Pesquisa de cultura na Fundação Santa Casa de Misericórdia do Pará como instrumento de gestão

Abstract

The interest of leaders and managers in the culture of institutional security increased in the mid twentieth century, when studies indicated the possibility of managing its aspects and increasing the performance of organizations, in the face of technological advances and the globalization of resources. In health services, organizational culture is considered an indicator of the quality of care provided and patient safety. The study aimed to analyze and compare the Safety Culture of a public hospital, to verify how and how much this culture has developed over 4 consecutive years. This is an exploratory study of a qualitative nature, which used documental research as a strategy. The documents used were the results available from the Patient Safety Culture Survey, carried out from 2016 to 2019, whose data are stored in the Quality and Safety Management Advisory (AGQS) of the aforementioned hospital. The result of these culture surveys is the product of the application of the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire, which is an instrument validated since 2004 to assess culture in health services by the Agency Healthcare Research and Quality (AHRQ). The main characteristics of the respondents were gathered, most of them female workers in the public service area, belonging to the nursing team. The Safety Culture in the institution was shown to be neutral over four years with a tendency to fragility, but with several aspects with a positive trend. It was evidenced that the actions related to the quality of care processes and patient safety should be intensified so that they increase the employees' perception of the safety practiced and become more effectively part of the institutional culture.