Abstract:
OBJECTIVE:analyze the safety culture of multidisciplinary teams from three neonatal intensive care units of public hospitals in Minas Gerais, Brazil. METHOD:a cross-sectional survey conducted with 514 health professionals, using the Hospital Survey on Patient Safety Culture; data were subjected to a descriptive statistical analysis in software R-3.3.2. RESULTS:the findings showed that none of the dimensions had a positive response score above 75% to be considered as a strength area. The dimension 'Nonpunitive response to error' was classified as a critical area of the patient safety culture, present in 55.45% of the responses. However, areas with potential for improvements were identified, such as 'Teamwork within units' (59.44%) and 'Supervisor/manager's expectations and actions to promote patient safety' (49.90%). CONCLUSION:none of the dimensions was considered as a strength area, which indicates safety culture has not been fully implemented in the evaluated units. A critical look at the weaknesses of the patient safety process is recommended in order to seek strategies for the adoption of a positive safety culture to benefit patients, family members and health professionals. OBJETIVO:analisar a cultura de segurança da equipe multiprofissional em três Unidades de Terapia Intensiva Neonatal de hospitais públicos de Minas Gerais, Brasil. MÉTODO:estudo tipo survey, transversal, desenvolvido com 514 profissionais de saúde. Utilizou-se o instrumento Hospital Survey on Patient Safety Culture, sendo os dados submetidos à análise estatística descritiva por meio do software R, versão 3.3.2. RESULTADOS:os achados mostraram que nenhuma dimensão obteve escore de respostas positivas acima de 75% para ser considerada como área de força. A dimensão “Resposta não punitiva ao erro” foi classificada como área crítica da cultura de segurança do paciente com 55,45% das repostas. Contudo, foram identificadas áreas com potencial para melhoria, como “Trabalho em equipe na unidade” (59,44%) e “Expectativas e ações do supervisor/chefia para a promoção da segurança do paciente” (49,90%). CONCLUSÃO:nenhuma das dimensões foi considerada como área de força, o que aponta que a cultura de segurança ainda não está integralmente implementada nas unidades avaliadas. Recomenda-se um olhar crítico sobre as fragilidades do processo de segurança dos pacientes, a fim de buscar estratégias para a adoção de uma cultura de segurança positiva, beneficiando pacientes, familiares e profissionais. OBJETIVO:analizar la cultura de seguridad del equipo multiprofesional en tres Unidades de Cuidados Intensivos Neonatales en hospitales públicos de Minas Gerais, Brasil. MÉTODO:estudio tipo survey, transversal, desarrollado con 514 profesionales de salud. Se utilizó el instrumento Hospital Survey on Patient Safety Culture, y los datos se sometieron a análisis estadístico descriptivo por medio del software R, versión 3.3.2. RESULTADOS:los resultados revelaron que ninguna dimensión obtuvo puntuación de respuestas positivas por encima del 75% para ser considerada como área de fuerza. La dimensión «Respuesta no punitiva al error» fue clasificada como área crítica de la cultura de seguridad del paciente con el 55,45% de las repuestas. Sin embargo, se identificaron áreas con potencial de mejora, como «Trabajo en equipo en la unidad» (59,44%) y «Expectativas y acciones del supervisor/jefe para la promoción de la seguridad del paciente» (49,90%). CONCLUSIÓN:ninguna de las dimensiones se consideró como área de fuerza, lo que indica que la cultura de seguridad aún no está integralmente implementada en las unidades valoradas. Se recomienda una mirada crítica sobre las fragilidades del proceso de seguridad de los pacientes, con el fin de buscar estrategias para la adopción de una cultura de seguridad positiva, para beneficiar a pacientes, familiares y profesionales.
journal_name
Rev Lat Am Enfermagemjournal_title
Revista latino-americana de enfermagemauthors
Notaro KAM,Corrêa ADR,Tomazoni A,Rocha PK,Manzo BFdoi
10.1590/1518-8345.2849.3167subject
Has Abstractpub_date
2019-08-19 00:00:00pages
e3167eissn
0104-1169issn
1518-8345pii
S0104-11692019000100351journal_volume
27pub_type
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