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重症监护环境中护理专业人员的患者安全文化。

Patient safety culture among nursing professionals in the intensive care environment.

机构信息

Universidade Federal do Maranhão , Programa de Pós-Graduação em Saúde Coletiva , São Luís , MA , Brasil .

Universidade Federal do Maranhão , Departamento de Enfermagem , São Luís , MA , Brasil .

出版信息

Rev Esc Enferm USP. 2021 Jul 16;55:e03754. doi: 10.1590/S1980-220X2020016403754. eCollection 2021.

Abstract

OBJECTIVE

To analyze the patient safety culture among intensive care nursing professionals.

METHOD

This is a cross-sectional study carried out in Intensive Care Units of a public hospital. Data collection was carried out from September to October 2017 with nursing professionals, using the Hospital Survey on Patient Safety Culture questionnaire. Cronbach's Alpha, Pearson's Chi-Square or Fischer's Exact tests (5% significance level) were performed.

RESULTS

The final sample consisted of a total of 163 nursing professionals. No strong areas were observed for patient safety. The dimensions "teamwork in the unit", "expectations and actions of the supervisor/manager for the promotion of patient safety" and "organizational learning and continuous improvement" had the highest rates of positive responses, whereas the dimensions "opening for communication" and "feedback and communication about the error" had the lowest percentages. The general degree of patient safety was considered very good 72 (47%) and underreporting of the events was observed, most of them were carried out by nurses.

CONCLUSION

No dimension assessed was considered to be a strong area. However, most were shown to be potential areas for patient safety culture.

摘要

目的

分析重症监护护理专业人员的患者安全文化。

方法

这是一项在一家公立医院的重症监护病房进行的横断面研究。2017 年 9 月至 10 月期间,使用医院患者安全文化调查问卷对护理专业人员进行了数据收集。进行了 Cronbach's Alpha、Pearson's Chi-Square 或 Fischer's Exact 检验(5%显著性水平)。

结果

最终样本共包括 163 名护理专业人员。患者安全方面没有明显的强项。“团队合作”、“主管/经理对促进患者安全的期望和行动”以及“组织学习和持续改进”这三个维度的正面反应率最高,而“沟通开放”和“关于错误的反馈和沟通”这两个维度的百分比最低。总体而言,患者安全程度被认为非常好,有 72 人(47%)报告了事件,但大多数是由护士进行的。

结论

没有一个评估的维度被认为是强项。然而,大多数维度都被认为是患者安全文化的潜在领域。

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