PATIENT SAFETY CULTURE FROM THE NURSING TEAM’S PERSPECTIVE

cross-sectional, quantitative study, developed in a teaching hospital in the Midwest region of Brazil. It was conducted with nursing professionals through an online questionnaire containing questions related to patient safety, applied in September 2021. The data analysis was descriptive.

Results:

Ninety professionals participated in the study, 28(31.1%) being nurses and 62(68.9%) nursing technicians. In the evaluation of the questionnaire items, the best score was about hand hygiene 84(93.3%), the worst evaluated item was patient identification protocol 45(50%). Pressure ulcers were indicated as the most frequent adverse event 28(33%).

Conclusion:

the results indicate that continuing education is essential for professionals to apply the international patient safety goals in practice.

DESCRIPTORS:
Organizational Culture; Patient Safety; Nursing; Adverse Events; Hospitals

Variable	Description	n	%
Position/Function	Nurse Nursing Technician	28 62	31.1 68.9
Work area at PAM	Adult Pediatric	77 13	85.6 14.4
Time of work at the hospital	Pediatric 1 to 5 years 6 to 15 years ≥ 16 years No answer	69 15 4 2	76.6 16.6 4.4 2.2
Weekly working hours (on average) including overtime	40 to 59 hours weekly 60 to 80 hours weekly > 80 hours weekly No answer	59 19 11 1	65.6 21.1 12.2 1.1
Time of training in the area	1 to 5 years 6 to 10 years 11 to 15 years ≥ 16 years	22 26 24 18	24.4 28.8 26.6 19.9
Number of employment relationships	1 2	52 38	57.8 42.2
Participation in training on patient safety	Yes No	72 18	80 20

Question	Right n(%)	Errors n(%)	Total n(%)
Key Patient Safety Strategies	67(74.4)	23(25.6)	90(100)
Moments for hand hygiene	84(93.3)	6(6.7)	90(100)
Moments for the safe surgery checklist	55(61.1)	35(38.9)	90(100)
Patient identification protocol	45(50)	45(50)	90(100)
Definition of PI	70(77.8)	20(22.2)	90(100)
Strategies for the prevention of falls	55(61.1)	35(38.9)	90(100)

Characteristics	Description	Average score of the Professionals	Standard Deviation
Position/Function	Nurse Nursing Technician	4.89 3.95	1.22 1.58
Work area at PAM	Adult Pediatrics	4.19 4.46	1.60 1.13
Level of education	Technical Education Undergraduate Post-graduation*	3.61 4.38 5.07	1.63 1.50 0.89
Professional training in patient safety	Yes No	4.44 3.39	1.42 1.72
Time of work in this hospital	1 to 5 years 6 to 10 years 11 to 15 years ≥ 16 years	4.73 3.81 4.30 4.33	1.39 1.70 1.57 1.05
Number of employment relationship	1 2	4.50 3.87	1.50 1.53

Characteristics	Description	p-value
Position/Function	Nurse X Nursing Technician	0.007
Work area at PAM	Adult X Pediatrics	0.566
Level of education	Technical Education X Undergraduate	0.108
	Technical Education x Post Graduation	< 0.05
	Undergraduate x Postgraduate	0.057
Qualification in patient safety	Yes X No	0.008
Time of work in this hospital	1 to 5 years x 6 to 10 years	0.048
	1 to 5 years x 11 to 15 years	0.231
	1 to 5 years x >16 years	0.332
	6 to 10 years x 11 to 15 years	0.460
	6 to 10 years x > 16 years	0.332
	11 to 15 years x > 16 years	0.719

Bond	1 x 2	0.054

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author: Mayara Carolina Cañedo Secretaria de Estado de Saúde de Mato Grosso do Sul R. Hilda Bergo Duarte, 940 - Jardim Caramuru, Dourados - MS, 79826-090 E-mail: maycarolina@hotmail.com