Abstract
Verify perceptions of the health team about patient safety culture in home care in a large city in Brazilian Midwest region. A survey study involving Safety Attitudes Questionnaire and professional profile inventory. Results: From the 37 professionals, most were female (n = 32, 86.5%), lived with their spouse (n = 25, 67.6%), worked in a statutory work regime (n = 29; 78.4%) and have only one job (n = 23; 62.2%). A higher median score for job satisfaction (80.0) and a lower score for management perception (31.8) were found. There was a negative correlation between weekly workload and teamwork (p = 0.02). Safety climate was significantly higher among consolidated (Consolidação das Leis do Trabalho - CLT) professionals in the safety climate (p = 0.001) and overall (p = 0.005) domains. Physicians had a higher perception of the safety climate domain when compared to professionals in other categories (p = 0.005). Age was positively associated to the climate in the safety (p = 0.002), working conditions (p = 0.03) and overall (p = 0.04) domains. Teamwork and job satisfaction were scored as positive and management actions were considered the main weakness of the safety culture.
Highlights
The culture of an organization consists of sharing its employees’ norms, values, behavioral patterns, rituals and traditions[1]
The study was developed in the Home Care Service (Serviço de Atenção Domiciliar – SAD), which serves users of the Unified Health System (SUS) of a large city in the Midwest of Brazil
The internal reliability of the instrument demonstrated that the job satisfaction, stress recognition, perception of management and overall domains presented Cronbach alpha values higher than 0.70(18), confirming the robustness to measure the safety culture in home care
Summary
The culture of an organization consists of sharing its employees’ norms, values, behavioral patterns, rituals and traditions[1]. An assessment of patient safety culture is the first step towards its implementation[7] in order to improve care[6] and to support service management through its monitoring, influencing organizational changes[3]. Such assessment initially only occurred in the hospital environment[1,8,9], but in recent years its use has been increasing in long-term care facilities[8,10], elderly homes[9], and primary attention[1], as it is understood that risks are present in all healthcare spheres[11]
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