A percepção da equipe de enfermagem a respeito da cultura de segurança do paciente

Abstract

This research aims to investigate the perception of the nursing staff regarding the patient safety culture in their work institutions. This is a qualitative approach study, as the method of analysis adopted the integrative literature review. Given the prerequisites defined, 22 articles were analyzed in the result. From these four categories were selected, most relevant, encompassing three most recurring factors: dimensions best evaluated: teamwork climate; job satisfaction; and organizational learning and continuous improvement. Worst assessed dimensions: punitive error response; management support for patient safety; and perception of patient safety culture. Management's role in the process of improvement: an approach that accepts human beings as fallible and focuses on the systemic causes of errors using risk management; communicate organizational safety initiatives, policies, and expectations to unit personnel; and engage in the education of its workers, creating a learning environment. Strategies to improve patient safety culture: change of work organization, aiming at workable work hours, among others; shared and participatory management between hospitals and closer relationships with the nursing staff; multi-professional awareness and change regarding safety culture. It was concluded that the perception of the nursing staff regarding the patient safety culture indicates that the care provided, especially in a hospital environment, finds weaknesses. It is emphasized that the strategies applied by management need to reach all teams to obtain continuous improvement.

Fatores contextuais e sua interface com as práticas seguras no ambiente hospitalar / Contextual factors and their interface with safe practices in the hospital environment

“…2021 O uso de ferramentas norteadoras do cuidado como protocolos e procedimentos operacionais padrão é importante no alinhamento das práticas às melhores evidências científicas. Estas práticas organizacionais formais sinalizam a atenção que é dada a SP por parte da liderança [12][13]29 . Lacunas neste âmbito podem indicar que outros aspectos estão sendo priorizados em detrimento da segurança do paciente.…”