde. 2020; 29(4):e2020407. doi: https://doi.org/10.1590/S1679-49742020000400026

Agency for Healthcare Research and Quality´s (AHRQ). Hospital survey on patient safety culture [Internet]. 2013 [cited Aug 30, 2020]. Available from: https://www.ahrq.gov/professionals/quality-patient-safety/patientesafetyhospital/index.html

Reis CT, Laguardia JA, Barros CG, Andreoli PBA, Martins M. Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study. Cad Saúde Pública. 2019; 35(8):e00246018. doi: https://doi.org/10.1590/0102-311X00246018

Massoco ECP, Melleiro MM. Comunication and patient safety: perception of the nursing staff of a teaching hospital. Rev Min Enferm. 2015; 19(2):187-91. doi: http://doi.org/10.5935/1415-2762.20150034

Salvador PTCO, Rodrigues CCFM, Bezerril MS, Ferreira LL, Chiavone FBT, Virgílio LA, et al. Perceptions of nursing professionals regarding the integration of nursing technicians in the systematization of care. Esc Anna Nery. 2017; 21(2):e20170035. doi: https://doi.org/10.5935/1414-8145.20170035

Bampi R, Lorenzini E, Krauzer IM, Ferraz L, Silva EF, Dall’ Agnol CM. Perspectives of the nursing team on patient safety in an emergency unit. Rev Enferm UFPE on line [Internet]. 2017 [cited Aug 30, 2020]; 11(2):1-8. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/11977/14529

Lemos GC, Azevedo C, Bernardes MFVG, Ribeiro HCTC, Menezes AC, Mata LRF. The patient safety culture in the scope of nursing: theoretical reflection. Rev Enferm Centro-O Min. 2018; 8(1):e2600. doi: http://dx.doi.org/10.19175/recom.v8i0.2600

Paula AA, Gusmão AM, Maia LFS. Avaliação do perfil dos trabalhadores da enfermagem em pronto socorro. Rev Recien [Internet]. 2017 [cited Aug 30, 2020]; 7(19):28-38. Available from: https://www.recien.com.br/index.php/Recien/article/view/180/pdf_1

Conselho Federal de Enfermagem. COFEN flexibiliza jornada de trabalho dos Responsáveis Técnicos em Enfermagem [Internet]. 2016 [cited Aug 30, 2020]. Available from: http://www.cofen.gov.br/cofen-flexibiliza-jornada-de-trabalho-dos-responsaveis-tecnicos-em-enfermagem_37931.html

Costa DB, Ramos D, Gabriel CS, Bernardes A. Patient safety culture: evaluation by nursing professionals. Texto Contexto Enferm. 2018; 27(3):e2670016. doi: http://dx.doi.org/10.1590/0104-070720180002670016

Vargas D, Soares J, Ponce TD, Oliveira BB. Psychiatric urgency and emergency care nurses: an analysis of their professional and educational profile. Cogitare Enferm. 2017; 22(4):e50704. doi: https://dx.doi.org/10.5380/ce.v22i4.50704

Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ. 2018; 18(158):1-8. doi: https://doi.org/10.1186/s12909-018-1255-6

Tomazoni A, Rocha PK, Ribeiro MB, Serapião LS, Souza S, Manzo BF. Perception of nursing and medical professionals on patient safety in neonatal intensive care units. Rev Gaúcha Enferm. 2017; 38(1):e64996. doi: https://doi.org/10.1590/1983-1447.2017.01.64996

Farokhzadian J, Nayeri ND, Borhan F. The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC Health Serv Res. 2018; 18(1):654. doi: https://doi.org/10.1186/s12913-018-3467-1

Llapa-Rodriguez EO, Silva LSL, Menezes MO, Oliveira JKA, Currie LM. Safe patient care in the preparation and administration of medicines. Rev Gaúcha Enferm. 2017; 38(4):e2017-0029. doi: http://dx.doi.org/10.1590/1983-1447.2017.04.2017-0029

Published

2021-02-23

How to Cite

Silva, M. da F. ., Bezerril, M. dos S. ., Chiavone, F. T. B., Morais, S. H. M. de, Costa, M. E. G. da, Dantas, M. N. P., & Santos, V. E. P. (2021). Patient safety culture from the perspective of nursing technicians of an emergency sector. Rev Rene, 22, e60734. https://doi.org/10.15253/2175-6783.20212260734

Issue

Section

Research Article

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