The culture of patient safety from the perspective of the pediatric emergency nursing team^*

Cultura de seguridad del paciente en la perspectiva del equipo de enfermería de urgencias pediátricas

Abstract

OBJECTIVE

To identify the patient safety culture in pediatric emergencies from the perspective of the nursing team.

METHOD

A quantitative, cross-sectional survey research study with a sample composed of 75 professionals of the nursing team. Data was collected between September and November 2014 in three Pediatric Emergency units by applying the Hospital Survey on Patient Safety Culture instrument. Data were submitted to descriptive analysis.

RESULTS

Strong areas for patient safety were not found, with areas identified having potential being: Expectations and actions from supervisors/management to promote patient safety and teamwork. Areas identified as critical were: Non-punitive response to error and support from hospital management for patient safety. The study found a gap between the safety culture and pediatric emergencies, but it found possibilities of transformation that will contribute to the safety of pediatric patients.

CONCLUSION

Nursing professionals need to become protagonists in the process of replacing the current paradigm for a culture focused on safety. The replication of this study in other institutions is suggested in order to improve the current health care scenario.

Descriptors
Patient Safety; Organizational Culture; Nursing, Team; Pediatric Nursing