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Evaluating the intervening factors in patient safety: focusing on hospital nursing staff

Avaliando os fatores intervenientes na segurança do paciente: enfoque na equipe de enfermagem hospitalar

Evaluando los factores intervinientes en la seguridad del paciente: enfoque en el equipo de enfermería hospitalaria

OBJECTIVE

To evaluate intervening factors in patient safety, focusing on hospital nursing staff.

METHOD

The study is descriptive, with qualitative approach, excerpt from a larger study with analytical nature. It was undertaken in a public hospital in Fortaleza, CE, Brazil, between January and June 2013, with semi-structured interviews to 70 nurses, using Thematic Content Analysis.

RESULTS

The principal intervening factors in patient safety related to hospital nursing staff were staff dimensioning and workload, professional qualification and training, team work, being contracted to the institution, turnover and lack of job security, and bad practice/disruptive behaviors. These aspects severely interfere with the establishment of a safety culture in the hospital analyzed.

CONCLUSION

It is necessary for managers to invest in nursing staff, so that these workers may be valued as fundamental in the promotion of patient safety, making it possible to develop competences for taking decisions with focus on the improvement of quality care.

Patient Safety; Nursing Team; Nursing Staff, Hospital; Quality of Health Care


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br