Federal University of Santa Catarina, Florianopolis, Brazil.
The University of British Columbia Okanagan, Kelowna, Canada.
J Health Organ Manag. 2021 Jul 15;ahead-of-print(ahead-of-print). doi: 10.1108/JHOM-04-2020-0110.
Healthcare providers' perceptions of management's effectiveness in achieving safety culture improvements are low, and there is little information in the literature on the subject. Objective: The overall aim of this study was to examine the patient safety culture within an interprofessional team - physicians, nurses, nurse technicians, speech therapist, psychologist, social worker, administrative support - practicing in an advanced neurology and neurosurgery center in Southern Brazil.
DESIGN/METHODOLOGY/APPROACH: The authors applied the safety attitudes questionnaire (SAQ) in a mixed methods study, with a quan→QUAL sequential explanatory approach.
In the quantitative phase, the authors found a negative safety climate through the SAQ. In the qualitative phase, the approach enabled participants to identify specific safety problems. For that, participants proposed improvements that were directly and quickly implemented in the workplace during the study. The joint analysis of the quantitative and qualitative data inferred that the information and reflections of the focus group participants supported and validated the SAQ statistical analysis results. This integrated approach illustrated the importance of various safety culture aspects as a multifaceted phenomenon related to healthcare quality.
ORIGINALITY/VALUE: This study provides explanations for why management is associated negatively with safety climate in healthcare institutions. In addition, the study provides a novel contribution adding value to mixed methods research methodology.
医疗保健提供者对管理层在实现安全文化改善方面的有效性的看法较低，而且关于这个主题的文献信息很少。目的：本研究的总体目标是检查在巴西南部一个高级神经科和神经外科中心执业的跨专业团队（医生、护士、护士技术员、言语治疗师、心理学家、社会工作者、行政支持人员）中的患者安全文化。
设计/方法/方法：作者采用安全态度问卷（SAQ）在混合方法研究中，采用 quan→QUAL 顺序解释方法。
在定量阶段，作者通过 SAQ 发现了负面的安全氛围。在定性阶段，该方法使参与者能够确定具体的安全问题。为此，参与者提出了改进措施，这些措施在研究期间直接并迅速在工作场所实施。对定量和定性数据的联合分析推断，焦点小组参与者的信息和思考支持并验证了 SAQ 统计分析结果。这种综合方法说明了各种安全文化方面的重要性，这些方面是与医疗保健质量相关的多方面现象。
原创性/价值：本研究为为什么管理层与医疗机构的安全氛围相关联的原因提供了解释。此外，该研究为混合方法研究方法提供了新颖的贡献，增加了价值。
