Patient safety culture in home care service

Rev Esc Enferm USP. 2020 Sep 21:54:e03586. doi: 10.1590/S1980-220X2018040703586. eCollection 2020.
[Article in English, Portuguese]

Abstract

Objective: Verify perceptions of the health team about patient safety culture in home care in a large city in Brazilian Midwest region.

Method: A survey study involving Safety Attitudes Questionnaire and professional profile inventory. Results: From the 37 professionals, most were female (n = 32, 86.5%), lived with their spouse (n = 25, 67.6%), worked in a statutory work regime (n = 29; 78.4%) and have only one job (n = 23; 62.2%). A higher median score for job satisfaction (80.0) and a lower score for management perception (31.8) were found. There was a negative correlation between weekly workload and teamwork (p = 0.02). Safety climate was significantly higher among consolidated (Consolidação das Leis do Trabalho - CLT) professionals in the safety climate (p = 0.001) and overall (p = 0.005) domains. Physicians had a higher perception of the safety climate domain when compared to professionals in other categories (p = 0.005). Age was positively associated to the climate in the safety (p = 0.002), working conditions (p = 0.03) and overall (p = 0.04) domains.

Conclusion: Teamwork and job satisfaction were scored as positive and management actions were considered the main weakness of the safety culture.

MeSH terms

  • Attitude of Health Personnel
  • Brazil
  • Cross-Sectional Studies
  • Female
  • Home Care Services*
  • Humans
  • Job Satisfaction
  • Male
  • Organizational Culture*
  • Patient Care Team
  • Patient Safety*
  • Safety Management
  • Surveys and Questionnaires