<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>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.</p>
</sec>
<sec><h3>Methods</h3>
<p>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 <italic>Safety Attitudes Questionnaire</italic> (SAQ). The qualitative phase was accomplished via focus groups (FGs), with participants from the first phase of the study using the principles of deliberative dialogue (DD) as a knowledge-translation strategy. The STROBE guideline was used to develop the study.</p>
</sec>
<sec><h3>Results</h3>
<p>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.</p>
</sec>
<sec><h3>Conclusions</h3>
<p>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.</p>
</sec>
</abstract>

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 Safety Attitudes Questionnaire (SAQ). The qualitative phase was accomplished via focus groups (FGs), with participants from the first phase of the study using the principles of deliberative dialogue (DD) as a knowledge-translation strategy. The STROBE guideline was used to develop the study.

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.

Study and promotion of safety culture using mixed methods research

Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ)

School of Nursing, Faculty of Health and Social Development

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"Study and promotion of safety culture using mixed methods research"}

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...

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
deliberative dialogue, knowledge translation, mixed methods, organizational culture, patient safety

© 2021 Daiane Brigo Alves et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

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

Keywordsdeliberative dialogue, knowledge translation, mixed methods, organizational culture, patient safety

© 2021 Daiane Brigo Alves et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
deliberative dialogue, knowledge translation, mixed methods, organizational culture, patient safety