Study and promotion of safety culture using mixed methods research
Article Category: Original article
Published Online: Aug 18, 2021
Page range: 129 - 139
Received: Aug 28, 2020
Accepted: Oct 21, 2020
DOI: https://doi.org/10.2478/fon-2021-0015
Keywords
© 2021 Daiane Brigo Alves et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Objective
With a positive safety culture, institutions offer the best quality and safe care to their patients. The objective of this study was to analyze patient safety culture from the perspective of the multidisciplinary team, to identify factors that influence patient safety culture, and to create/promote—jointly with the study participants—strategies for improving processes of change.
Methods
The study design represented a mixed methods research approach, with a sequential explanatory design. A multidisciplinary team of workers at a general hospital was eligible for the study. To collect quantitative data, we administered the
Results
The overall SAQ score was positive (75.1 ± 10.4). Negative scores were found in the fields of Safety Climate, Working Conditions, and Stress Recognition. Focus group discussions identified the aspects that create a negative impact on safety culture, such as ineffective communication, punitive approach in the event of errors, the lack of commitment and adherence to the protocols, and the non-recognition of the stress and the mistakes. Actions for the promotion of safety culture were developed and implemented during the study.
Conclusions
The use of the principles of DD as a strategy for knowledge translation (KT) made it possible to identify and plan for joint actions to generate improvements in safety culture.