Assessment of safety culture in a public hospital in the Federal District, Brazil

ABSTRACT Objective: to assess the perception of health professionals regarding safety culture of a high complexity public hospital of the Federal District, Brazil. Method: cross-sectional and descriptive study. The Safety Attitudes Questionnaire was used in electronic format. Descriptive and inferential analyses were carried out. Results: 358 professionals participated, with 242 (67.6%) being female. Of these, 224 (62.6%) worked directly or indirectly with patients in assistance activities; 79 (22.1%) in administrative activities; 14 (3.9%) in management; and 41 (11.5%) in others. The total score was 57.1. Job satisfaction factors and stress perception had the most expressive results, 76.2 and 68.8, respectively. The category "working conditions" presented the lowest result, 40.7. Conclusion: the results are below the score of 75, value recommended as indicative of a positive safety atmosphere. We suggest the implementation of actions for the promotion of safety culture and new studies with representative samples of all segments of workers.

摘要：研究目的：评估巴西联邦特区一所高复杂度公立医院的卫生专业人员对安全文化的认知情况。研究方法：采用横断面描述性研究设计，使用电子版本的安全态度问卷（Safety Attitudes Questionnaire）开展调研，并进行描述性与推断性统计分析。研究结果：共计358名专业人员参与调研，其中242人（67.6%）为女性。224人（62.6%）直接或间接参与患者照护相关工作；79人（22.1%）从事行政事务；14人（3.9%）负责管理工作；剩余41人（11.5%）从事其他类型工作。本次调研总均分为57.1分。其中工作满意度维度与压力感知维度得分最为突出，分别为76.2分与68.8分；而“工作条件”维度得分最低，仅为40.7分。研究结论：本次调研得分低于75分这一被推荐作为积极安全氛围判定标准的分值。我们建议实施相关举措以推动安全文化建设，并选取涵盖所有劳动者群体的代表性样本开展后续研究。