Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave

Gil-Aucejo, A.; Martínez-Martín, S.; Flores-Sánchez, P.; Moyano-Hernández, C.; Sánchez-Morales, P.; Andrés-Martínez, M.; Calvo-Doñate, E.; Bataller-Guerrero, M.; García-García, Miguel Ángel

doi:10.1016/j.enfie.2021.09.007

Cited by 2 publications

(6 citation statements)

References 6 publications

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“…A study evaluating PSC before the pandemic and after the second wave showed that there were overall more positive ratings than in the national study conducted before the pandemic, in which the dimension "expectation of actions by management/supervision of the service" was considered a strength, with 85.29% positive responses [10].…”

Section: Discussionmentioning

confidence: 89%

Patient safety culture in a COVID-19 ICU compared to a clinical-surgical ICU in the Brazilian Eastern Amazon: A cross-sectional study

Santos

Tavares

Costa

et al. 2023

JRS

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BACKGROUND: The COVID-19 pandemic highlighted the need for a new dynamic in the organization and practices of health services, as it required rapid restructuring to promote safe and harm-free assistance. OBJECTIVE: To assess the dimensions of the patient safety culture (PSC) from the perspective of the health team professionals in clinical-surgical ICU (G1) compared to a COVID-19 ICU (G2). METHODS: Cross-sectional, analytical, descriptive and inferential study, using the “Hospital Survey on Patient Safety Culture” questionnaire. RESULTS: The domain “Supervisor/Manager Expectations and Actions Promoting Patient Safety (PS)” was a potential weakness for G1 (p = 0.003). G2 was most positive on improving PS, being informed about errors, considering PS as a top priority to management, and that the units work together to provide the best care (p > 0.05). G1 was most negative about the work culture with staff from other units, exchange of information across units, and shift changes (p > 0.05). The highest PS grade was related to greater communication, and a smaller frequency of events was reported only for G2 (p > 0.05). CONCLUSION: There must be a balance in terms of attention focused on PS between different ICUs in times of crisis, especially regarding the supervisors/managers actions.

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Section: Discussionmentioning

confidence: 89%

Patient safety culture in a COVID-19 ICU compared to a clinical-surgical ICU in the Brazilian Eastern Amazon: A cross-sectional study

Santos

Tavares

Costa

et al. 2023

JRS

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“…These results differed from studies that identified the relationship between a negative perception of the patient safety climate and intention to leave one's nursing job 18 and positive perception of the patient safety climate and quality of care, 19 and from the other study that assessed the perception of patient safety at the end of the third wave of the COVID-19 pandemic, resulting in a more positive perception of the patient safety climate. 10 High PPR for most dimensions indicates the need to improve the patient safety culture in the institution. Among the dimensions with the highest PPR rates, the provision of safe care stood out, followed by unit recognition and support for safety efforts and fear of blame and punishment.…”

Section: Discussionmentioning

confidence: 99%

“…11 The variables that influenced the perception of patient safety climate during COVID-19 were related to age, length of experience in the profession, burnout, job satisfaction, working condition, and AEs. [1][2][3]7,9,10,12 However, these studies did not address the relationship between patient safety climate, quality of care, and the intention of nursing professionals to remain in their job during the COVID-19 pandemic. Thus, this study aimed to examine that relationship.…”

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confidence: 99%

“…The nurse plays an essential role in the improvement and quality of healthcare through mediation and the use of strategies to improve patient safety 8 . This became even more relevant during the pandemic given the increased demand for the training of qualified professionals 1,3,9,10 . Studies that evaluated the patient safety climate during the pandemic emphasized job satisfaction, perception of management, 1,3 management support for patient safety, 2,10 communication openness, nonpunitive response to errors, teamwork, 2 and staffing 2,10 as the main dimensions that influenced the negative perception of the patient safety climate.…”

mentioning

confidence: 99%

“…To our knowledge, there is a scarcity of studies that assessed the patient safety climate with the use of the Patient Safety Climate in Health Organizations (PSCHO), considering that this measure was recently validated in our culture 11 . The variables that influenced the perception of patient safety climate during COVID-19 were related to age, length of experience in the profession, burnout, job satisfaction, working condition, and AEs 1–3,7,9,10,12 . However, these studies did not address the relationship between patient safety climate, quality of care, and the intention of nursing professionals to remain in their job during the COVID-19 pandemic.…”

mentioning

confidence: 99%

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Patient Safety Climate, Quality of Care, and Intention of Nursing Professionals to Remain in Their Job During the COVID-19 Pandemic

Cela

Guirardello

2023

J Patient Saf

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ObjectiveThis study aimed to examine the relationship between patient safety climate, quality of care, and intention of nursing professionals to remain in their job.MethodsA cross-sectional study was carried out in a teaching hospital in Brazil wherein nursing professionals were surveyed. The Brazilian version of the Patient Safety Climate in Healthcare Organizations tool was applied to measure the patient safety climate. Spearman correlation coefficient and multiple linear regression models were applied for the analysis.ResultsA high percentage of problematic response was observed for most dimensions, except for fear of shame. Quality of care resulted in a strong correlation with organizational resources for safety and with overall emphasis on patient safety, and the nurse-perceived staffing adequacy was strongly correlated with organizational resources for safety. The multiple linear regression model showed higher scores in quality of care in dimensions related to organizational, work unit, and interpersonal aspects as well as in the adequacy of the number of professionals. A higher score in intention to stay in one’s job was also found in the dimensions of fear of blame and punishment, provision of safe care, and adequacy of the number of professionals.ConclusionsThe organizational and work unit aspects can lead to a better perception of the quality of care. Improving interpersonal relationships and increasing the number of professionals on staff were found to increase nurses’ intention to remain in their jobs. Assessing a hospital’s patient safety climate will enable improvement in the provision of safe and harm-free health care assistance.

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Assessment of the patient safety culture in the ICU of a second level hospital at the end of the third COVID-19 wave

Cited by 2 publications

References 6 publications

Patient safety culture in a COVID-19 ICU compared to a clinical-surgical ICU in the Brazilian Eastern Amazon: A cross-sectional study

Patient safety culture in a COVID-19 ICU compared to a clinical-surgical ICU in the Brazilian Eastern Amazon: A cross-sectional study

Patient Safety Climate, Quality of Care, and Intention of Nursing Professionals to Remain in Their Job During the COVID-19 Pandemic

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