患者安全文化：高复杂性机构护理专业人员的认知。

Patient safety culture: perception of nursing professionals in high complexity institutions.

机构信息

Universidade Estadual de Londrina. Londrina-Paraná, Brazil.

出版信息

Rev Bras Enferm. 2020 Jul 1;73(5):e20190174. doi: 10.1590/0034-7167-2019-0174. eCollection 2020.

DOI:10.1590/0034-7167-2019-0174

PMID:32609212

Abstract

OBJECTIVES

to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.

METHODS

descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).

RESULTS

four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting "Openness to communication" and "Non-punitive responses to errors" with <30.0% positive responses.

CONCLUSIONS

evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.

摘要

目的

分析三家高度复杂医院机构的护理专业人员对患者安全文化的认知。

方法

这是一项描述性和定量研究，涉及护理工作者。采用医院患者安全文化调查量表进行调查，根据积极反应的百分比对其维度进行分类（强化：≥75.0%；有待改进：<75.0%至>50.0%；弱化：≤50.0%）。

结果

共有 467 名专业人员（79.6%）参与了这项研究，他们大多为女性（88.4%），护理技师/助理（57.2%），年龄在 20 至 39 岁（60.8%），在机构工作不到 5 年（57.8%），且为专职（79.2%）。安全文化被认为是脆弱的，其中有七个维度被评估为如此，突出表现为“沟通的开放性”和“对错误的非惩罚性反应”，其积极反应比例低于 30.0%。