Cultura de segurança: avaliação das atitudes de segurança da equipe de enfermagem de um Hospital Geral de grande Porte de Porto Alegre

Abstract

From the publication of the Institute of Medicine report, To Err is Human, the patient safety issue gained relevance and prevention of adverse events has become a concern of most health institutions. In this context, it is understood that the institutions considered "safer" have the safety culture developed. The assessment of safety culture has been a recommendation of certification bodies and the use of validated instruments for this assessment is recommended. The Safety Attitudes Questionnaire (SAQ) is a tool used in various institutions. Objective: To evaluate the safety culture of a private institution nursing staff of Porto Alegre and develop and implement action plan that seeks to strengthen the safety culture in the institution. Method: Cross-sectional study with a quantitative approach. Study participants were 637 nursing professionals, from which 198 were nurses and 439 nursing technicians and assistants, from the institutions hospitalization and ambulatory areas. Responses to the questionnaire were analyzed by the fields referred to in the SAQ tool and considered positive scores above 75. Results: the response average results was positive for nurses (78 points) and nursing technicians (76.1 points). Fields with results below 75 points were the perception of stress and working conditions for both categories, and nursing technicians perception of management also presented results slightly below 75 points. Regarding the area of operation, the adult intensive care was the area that had more areas with scores below 75 points and the maternity was positive in all areas. In the evaluation of the score by question, the worst results were related to perception of fatigue and the impact on the attending emergency cases, the amount of professionals and miscommunication. As positive points, job satisfaction and the institution’s executive committee performance can be highlighted. Conclusion: Although this study already brings various data monitoring and actions, it is suggested to be extended to other medical assistance employees of the institution.