Patient safety culture in a bone marrow transplantation unit

Fermo, Vivian Costa; Radünz, Vera; Rosa, Luciana Martins da; Marinho, Monique Mendes

doi:10.1590/0034-7167.2015680620i

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RESEARCH • Rev. Bras. Enferm. 68 (6) • Nov-Dec 2015 • https://doi.org/10.1590/0034-7167.2015680620i copy

Patient safety culture in a bone marrow transplantation unit

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

evaluate the patient safety culture in the perspective of health professionals from a bone marrow transplantation unit of an oncology research center, at a reference hospital for cancer treatment in Santa Catarina, Brazil.

Method:

a quantitative cross-sectional study that used the Safety Attitudes Questionnaire was conducted between August and September 2013. The study analyzed 33 professional surveys. Statistical data analysis used descriptive and inferential statistics.

Results:

among the dimensions analyzed, only "job satisfaction" reached a mean score above 75, considered positive in terms of patient safety culture.

Conclusion:

the dimensions of safety culture present in the survey have to be valued by professionals and managers to allow safe patient care.

Key words:
Culture; Patient Safety; Bone Marrow Transplantation

Variables	n	%
Gender (n = 33)
Male	2	6.0
Female	31	93.9
Age (n=20)
20 to 40 years	11	55.0
41 to 60 years	9	45.0
Professional category (n = 33)
Nurses	8	24.2
Physicians	6	18.2
Nursing technicians	13	39.4
Other professionals of higher education level	6	18.2
Employment status (n = 31)
Contract	13	41.9
Civil servant	18	58.1
Working hours (n = 31)
15 hours	1	3.2
20 hours	3	9.7
30 hours	16	51.6
40 hours	10	32.3
50 hours	1	3.2
Length of experience in Oncology (n = 31)
4 weeks to 6 months	1	3.2
7 months to 1 year	2	6.5
1 year and 1 month to 5 years	4	12.9
5 year and 1 month to 10 years	8	25.8
10 years and 1 month or more	16	51.6
Length of experience in a BMT unit (n = 32)
4 weeks - 6 months	5	15.6
7 months - 1 year	1	3.1
1 year and 1 month - 5 years	6	18.8
5 year and 1 month - 10 years	8	25.0
10 years and 1 month or more	12	37.5

Dimension	Mean	Standard deviation	Minimum value	Maximum value
Safety climate	65.9	16.3	36	100
Teamwork climate	74.1	13.9	46	100
Work conditions	57.51	18.5	19	88
Stress recognition	65.9	20.3	0	100
Perception of unit and hospital management	66.9	15.9	33	98
Job satisfaction	78.7	10.5	55	100

	Nurses		Physicians		Nursing technicians		Other professionals of higher education level
Dimensions	Mean	SD	Mean	SD	Mean	SD	Mean	SD	P value
Safety climate	72.3	19.3	55.9	19.7	67.1	14.1	64.8	10.9	0.324
Teamwork climate	81.7	13.9	70.8	18.6	72.1	11.1	71.5	14.3	0.372
Work conditions	58.6	20.8	66.7	25.8	51.7	13.2	59.4	17.5	0.439^* Notes: *P values from ANOVA. Assumptions of normality for the error rates and/or homogeneity of variance were rejected, with the probability values, according to the Kruskal-Wallis test, better reporting the difference in score distribution of mean values among the groups, as follows: 0.146 (work conditions); 0.154 (stress recognition); 0.065 (perception of unit and hospital management); 0.05 (job satisfaction).
Stress recognition	71.8	14.5	70.8	22.2	61.0	12.0	63.5	36.7	0.621^* Notes: *P values from ANOVA. Assumptions of normality for the error rates and/or homogeneity of variance were rejected, with the probability values, according to the Kruskal-Wallis test, better reporting the difference in score distribution of mean values among the groups, as follows: 0.146 (work conditions); 0.154 (stress recognition); 0.065 (perception of unit and hospital management); 0.05 (job satisfaction).
Perception of unit and hospital management	67.2	16.1	75	20.9	61.0	16.3	71.2	13.0	0.300^* Notes: *P values from ANOVA. Assumptions of normality for the error rates and/or homogeneity of variance were rejected, with the probability values, according to the Kruskal-Wallis test, better reporting the difference in score distribution of mean values among the groups, as follows: 0.146 (work conditions); 0.154 (stress recognition); 0.065 (perception of unit and hospital management); 0.05 (job satisfaction).
Job satisfaction	84.2	9.6	80.8	16.2	73.1	7.8	81.7	5.2	0.07^* Notes: *P values from ANOVA. Assumptions of normality for the error rates and/or homogeneity of variance were rejected, with the probability values, according to the Kruskal-Wallis test, better reporting the difference in score distribution of mean values among the groups, as follows: 0.146 (work conditions); 0.154 (stress recognition); 0.065 (perception of unit and hospital management); 0.05 (job satisfaction).

Stress recognition
Working hours (n = 31)	Mean	P value
15 hours (n = 1)	0.00	0.008^* Note: *Due to a normal distribution of error and homogeneous variance within the groups, these results are from the ANOVA.
20 hours (n = 3)	75.00
30 hours (n = 16)	64.06
40 hours (n = 10)	73.13
50 hours (n = 1)	68.75
Safety climate
Gender (n = 33)	Mean	P value
Male (n = 2)	42.86	0.037^* Note: *Due to a normal distribution of error and homogeneous variance within the groups, these results are from the ANOVA.
Female (n = 31)	67.42
Teamwork climate
Age (n = 20)	Mean	P value
20 a 40 years old (n = 11)	67.42	0.032^* Note: *Due to a normal distribution of error and homogeneous variance within the groups, these results are from the ANOVA.
41 a 60 years old (n = 9)	82.41
Work conditions
Age (n = 20)	Mean	P value
20 a 40 years old (n = 11)	56.25	0.027^* Note: *Due to a normal distribution of error and homogeneous variance within the groups, these results are from the ANOVA.
41 a 60 years old (n = 9)	70.83
Job satisfaction
Age (n = 20)	Mean	P value
20 a 40 years old (n = 11)	75.80	0.020^* Note: *Due to a normal distribution of error and homogeneous variance within the groups, these results are from the ANOVA.
41 a 60 years old (n = 9)	85.56

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[1] CORRESPONDING AUTHOR: Vivian Costa Fermo. E-mail: vivianfermo@hotmail.com