Safety culture in healthcare: mixed method study
Autor: | Patricia Beryl Marck, Elisiane Lorenzini, Nelly D. Oelke |
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Rok vydání: | 2021 |
Předmět: |
Safety Management
Quality management Attitude of Health Personnel Qualitative property 03 medical and health sciences Patient safety 0302 clinical medicine Surveys and Questionnaires Health care Humans 030212 general & internal medicine Safety culture Medical education 030504 nursing Social work business.industry Health Policy Multimethodology Organizational Culture Focus group Research Design Business Management and Accounting (miscellaneous) Patient Safety 0305 other medical science business Psychology |
Zdroj: | Journal of Health Organization and Management. 35:1080-1097 |
ISSN: | 1477-7266 |
Popis: | PurposeHealthcare providers’ perceptions of management's effectiveness in achieving safety culture improvements are low, and there is little information in the literature on the subject. Objective: The overall aim of this study was to examine the patient safety culture within an interprofessional team – physicians, nurses, nurse technicians, speech therapist, psychologist, social worker, administrative support – practicing in an advanced neurology and neurosurgery center in Southern Brazil.Design/methodology/approachThe authors applied the safety attitudes questionnaire (SAQ) in a mixed methods study, with a quan→QUAL sequential explanatory approach.FindingsIn the quantitative phase, the authors found a negative safety climate through the SAQ. In the qualitative phase, the approach enabled participants to identify specific safety problems. For that, participants proposed improvements that were directly and quickly implemented in the workplace during the study. The joint analysis of the quantitative and qualitative data inferred that the information and reflections of the focus group participants supported and validated the SAQ statistical analysis results. This integrated approach illustrated the importance of various safety culture aspects as a multifaceted phenomenon related to healthcare quality.Originality/valueThis study provides explanations for why management is associated negatively with safety climate in healthcare institutions. In addition, the study provides a novel contribution adding value to mixed methods research methodology. |
Databáze: | OpenAIRE |
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