Study and promotion of safety culture using mixed methods research
Daiane Brigo Alves1
Elisiane Lorenzini2
Nelly Oelke3
Anthony John Onwuegbuzie4
Adriane Cristina Bernat Kolankiewicz1
1.Department of Life Sciences,Regional University of the Northwest of the State of Rio Grande do Sul(UNIJUí),Rio Grande do Sul 98700-000,Brazil2.Nursing Department,Federal University of Santa Catarina,Florianópolis,Santa Catarina 88040-900,Brazil3.School of Nursing,Faculty of Health and Social Development,University of British Columbia,Okanagan,British Columbia V1V 1V7,Canada4.Faculty of Education,University of Cambridge,Cambridge CB28PQ,United Kingdom
摘要：Objective: With a positive safety culture, institutions offer the best quality and safe care to their patients. The objective of this study was to analyze patient safety culture from the perspective of the multidisciplinary team, to identify factors that influence patient safety culture, and to create/promote—jointly with the study par ticipants—strategies for improving processes of change. Methods: The study design represented a mixed methods research approach, with a sequential explanatory design. A multidisciplinary team of workers at a general hospital was eligible for the study. To collect quantitative data, we administered the Safety Attitudes Questionnaire (SAQ). The qualitative phase was accomplished via focus groups (FGs), with par ticipants from the first phase of the study using the principles of deliberative dialogue (DD) as a knowledge-translation strategy. The STROBE guideline was used to develop the study. Results: The overall SAQ score was positive (75.1 ± 10.4). Negative scores were found in the fields of Safety Climate, Working Conditions, and Stress Recognition. Focus group discussions identified the aspects that create a negative impact on safety culture, such as ineffective communication, punitive approach in the event of errors, the lack of commitment and adherence to the protocols, and the non-recognition of the stress and the mistakes. Actions for the promotion of safety culture were developed and implemented during the study. Conclusions: The use of the principles of DD as a strategy for knowledge translation (KT) made it possible to identify and plan for joint actions to generate improvements in safety culture.
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论文发表日期：2021-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：11( 129-139 )
英文信息