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The growing perception of an insufficiency in patient safety and the inevitable associated costs, as well as increasingly limited resources, have required from health policies and institutions a rewriting of effective, competitive and innovative strategies to promote safety in health care. 1 In fact, this issue has become a global issue within the context of health management, research and clinical practice. [2][3][4][5] It is considered a challenge for healthcare organizations, as well as for professionals and policy-makers whose it as a structural priority in the clinical governance system, 2,3,5,6 and a matter of concern for patients and their families, who envision safety and trust in healthcare. [7][8][9] The safety culture in medical institutions has a pivotal impact on the safety of healthcare 10-15 and has been considered a decisive model within quality of care, as well as an essential structural indicator that promotes and facilitates the initiatives that minimize risks and prevent adverse events within this scope. 16 The safety environment, as a psychological phenomenon of the safety culture, involves the perceptions of the state of safety at a particular moment in time and enables assessment of the professionals' perception of safety in the organization. In the Health sector, assessment of the safety environment through questionnaires has stood as a practical tool that enables organizations to act proactively, plan internal quality improvements, assess the impact and effectiveness of the implemented actions and benchmark both internally and externally. [17][18] Sexton et al.'s Safety Attitudes Questionnaire (SAQ) is currently one of the most widely used questionnaires 19 in many clinical areas and health services, within different contexts and various international environments. It has been thoroughly tested and is, therefore, considered psychometrically valid and reliable. 17,[20][21][22][23][24][25][26][27][28][29] Considering the potential of this resource, which is described in several international studies, and acknowledging the need for and relevance of such a safety environment assessment tool in the Portuguese population, the present study was conceived. Ourgoal is to proceed to the translation, cultural adaptation and validation of the SAQ -Short Form 2006 in Portugal.

As úlceras venosas (UV) constituem um importante problema de saúde pública da sociedade portuguesa. A cronicidade desta condição, os rumos terapêuticos, as complicações associadas, o impacto socioeconómico, assim como, as implicações na vida do indivíduo, têm repercussões significativas na qualidade de vida (QV). Com o intuito de melhor compreendermos esta problemática da nossa prática quotidiana e de subsidiarmos o nosso agir profissional com propostas de intervenção fundamentadas e justificadas, que se mostrem eficientes na melhoria da QV destes utentes, surgiu este estudo com o objetivo geral de avaliar a QV do utente com UV crónica. O estudo quantitativo, de natureza descritivo-correlacional e de carácter transversal, teve por base o Esquema Cardiff de Impacto da Ferida para a colheita de dados. Através de um método de amostragem não-probabilístico acidental obteve-se uma amostra de 66 utentes com UV crónica. Dos resultados alcançados salienta-se que a maioria dos utentes obteve valores intermédios de QV, tendo-se observado um impacto negativo mais significativo na dimensão Bem-Estar. Constatou-se, ainda, que o estado civil se relaciona com todas as dimensões da QV; e a zona de residência com a QV em geral e as dimensões Sintomas Físicos,

No abstract

The patient safety environment has a major impact on the overall safety of health care. This study was carried out in order to learn more about the perception of health care professionals, with regard to their patient safety environment in hospital. The descriptive study, using a quantitative approach, was carried out between January and March 2015. Data was collected through the questionnaire Safety Attitudes Questionnaire-Short Form 2006, using a sample group of 623 professionals. The results obtained testify in favour of a positive safety environment. The categories of Perception of management and Working conditions presented a number of less positive responses, indicating that these are potential improvement areas for the development of the security environment in the organization. This study serves as a reference for the formulation of policies with a view towards optimizing patient safety, in addition to serving as a frame of reference for future benchmarking.