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急诊科专业人员对患者安全氛围的认知。

The perception of the patient safety climate by professionals of the emergency department.

作者信息

Rigobello Mayara Carvalho Godinho, Carvalho Rhanna Emanuela Fontenele Lima de, Guerreiro Juliana Magalhães, Motta Ana Paula Gobbo, Atila Elizabeth, Gimenes Fernanda Raphael Escobar

机构信息

University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, São Paulo, Brazil.

Associate Professor of the Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil.

出版信息

Int Emerg Nurs. 2017 Jul;33:1-6. doi: 10.1016/j.ienj.2017.03.003. Epub 2017 May 2.

Abstract

AIM

The aim of this study was to assess the patient safety climate from the perspective of healthcare professionals working in the emergency department of a hospital in Brazil.

BACKGROUND

Emergency departments are complex and dynamic environments. They are prone to adverse events that compromise the quality of care provided and reveal the importance of patient safety culture and climate.

METHODS

This was a quantitative, descriptive, cross-sectional study. The Safety Attitudes Questionnaire (SAQ) - Short Form 2006 was used for data collection, validated and adapted into Portuguese. The study sample consisted of 125 participants.

RESULTS

Most of the participants were female (57.6%) and had worked in emergency department for more than 10years (56.8%). Sixty-two participants (49.6%) were nursing professionals. The participants demonstrated satisfaction with their jobs and dissatisfaction with the actions of management with regard to safety issues. Participants' perceptions about the patient safety climate were found to be negative.

CONCLUSIONS

Knowledge of professionals' perceptions of patient safety climate in the context of emergency care helps with assessments of the safety culture, contributes to improvement of health care, reduces adverse events, and can focus efforts to improve the quality of care provided to patients.

摘要

目的

本研究旨在从巴西一家医院急诊科医护人员的角度评估患者安全氛围。

背景

急诊科是复杂且动态的环境。它们容易发生不良事件,这些事件会损害所提供护理的质量,并凸显患者安全文化和氛围的重要性。

方法

这是一项定量、描述性横断面研究。使用《安全态度问卷》(SAQ)-2006简版进行数据收集,该问卷经验证并改编为葡萄牙语。研究样本包括125名参与者。

结果

大多数参与者为女性(57.6%),且在急诊科工作超过10年(56.8%)。62名参与者(49.6%)为护理专业人员。参与者对其工作表示满意,但对管理层在安全问题上的行动表示不满。发现参与者对患者安全氛围的看法为负面。

结论

了解专业人员在急诊护理背景下对患者安全氛围的看法有助于评估安全文化,有助于改善医疗保健,减少不良事件,并可集中精力提高为患者提供的护理质量。

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