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Inicio Enfermería Clínica Safety culture in a nephrology service at a university hospital: A mixed method ...
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Vol. 32. Issue 1.
Pages 33-44 (January - February 2022)
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Vol. 32. Issue 1.
Pages 33-44 (January - February 2022)
Original article
Safety culture in a nephrology service at a university hospital: A mixed method study
Cultura de seguridad en un servicio de nefrología de un hospital universitario: un estudio de método mixto
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16
Nínive Pita Gomes de Oliveiraa,
Corresponding author
ninivepitagomes@gmail.com

Corresponding author.
, Joyce Martins Arimatéa Branco Tavaresa, Cintia Silva Fassarellaa, Priscilla Alfradique de Souzab, Sílvia Maria de Sá Basílio Linsb
a University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
b Federal University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Tables (4)
Table 1. Characteristics of the health professionals of the nephrology service of a university hospital – Rio de Janeiro, 2020.
Table 2. Dimension results at the level of the nephrology service.
Table 3. Representative box of the articulation between quantitative and qualitative results – Subcategory 1 – Rio de Janeiro, RJ, Brazil, 2020.
Table 4. Representative box of the articulation between quantitative and qualitative results – Subcategory 2 – Rio de Janeiro, RJ, Brazil, 2020.
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Abstract
Objective

To evaluate the safety culture from the perception of the multidisciplinary team of the nephrology service of a university hospital.

Method

Mixed methods study with concomitant triangulation of data, with 56 participants. In the adopted approach, data are weighted with QUAN+qual notation. Quantitative data were collected using the Hospital Survey on Patient Safety Culture instrument and analyzed using simple descriptive statistics. Qualitative data were obtained from recorded interviews and analyzed using the content analysis technique proposed by Bardin.

Results

The answers obtained in the quantitative instrument pointed out that of the twelve dimensions of the service, three were neutral, nine were fragile, and none was strong. From the qualitative analysis, similarities and divergences were identified in the statements about the quantitative data. The intersection of the data resulted in the category “Safety culture in the work environment of Nephrology”.

Conclusion

Knowing the level of safety culture through the perception of nephrology health professionals allowed the identification of a critical and problematic scenario that needs improvements in the dimensions classified as fragile in order to advance in the perspectives of safety and in the polishing of actions aimed at safer care.

Keywords:
Nephrology
Patient safety
Nursing care
Mixed methods
Resumen
Objetivo

Evaluar la cultura de seguridad desde la percepción del equipo multidisciplinar del servicio de nefrología de un hospital universitario.

Método

Estudio de un método mixto con triangulación concomitante de datos sobre 56 participantes. En el enfoque adoptado, los datos se ponderan con la notación QUAN+qual. Los datos cuantitativos se recopilaron utilizando el instrumento Hospital Survey on Patient Safety Culture y se analizaron mediante estadísticas descriptivas simples. Los datos cualitativos se obtuvieron de entrevistas grabadas, y se analizaron utilizando la técnica de análisis de contenido de Bardin.

Resultados

Las respuestas obtenidas por el instrumento cuantitativo señalaron que, de las 12 dimensiones del servicio, 3 fueron consideradas neutrales, 9 frágiles y ninguna dimensión obtuvo una clasificación fuerte. A partir del análisis cualitativo, se identificaron similitudes y divergencias en las declaraciones de los participantes sobre los datos cuantitativos. Como intersección de los datos, se presentó la categoría «La cultura de la seguridad en el ambiente laboral de nefrología».

Conclusión

Conocer el nivel de cultura de seguridad a través de la percepción de los profesionales de la salud en nefrología nos permitió identificar un escenario crítico y problemático que exige estrategias de mejora en dimensiones catalogadas como frágiles para avanzar en las perspectivas de seguridad, y mejorar las acciones orientadas a una atención más segura.

Palabras clave:
Nefrología
Seguridad del paciente
Cuidado de enfermera
Métodos mixtos

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