Perception of nursing regarding patient safety climate in public and private institutions

Gasparino, Renata Cristina; Bagne, Bruna Mantovani; Gastaldo, Luana Sales; Dini, Ariane Polidoro

doi:10.1590/1983-1447.2017.03.68240

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Sumário

Original Article • Rev. Gaúcha Enferm. (Online) 38 (3) • 2017 • https://doi.org/10.1590/1983-1447.2017.03.68240 copy

Perception of nursing regarding patient safety climate in public and private institutions

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To evaluate the perception of nursing staff regarding the safety climate among healthcare professionals from public and private institutions.

Method

This is a cross-sectional, quantitative study conducted with 235 nursing professionals from a private hospital and a public hospital in Campinas, between October 2014 and October 2015. The Safety Attitudes Questionnaire – Short Form was used to collect data. Descriptive and inferential statistics were used for analysis, and the Mann-Whitney test was used to compare the institutions.

Results

The private institution had higher averages than the public institution, and significant differences in the areas of safety climate (p=0.00), unit management (p<0.0001), hospital management (p=<0.0001), working conditions (p=<0.0001), and teamwork (p=0.00).

Conclusion

Although the private institution performed better, the professionals perceived the safety climate as unsatisfactory in both institutions.

Patient safety; Nursing; Public hospitals; Private hospitals

Variable	Institution	n	Average	SD*	p-value**	Cronbach’s Alpha
Stress Perception	A	84	58.6	27.2	0.05	0.76
Stress Perception	B	138	65.4	26.4	0.05	0.76
Safety Climate	A	89	74.2	16.4	0.00	0.68
Safety Climate	B	143	68.1	17.6	0.00	0.68
Unit Management	A	88	71.9	18.6	< 0.0001	0.74
Unit Management	B	139	56.0	21.4	< 0.0001	0.74
Hospital Management	A	89	74.6	17.2	< 0.0001	0.72
Hospital Management	B	139	58.8	20.4	< 0.0001	0.72
Working Conditions	A	81	75.3	19.8	< 0.0001	0.72
Working Conditions	B	135	59.5	28.6	< 0.0001	0.72
Teamwork Climate	A	90	76.6	16.4	0.00	0.67
Teamwork Climate	B	145	70.1	17.1	0.00	0.67
Safe Conduct	A	87	77.9	21.3	0.31	0.74
Safe Conduct	B	144	74.7	22.5	0.31	0.74
Job Satisfaction	A	90	80.9	13.6	0.43	0.69
Job Satisfaction	B	144	80.8	17.7	0.43	0.69

Domain	Items	Average	SD*
Teamwork Climate	In this clinical area, it is difficult to speak up if I perceive a problem with patient care	50.8	34.9
Teamwork Climate	The physicians and nurses here work together as a well-coordinated team	65.8	31.2
Safety Climate	In this clinical area, it is difficult to discuss errors.	47.5	34.3
	The culture in this clinical area makes it easy to learn from the errors of others	65.2	32.7
	I receive appropriate feedback about my performance	65.4	33.0
	Medical errors are handled appropriately in this clinical area	73.5	29.9
Job Satisfaction	Morale in this clinical area is high.	59.5	34.4
Stress Perception	I am more likely to make errors in tense or hostile situations	56.8	37.3
	Fatigue impairs my performance during emergency situations (e.g. emergency resuscitation, seizure).	58.2	35.5
	I am less effective at work when fatigued	64.9	35.5
	When my workload becomes excessive, my performance is impaired	69.3	33.0
Unit Management	Management supports my daily efforts	54.6	32.6
	The levels of staffing in this clinical area are sufficient to handle the number of patients	55.1	38.6
	Management doesn’t knowingly compromise patient safety	63.3	34.6
	Problem personnel are dealt with constructively by our management	64.6	31.5
	Management is doing a good job	65.8	29.5
	I get adequate, timely info about events that might affect my work	68.6	30.5
Hospital Management	Management doesn’t knowingly compromise patient safety	50.6	35.1
	Problem personnel are dealt with constructively by our management	60.0	31.7
	Management supports my daily efforts	60.4	31.7
	I get adequate, timely info about events that might affect my work	71.5	29.3
	Management is doing a good job	72.2	29.7
	My suggestions about safety would be acted upon if I expressed them to management	73.2	32.2
Working Conditions	Trainees in my discipline are adequately supervised	61.1	33.5
	This hospital does a good job of training new personnel	64.9	35.1
	All necessary information for diagnostic and therapeutic decisions is available routinely to me	70.7	31.5
Safe Conduct	Communication breakdowns that lead to delays in delivery of care are common	46.0	34.4
	I experience good collaboration with staff physicians in this clinical area	73.8	28.5
	I experience good collaboration with pharmacists in this clinical area	74.4	26.3

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
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[1] Corresponding author: Renata Cristina Gasparino. E-mail: grenata@unicamp.br