Perception of nursing professionals on patient safety culture

To evaluate nursing professionals’ perception on safety climate, to check if this perception differs between categories and if there is correlation between the Safety Attitude Questionaire (SAQ) domains and personal and professional variables.

Method:

Quantitative and transversal study held in a teaching hospital in the countryside of São Paulo, in Brazil. Data collection occurred in the period from April to July 2014, with the application of the SAQ.

Results:

259 professionals participated in the study. The domain job satisfaction obtained scores above 75 for both categories. The perception of safety climate differed between the categories for most areas, except for the recognition of stress, and there is correlation between five SAQ domains and the variables time of experience and intention to leave the profession.

Conclusion:

Knowing the professionals’ perception on safety climate will contribute to a secure assistance.

Descriptors:
Family; Psychological Resilience; Substance-Related Disorders; Mental Health; Health Personnel

SAQ domains	Average	Standard Deviation	Median
Job satisfaction	81.97	18.25	85.00
Safe behavior	73.86	23.74	75.00
Climate of teamwork	73.80	17.43	75.00
Safety climate	70.02	17.81	71.43
Working conditions	65.96	24.47	66.67
Perception of unit management	59.91	20.00	58.33
Stress recognition	59.64	25.44	62.50
Perception of hospital management	59.61	19.13	58.33

SAQ domains	Category	Average	Standard deviation	Median	p value
Climate of teamwork	Nurse	80.82	11.63	79.17	0.0060^* * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.
Climate of teamwork	NT/NA	72.23	18.16	75.00
Safety climate	Nurse	80.53	14.49	82.14	*<0.0001^ * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.**
Safety climate	NT/NA	67.66	17.70	70.83
Job satisfaction	Nurse	86.41	14.97	92.50	0.0535^* * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.
Job satisfaction	NT/NA	81.03	18.83	85.00
Stress recognition	Nurse	64.39	21.15	62.50	0.2066
Stress recognition	NT/NA	58.45	26.20	56.25	0.2066
Perception of unit management	Nurse	70.91	14.89	70.83	*<0.0001^ * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.**
Perception of unit management	NT/NA	57.59	20.19	58.33
Perception of hospital management	Nurse	68.54	17.07	70.83	0.0004^* * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.
Perception of hospital management	NT/NA	57.72	19.07	58.33
Working conditions	Nurse	73.41	18.70	75.00	0.0445^* * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.
Working conditions	NT/NA	64.25	25.35	66.67
Safe behavior	Nurse	83.70	15.99	83.33	0.0036^* * Mann-Whitney tests p ≤ 0.05; NT – nursing technicians; NA – nursing assistants; SAQ – Safety Attitudes Questionnaire.
Safe behavior	NT/NA	71.67	24.70	75.00

SAQ domains	Age	Training time	Time of experience in the unit	Time of experience in the institution	Intention of leaving profession
Climate of teamwork	-0.0185	-0.0229	-0.2112^* * p ≤ 0.05;	-0.2003^* * p ≤ 0.05;	-0.1496^* * p ≤ 0.05;
Safety climate	0.0152	-0.0376	-0.1813^* * p ≤ 0.05;	-0.1412^* * p ≤ 0.05;	-0.1742^* * p ≤ 0.05;
Job satisfaction	-0.0278	-0.1503^* * p ≤ 0.05;	-0.2391^* * p ≤ 0.05;	-0.2165^* * p ≤ 0.05;	-0.2661^ p ≤ 0.0001; SAQ – Safety Attitudes Questionnaire.
Stress recognition	0.0928	0.0726	0.0589	0.0867	0.0891
Perception of unit management	0.0107	-0.0849	-0.1285^* * p ≤ 0.05;	-0.1181	-0.1419^* * p ≤ 0.05;
Perception of hospital management	0.0396	-0.0681	-0.1619^* * p ≤ 0.05;	-0.1112	-0.0706
Working conditions	0.0842	-0.0453	-0.2016^* * p ≤ 0.05;	-0.1579^* * p ≤ 0.05;	-0.2412^* * p ≤ 0.05;
Safe behavior	0.0223	-0.0639	-0.2186^* * p ≤ 0.05;	-0.1747^* * p ≤ 0.05;	-0.2171^* * p ≤ 0.05;

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[1] CORRESPONDING AUTHOR Edinêis de Brito Guirardello E-mail: guirar@unicamp.br