Safety culture in the operating room of a public hospital in the perception of healthcare professionals

Carvalho, Paloma Aparecida; Göttems, Leila Bernarda Donato; Pires, Maria Raquel Gomes Maia; Oliveira, Maria Liz Cunha de

doi:10.1590/0104-1169.0669.2647

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 23 (6) • Nov-Dec 2015 • https://doi.org/10.1590/0104-1169.0669.2647 copy

Safety culture in the operating room of a public hospital in the perception of healthcare professionals¹ 1 Paper extracted from master's thesis "Avaliação da cultura de segurança entre profissionais do centro cirúrgico de um hospital de porte especial: elementos para a melhoria da qualidade do cuidado aos idosos submetidos a procedimentos cirúrgicos", presented to Fundação de Ensino e Pesquisa em Ciências da Saúde, Secretaria de Estado de Saúde do Distrito Federal, Brasília, DF, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to evaluate the perception of healthcare professionals about the safety culture in the operating room of a public hospital, large-sized, according to the domains of the Safety Attitudes Questionnaire (SAQ).

Method:

descriptive, cross-sectional and quantitative research, with the application of the SAQ to 226 professionals. Descriptive data analysis, instrument consistency and exploratory factor analysis.

Results:

participants were distributed homogeneously between females (49.6%) and males (50.4%); mean age of 39.6 (SD±9.9) years and length of professional experience of 9.9 (SD±9.2) years. And Cronbach's ( of 0.84. It was identified six domains proposed in the questionnaire: stress perception (74.5) and job satisfaction (70.7) showed satisfactory results; teamwork environment (59.1) and climate of security (48.9) presented scores below the minimum recommended (75); unit's management perceptions (44.5), hospital management perceptions (34.9) and working conditions (41.9) presented the lowest averages.

Conclusions:

the results showed that, from the perspective of the professionals, there is weakness in the values, attitudes, skills and behaviors that determine the safety culture in a healthcare organization.

Patient Safety; Organizational Culture; Health Services Evaluation; Surgicenters

Characteristic	Frequency	Percentage
Gender
	Male	114	50.4
	Female	112	49.6
Length of professional experience
	6-11 months	13	49.6	5.8
	1-2 years	59	26.1
	3-4 years	18	8.0
	5-10 years	45	19.9
	11-20 years	50	22.1
	21-39 years	37	16.4
	Absents	4	1.8
Age group
	Up to 30 years	43	1.8	19.0
	31-40 years	79	35.0
	41-50 years	64	28.3
	51-60 years	27	11.9
	Over 60 years	4	1.8
	Absents	9	4.0
Profession/occupation
	Administrative	5	4.0	2.2
	Nurse	13	5.8
	Physician	73	32.3
	Resident Physician	51	22.6
	Dentist	11	4.9
	Environmental support	8	3.5
	Nursing technician	65	28.8
Total	226	100.0

Domains	Cronbach's α	Mean	Median	Standard Deviation
Teamwork environment	0.40	59.1	58	18.5
Climate of Security	0.50	48.9	50	19.6
Job satisfaction	0.76	70.6	75	22.0
Stress Perception	0.74	74.9	81	25.6
Unit's management perception	0.63	44.5	46	21.6
Hospital management perception	0.77	34.5	33	22.3
Work conditions	0.58	41.9	41	25.9
Total	0.84	53.5	52.4	13.9

Job Title	TWE ⃰	CS†	JS ^‡	SP ^§	UMP ^\|\|	HMP ^¶	WC**	Total
Administrative	82.5	66.7	94	64.1	77.6	55	77.5	74.6
Nurses	59	49.2	77.7	68.7	63.4	46.9	22.9	51.1
Physicians	58.8	44.5	63.7	77.9	41.4	33	41.3	51.6
Resident physicians	56.3	48.1	64.8	79.3	37.4	28.7	38	50.4
Dentists	56.5	45.2	67.7	68.5	46.2	35.6	44.7	52.1
Nursing technicians	66.8	47.5	89.3	70.8	65.5	54	46.3	55.9
Environmental support	59.5	54	78	71.2	46.1	36.9	45.5	62.9
Total	59.1	48.9	70.6	74.8	44.5	34.4	41.9	53.5

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[1] Corresponding Author: Paloma Aparecida Carvalho Secretaria de Estado de Saúde do Distrito Federal Subsecretaria de Planejamento, Regulação, Avaliação e Controle Setor de Áreas Isoladas Norte - SAIN, Bloco B CEP: 70086-900, Brasília, DF, Brasil E-mail: paloma_carvalho@yahoo.com.br