Escola de Administração de Empresas São Paulo, Fundação Getúlio Vargas, São Paulo, Brazil.
Coppead Graduate School of Business, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Leadersh Health Serv (Bradf Engl). 2023 Sep 22;ahead-of-print(ahead-of-print). doi: 10.1108/LHS-03-2023-0017.
This paper aims to identify the kind of internal climate leaders should offer health-care professionals to promote a patient safety culture in public hospitals managed by social health organizations in Brazil.
DESIGN/METHODOLOGY/APPROACH: Two surveys were applied to health-care professionals working at three Brazilian public hospitals. The internal climate survey reached 1,013 respondents, and the patient safety culture survey reached 1,302 participants. Both factor and regression analyses were used to analyze the study model and determine how internal climate influences patient safety culture.
Results indicate that to promote a patient safety culture among health-care professionals, leaders should generate an internal climate based on trust to foster pride in working in the hospital. Possibly, the trust dimension is the most important one and must be developed to achieve job satisfaction and provide better services to patients.
RESEARCH LIMITATIONS/IMPLICATIONS: All the hospitals studied were managed by the same Organização Social de Saúde. Due to the limited responses concerning the respondents' profiles, demographic variables were not analyzed.
This research reveals that the trust and pride dimensions can most strongly influence a positive patient safety culture, helping hospital leaders face this huge managerial challenge of consistently delivering high standards of patient safety.
ORIGINALITY/VALUE: This research studies the promotion of a patient safety culture in public hospitals managed by social health organizations, characterized by greater flexibility and autonomy in health-care management and by a greater need for accountability.
本文旨在确定内部气候领导者应向医疗保健专业人员提供何种支持，以在巴西社会卫生组织管理的公立医院中促进患者安全文化。
设计/方法/途径：对巴西三家公立医院的医疗保健专业人员进行了两项调查。内部气候调查共涉及 1013 名受访者，患者安全文化调查共涉及 1302 名参与者。使用因子和回归分析来分析研究模型，并确定内部气候如何影响患者安全文化。
结果表明，要在医疗保健专业人员中促进患者安全文化，领导者应营造一种基于信任的内部氛围，培养对在医院工作的自豪感。可能，信任维度是最重要的，必须加以发展，以实现工作满意度并为患者提供更好的服务。
研究局限性/影响：所有研究的医院均由同一社会卫生组织管理。由于有关受访者特征的回复有限，因此未对人口统计变量进行分析。
这项研究表明，信任和自豪感这两个维度可以最有力地影响积极的患者安全文化，帮助医院领导者应对这一巨大的管理挑战，始终如一地提供高标准的患者安全。
原创性/价值：本研究探讨了在社会卫生组织管理的公立医院中促进患者安全文化，其特点是在医疗保健管理方面具有更大的灵活性和自主权，并且需要更大的问责制。
