Organizational safety climate in relation to Standard Precautions according to nursing professionals
DOI:
https://doi.org/10.18554/refacs.v13i00.8495Keywords:
Organizational culture, Universal precautions, Nursing, Change management, Health organizationsAbstract
Objective: to evaluate the safety climate in relation to Standard Precautions according to nursing professionals. Methods: an inferential, cross-sectional study was conducted between August 2022 and September 2023 with nursing professionals from a hospital in the State of Minas Gerais, Brazil. Data collection involved a demographic questionnaire and the Safety Climate Scale. Descriptive and inferential statistics were used. All ethical aspects were considered. Results: 381 professionals participated, of which 79.8% were female, with a mean age of 40.3 years (SD ±9.65). The nursing staff showed low average scores on all items of the scale, ranging from 1.66 (supervisor support) to 3.10 (senior management involvement in safety). In dimension 1: Managerial actions to support safety (t=0.752; p=0.452), and in dimension 2: Feedback on safe practices (t=0.153; p=0.071), there was no difference between the average score of nurses compared to other professional categories. Conclusion: the perception of the safety climate by nursing professionals showed a low average for both dimensions of the instrument, and measures should be promoted to establish a safer environment for both professionals and patients under their care.
References
1. Verbeek JH, Rajamaki B, Ijaz S, Tikka C, Ruotsalainen JH, Edmond MB, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. [Internet]. 2019 [citado em 10 maio 2024]; 4(4):CD011621. DOI: http://dx.doi.org/10.1002/14651858.CD011621.pub3
2. World Health Organization. Aide memoire. Standard precautions in health care [Internet]. Geneva, CH: WHO; 2007 [citado em 20 jul 2024]. Disponível em: https://cdn.who.int/media/docs/default-source/documents/health-topics/epr_am2_e77a9f9250-e9f7-4cc3-9e81-754f12b00c4d.pdf?sfvrsn=a568a3f9_1&download=true
3. Dobrina R, Donati D, Giangreco M, Benedictis A, Schreiber S, Bicego L, et al. Nurses’ compliance to standard precautions prior to and during COVID-19. Int Nurs Rev. [Internet]. 2023 [citado em 15 maio 2024]; 71(1):20-7. DOI: https://doi.org/10.1111/inr.12830
4. Samur M, Intepeler SS, Lam SC. Adaptation and validation of the Compliance with Standard Precautions Scale amongst nurses in Turkey. Int J Nurs Pract. [Internet]. 2020 [citado em 11 jun 2024]; 26(3):e12839. DOI: https://doi.org/10.1111/ijn.12839
5. Zeb S, Ali TS. Factors associated with the compliance of standard precaution; review article. J Pak Med Assoc. [Internet]. 2021 [citado em 7 maio 2024]; 71(2(B)):713-7. DOI: https://doi.org/10.47391/JPMA.416
6. Pereira VH, Torres LN, Rodrigues NM, Monteiro DAT, Moraes JT, Pereira-Ávila FMV, et al. Cumprimento às precauções-padrão por profissionais de enfermagem e fatores associados. Esc Anna Nery [Internet]. 2021 [citado em 10 abr 2024]; 25(3):e20200193. DOI: https://doi.org/10.1590/2177-9465-EAN-2020-0193
7. Lebni JY, Azar FE, Sharma M, Zangeneh A, Kianipour N, Azizi SA, et al. Factors affecting occupational hazards among operating room personnel at hospitals affiliated in Western Iran: a cross-sectional study. J Public Health (Berl) [Internet]. 2020 [citado em 14 maio 2024]; 29:1225-32. DOI: https://doi.org/10.1007/s10389-019-01169-y
8. Magalhães FHL, Pereira ICA, Luiz RB, Barbosa MH, Ferreira MBG. Patient safety atmosphere in a teaching hospital. Rev Gaúcha Enferm. [Internet]. 2019 [citado em 17 jul 2024]; 40(N Esp):e20180272. DOI: https://doi.org/10.1590/1983-1447.2019.20180272
9. Padilha RQ, Gomes R, Lima VV, Soeiro E, Oliveira JM, Schiesari LMC, et al. Principles of clinical management: connecting management, healthcare and education in health. Ciênc Saúde Colet. [Internet]. 2018 [citado em 5 maio 2024]; 23(12):4249-57. DOI: https://doi.org/10.1590/1413-812320182312.32262016
10. Silva AEBC, Cavalcante RGF, Lima JC, Sousa MRG, Sousa TP, Nunes RLS. Evaluation of the patient safety climate in hospitalization units: a cross-sectional study. Rev Esc Enferm USP [Internet]. 2019 [citado em 16 maio 2024]; 53:e03500. DOI: https://doi.org/10.1590/S1980-220X2018027203500
11. Heidmann A, Trindade LF, Schmidt CR, Loro MM, Fontana RT, Kolankiewicz ACB. Contributive factors for the consolidation of patient safety culture in the hospital environment. Esc Anna Nery [Internet]. 2019 [citado em 10 jun 2024]; 24(1):e20190153. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0153
12. Galvão TF, Lopes MCC, Oliva CCC, Araújo MEA, Silva MT. Patient safety culture in a university hospital. Rev Latinoam Enferm. [Internet]. 2018 [citado em 20 maio 2024]; (26):e3014. DOI: https://doi.org/10.1590/1518-8345.2257.3014
13. Pinto AAM, Santos FT. Segurança do paciente: concepção e implantação da cultura de qualidade. Braz J Dev. [Internet]. 2020 [citado em 23 maio 2024]; 6(3):9796-809. DOI: https://doi.org/10.34117/bjdv6n3-018
14. Brevidelli MM, Cianciarullo TI. Psychosocial and organizational factors relating to adherence to standard precautions. Rev Saúde Pública [Internet]. 2009 [citado em 10 jan 2024]; 43(6):907-16. DOI: https://doi.org/10.1590/S0034-89102009005000065
15. Kline RB. Principles and practice of structural equation modeling. 3. ed. New York: Guilford Press; 2010.
16. Keller E, Aguiar MAF. Análise crítica teórica da evolução do conceito de clima organizacional. Terra Cult. [Internet]. 2020 [citado em 26 jul 2024]; 20(39):91-113. Disponível em: http://periodicos.unifil.br/index.php/Revistateste/article/view/1314/1202
17. Passos EAD, Marziale MHP. Conhecimento e atitudes de profissionais de enfermagem de um hospital paulista frente as precauções padrão. Cogitare Enferm. [Internet]. 2020 [citado em 26 out 2025]; 25:e66744. DOI: http://dx.doi.org/10.5380/ce.v25i0.66744
18. Cunha QB, Freitas EO, Magnano TSBS, Brevidelli MM, Cesar MP, Camponogara S. Association between individual, work-related and organizational factors and adherence to standard precautions. Rev Gaúcha Enferm. [Internet]. 2020 [citado em 10 set 2024]; 41:e20190258. DOI: https://doi.org/10.1590/1983-1447.2020.20190258
19. Cunha QB, Freitas EO, Dal Pai D, Santos JLG, Silva RM, Camponogara S. Adherence to standard precautions in university hospitals during the COVID-19 pandemic: a mixed study. Rev Esc Enferm USP [Internet]. 2024 [citado em 10 ago 2024]; 58:e20230289. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2023-0289en
20. Vasconcellos PF, Carvalho REFL, Souza Neto PH, Dutra FCS, Sousa VTS, Oliveira SKP, et al. Patient safety atmosphere in primary health care: root cause analysis. REME Rev Min Enferm. [Internet]. 2021 [citado em 26 jul 2014]; 25:e-1371. DOI: https://doi.org/10.5935/1415-2762-20210019
21. Freitas EO, Flores AND, Antunes LD, Foggiato T, Cunha QB, Siqueira DF. Occupational safety climate in a psychosocial care unit: the perception of nursing workers. Revista de Enfermagem Referência [Internet]. 2021 [citado em 10 out 2024]; 5(Supl 8):e21009. DOI: https://doi.org/10.12707/RV21009
22. Brevidelli MM. Modelo explicativo da adesão às precauções-padrão: construção e aplicação [Internet]. [Tese]. São Paulo: Universidade de São Paulo; 2003 [citado em 25 ago 2024]. Disponível em: https://repositorio.usp.br/item/001317634
23. Feitosa KMMMF, Braz AO, Reis LK, Paes GO. Cultura de segurança nos ambientes de cuidado à saúde: protocolo de revisão de escopo. Contrib Cienc Soc. [Internet]. 2024 [citado em 11 maio 2024]; 17(1):3611-21. DOI: https://doi.org/10.55905/revconv.17n.1-215
24. Borges EMN, Queirós CML, Vieira MRFSP, Teixeira AAR. Perceptions and experiences of nurses about their performance in the COVID-19 pandemic. Rev Rene [Internet]. 2021 [citado em 10 maio 2024]; 22:e60790. DOI: http://dx.doi.org/10.15253/2175-6783.20212260790
25. Rodrigues FMA, Pereira RPG, Martins MM. Organizational culture towards change in a hospital setting: a nursing perspective. Acta Paul Enferm. [Internet]. 2023 [citado em 10 jan 2024]; 36:eAPE00551. DOI: https://doi.org/10.37689/acta-ape/2023AO005511
26. Carvalho EMP, Brito CLM, Villas MBP, Muniz GC, Gottems LBD, Baixinho CRSL. Difficulties and potentialities related to the organizational climate of nursing staff in a public hospital. In: Fornari L, Oliveira ESF, Oliveira C, Faria BM, Ribeiro J, editores. Investigação qualitativa em saúde: avanços e desafios [Internet]. 2022 [citado em 2 maio 2024]; 13:e642. DOI: https://doi.org/10.36367/ntqr.13.2022.e642
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Revista Família, Ciclos de Vida e Saúde no Contexto Social
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Each of the authors of the manuscript must complete and sign a copy of Statement of Responsibility and Copyright Transfer Agreement, which must be attached, by the submitting author, in step 4 of the submission process in the journal system (Click on the "Browse" option, select the file that should be inserted in pdf format, click on the "Download" button, in the "Title" field type: Declaration of responsibilities, then click the "Save and Continue" button and proceed with the submission process.
Note: Including scanned signature will not be accepted. Each author of the manuscript must complete a declaration individually.
REFACS de Universidade Federal do Triângulo Mineiro está licenciado com uma Licença Creative Commons - Atribuição-NãoComercial 4.0 Internacional.
Baseado no trabalho disponível em www.uftm.edu.br.
Podem estar disponíveis autorizações adicionais às concedidas no âmbito desta licença em http://www.uftm.edu.br/refacs.
Revistas UFTM