Ações utilizadas por enfermeiros na implementação da cultura de segurança do paciente em hospitais: uma revisão integrativa

Abstract

The patient safety culture is essential for the implementation, improvement, and maintenance of safety in healthcare organizations. It establishes the foundation for practices that reduce risks and improve clinical outcomes. The role of the nursing team is crucial in motivating the care team to adopt a differentiated and safer approach to patient care. Objective: To highlight the practices employed by nurses to strengthen the patient safety culture in hospitals. Methodology: This work is an integrative review. Data collection was conducted through consultation of publications in the SciELO (Scientific Electronic Library Online) and LILACS (Latin American and Caribbean Literature in Health Sciences) databases via BVS (Virtual Health Library) and MEDLINE (Medical Literature Analysis and Retrieval System Online) via PubMed, with no time or language restrictions. Using the PICO acronym, the following question was formulated: "What practices are employed by nurses to strengthen the patient safety culture in hospitals?". Results: With the application of the chosen methodology, 72 studies were analyzed, and 12 were selected. The research highlights various nursing practices that can contribute to this culture, with eight of them being more frequently found in the literature, such as: active leadership, continuous training, valuing professionals, effective communication, feedback on errors, involvement of staff in the analysis of notifications, non-punitive culture, and support from top management. Conclusion: It was identified that the integrative review recognized nursing practices to strengthen the patient safety culture in hospitals. It is expected that the results will assist professionals in implementing the patient safety culture.