Challenges of safety culture in Surgical Center: mixed methods study ^*

Objective:

to analyze the safety attitudes of health and support areas professionals working in Surgical Center.

Method:

sequential explanatory mixed methods study. The quantitative stage covered 172 health and support professionals in eight Surgical Centers of a hospital complex. The Safety Attitudes Questionnaire/Surgical Center was applied. In the subsequent qualitative stage, 16 professionals participated in the Focus Group. Photographic methods were used from the perspective of ecological and restorative thinking, and data analysis occurred in an integrated manner, through connection.

Results:

the general score, by group of Surgical Centers, based on the domains of the Safety Attitudes Questionnaire/Surgical Center, reveals a favorable perception of the safety climate, with emphasis on the domains Stress Perception, Communication in the Surgical Environment, Safety Climate and Perception of Professional Performance. The overall analysis of the domain Communication and Collaboration between Teams appears positive and is corroborated by data from the qualitative stage, which highlights the importance of interaction and communication between healthcare teams as fundamental for daily work.

Conclusion:

the perception of safety attitudes among health and support professionals was positive. The perception of the nursing team stands out as closer or more favorable to attitudes consistent with the safety culture.

Descriptors:
Patient Safety; Organizational Culture; Perioperative Nursing; Surgicenters; Nursing; Health Facility Environment

Highlights:

(1) Communication and teamwork reinforce the safety culture.

(2) The nursing team is more committed to the safety culture.

(3) Favorable perception of the safety climate by health professionals and support workers.

(4) Adherence of the nursing team to institutional processes and routines.