大学医院服务中的护士安全文化。
Nurse safety culture in the services of a university hospital.
作者信息
Fassarella Cintia Silva, Silva Lolita Dopico da, Camerini Flavia Giron, Figueiredo Maria do Céu Aguiar Barbieri
机构信息
Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem, Departamento Médico-Cirúrgico e Universidade do Grande Rio. Rio de Janeiro, Rio de Janeiro, Brasil.
Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem. Rio de Janeiro, Rio de Janeiro, Brasil.
出版信息
Rev Bras Enferm. 2019 Jun 27;72(3):767-773. doi: 10.1590/0034-7167-2018-0376.
OBJECTIVE
To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services.
METHOD
cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied.
RESULTS
A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003).
CONCLUSION
The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital's services, serving as a warning and assisting in the services' improvement.
目的
评估一家教学医院的护士安全文化，并验证各科室之间安全文化维度的差异。
方法
2015年10月至12月在一家大学医院进行的横断面定量研究。应用了“患者安全文化医院调查”工具。
结果
来自四个不同科室的195名护士参与了该研究。在安全文化的五个维度上发现了科室之间的显著差异：组织学习（P = 0.012）；错误信息反馈与沟通（P = 0.014）；管理对患者安全的支持（P = 0.001）；对患者安全的总体认知（P = 0.005）；事件报告频率（P = 0.003）。
结论
门诊科室在各维度之间的统计差异最大。这些评估使管理人员能够识别同一家医院各科室之间的差异，起到警示作用并有助于科室改进。
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