Patient safety culture: study of some intervening factors

Manuela Ferreira, J. Consciência, J. Duarte, D. Silva
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Abstract

Introduction: Patient’s safety has a multidimensional and multidisciplinary character. In its multidimensional nature, WHO highlights the importance of the quality interaction and communication as determinants of quality and safety in health care delivery. Objetive: To analyze the extent to which sociodemographic and professional variables influence nurses’ communication skills and what the impact of nurses’ communicational competencies on the safety culture of care. Methods: A quantitative, descriptive-correlational, analytical and cross-sectional study with a sample of 138 nurses. We used the Hospital survey on Patient Safety Culture (Eiras, 2011), and the Clinical Communication Skills Scale (ECCC), validated by (Ferreira; Silva & Duarte 2016) for the evaluation of communication skills. Results: The population has 32.51 years as average, with a standard deviation of 7.958. They are mostly female (77.54%) with a degree (94.4%) and have, on average, 9.41 years of professional experience. Age, marital status, work experience does not influence the safety culture of the patient. After the inferential analysis through a multivariate multiple regression, we note that all manifest variables (Years of professional experience, collects information, share information and allows to terminate the dialogue) showed significant values. The greater the years of professional experience less punitive error response. Conclusions: The results point to the importance of some variables in the patient’s safety culture. This reality is circumscribed by new presuppositions and attitudes; Professionals who have to attend, in a timely manner, the evolution of knowledge, ensuring safe practices, assuring the quality of the care provided.
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患者安全文化:一些干预因素的研究
患者安全具有多维度、多学科的特点。世卫组织具有多层面性质,强调高质量的互动和沟通的重要性,认为这是卫生保健提供质量和安全的决定因素。目的:分析社会人口学和专业变量对护士沟通能力的影响程度,以及护士沟通能力对护理安全文化的影响。方法:对138名护士进行定量、描述相关、分析和横断面研究。我们使用了医院患者安全文化调查(Eiras, 2011)和临床沟通技巧量表(ECCC),经(Ferreira;Silva & Duarte 2016)对沟通技巧的评估。结果:人口平均年龄32.51岁,标准差为7.958。他们大多是女性(77.54%),拥有学位(94.4%),平均拥有9.41年的专业经验。年龄、婚姻状况、工作经历对患者的安全文化没有影响。通过多元多元回归进行推理分析后,我们发现所有的显性变量(多年的专业经验、收集信息、分享信息和允许终止对话)都显示出显著的价值。职业经验年数越大,惩罚性错误反应越少。结论:结果指出了一些变量在患者安全培养中的重要性。这一现实受到新的假设和态度的限制;专业人员必须及时参与知识的发展,确保安全做法,确保所提供护理的质量。
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