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新生儿重症监护病房的患者安全文化:护理团队和医疗团队的观点

Patient safety culture at Neonatal Intensive Care Units: perspectives of the nursing and medical team.

作者信息

Tomazoni Andréia, Rocha Patrícia Kuerten, de Souza Sabrina, Anders Jane Cristina, de Malfussi Hamilton Filipe Correia

机构信息

Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.

Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.

出版信息

Rev Lat Am Enfermagem. 2014 Oct;22(5):755-63. doi: 10.1590/0104-1169.3624.2477.


DOI:10.1590/0104-1169.3624.2477
PMID:25493670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4292682/
Abstract

OBJECTIVE: To verify the assessment of the patient safety culture according to the function and length of experience of the nursing and medical teams at Neonatal Intensive Care Units. METHOD: Quantitative survey undertaken at four Neonatal Intensive Care Units in Florianópolis, Brazil. The sample totaled 141 subjects. The data were collected between February and April 2013 through the application of the Hospital Survey on Patient Safety Culture. For analysis, the Kruskal-Wallis and Chi-Square tests and Cronbach's Alpha coefficient were used. Approval for the research project was obtained from the Ethics Committee, CAAE: 05274612.7.0000.0121. RESULTS: Differences in the number of positive answers to the Hospital Survey on Patient Safety Culture, the safety grade and the number of reported events were found according to the professional characteristics. A significant association was found between a shorter Length of work at the hospital and Length of work at the unit and a larger number of positive answers; longer length of experience in the profession represented higher grades and less reported events. The physicians and nursing technicians assessed the patient safety culture more positively. Cronbach's alpha demonstrated the reliability of the instrument. CONCLUSION: The differences found reveal a possible relation between the assessment of the safety culture and the subjects' professional characteristics at the Neonatal Intensive Care Units.

摘要

目的:根据新生儿重症监护病房护理和医疗团队的职能及工作年限,验证对患者安全文化的评估。 方法:在巴西弗洛里亚诺波利斯的四个新生儿重症监护病房进行定量调查。样本共计141名受试者。2013年2月至4月期间,通过应用《医院患者安全文化调查》收集数据。分析时使用了Kruskal-Wallis检验、卡方检验和克朗巴哈系数。该研究项目已获得伦理委员会批准,批准号:CAAE: 05274612.7.0000.0121。 结果:根据专业特征,在《医院患者安全文化调查》的肯定回答数量、安全等级和报告事件数量方面发现了差异。医院工作年限较短和科室工作年限较短与较多的肯定回答之间存在显著关联;专业工作年限较长代表更高的等级和更少的报告事件。医生和护理技术人员对患者安全文化的评价更为积极。克朗巴哈系数证明了该工具的可靠性。 结论:所发现的差异揭示了新生儿重症监护病房安全文化评估与受试者专业特征之间可能存在的关系。

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本文引用的文献

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Cad Saude Publica. 2013-2

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