Clima de Segurança do Paciente na Atenção Primária à Saúde no Brasil: revisão integrativa
DOI:
https://doi.org/10.17058/reci.v14i1.18833Palavras-chave:
Segurança do Paciente. Cultura Organizacional. Atenção Primária à Saúde. Brasil.Resumo
Justificativa e Objetivos: embora a Atenção Primária à Saúde tenha papel central no contexto brasileiro, grande parte das pesquisas que avaliam a cultura e o clima de segurança tem enfoque no âmbito hospitalar e poucas investigações sobre essa temática exploram essa realidade, justificando a elaboração deste estudo. Dessa forma, objetivou-se identificar as características do clima de segurança do paciente em serviços de Atenção Primária à Saúde no Brasil. Métodos: estudo de revisão integrativa. As bases de dados MEDLINE via PubMed, LILACS, CINAHL e SciELO foram utilizadas para busca das publicações. Resultados: foram selecionados nove artigos, que relataram sobre o clima de segurança negativo na Atenção Primária à Saúde. As cinco classes geradas no dendrograma se dividem em duas categorias principais: (1) Cuidado à saúde seguro na Atenção Primária à Saúde; e (2) Avaliação do clima de segurança do paciente nos serviços de Atenção Primária à Saúde. Comunicação, aprendizagem organizacional e trabalho em equipe foram citados como potencializadores do cuidado à saúde seguro. Os Agentes Comunitários de Saúde apresentaram percepção mais negativa do clima de segurança. As condições de trabalho e o suporte da gerência foram avaliados negativamente. Conclusão: o fortalecimento do clima de segurança nos serviços primários de saúde favorece a qualidade da assistência e o cuidado à saúde seguro.
Downloads
Referências
Andrade AM, Rodrigues JS, Lyra BM, et al. Evolução do programa nacional de segurança do paciente: uma análise dos dados públicos disponibilizados pela Agência Nacional de Vigilância Sanitária. Vigil Sanit Debate. 2020;8(4):37-46. doi: https://doi.org/10.22239/2317-269X.01505
Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31:148-52. doi: http://dx.doi.org/10.1136/bmjqs-2021-014163
Pierre MS, Grawe P, Bergstrom J et al. 20 years after To Err Is Human: A bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. Saf Sci. 2022;147:105593. doi: https://doi.org/10.1016/j.ssci.2021.105593
Silva AP, Backes DS, Magnago TS et al. Patient safety in primary care: conceptions of family health strategy nurses. Rev Gaúcha Enferm. 2019;40(spe):e20180164. doi: https://doi.org/10.1590/1983-1447.2019.20180164
Silva LC, Caldas CP, Santos I. Políticas públicas de saúde orientadas para a segurança do paciente: uma reflexão teórica. Saúde Colet. 2020;10(53):2430-5. doi: https://doi.org/10.36489/saudecoletiva.2020v10i53p2430-2435
Magalhães FHL, Pereira ICA, Luiz RB et al. Patient safety atmosphere in a teaching hospital. Rev Gaúcha Enferm. 2019;40(esp):e20180272. doi: https://doi.org/10.1590/1983-1447.2019.20180272
Raimondi DC, Bernal SCZ, Oliveira JLC et al. Patient safety culture in primary health care: analysis by professional categories. Rev Gaúcha Enferm. 2019;40(esp):e20180133. doi: http://doi.org/10.1590/1983-1447.2019.20180133
Lee J, Huang YH, Cheung JH et al. A systematic review of the safety climate intervention literature: Past trends and future directions. J Occup Health Psychol. 2019;24(1):66-91. doi: https://doi.org/10.1037/ocp0000113
AlMaani MM, Salama KF. Assessment of Attitude of Primary Care Medical Staff Toward Patient Safety Culture in Primary Health-care CentersAl-Ahsa, Saudi Arabia. J Multidiscip Healthc. 2021;14:2731-40. doi: https://doi.org/10.2147/JMDH.S323832
Vallières F, Mubiri P, Agyemang AS et al. Determinants of safety climate at primary care level in Ghana, Malawi and Uganda: a cross-sectional study across 138 selected primary healthcare facilities. Hum Resour Health. 2021;19(73). doi: https://doi.org/10.1186/s12960-021-00617-9
Raczkiewicz D, Owoc J,Krakowiak J et al. Patient safety culture in Polish Primary Healthcare Centers, Int J Qual Health Care. 2019;31(8):G60-G66. doi: https://doi.org/10.1093/intqhc/mzz004
Giovanella L, Franco CM, Almeida PF. National Primary Health Care Policy: where are we headed to?. Cienc Saude Colet. 2020;25(4):1475-82. doi: https://doi.org/10.1590/1413-81232020254.01842020
Epperly T, Bechtel C, Sweeney R et al. The shared principles of primary care: a multistakeholder initiative to find a common voice. Fam Med. 2019;51(2):179-84. doi: https://doi.org/10.22454/FamMed.2019.925587
Kuriakose R, Aggarwal A, Sohi RK et al. Patient safety in primary and outpatient healthcare. J Family Med Prim Care. 2020;9:7-11. doi: http://doi.org/10.4103/jfmpc.jfmpc_837_19
Aguiar TL, Lima DS, Moreira MAB et al. Patient safety incidents in primary healthcare in Manaus, AM, Brazil. Interface Comun Saúde Educ. 2020;24(supl.1):e190622. doi: http://doi.org/10.1590/Interface.190622
Nora CR, Beghetto MG. Patient safety challenges in primary health care: a scoping review. Rev Bras Enferm. 2020;73(5):e20190209. doi: https://doi.org/10.1590/0034-7167-2019-0209
Panesar SS, Desilva D, Carson-Stevens A et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016; 25:544-53. doi: http://doi.org/10.1136/bmjqs-2015-004178
Snyder H. Literature review as a research methodology: An overview and guidelines author links open overlay panel. J Bus Res. 2019;104:333-9. doi: https://doi.org/10.1016/j.jbusres.2019.07.039
Dantas HLL, Costa CRB, Costa LMC et al. Como elaborar uma revisão integrativa: sistematização do método científico. Rev Recien. 2022; 12(37):334-45. doi: http://doi.org/10.24276/rrecien2022.12.37.334-345
Mendes KDS, Silveira RCCP, Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm. 2019;28:e20170204. doi: http://doi.org/10.1590/1980-265X-TCE-2017-0204
Souza MAR, Wall ML, Thuler ACMC et al. The use of IRAMUTEQ software for data analysis in qualitative research. Rev Esc Enferm USP. 2018;52:e03353. doi: https://doi.org/10.1590/S1980-220X2017015003353
Galvão CM. Evidence hierarchies [editorial]. Acta Paul Enferm. 2006;19(2):5-5. doi: https://doi.org/10.1590/S0103-2100200600020000120
Menezes EO, Maitan Filho PL. Análise de conteúdo: contextualização, operacionalização, discussões e perspectivas. Rev Valore. 2022;7:e7047. doi: https://doi.org/10.22408/reva7020221043e-7047
Paese F, Dal Sasso GTM. Patient safety culture in primary health care. Texto Contexto Enferm. 2013;22(2):302-10. doi: https://doi.org/10.1590/S0104-07072013000200005
Galhardi NM, Roseira CE, Orlandi FS et al. Assessment of the patient safety culture in primary health care. Acta Paul Enferm. 2018;31(4):409-16. doi: https://doi.org/10.1590/1982-0194201800057
Souza MM, Ongaro JD, Lanes TC et al. Patient safety culture in the Primary Health Care. Rev Bras Enferm. 2019;72(1):32-9. doi: https://doi.org/10.1590/0034-7167-2017-0647
Dal Pai S, Alves DFB, Pluta P et al. Evaluation of the patient safety culture in primary health care. Rev Baiana Enferm. 2020;34:e34849. doi: http://doi.org/10.18471/rbe.v34.34849
Lousada LM, Dutra FCS, Silva BV et al. Patient safety culture in primary and home care services. BMC Fam Pract. 2020;21:188. doi: https://doi.org/10.1186/s12875-020-01263-1
Macedo LL, Silva AMR, Silva JFM et al. A cultura em torno da segurança do paciente na atenção primária à saúde: distinções entre categorias profissionais. Trab Educ Saúde. 2019;18(1):e0023368. doi: https://doi.org/10.1590/1981-7746-sol00233
Vasconcelos PF, Carvalho REFL, Sousa Neto PH et al. Patient safety atmosphere in Primary Health Care: root cause analysis. Rev Min Enferm. 2021; 25:e1371. doi: http://dx.doi.org/10.5935/1415-2762-20210019
Bohrer JKL, Vasconcelos ACL, Bezerra ALQ et al. Patient safety culture in Primary Health Care. Rev Rene. 2021;22:e70874. doi: https://doi.org/10.15253/2175-6783.20212270874
Carvalho REFL, Cassiani SHDB. Cross-cultural adaptation of the Safety Attitudes Questionnaire - Short Form 2006 for Brazil. Rev Latino-Am Enfermagem. 2012;20(3):575-82. doi: https://doi.org/10.1590/S0104-11692012000300020
Timm M, Rodrigues MCS. Cross-cultural adaptation of safety culture tool for Primary Health Care. Acta Paul Enferm. 2016;29(1):26-37. doi: https://doi.org/10.1590/1982-0194201600005
Modak I, Sexton JB, Lux TR et al. Measuring safety culture in the ambulatory setting: The safety attitudes questionnaire - Ambulatory version. J Gen Intern Med. 2007;22(1):1-5. doi: http://doi.org/10.1007/s11606-007-0114-7
Alsabri M, Boudi Z, Lauque D et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. J Patient Saf. 2022;18(1):e351-61. doi: http://doi.org/10.1097/PTS.0000000000000782
Mohsen MM, Gab Allah AR, Amer NA et al. Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: effect on patients' outcomes. Nurs Forum. 2021;56(4):849-59. doi: https://doi.org/10.1111/nuf.12627
Shen W, Skelly k Hemesath K et al.Implementation of TeamSTEPPS concept at an academic primary care clinic. J Interprof Educ Pract. 2020;20:100352. doi: https://doi.org/10.1016/j.xjep.2020.100352
Brommelsiek M, Graybill TL, Gotham HJ. Improving communication, teamwork and situation awareness in nurse-led primary care clinics of a rural healthcare system. J Interprofessional Educ Pract. 2019;16:100268. doi: https://doi.org/10.1016/j.xjep.2019.100268
Schuttner L, Coleman K, Ralston J et al. The role of organizational learning and resilience for change in building quality improvement capacity in primary care. Health Care Manage Rev. 2021;46(2):E1-7. doi: http://doi.org/10.1097/HMR.0000000000000281
Koerich C, Erdmann AL, Lanzoni GMM. Professional interaction in management of the triad: Permanent Education in Health, patient safety and quality. Rev Latino-Am Enfermagem. 2020;28:e3379. doi: https://doi.org/10.1590/1518-8345.4154.3379
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Larissa Brandão Monte Mor, Beatriz Francisco Farah, Izabella Palitot da Silva, Camila Ribeiro Araújo, André Luiz Silva Alvim, Luciane Ribeiro de Faria, Herica Silva Dutra
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.
