Safety culture in health care teams: A narrative review of the literature

2019 ◽  
Vol 27 (5) ◽  
pp. 871-883 ◽  
Author(s):  
Roisin O’Donovan ◽  
Marie Ward ◽  
Aoife De Brún ◽  
Eilish McAuliffe
Keyword(s):  
Health Care ◽  
Safety Culture ◽  
Narrative Review ◽  
Review Of The Literature ◽  
Health Care Teams

scholarly journals Patient safety culture from the perspective of workers and primary health care teams

2019 ◽  
Vol 53 ◽  
pp. 42 ◽  
Author(s):  
Daiane Cortêz Raimondi ◽  
Suelen Cristina Zandonadi Bernal ◽  
Laura Misue Matsuda
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Service ◽  
Safety Culture ◽  
Family Health ◽  
Patient Safety Culture ◽  
Health Care Teams ◽  
Primary Health

OBJECTIVE: Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS: Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS: Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058). CONCLUSIONS: We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

Instruments for evaluation of safety culture in primary health care: integrative review of the literature

Public Health ◽  
2018 ◽  
Vol 156 ◽  
pp. 147-151 ◽  
Author(s):  
P.F. Vasconcelos ◽  
L.P. Arruda ◽  
V.E.C. Sousa Freire ◽  
R.E.F.L. Carvalho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Safety Culture ◽  
Integrative Review ◽  
Review Of The Literature ◽  
Primary Health

Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review

2021 ◽  
pp. 107839032110501
Author(s):  
Karen Werder ◽  
Alexa Curtis ◽  
Stephanie Reynolds ◽  
Jason Satterfield
Keyword(s):  
Health Care ◽  
Treatment Outcomes ◽  
Health Care Professionals ◽  
Treatment Method ◽  
Opioid Use Disorder ◽  
Narrative Review ◽  
Intentional Stance ◽  
Review Of The Literature ◽  
Opioid Use ◽  
Education Practice

BACKGROUND: Despite an increase in access to medications for opioid use disorder, less than 20% of individuals with opioid use disorder (OUD) receive treatment. Stigmatizing language has been identified as a potential trigger for explicit and implicit biases that may adversely affect treatment enrollment and quality of care for persons with OUD. AIMS: To conduct a narrative review of the literature on stigmatizing language and OUD, examine how treatment outcomes are affected, and present strategies to reduce bias and promote OUD treatment. METHOD: A narrative review of the literature between 2010 and 2019 was conducted using CINAHL, PubMed, and PsycINFO. Key search terms were opioid use disorder (or substance use disorder), stigma, and language. Fifty-two articles were screened for inclusion, and 17 articles were included in this review. RESULTS: The articles reviewed provide consensus that stigmatizing language toward persons with OUD fosters explicit and implicit bias and impedes engagement in treatment. Four themes emerged: (1) stigma and language, (2) stigma and language used by health care professionals, (3) stigma and language used by the general public, and (4) stigma and language used by people with OUD. CONCLUSIONS: Stigmatizing language is dehumanizing and plays a pivotal role in bias and discrimination that may contribute to unsatisfactory treatment outcomes among persons with OUD. Health care professionals, nursing in particular, must assume an intentional stance against stigma perpetuated toward persons with OUD through advocacy in education, practice, policy, and the media.

Birth Plans: A Narrative Review of the Literature

2016 ◽  
Vol 6 (3) ◽  
pp. 157-172 ◽  
Author(s):  
Bernie Divall ◽  
Helen Spiby ◽  
Julie Roberts ◽  
Denis Walsh
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Research Agenda ◽  
Narrative Review ◽  
Obstetric Outcomes ◽  
Review Of The Literature ◽  
Comprehensive Overview ◽  
Women's Experiences ◽  
The Subject ◽  
The Impact

OBJECTIVE: To describe and summarize the current body of evidence on the subject of birth plans to develop a research agenda.METHOD: A narrative review was undertaken to offer a comprehensive overview of themes emerging from previous research in this area.FINDINGS: Thirty-five papers from 33 studies were retrieved and grouped into three main themes: the impact of birth plans on obstetric outcomes, women’s experiences and opinions of completing and using birth plans, and health care professionals’ beliefs about and experiences of the use of birth plans. Key findings relate to beliefs about the benefits and challenges of birth plans, as described by women and health care professionals and the impact of birth plans on a range of obstetric outcomes.CONCLUSION: This review brings together a range of studies around birth plans and synthesizes key themes. Little homogeneity was seen in the studies identified, and a wide variety of care contexts and childbirth philosophies were represented. Findings suggest the need for further research into whether there are ideal circumstances and environments for the completion of birth plans antenatally and whether disparities between expectations described in women’s plans and experiences in labor and birth can be reduced.

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