The objective of this study was to perform a cross-cultural adaptation of the Safety Attitudes Questionnaire -Short Form 2006 for Brazil. The instrument was applied in six hospitals in three regions of Brazil. Content, face, and construct validity was performed. Analysis of the instrument's reliability was performed by verifying the items' internal consistency through Cronbach's alpha.The sample was composed of 1301 professionals working in clinical and surgical wards of six hospitals. Confirmatory analysis showed that the model including 41 items was satisfactory. The Portuguese version presented an alpha of 0.89. The item-total correlations among the domains were moderate to strong, except for the domain Stress Recognition. We concluded that the instrument's version adapted to Portuguese and applied in our sample is valid and reliable. Before applying any scale or questionnaire, however, researchers need to ensure the instruments' validity.Another important aspect is the cultural context in which these scales will be used. Before implementing any instruments, it is essential to culturally adapt them to the country or city where they will be applied (2) .Based on these recommendations, we aimed to MethodThis is a methodological and cross-sectional study with a quantitative approach. In this study, we performed content, face and construct validity. The instrumentThe Safety Attitudes Questionnaire -Short Local data collectionAfter the translation process of the Safety Attitudes Questionnaire, we proceeded with the application of the questionnaires to evaluate the scale's psychometric properties, reliability and validity. The instrument was administered at six public tertiary hospitals in three regions of Brazil. Team TrainingBefore initiating data collection, technical visits were conducted at each hospital in order to learn about the institutions and clarify the importance of the study to the hospital managers.A coordinator and two research assistants were appointed to each hospital. All coordinators are members of the same research group and were familiar with the studied hospitals. The project coordinators and researchers selected the research assistants. To be chosen, research assistants should be health professionals and have knowledge of the routine at the hospitals where the research would be conducted.The research coordinators were responsible for meeting with the managers and the staff, study the logistics, guide the research assistants, and distributing and collecting the questionnaires. The research assistants were responsible for applying the questionnaire to the professionals.Training was implemented at each research center and took one week. The training was aimed at familiarizing the research assistants with the instrument, address potential doubts that could arise during the completion of the scale, and train them to approach the professionals. ParticipantsThe study population consisted of all professionals working in the clinical and surgical wards of the six health facilities chosen for the s...
Objective: to assess the culture of safety in three public hospitals.Method: transversal study undertaken in three Brazilian public hospitals, with health professionals through applying the Safety Attitudes Questionnaire (SAQ). Scores greater than or equal to 75 were considered positive.Results: a total of 573 professionals participated in the study, including nurse technicians and auxiliary nurses 292 (51%), nurses 105 (18.3%), physicians 59 (10.3%), and other professionals 117 (20.4%). The mean of the SAQ varied between 65 and 69 in the three hospitals. Among the domains, however, 'Job satisfaction' presented a higher score, and the opposite was observed for the domain 'Perceptions of management'. The outsourced professionals presented a better perception of the culture of safety than did the statutory professionals. The professionals with higher education presented a better perception of the stressing factors than did the professionals educated to senior high school level.Conclusion: the level of the culture of safety found is below the ideal. The managerial actions are considered the main contributing factor to the culture's weakness; however, the professionals demonstrated themselves to be satisfied with the work.
Objective: To evaluate the perception of the safety climate of nursing professionals working in the medical and surgical clinics of a teaching hospital. Methods: A cross-sectional, descriptive study using a quantitative approach. We used the Safety Attitudes Questionnaire (SAQ) -Short A satisfação no trabalho foi demonstrada por todos os profissionais, com escores acima de 75, enquanto o domínio Percepção da Gerência apresentou valores mais baixos. Conclusão: A satisfação do profissional, o diálogo e o suporte à equipe por parte da administração são essenciais para a garantia da segurança do paciente. Conhecer a percepção dos profissionais de enfermagem sobre o clima de segurança contribui para a melhoria do cuidado em saúde e para a redução dos riscos ao paciente. Descritores: Percepção; Cultura organizacional; Gerenciamento de segurança RESUMEN Objetivo: Evaluar la percepción del clima de seguridad de los profesionales de enfermería que actúan en las clínicas médicas y quirúrgicas de un Hospital de Enseñanza. Métodos: Estudio transversal, descriptivo y con abordaje cuantitativo. Fue utilizado el Safety Attitudes Questionnaire (SAQ) -Short Form 2006, traducido para la lengua portuguesa. Resultados: La percepción del clima de seguridad de los profesionales varió conforme el género, la clínica, la categoría profesional y el tiempo de actuación. La satisfacción en el trabajo fue demostrada por todos los profesionales, con scores arriba de 75, en cuanto que el dominio Percepción de la Gerencia presentó valores más bajos. Conclusión: La satisfacción del profesional, el diálogo y el soporte al equipo por parte de la administración son esenciales para la garantía de la seguridad del paciente. Conocer la percepción de los profesionales de enfermería sobre el clima de seguridad contribuye para la mejoría del cuidado en salud y para la reducción de los riesgos del paciente.
the printed material for general public stood out, aiming to the recognition of alert signs of the disease and the emergency decision-making before suspicious cases of the disease.
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