Pereira Soraia Cristina de Abreu, Ribeiro Olga Maria Pimenta Lopes, Fassarella Cintia Silva, Santos Eduardo José Ferreira
Abel Salazar Biomedical Sciences Institute, University of Porto, Portugal and North Region Health Administration, Porto, Portugal
Nursing School of Porto and Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.
BJGP Open. 2023 Sep 19;7(3). doi: 10.3399/BJGPO.2023.0032. Print 2023 Sep.
Patient safety is a key priority for healthcare organisations. It impacts directly on patient health and wellbeing. The increasing complexity of current healthcare settings, which are associated with high work demands and increasingly stressful professional practice environments, contributes to an increased likelihood of errors and adverse events. Primary health care, given its comprehensiveness of care, makes up a large proportion of the care delivered to the population.
To map the knowledge about the impact that nursing practice environments have on safety culture in the primary healthcare setting. This knowledge is essential for a more effective and appropriate understanding of this phenomenon and to enable the definition of strategies that can promote the provision of safer care to the population.
DESIGN & SETTING: A scoping review will be conducted based on the method proposed by the JBI, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will be used.
Study selection, data extraction, and synthesis will be performed by two independent reviewers. Based on the Population (or participants), Concept, and Context (PCC) framework, this scoping review will consider studies that address nurses' practice environment and patient safety culture in primary health care. The review will consider all studies, published or unpublished, from 2002 to the present.
The results from this scoping review are expected to provide an overview of the importance of the nursing practice environments on patient safety culture, which will be crucial to define an appropriate range of strategies to promote the delivery of the safest health care to the population.
患者安全是医疗保健机构的关键优先事项。它直接影响患者的健康和福祉。当前医疗保健环境日益复杂，伴随着高工作需求和压力越来越大的专业执业环境，导致错误和不良事件的可能性增加。初级卫生保健因其全面的护理服务，在提供给人群的护理中占很大比例。
梳理有关护理执业环境对初级卫生保健环境中安全文化影响的知识。这些知识对于更有效和恰当地理解这一现象以及确定能够促进为人群提供更安全护理的策略至关重要。
将根据循证卫生保健国际协作网（JBI）提出的方法进行范围综述，并将使用系统评价与Meta分析扩展版的范围综述首选报告项目（PRISMA-ScR）。
研究选择、数据提取和综合将由两名独立的评审员进行。基于人群（或参与者）、概念和背景（PCC）框架，本范围综述将考虑涉及初级卫生保健中护士执业环境和患者安全文化的研究。该综述将考虑2002年至今所有已发表或未发表的研究。
预计该范围综述的结果将概述护理执业环境对患者安全文化的重要性，这对于确定一系列适当的策略以促进为人群提供最安全医疗保健至关重要。
