Abstract
To evaluate the perception of nurses from different hospitalization units of a teaching hospital in Goiás about the climate of patient safety. An analytical cross-sectional study carried out using the Safety Attitudes Questionnaire - Short Form 2006, translated and validated for use in Brazil. All the ethical precepts in research were respected. Fifty (50) nurses participated in the study. The general perception of the climate of patient safety was unfavorable. The worst perception was related to Management Perception, and the best was associated with Job Satisfaction. All hospitalization units also presented an unfavorable general safety climate, but the analysis by domains indicated differences in which the maternal-infant and pediatric units had the highest number of means considered positive (≥ 75), mainly in the domains of Teamwork Climate and Job Satisfaction. There was a moderate correlation between the domain of Teamwork Climate with the domains of Safety Climate, Management Perception, Job Satisfaction and Working Conditions. There was also a moderate correlation between the domains of Safety Climate and Working Conditions. The results indicate weaknesses that allow directing the management for improvement actions for the sake of patient safety.
Highlights
Patient safety is understood as reducing the risk of unnecessary healthcare-related harm to individuals to an acceptable minimum[1], and has become a priority health issue in recent years
Studying the patient safety climate of a health establishment allows the understanding of the factors which interfere in care process regarding patient safety, since nursing professionals effectively participate in care and management actions, which is essential for developing a favorable safety culture[9]
Working conditions and the safety climate were the domains most poorly evaluated by nurses, there was high job satisfaction
Summary
Patient safety is understood as reducing the risk of unnecessary healthcare-related harm to individuals to an acceptable minimum[1], and has become a priority health issue in recent years. Due to the complexity of hospital services, this environment makes the individual more susceptible to harm, and it is necessary to identify weaknesses of the services in order to solve the problems encountered by reducing the rates of avoidable patient safety incidents[4]. The Ministry of Health and the National Health Surveillance Agency in Brazil established mandatory measures for patient safety in 2013 through Resolution No 36/2013, among which the importance of implementing safety culture[5], which in health has a strong impact on reducing errors as it seeks continuous improvement and generates better quality care[6]. Studying the patient safety climate of a health establishment allows the understanding of the factors which interfere in care process regarding patient safety, since nursing professionals effectively participate in care and management actions, which is essential for developing a favorable safety culture[9]
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