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Speaking Up About Patient Safety, Withholding Voice and Safety Climate in Clinical Settings: a Cross-Sectional Study Among Ibero-American Healthcare Students.
Carrillo, Irene; Serpa, Piedad; Landa-Ramírez, Edgar; Guilabert, Mercedes; Gómez-Ayala, Yesenia; López-Pineda, Adriana; Mira, José Joaquín.
Afiliação
  • Carrillo I; Department of Health Psychology, Miguel Hernández University of Elche, Elche, Spain.
  • Serpa P; Department of Clinical Management and Patient Safety, School of Medicine, Universidad de Santander, Bucaramanga, Colombia.
  • Landa-Ramírez E; Facultad de Psicología, National Autonomous University of Mexico, Mexico City, Mexico.
  • Guilabert M; Programa de Psicología Urgencias, Hospital General Dr. Manuel Gea Gonzalez, Mexico City, Mexico.
  • Gómez-Ayala Y; Department of Health Psychology, Miguel Hernández University of Elche, Elche, Spain.
  • López-Pineda A; Facultad de Psicología, National Autonomous University of Mexico, Mexico City, Mexico.
  • Mira JJ; Clinical Medicine Department, School of Medicine, Miguel Hernández University of Elche, Elche, Spain.
Int J Public Health ; 69: 1607406, 2024.
Article em En | MEDLINE | ID: mdl-39011389
ABSTRACT

Objectives:

To explore speaking up behaviours, barriers to openly expressing patient safety concerns, and perceived psychological safety climate in the clinical setting in which healthcare trainees from Ibero-America were receiving their practical training.

Methods:

Cross-sectional survey of healthcare trainees from Colombia, Mexico, and Spain (N = 1,152). Before the field study, the Speaking Up About Patient Safety Questionnaire (SUPS-Q) was translated into Spanish and assessed for face validity. A confirmatory factor analysis was conducted to establish the construct validity of the instrument, and the reliability was assessed. The SUPS-Q was used to evaluate voice behaviours and the perceived psychological safety climate among Ibero-American trainees. Descriptive and frequency analyses, tests for contrasting means and proportions, and logistic regression analyses were performed.

Results:

Seven hundred and seventy-one trainees had experience in clinical settings. In the previous month, 88.3% had experienced patient safety concerns, and 68.9% had prevented a colleague from making an error. More than a third had remained silent in a risky situation. Perceiving concerns, being male or nursing student, and higher scores on the encouraging environment scale were associated with speaking up.

Conclusion:

Patient safety concerns were frequent among Ibero-American healthcare trainees and often silenced by personal and cultural barriers. Training in speaking up and fostering safe interprofessional spaces is crucial.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Segurança do Paciente Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Colombia / Europa / Mexico Idioma: En Revista: Int J Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Segurança do Paciente Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Colombia / Europa / Mexico Idioma: En Revista: Int J Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha País de publicação: Suíça