Clima de segurança do paciente em um hospital de urgências
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2018-03-23
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Universidade Federal de Goiás
Resumo
INTRODUCTION: The patient's safety climate refers to the perception and attitudes of
professionals regarding patient safety at a given moment in the organizational history. The
measurement of the safety climate makes it possible to diagnose the predominant culture,
which influences the health professionals' safe behaviors and, consequently, the care results.
OBJECTIVE: To analyze the patient safety climate of an emergency hospital from the
perspective of nursing professionals. METHODOLOGY: An analytical cross-sectional study
carried out with the nursing team of an emergency hospital in Goiás, through the application
of the Safety Attitudes Questionnaire - Short Form 2006, validated and adapted
transculturally into the Portuguese language. The instrument has two parts, one consisting of
five items referring to sex, position, time in the specialty and main activity; and the other,
with 36 items, encompassing six domains: teamwork climate, safety climate, job satisfaction,
perception of stress, perception of unit and hospital management, working conditions. In
order to complement socio-demographic and labor information of the professionals, a second
instrument was applied. The analysis was descriptive, simple frequency, central tendency and
dispersion. Bivariate and multivariate analyzes were performed to verify factors associated
with the domains. Study approved by the Research Ethics Committee, CAAE:
49279115.4.0000.5078. RESULTS: The study was attended by 177 nursing professionals, with
72.9% of nursing technicians and auxiliaries and 27.1% of nurses. The population was
predominantly female (85.9%) and young adult, with a mean age of 39.5 years (SD: 6.7),
52.0% with a formal relationship and 48.0% with a statutory relationship. Of the total number
of participants, 17.0% had moderate / high intention to leave the workplace and 8.5% had
moderate / high intention to leave nursing. The analysis of the patient safety climate among
nursing professionals was unfavorable (66,7; SD:14,5), except for the satisfaction domain at
work, which presented a positive mean of 78.8. There was a correlation between all domains,
demonstrating that teamwork, safety climate, job satisfaction, working conditions and
management perception are factors that correlate. The perception of stress was associated
with the perception of hospital and unit management. A negative association between the
general safety situation and the Medical and Surgical Clinic (β = -11,07; p = 0,001) and the
Emergency Room (β = -11,30; p < 0,001), night shift (β = -5,60; p = 0,005) and intention to
leave nursing (β = -8,27; p = 0,018) were observed. However, being CLT (β = -7.00, p =
0.008) improved the overall patient safety climate. CONCLUSION: The study highlights the
need for improved patient safety climate and the factors that may influence it negatively as:
work in first aid or in medical and surgical units, working night shift and have intention to
leave nursing. These data contribute to the management of health services, pointing issues
that can be worked in order to improve the quality of care and patient safety climate.
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CASTILLO, D. E. C. Clima de segurança do paciente em um hospital de urgências. 2018. 95 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.