Safety Climate: Perception of Professionals in an Emergency Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/602554
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Safety Climate: Perception of Professionals in an Emergency Unit
Author(s):
Gimenes, Fernanda R. E.; Rigobello, Mayara C. G.; Rigobello, Mayara C. G.
Lead Author STTI Affiliation:
Rho Upsilon
Author Details:
Fernanda R. E. Gimenes, RN, PhD, fregimenes@eerp.usp.br; Mayara C. G. Rigobello
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: The emergency medical services, characterized as challenging and dynamic environments, are considered particularly prone to adverse events for several reasons, including the fast pace and frequency of complex conditions and life-threatening, the fact that health professionals meet both a great number of patients with poor clinical information without limits to the kind of problems or conditions and under time pressure 1-4. In 2004, the World Health Organization defined as a priority the development of research based on scientific evidence with best practices focused on patient safety. Since then, several studies have emerged in order to assess the climate of safety in health institutions 5-6. The Safety Climate can be defined as a temporary measure the state of the institution's safety culture and can be measured by individual perceptions of the organization's attitudes to safety culture 7. Among the methods of measurement, the most widely used is the number, which takes place by means of scales and questionnaires that assess the attitudes, the climate of teamwork, job satisfaction, working conditions and stressors of individuals 8-9. The instrument in the context of care for emergency care can provide information about the main points that need to be improved. Objetive: To evaluate the perception of the safety climate of professionals working in an Emergency Unit of the State of São Paulo. Métodos: survey, transversal, descriptive and quantitative approach. To assess the security climate was used the “Safety Attitudes Questionnaire (SAQ) - Short Form 2006”, validated and translated to Portuguese language 6. Medical professionals, registered nurses, nursing assistants, psychologists, nutritionists, admin support and other professionals who work in this hospital for at least 6 months, with a minimum of 20 hours of work per week, were the study population. 139 professionals participated in the study. The data were entered into an electronic spreadsheet Microsoft Excel by double entry for further processing and analysis. Data processing were performed using Statistical Package for Social Sciences (SPSS) version 17.0. Results: The instrument is divided into two parts: the first consists of 41 items that address the six domaisn, and the second part aims to collect professional data (gender, professional category, work experience and the work unit, adult or pediatric). The six domains are: “climate of work team”, “security climate”, “work satisfaction”, “stress”, and “perception of hospital management”, “perception of unit management” and “work conditions”. Answers were given in 5 points according to the Likert scale. The final score of the scale varies from 0 to 100, whereupon 0 is the worst perception of security attitudes by health professionals and 100 is the best perception. The majority of study participants agreed partially or totally with the presented questions. Most professionals (79,6%) informed that they like their work. Fifty point seven percent (50,7%) professionals believe less effective at work when fatigued. 36,7% professionals disagree that the levels of staffing in this clinical area are sufficient to handle the number of patients. There was a female predominance among professionals working in the hospital and professionals aged 21 and over in the unit operating time. Conclusion: The satisfaction of the professional, the dialogue and support staff of the administration are factors that contribute to ensuring patient safety, especially in emergency medical services, especially in emergency services, considered particularly problematic with regard to patient safety, making it more vulnerable to incidents and adverse events. Know the perception of professionals about the patient safety climate contributes to the improvement of health care and to reduce risks to patients. Keywords: safety patient, organizational culture, safety management, emergency medical services.   REFERENCES KRUG, S. E.; FRUSH, K. Patient safety in the pediatric emergency care setting. Pediatrics, v. 120, p. 1367-75, 2007. CAMARGO JR., C. A.; TSAI, C. L.; SULLIVAN, A. F.; CLEARY, P. D.; GORDON, J. A.; GUADAGNOLI, E.; KAUSHAL, R. ; MAGID, D. J.; RAO, S. R.; BLUMENTHAL, D. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med, v. 60, p. 555-563.e20, 2012. ROSENSTEIN, A. H.; NAYLOR, B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med, v. 43, p. 139-48, 2012. TEJEDOR FERNÁNDEZ, M.; MIÑARRO DEL MORAL, R.; MONTERO-PÉREZ, F. J.; GRACIA GARCÍA, F.; ROIG GARCÍA, J. J.; GARCÍA MOYANO, A. M. Diseño e implantación de un plan de seguridad del paciente en un servicio de urgencias de hospital: ¿cómo hacerlo? Design and implementation of a patient safety program for a hospital emergency department: how to do it a patient safety culture. Emergencias (Sant Vicenç dels Horts), v. 25, p. 218-227, 2013. SCOTT, T. R. et al. The Quantitative Measurement of Organizational Culture in Health Care: A Review of Available Instruments. Health Serv Res 2003; 38 (3): 923-45. GERSHON, R. R. M. et al. Measurement of Organizational Culture and Climate in Healthcare. JONA 2004; 34 (1): 33-40. WIEGMANN, D. A.; THADEN T. L.; GIBBONS, A. M. A review of safety culture theory and its potential application to traffic safety. Foundation for Traffic Safety, 2007. FRANCE, D. J.; GREEVY JR., R. A.; LIU, X., BURGESS, H.; DITTUS, R. S.; WEINGER, M. B.; SPEROFF, T. Measuring and comparing safety climate in intensive care units. Med Care, v. 48, p. 279-84, 2010. SEXTON, J. B.; HELMREICH, R. L.; NEILANDS, T. B.; ROWAN, K.; VELLA, K.; BOYDEN, J.; ROBERTS, P. R.; THOMAS, E. J. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res, v. 6, p. 44, 2006. CARVALHO, R. E. F. L.; CASSIANI, S. H. D. B. Cross-cultural adaptation of the Safety Attitudes Questionnaire - Short Form 2006 for Brazil. Revista Latino-Americana de Enfermagem, v. 20, p. 575-582, 2012.
Keywords:
Patient safety; Safety climate; Emergency medical services.
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15SC1.12
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleSafety Climate: Perception of Professionals in an Emergency Uniten
dc.contributor.authorGimenes, Fernanda R. E.en
dc.contributor.authorRigobello, Mayara C. G.en
dc.contributor.authorRigobello, Mayara C. G.en
dc.contributor.departmentRho Upsilonen
dc.author.detailsFernanda R. E. Gimenes, RN, PhD, fregimenes@eerp.usp.br; Mayara C. G. Rigobelloen
dc.identifier.urihttp://hdl.handle.net/10755/602554en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: The emergency medical services, characterized as challenging and dynamic environments, are considered particularly prone to adverse events for several reasons, including the fast pace and frequency of complex conditions and life-threatening, the fact that health professionals meet both a great number of patients with poor clinical information without limits to the kind of problems or conditions and under time pressure 1-4. In 2004, the World Health Organization defined as a priority the development of research based on scientific evidence with best practices focused on patient safety. Since then, several studies have emerged in order to assess the climate of safety in health institutions 5-6. The Safety Climate can be defined as a temporary measure the state of the institution's safety culture and can be measured by individual perceptions of the organization's attitudes to safety culture 7. Among the methods of measurement, the most widely used is the number, which takes place by means of scales and questionnaires that assess the attitudes, the climate of teamwork, job satisfaction, working conditions and stressors of individuals 8-9. The instrument in the context of care for emergency care can provide information about the main points that need to be improved. Objetive: To evaluate the perception of the safety climate of professionals working in an Emergency Unit of the State of São Paulo. Métodos: survey, transversal, descriptive and quantitative approach. To assess the security climate was used the “Safety Attitudes Questionnaire (SAQ) - Short Form 2006”, validated and translated to Portuguese language 6. Medical professionals, registered nurses, nursing assistants, psychologists, nutritionists, admin support and other professionals who work in this hospital for at least 6 months, with a minimum of 20 hours of work per week, were the study population. 139 professionals participated in the study. The data were entered into an electronic spreadsheet Microsoft Excel by double entry for further processing and analysis. Data processing were performed using Statistical Package for Social Sciences (SPSS) version 17.0. Results: The instrument is divided into two parts: the first consists of 41 items that address the six domaisn, and the second part aims to collect professional data (gender, professional category, work experience and the work unit, adult or pediatric). The six domains are: “climate of work team”, “security climate”, “work satisfaction”, “stress”, and “perception of hospital management”, “perception of unit management” and “work conditions”. Answers were given in 5 points according to the Likert scale. The final score of the scale varies from 0 to 100, whereupon 0 is the worst perception of security attitudes by health professionals and 100 is the best perception. The majority of study participants agreed partially or totally with the presented questions. Most professionals (79,6%) informed that they like their work. Fifty point seven percent (50,7%) professionals believe less effective at work when fatigued. 36,7% professionals disagree that the levels of staffing in this clinical area are sufficient to handle the number of patients. There was a female predominance among professionals working in the hospital and professionals aged 21 and over in the unit operating time. Conclusion: The satisfaction of the professional, the dialogue and support staff of the administration are factors that contribute to ensuring patient safety, especially in emergency medical services, especially in emergency services, considered particularly problematic with regard to patient safety, making it more vulnerable to incidents and adverse events. Know the perception of professionals about the patient safety climate contributes to the improvement of health care and to reduce risks to patients. Keywords: safety patient, organizational culture, safety management, emergency medical services.   REFERENCES KRUG, S. E.; FRUSH, K. Patient safety in the pediatric emergency care setting. Pediatrics, v. 120, p. 1367-75, 2007. CAMARGO JR., C. A.; TSAI, C. L.; SULLIVAN, A. F.; CLEARY, P. D.; GORDON, J. A.; GUADAGNOLI, E.; KAUSHAL, R. ; MAGID, D. J.; RAO, S. R.; BLUMENTHAL, D. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med, v. 60, p. 555-563.e20, 2012. ROSENSTEIN, A. H.; NAYLOR, B. Incidence and impact of physician and nurse disruptive behaviors in the emergency department. J Emerg Med, v. 43, p. 139-48, 2012. TEJEDOR FERNÁNDEZ, M.; MIÑARRO DEL MORAL, R.; MONTERO-PÉREZ, F. J.; GRACIA GARCÍA, F.; ROIG GARCÍA, J. J.; GARCÍA MOYANO, A. M. Diseño e implantación de un plan de seguridad del paciente en un servicio de urgencias de hospital: ¿cómo hacerlo? Design and implementation of a patient safety program for a hospital emergency department: how to do it a patient safety culture. Emergencias (Sant Vicenç dels Horts), v. 25, p. 218-227, 2013. SCOTT, T. R. et al. The Quantitative Measurement of Organizational Culture in Health Care: A Review of Available Instruments. Health Serv Res 2003; 38 (3): 923-45. GERSHON, R. R. M. et al. Measurement of Organizational Culture and Climate in Healthcare. JONA 2004; 34 (1): 33-40. WIEGMANN, D. A.; THADEN T. L.; GIBBONS, A. M. A review of safety culture theory and its potential application to traffic safety. Foundation for Traffic Safety, 2007. FRANCE, D. J.; GREEVY JR., R. A.; LIU, X., BURGESS, H.; DITTUS, R. S.; WEINGER, M. B.; SPEROFF, T. Measuring and comparing safety climate in intensive care units. Med Care, v. 48, p. 279-84, 2010. SEXTON, J. B.; HELMREICH, R. L.; NEILANDS, T. B.; ROWAN, K.; VELLA, K.; BOYDEN, J.; ROBERTS, P. R.; THOMAS, E. J. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res, v. 6, p. 44, 2006. CARVALHO, R. E. F. L.; CASSIANI, S. H. D. B. Cross-cultural adaptation of the Safety Attitudes Questionnaire - Short Form 2006 for Brazil. Revista Latino-Americana de Enfermagem, v. 20, p. 575-582, 2012.en
dc.subjectPatient safetyen
dc.subjectSafety climateen
dc.subjectEmergency medical services.en
dc.date.available2016-03-21T16:31:37Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:31:37Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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