Adaptação transcultural de instrumento de cultura de segurança para a Atenção Primária

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Abstract

Resumo Objetivo Traduzir, adaptar e validar o instrumento de pesquisa Medical Office Survey on Patient Safety Culture (MOSPSC). Métodos Estudo metodológico de adaptação transcultural do instrumento MOSPSC elaborado pela Agency for Healthcare and Research in Quality. Seguiram-se as etapas de tradução, retrotradução, análise de especialistas, grupo de população meta e pré-teste com amostra de 37 profissionais. Resultados Na análise dos especialistas, o instrumento atingiu índice de validade de conteúdo geral de 0,85. A avaliação pelo grupo de população meta foi realizada por seis profissionais, e as sugestões de adaptação foram analisadas e modificadas por consenso. O pré-teste foi realizado com 37 profissionais, que avaliaram o instrumento como de fácil compreensão. O coeficiente alfa de Cronbach foi de 0,95. Conclusão O instrumento foi traduzido e adaptado para a língua portuguesa do Brasil com nível satisfatório de validade de conteúdo e alta confiabilidade.

Translated abstract

Abstract Objective Translate, adapt and validate the Medical Office Survey on Patient Safety Culture (MOSPSC). Methods Methodological study for the cross-cultural adaptation of the MOSPSC, elaborated by the Agency for Healthcare and Research in Quality. The following steps were undertaken: translation, back-translation, expert analysis, target population group and pretest, in a sample of 37 professionals. Results In the expert analysis, the tool reached a general content validity score of 0.85. Six professionals performed the assessment by the target population group, and the adaptation suggestions were analyzed and modified by consensus. The pretest involved 37 professionals, who assessed the tool as easy to understand. Cronbach’s alpha coefficient corresponded to 0.95. Conclusion The tool was translated and adapted to Brazilian Portuguese with a satisfactory content validity and high reliability.

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Most cited references 36

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The impact of the work environment of nurses on patient safety outcomes: a multi-level modelling approach.

Karen Scott, Anne Matthews, Sarah Kirwan (2013)

Patient safety is a priority for health services in all countries. The importance of the nurse's role in patient safety has been established. Effective nurse staffing levels, nurse education levels, and a positive work environment for nurses are factors which are known to impact on patient safety outcomes. This study sought to explore the relationship between the ward environment in which nurses practice and specific patient safety outcomes, using ward level variables as well as nurse level variables. The outcomes were nurse-reported patient safety levels in the wards in which they work, and numbers of formal adverse events reports submitted by nurses in the last year. This cross-sectional quantitative study was carried out within a European FP7 project: Nurse Forecasting: Human Resources Planning in Nursing (RN4CAST) project. 108 general medical and surgical wards in 30 hospitals throughout Ireland. All nurses in direct patient care in the study wards were invited to participate. Data from 1397 of these nurses were used in this analysis. A nurse survey was carried out using a questionnaire incorporating the Practice Environment Scale of the Nursing Work Index (PES-NWI). Ethical approval was obtained from the authors' institution and all ethics committees representing the 30 study hospitals. Multilevel modelling was carried out to examine the impact of ward level factors on patient safety. These included proportions of nurses on the ward educated to degree level, and aggregated ward-level mean for PES-NWI scores. The study results support other research findings indicating that a positive practice environment enhances patient safety outcomes. Specifically at ward level, factors such as the ward practice environment and the proportion of nurses with degrees were found to significantly impact safety outcomes. The models developed for this study predicted 76% and 51% of the between-ward variance of these outcomes. The results can be used to enhance patient safety within hospitals by demonstrating factors at ward-level which enable nurses to effectively carry out this aspect of their role. The importance of ward-level nurse factors such as nurse education level and the work environment should be recognised and manipulated as important influences on patient safety. Copyright © 2012 Elsevier Ltd. All rights reserved.

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Patient safety culture among nurses.

A A Ammouri, A K Tailakh, J K Muliira … (2015)

Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work.

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Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen

Hana H Webair, Salwa Al-assani, Reema Al-haddad … (2015)

Background Patient safety culture in primary care is the first step to achieve high quality health care. This study aims to provide a baseline assessment of patient safety culture in primary care settings in Al-Mukala, Yemen as a first published study from a least developed country. Methods A survey was conducted in primary healthcare centres and units in Al-Mukala District, Yemen. A comprehensive sample from the available 16 centres was included. An Arabic version of the Medical Office Survey on Patient Safety Culture was distributed to all health workers (110). Participants were physicians, nurses and administrative staff. Results The response rate from the participating centres was 71 %. (N = 78). The percent positive responses of the items is equal to the percentage of participants who answered positively. Composite scores were calculated by averaging the percent positive response on the items within a dimension. Positive safety culture was defined as 60 % or more positive responses on items or dimensions. Patient safety culture was perceived to be generally positive with the exception of the dimensions of ‘Communication openness’, ‘Work pressure and pace’ and ‘Patient care tracking/follow-up’, as the percent positive response of these dimensions were 58, 57, and 52 % respectively. Overall, positive rating on quality and patient safety were low (49 and 46 % respectively). Conclusions Although patient safety culture in Al-Mukala primary care setting is generally positive, patient safety and quality rating were fairly low. Implementation of a safety and quality management system in Al-Mukala primary care setting are paramount. Further research is needed to confirm the applicability of the Medical Office Survey on Patient Safety Culture (MOSPSC) for Al-Mukala primary care.

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Author and article information

Contributors

Márcia Timm: Role: ND

Maria Cristina Soares Rodrigues: Role: ND

Journal

Journal ID (publisher): ape

Title: Acta Paulista de Enfermagem

Abbreviated Title: Acta paul. enferm.

Publisher: Escola Paulista de Enfermagem, Universidade Federal de São Paulo

ISSN: 1982-0194

Publication date (Print): February 2016

Volume: 29

Issue: 1

Pages: 26-37

Affiliations

[1 ] Universidade de Brasília Brazil

Article

Publisher ID: S0103-21002016000100026

DOI: 10.1590/1982-0194201600005

SO-VID: a28b4ee8-f062-48b5-9970-d2c129f48c5b

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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SciELO Brazil

Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0103-2100&lng=en

Adaptação transcultural de instrumento de cultura de segurança para a Atenção Primária Translated title: Cross-cultural adaptation of safety culture tool for Primary Health Care

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