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[PMID]:29224587
[Au] Autor:Madanat WY; Alawneh KM; Smadi MM; Saadeh SS; Omari MM; Bani Hani AB; Yazici H
[Ad] Endereço:Medical Department, Jordan's Friends of Behçet's Disease Patients Society, Amman, Jordan. wmadanat@orange.jo.
[Ti] Título:The prevalence of Behçet's disease in the north of Jordan: a hospital-based epidemiological survey.
[So] Source:Clin Exp Rheumatol;35 Suppl 108(6):51-54, 2017 Nov-Dec.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To estimate the prevalence of Behçet's disease (BD) in Jordan, with the additional aim of comparing this prevalence among hospital workers in other geographical areas. METHODS: In the first stage of our survey, 2,569 employees from 6 hospitals in north Jordan were interviewed using a screening questionnaire to identify individuals with recurrent oral ulcers (ROU), a previous diagnosis of BD (PDBD) and/or any major symptom related to BD. In the second stage, all individuals with ROU or PDBD identified at stage 1, were examined by 2 rheumatologists for the presence/confirmation of BD according to the International Study Group (ISG) criteria. Pathergy test was performed according to recommendations. RESULTS: ROU were present in 210 (8.2%) individuals. BD was confirmed in 10 employees with PDBD. Seven more BD patients were found. Mean age of 17 BD patients was 38.6±10.7 (range 26-65 y). M: F was 2.4:1. Pathergy test was positive in 8/17. A family history of ROU or BD was noted in 9 (52%) and 3 (25.0%), respectively, compared to 227 (8.9%) and 62 (2.6%) in the whole group, excluding the BD patients (p<0.001 and 0.008, respectively). The prevalence rate of BD in the north of Jordan was estimated as 66:10.000 (95% CI 34.8 to 97.5:10000). CONCLUSIONS: The results of this first ever survey indicated that the prevalence of BD in the north of Jordan is among the highest in the world. This prevalence can now be compared to hospital workers in other geographical areas.
[Mh] Termos MeSH primário: Síndrome de Behçet/epidemiologia
Hospitais
Úlceras Orais/epidemiologia
Recursos Humanos em Hospital
[Mh] Termos MeSH secundário: Adulto
Idoso
Síndrome de Behçet/diagnóstico
Síndrome de Behçet/genética
Feminino
Predisposição Genética para Doença
Inquéritos Epidemiológicos
Hereditariedade
Seres Humanos
Jordânia/epidemiologia
Masculino
Meia-Idade
Úlceras Orais/diagnóstico
Úlceras Orais/genética
Linhagem
Prevalência
Recidiva
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


  2 / 14261 MEDLINE  
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[PMID]:29324773
[Au] Autor:Palacios-Ceña D; Martín-Tejedor EA; Elías-Elispuru A; Garate-Samaniego A; Pérez-Corrales J; García-García E
[Ad] Endereço:Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Alcorcón, Madrid, Spain.
[Ti] Título:The impact of a short-term cohousing initiative among schizophrenia patients, high school students, and their social context: A qualitative case study.
[So] Source:PLoS One;13(1):e0190895, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A number of programs have been developed to promote the contact between adolescents and mentally-ill patients, in order to break the stigma, improve understanding, promote mental health and prevent substance abuse. The aim of this study was to describe the experience of patients with schizophrenia, high school students, and their social context, participating in a short-term cohousing initiative. METHODS: A qualitative case-study approach was implemented. Patients with schizophrenia from the San Juan de Dios Psychiatric Hospital, female students from Almen High School, and participants from their social context (parents, hospital staff, and teachers) were included, using purposeful sampling. Data were collected from 51 participants (15 patients, nine students, 11 hospital staff, six teachers, 10 parents) via non-participant observation, focus groups, informal interviews, researchers' field notes and patients' personal diaries and letters. A thematic analysis was performed. RESULTS: The themes identified included a) learning to live together: students and patients participate and learn together; b) the perception of the illness and the mentally-ill: the barrier between health and disease is very slim, and society tends to avoid contact with those who are ill; c) change: a transformation takes place in students, in their self-perception, based on the real and intense nature of the experience; d) a trial and an opportunity: patients test their ability to live outside the hospital; e) discharge and readmission: discharge is experienced as both a liberation and a difficulty, whereas relapse and readmission are experienced as failures. CONCLUSIONS: Our findings can help us to better understand schizophrenia and encourage a more positive approach towards both the illness and those who suffer from it. These results may be used for the development of cohousing programs in controlled environments.
[Mh] Termos MeSH primário: Habitação
Psicologia do Esquizofrênico
Estudantes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Atitude Frente à Saúde
Feminino
Pessoal de Saúde/psicologia
Seres Humanos
Entrevistas como Assunto
Aprendizagem
Masculino
Meia-Idade
Pais/psicologia
Percepção
Recursos Humanos em Hospital/psicologia
Pesquisa Qualitativa
Esquizofrenia/terapia
Professores Escolares/psicologia
Autoimagem
Meio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190895


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[PMID]:28658183
[Au] Autor:Johnson S; McNeal M; Mermis J; Polineni D; Burger S
[Ad] Endereço:Department of Nursing, The University of Kansas Hospital, Kansas City, Kansas (Mss Johnson, McNeal, and Burger); and University of Kansas Medical Center, Kansas City, Kansas (Drs Mermis and Polineni).
[Ti] Título:Chasing Zero: Increasing Infection Control Compliance on an Inpatient Cystic Fibrosis Unit.
[So] Source:J Nurs Care Qual;33(1):67-71, 2018 Jan/Mar.
[Is] ISSN:1550-5065
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patients with cystic fibrosis have increased risk of pulmonary infections, and reducing spread of microorganisms is critical. To improve hospital-staff adherence to infection control guidelines, we implemented brightly colored Safe Zone floor decals, staff compliance contracts, and an infection control in-service video. Audits of staff adherence conducted pre and postintervention demonstrated an increased and sustainable improvement among each group (P < .05). These effective measures may be implemented to improve infection control compliance elsewhere.
[Mh] Termos MeSH primário: Fibrose Cística/microbiologia
Fidelidade a Diretrizes/normas
Controle de Infecções/normas
Pacientes Internados
[Mh] Termos MeSH secundário: Infecção Hospitalar/prevenção & controle
Seres Humanos
Recursos Humanos de Enfermagem no Hospital/normas
Recursos Humanos em Hospital/educação
Melhoria de Qualidade
Infecções Respiratórias/prevenção & controle
Infecções Respiratórias/transmissão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/NCQ.0000000000000269


  4 / 14261 MEDLINE  
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[PMID]:29215224
[Au] Autor:Gregory A
[Ti] Título:Magnified Bacteria Powerful Motivator for Hand Hygiene Compliance.
[So] Source:ED Manag;28(8):94-5, 2016 Aug.
[Is] ISSN:1044-9167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Infection prevention specialists at Henry Ford Hospital in Detroit have found that showing healthcare workers magnified pictures of bacteria found ontheir hands and in their surrounding units can be a powerful motivator for improved hand hygiene compliance. When tested in four units during a one-month period, the intervention boosted hand hygiene compliance by an average of 24%. Investigators note that to be successful, the intervention must be paired with an effective compliance monitoring program. For the study, investigators visited each unit twice per week, during which they would swab various items as well as employees' hands using and adenosine triphosphate (ATP) meter, a hand-held device that measures living organisms. During each unit visit, infection prevention specialists would show unit personnel pictures from a compilation of 12 magnified images of bacteria that had been lifted from the unit. This was to demonstrate what the bacteria would look like under a microscope. The unsavory pictures produced immediate increases in had hygiene compliance, and prompted healthcare workers to see who could produce the best ATP meter readings on subsequent infection prevention specialist visits.
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Infecção Hospitalar/prevenção & controle
Higiene das Mãos
Mãos/microbiologia
Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle
Motivação
Recursos Humanos em Hospital
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Fidelidade a Diretrizes
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Michigan
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE


  5 / 14261 MEDLINE  
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[PMID]:29187937
[Au] Autor:Akbari N; Malek M; Ebrahimi P; Haghani H; Aazami S
[Ad] Endereço:Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
[Ti] Título:Safety culture in the maternity unit of hospitals in Ilam province, Iran: a census survey using HSOPSC tool.
[So] Source:Pan Afr Med J;27:268, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:Introduction: Improving quality of maternal care as well as patients' safety are two important issues in health-care service. Therefore, this study aimed to assess the culture of patient safety at maternity units. Methods: This cross-sectional study was conducted among staffs working at maternity units in seven hospitals of Ilam city, Iran. The staffs included in this study were gynecologists and midwifes working in different positions including matron, supervisors, head of departments and staffs. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC). Results: This study indicated that 59.1% of participants reported fair level of overall perceptions of safety and 67.1% declared that no event was reported during the past 12 months. The most positively perceived dimension of safety culture was teamwork within departments in view of managers (79.41) and personnel (81.10). However, the least positively perceived dimensions of safety culture was staffing levels. Conclusion: The current study revealed areas of strength (teamwork within departments) and weakness (staffing, punitive responses to error) among managers and personnel. In addition, we found that staffs in Ilam's hospitals accept the patient safety culture in maternity units, but, still are far away from excellent culture of patient safety. Therefore, it is necessary to promote culture of patient's safety among professions working in the maternity units of Ilam's hospitals.
[Mh] Termos MeSH primário: Ginecologia/normas
Serviços de Saúde Materna/normas
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Pesquisas sobre Serviços de Saúde
Unidades Hospitalares
Seres Humanos
Irã (Geográfico)
Masculino
Tocologia/normas
Tocologia/estatística & dados numéricos
Equipe de Assistência ao Paciente/organização & administração
Recursos Humanos em Hospital/normas
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.268.9776


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[PMID]:29073266
[Au] Autor:Mazza A; Cavallin F; Cappellari A; Divisic A; Grbin I; Akakpo J; Moukaila AR; Trevisanuto D
[Ad] Endereço:Department of Women's and Children's Health, University of Padua, Azienda Ospedaliera di Padova, Padova, Italy.
[Ti] Título:Effect of a short training on neonatal face-mask ventilation performance in a low resource setting.
[So] Source:PLoS One;12(10):e0186731, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We assessed whether a short training, effective in a high resource country, was able to improve the quality of face-mask ventilation (FMV) in a low resource setting. METHODS: Local healthcare providers at the Centre Médico-Social, Kouvè, Togo were asked to ventilate a neonatal leak-free manikin before (time-t1) and after (t2) a two-minute training session. Immediately after this section, a further two-minute training with participants aware of the data monitor was offered. Finally, a third 1-minute FMV round (t3) was performed by each participant. Ventilatory parameters were recorded using a computerized system. Primary outcome was the percentage of breaths with relevant mask leak (>25%). Secondary outcomes were percentages of breaths with a low peak inspiratory pressure (PIP<20 cm H2O), within the recommended PIP (20-35 cm H2O) and with a high PIP (>35 cm H2O). RESULTS: Twenty-six subjects participated in the study. The percentage of relevant mask leak significantly decreased (p<0.0001; ß = -0.76, SE = 0.10) from 89.7% (SD 21.5%) at t1 to 45.4% (SD 27.2%) at t2 and to 18.3% (SD 20.1%) at t3. The percentage of breaths within the recommended PIP significantly increased (p<0.0001; ß = +0.54, SE = 0.12). The percentage of breaths with PIP>35 cm H2O was 19.5% (SD 32.8%) at t1 and 39.2% (SD 37.7%) at t2 (padj = 0.27; ß = +0.61, SE = 0.36) and significantly decreased (padj = 0.01; ß = -1.61, SE = 0.55) to 6.0% (SD 15.4%) at t3. CONCLUSIONS: A 2-minute training on FMV, effective in a high resource country, had a positive effect also in a low resource setting. FMV performance further improved after an extra 2-minute verbal recall plus real time feedback. Although the training was extended, it still does not cost much time and effort. Further studies are needed to establish if these basic skills are transferred in real patients and if they are maintained over time.
[Mh] Termos MeSH primário: Educação Médica Continuada
Recursos Humanos em Hospital/educação
Respiração Artificial/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Respiração Artificial/instrumentação
Togo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171027
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186731


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[PMID]:28904696
[Au] Autor:Odhiambo J; Rwabukwisi FC; Rusangwa C; Rusanganwa V; Hirschhorn LR; Nahimana E; Ngamije P; Hedt-Gauthier BL
[Ad] Endereço:Partners In Health/Inshuti Mu Buzima, Kigali, Rwanda.
[Ti] Título:Health worker attrition at a rural district hospital in Rwanda: a need for improved placement and retention strategies.
[So] Source:Pan Afr Med J;27:168, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The shortage and maldistribution of health care workers in sub-Saharan Africa is a major concern for rural health facilities. Rural areas have 63% of sub-Saharan Africa population but only 37% of its doctors. Although attrition of health care workers is implicated in the human resources for health crisis in the rural settings, few studies report attrition rates and risk factors for attrition in rural district hospitals in sub-Saharan Africa. METHODS: We assessed attrition of health care workers at a Kirehe District Hospital in rural Rwanda. We included all hospital staff employed as of January 1, 2013 in this retrospective cohort study. We report the proportion of staff that left employment during 2013, and used a logistic regression to assess individual characteristics associated with attrition. RESULTS: Of the 142 staff employed at Kirehe District Hospital at the start of 2013, 31.7% (n=45) of all staff and 81.8% (n=9) of doctors left employment in 2013. Being a doctor (OR=10.0, 95% CI: 1.9-52.1, p=0.006) and having up to two years of experience at the hospital (OR=5.3, 95% CI: 1.3-21.7, p=0.022) were associated with attrition. CONCLUSION: Kirehe District Hospital experienced high attrition rates in 2013, particularly among doctors. Opportunities for further training through Rwanda's Human Resources for Health program in 2013 and a two-year compulsory service program for doctors that is not linked to interventions for rural retention may have driven these patterns. Efforts to link these programs with rural placement and retention strategies are recommended.
[Mh] Termos MeSH primário: Emprego/estatística & dados numéricos
Hospitais de Distrito/recursos humanos
Reorganização de Recursos Humanos/estatística & dados numéricos
Recursos Humanos em Hospital/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Corpo Clínico Hospitalar/estatística & dados numéricos
Estudos Retrospectivos
Serviços de Saúde Rural/recursos humanos
Serviços de Saúde Rural/organização & administração
Ruanda
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.168.11943


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[PMID]:28885136
[Au] Autor:Jiang L; Ng HL; Ho HJ; Leo YS; Prem K; Cook AR; Chen MI
[Ad] Endereço:Saw Swee Hock School of Public Health, National University of Singapore and National University Health System,Singapore,Singapore.
[Ti] Título:Contacts of healthcare workers, patients and visitors in general wards in Singapore.
[So] Source:Epidemiol Infect;145(14):3085-3095, 2017 10.
[Is] ISSN:1469-4409
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:To characterize contacts in general wards, a prospective survey of healthcare workers (HCWs), patients and visitors was conducted using self-reported diary, direct observation and telephone interviews. Nurses, doctors and assorted HCWs reported a median of 14, 18 and 15 contact persons over one work shift, respectively. Within 1 h, we observed 3·5 episodes with 25·6 min of cumulative contact time for nurses, 2·9 episodes and 22·1 min for doctors and 5·0 episodes with 44·3 min for assorted-HCWs. In interactions with patients, nurses had multiple brief episodes of contact; doctors had fewer episodes and less cumulative contact time; assorted-HCWs had fewer contact episodes of longer durations (than for nurses and doctors). Assortative mixing occurred amongst HCWs: those of the same HCW type were the next most frequent class of contact after patients. Over 24-h, patients contacted 14 persons with 23 episodes and 314·5 min of contact time. Patient-to-patient contact episodes were rare, but a maximum of five were documented from one patient participant. 22·9% of visitors reported contact with patients other than the one they visited. Our study revealed differences in the characteristics of contacts among different HCW types and potential transmission routes from patients to others within the ward environment.
[Mh] Termos MeSH primário: Quartos de Pacientes/estatística & dados numéricos
Pacientes/estatística & dados numéricos
Recursos Humanos em Hospital/estatística & dados numéricos
Centros de Atenção Terciária
Visitas a Pacientes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Infecção Hospitalar/transmissão
Feminino
Seres Humanos
Masculino
Meia-Idade
Modelos Teóricos
Estudos Prospectivos
Singapura
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171125
[Lr] Data última revisão:
171125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1017/S0950268817002035


  9 / 14261 MEDLINE  
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[PMID]:28771648
[Au] Autor:Brice JH; Gregg D; Sawyer D; Cyr JM
[Ad] Endereço:From the Department of Emergency Medicine, University of North Carolina, Chapel Hill.
[Ti] Título:Survey of Hospital Employees' Personal Preparedness and Willingness to Work Following a Disaster.
[So] Source:South Med J;110(8):516-522, 2017 Aug.
[Is] ISSN:1541-8243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Little is known about the personal readiness of hospital staff for disasters. As many as 30% of hospital staff say that they plan not to report for work during a large-scale disaster. We sought to understand the personal disaster preparedness for hospital staff. METHODS: Surveys were distributed to the staff of a large academic tertiary-care hospital by either a paper-based version distributed through the departmental safety coordinators or a Web-based version distributed through employee e-mail services, depending on employee familiarity with and access to computer services. Surveys assessed the demographic variables and characteristics of personal readiness for disaster. RESULTS: Of the individuals who accessed the survey, 1334 (95.9%) enrolled in it. Women made up 75% of the respondents, with a mean age of 43 years. Respondents had worked at the hospital an average of 9 years, with the majority (90%) being full-time employees. Most households (93%) reported ≤4 members, 6% supported a person with special medical needs, and 17% were headed by a single parent. A small number (24%) of respondents reported an established meeting place for reuniting households during a disaster. Many reported stockpiling a 3-day supply of food (86%) and a 3-day supply of water (51%). Eighteen percent of respondents were not aware of workplace evacuation plans. Most respondents were willing to report to work for natural disasters (eg, tornado, snowstorm; all categories >65%), but fewer respondents were willing to report during events such as an influenza epidemic (54%), a biological outbreak (41%), a chemical exposure, (40%), or a radiation exposure (39%). Multivariate analysis revealed being female, having a child in the household younger than 6 years old, and having a child in school lowered the likelihood of being willing to report to work in two or more event types, whereas pet ownership, being a clinical healthcare worker, and being familiar with the work emergency plan increased the likelihood. CONCLUSIONS: Despite being employed at the same facility for a prolonged period, employees reported being willing to report for work at a low rate in a variety of disasters. Subjects reported suboptimal personal preparedness for disaster, which may further limit the number of staff who will report for work. Hospitals should promote personal disaster preparedness for staff and explore staffing models with an understanding of reduced staff availability during disasters.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Planejamento em Desastres
Desastres
Recursos Humanos em Hospital
Trabalho/psicologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.14423/SMJ.0000000000000680


  10 / 14261 MEDLINE  
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[PMID]:28753633
[Au] Autor:Mascherek AC; Schwappach DLB
[Ad] Endereço:Patient Safety Switzerland, Zurich, Switzerland.
[Ti] Título:Patient safety climate profiles across time: Strength and level of safety climate associated with a quality improvement program in Switzerland-A cross-sectional survey study.
[So] Source:PLoS One;12(7):e0181410, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Safety Climate has been acknowledged as an unspecific factor influencing patient safety. However, studies rarely provide in-depth analysis of climate data. As a helpful approach, the concept of "climate strength" has been proposed. In the present study we tested the hypotheses that even if safety climate remains stable on mean-level across time, differences might be evident in strength or shape. The data of two hospitals participating in a large national quality improvement program were analysed for differences in climate profiles at two measurement occasions. We analysed differences on mean-level, differences in percent problematic response, agreement within groups, and frequency histograms in two large hospitals in Switzerland at two measurement occasions (2013 and 2015) applying the Safety Climate Survey. In total, survey responses of 1193 individuals were included in the analyses. Overall, small but significant differences on mean-level of safety climate emerged for some subgroups. Also, although agreement was strong at both time-points within groups, tendencies of divergence or consensus were present in both hospitals. Depending on subgroup and analyses chosen, differences were more or less pronounced. The present study illustrated that taking several measures into account and describing safety climate from different perspectives is necessary in order to fully understand differences and trends within groups and to develop interventions addressing the needs of different groups more precisely.
[Mh] Termos MeSH primário: Cultura Organizacional
Segurança do Paciente
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
Recursos Humanos de Enfermagem no Hospital
Recursos Humanos em Hospital
Melhoria de Qualidade
Suíça
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170729
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181410



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