Cultura de seguridad del paciente desde la perspectiva de todos los trabajadores de un hospital general

Kolankiewicz, Adriane Cristina Bernat; Schmidt, Catiele Raquel; Carvalho, Rhanna Emanuela Fontenele Lima de; Spies, Jacinta; Dal Pai, Sandra; Lorenzini, Elisiane

Adriane Cristina Bernat Kolankiewicz

Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUÍ). Programa de Pós-Graduação Strictu Sensu em Atenção Integral à Saúde. Ijuí, Rio Grande do Sul, Brasil.

http://orcid.org/0000-0003-1793-7783

Catiele Raquel Schmidt

Universidade do Estado de Santa Catarina (UDESC). Florianópolis, Santa Catarina, Brasil.

Escola de Saúde Pública de Florianópolis. Residência Multiprofissional em Saúde da Família. Florianópolis, Santa Catarina, Brasil.

http://orcid.org/0000-0001-7711-4370

Rhanna Emanuela Fontenele Lima de Carvalho

Universidade Estadual do Ceará (UECE). Programa de Pós-Graduação Strictu Sensu Cuidados Clínicos em Enfermagem e Saúde e Mestrado Profissional em Saúde da Criança e do Adolescente. Fortaleza, Ceará, Brasil.

http://orcid.org/0000-0002-3406-9685

Jacinta Spies

Hospital Vida e Saúde. Santa Rosa, Rio Grande do Sul, Brasil.

http://orcid.org/0000-0002-5037-0355

Sandra Dal Pai

Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUÍ). Programa de Pós-Graduação Strictu Sensu em Atenção Integral à Saúde. Ijuí, Rio Grande do Sul, Brasil.

Hospital Vida e Saúde. Santa Rosa, Rio Grande do Sul, Brasil.

http://orcid.org/0000-0002-6475-8182

Elisiane Lorenzini

Universidade Federal de Santa Catarina (UFSC), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil.

http://orcid.org/0000-0001-8426-2080

Corresponding author:
Adriane Cristina Bernat Kolankiewicz E-mail: adriane.bernat@unijui.edu.br

Associate editors:

Marta Georgina Oliveira de Goes

Cecília Helena Glanzner

Editor-in-chief:

Maria da Graça Oliveira Crossetti

SAQ* Domains				Classification		Alpha Cronbach
SAQ* Domains	Mean	Standard deviation	Median	Low (<75)	High (≥75)	Alpha Cronbach
Teamwork spirit	80.4	14.4	83.3	164 (35.1%)	303 (63.9%)	0.572
Safe environment	77.8	13.8	78.6	208 (43.9%)	266 (56.1%)	0.602
Job satisfaction	92.7	12.1	95.0	42 (8.9%)	432 (91.1%)	0.812
Perception of stress	60.5	27.9	66.7	332 (70.3%)	338 (71.5%)	0.802
Perception of hospital management	75.2	16.1	75.0	255 (53.8%)	219 (46.2%)	0.583
Perception of unit management	75.6	17.0	75.0	242 (51.2%)	231 (48.8)	0.632
Working conditions	85.7	16.4	91.7	135 (28.5%)	338 (71.5%)	0.552
Comparison between the means of the domains	F_{5; 2784} = 189.661; p<0.001; (1-β) = 0.952†

SAQ* Domains	Nursing team (n=230)		Other professionals (n=47)		Support team (n=197)		P
SAQ* Domains	Mean	SD†	Mean	SD†	Mean	SD†	P
Teamwork spirit	81.7	13.6	82.5	13.5	78.2	15.2	0.022‡
Safe environment	79.3	12.5	81.0	11.2	75.3	15.3	0.002‡
Job satisfaction	94.8	8.1	94.7	7.5	89.7	15.8	<0.001§
Perception of stress	60.0	27.6	62.2	29.2	60.8	28.0	0.875‡
Hospital Management	75.9	14.6	74.8	14.4	74.4	18.2	0.634§
Unit Management	75.2	16.6	80.2	15.2	74.9	17.8	0.146§
Working conditions	86.6	14.5	86.1	14.6	84.5	18.7	0.423§

Variables	SAQ* Domains
	N†	Teamwork spirit		Safe environment		Job satisfaction		Perception of stress
	N†	Mean	SD‡	Mean	SD‡	Mean	SD‡	Mean	SD‡
Gender
Female	380	80.3	14.7	77.6	13.6	92.4	12.6	62.1	27.8
Male	87	80.9	13.0	78.8	14.7	93.7	9.8	53.7	27.4
P		0.726§		0.482§		0.363§		0.011\|\|
Age (years old)
18 to 30	197	79.9	14.4	78.5	13.2	92.7	10.2	58.7	25.8
31 to 50	248	81.0	14.3	77.6	14.3	92.3	14.0	61.3	29.0
51 years old or more	29	77.7	14.5	75.5	12.6	95.2	5.1	66.5	31.2
P		0.425¶		0.494¶		0.490¶		0.297**
Schooling
Complete Elementary School	20	77.9	13.3	70.1	12.0	89.5	17.5	58.6	30.4
High School	305	78.9	15.3	77.5	13.5	92.1	12.7	57.6	28.8
Graduation	88	82.1	12.3	77.0	14.8	92.0	11.8	65.0	24.1
Specialization (Lato Sensu)	50	87.0	10.0	84.2	11.6	98.0	3.4	68.8	25.6
Master’s degree	4	89.6	5.4	81.3	9.9	97.5	5.0	81.3	13.5
P		0.002¶		0.001¶		0.013¶		0.015**
Time in the institution
Less than 1 year	99	83.0	14.3	80.4	12.6	93.5	10.5	56.9	27.4
1 to 3 years	108	82.1	13.0	78.7	13.2	90.9	13.7	59.3	27.6
3 to 5 years	61	76.5	14.9	77.8	12.3	92.7	7.9	64.3	25.8
5 to 10 years	101	79.0	15.4	76.3	14.4	93.5	10.4	59.0	27.6
10 to 20 years	74	81.3	13.2	76.2	14.4	92.6	16.9	62.5	29.9
20 years or more	31	75.6	14.7	75.5	17.4	93.2	9.6	69.2	29.6
P		0.015¶		0.229¶		0.659¶		0.246**
Chose to work in the unit
Yes	370	81.0	13.8	78.7	13.6	93.3	11.6	60.2	27.4
No	102	78.2	16.1	74.8	13.9	90.5	13.8	61.6	29.8
P		0.079§		0.011§		0.040§		0.640§
Has another employment bond
Yes	64	80.7	13.7	77.2	13.3	93.8	10.3	59.4	24.8
No	409	80.3	14.5	77.9	13.9	92.5	12.4	60.7	28.4
P		0.837§		0.691§		0.436§		0.740\|\|

Variables	SAQ* Domains
	N†	Hospital Management		Unit Management		Working conditions
	N†	Mean	SD‡	Mean	SD‡	Mean	SD‡
Gender
Female	380	74.1	16.1	74.7	17.0	85.3	16.9
Male	87	80.0	15.4	79.2	16.6	87.3	13.7
P		0.002§		0.026§		0.291§
Age (years old)
18 to 30	197	74.0	16.4	74.3	18.1	85.9	15.5
31 to 50	248	75.5	16.2	76.2	16.4	85.1	17.3
51 or more	29	80.6	12.9	78.1	14.6	88.8	14.1
P		0.103\|\|		0.346\|\|		0.491\|\|
Schooling
Complete Elementary School	20	82.5	15.6	77.6	14.9	88.3	14.7
High School	305	74.5	16.3	75.3	17.5	85.9	16.6
Graduation	88	73.9	16.0	74.4	17.1	84.3	17.2
Specialization	50	79.4	14.6	79.3	14.5	84.8	15.7
Master’s degree	4	82.5	9.6	73.3	12.6	79.2	8.4
P		0.048\|\|		0.514\|\|		0.763\|\|
Time in the institution
Less than 1 year	99	75.7	15.4	77.0	16.8	86.2	14.8
1 to 3 years	108	74.3	16.6	75.7	16.4	88.1	16.4
3 to 5 years	61	74.5	16.4	74.7	16.2	85.3	17.6
5 to 10 years	101	74.9	16.0	73.6	18.3	84.6	17.4
10 to 20 years	74	75.8	15.0	75.8	16.5	83.3	15.5
20 years or more	31	77.1	19.9	78.1	18.6	85.3	17.7
P		0.953\|\|		0.725\|\|		0.472\|\|
Chose to work in the unit
Yes	370	75.9	15.9	76.5	16.6	86.1	16.4
No	102	73.1	17.0	72.5	18.2	84.2	16.3
P		0.122§		0.038§		0.293§
Has another employment bond
Yes	64	75.4	14.9	74.6	17.7	83.9	14.3
No	409	75.2	16.4	75.7	16.9	85.9	16.7
P		0.908§		0.651§		0.345§

[1] Corresponding author:
Adriane Cristina Bernat Kolankiewicz E-mail: adriane.bernat@unijui.edu.br

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Cultura de seguridad del paciente desde la perspectiva de todos los trabajadores de un hospital general

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