Migowski Eliana R, Oliveira Júnior Nery, Riegel Fernando, Migowski Sérgio A
Department of Health School, Faculdade de Desenvolvimento do Rio Grande do Sul (FADERGS), Porto Alegre, Rio Grande do Sul, Brazil.
Instituto Federal do Rio Grande do Sul (IFRS), Canoas, Rio Grande do Sul, Brazil.
J Nurs Manag. 2018 Oct;26(7):851-857. doi: 10.1111/jonm.12615. Epub 2018 Jun 20.
To examine the association between interpersonal relationships, nursing leadership and patient safety culture and the impact on the efficiency of hospitals.
Hospitals are still affected by the increased complexity of the treatments offered and by the diverse knowledge of professionals involved, which has made this assistance model ineffective, expensive and unsustainable over time.
A qualitative study of 32 professionals from three large hospitals in Southern Brazil was made. Semi-structured interviews, document analysis and analysis of electronic records were used.
All the hospitals had infection rates and an average stay higher than their goal. Lack of interpersonal relationships and physicians failing to commit to organisational objectives were demonstrated.
Nursing leadership styles are not definitive factors to improving patient safety and efficiency. The flaws in consolidating interpersonal relationships seem to be related to difficulties in consolidating patient safety culture, which prevented hospitals reaching their efficiency indicators.
Professionals who work at the patients' bedside should be involved in the development of strategies, in order to commit them to the organisational objectives. The consolidation of interpersonal relationships of nursing professionals can lead to improvements with medical professionals, with positive impacts on patient safety and efficiency.
探讨人际关系、护理领导力与患者安全文化之间的关联以及对医院效率的影响。
医院仍受所提供治疗复杂性增加以及相关专业人员知识多样的影响，这使得这种医疗模式随着时间推移变得低效、昂贵且不可持续。
对巴西南部三家大型医院的32名专业人员进行了定性研究。采用了半结构化访谈、文件分析和电子记录分析。
所有医院的感染率和平均住院时间均高于目标值。研究表明存在人际关系缺失以及医生未致力于组织目标的情况。
护理领导风格并非提高患者安全和效率的决定性因素。巩固人际关系方面的缺陷似乎与巩固患者安全文化的困难有关，这阻碍了医院达到其效率指标。
在患者床边工作的专业人员应参与策略制定，以使他们致力于组织目标。巩固护理专业人员的人际关系可促进与医疗专业人员的合作，对患者安全和效率产生积极影响。
