Vieira Magalhães Eduarda, Oliveira de Paiva Fernanda, Soares Alves Maria Eduarda, Cavalieri de Almeida Meire
Faculdade de Ciências Médicas e da Saúde de Juiz de Fora - Suprema. Juiz de Fora - MG, Brasil. E-mail:
Rev Cuid. 2021 Sep 10;12(3):e1990. doi: 10.15649/cuidarte.1990. eCollection 2021 Sep-Dec.
Different initiatives have been carried out with a view to improving the quality of patient care and safety in Brazil. However, compliance with these standards as a number of requirements does not seem to correspond to the actual incorporation of changes and improvement in security.
Evaluate the patient's safety culture in a philanthropic hospital in Minas Gerais, also possible differences between work, day and night shiftes.
This is an observational cross-sectional study. The study population consisted of nursing professionals working in this philanthropic institution. For the evaluation of the safety culture, the Hospital Survey on Patient Safety Culture (HSOPSC), created by the Agency for Healthcare Research and Quality (AHRQ), validated, translated and adapted transculturally in Brazil was used. In the analysis and interpretation of the data, the guidelines of the AHRQ were followed, and strengthened and fragile dimensions were observed. This work was approved by the Research Ethics Committee.
We included 118 participants in the study, 17.2% of these total nurses and the rest of the nursing technicians. No dimension of the security culture has been identified as strengthened in the institution. Fragile areas were considered: "communication openness", the "teamwork within units", the "staffing", the "handoffs and transitions", and the "nonpunitive response to error". In some dimensions, differences were observed by work shift, day and night. Conclusion: The analysis of the safety culture in this hospital can contribute to a better direction of conduct so as to ensure safer care.
为提高巴西患者护理质量和安全性，已开展了不同举措。然而，作为一系列要求对这些标准的遵守，似乎与安全方面实际的变革和改进融入情况并不相符。
评估米纳斯吉拉斯州一家慈善医院的患者安全文化，以及白班和夜班工作之间可能存在的差异。
这是一项观察性横断面研究。研究人群包括在该慈善机构工作的护理专业人员。为评估安全文化，使用了由医疗保健研究与质量局（AHRQ）创建、在巴西经过跨文化验证、翻译和改编的《医院患者安全文化调查》（HSOPSC）。在数据的分析和解释中，遵循了AHRQ的指南，并观察了强化和薄弱维度。这项工作得到了研究伦理委员会的批准。
我们纳入了118名研究参与者，其中17.2%为护士，其余为护理技术员。该机构未发现安全文化的任何维度被认定为强化。薄弱领域包括：“沟通开放性”、“科室内部团队合作”、“人员配备”、“交接班与转接”以及“对差错的无惩罚性反应”。在某些维度上，观察到白班和夜班工作存在差异。结论：对该医院安全文化的分析有助于更好地指导行为，以确保更安全的护理。
