Study and promotion of safety culture using mixed methods research

I realize that you have many tasks to attend to; professional [nursing] results in just developing them, without worrying about the quality of service [...]. (P2)

I think it is a lot to question the commitment. It is easier to pretend that I did not see and leave a fellow to do, rather than take the matter to the supervisor about what is lacking. (P3)

The nursing care must be done wherever the patient is assigned to me or not... but we see much individualism; for example, if the patient who called is not in my care, I will not... staff do not realize that they are not doing care to the colleague but to a patient. (P4)

There were a large number of adverse event reports... but the events that had the greatest number of notification were falls and ulcers, visible incidents that cannot be hidden... (P3)

Professionals prefer to pretend they do not recognize the error, to admit that they are guilty, for cultural reasons [...] they do not recognize the error, the problem is not theirs. (P5)

We observed almost everyday errors in relation to drugs there at the pharmacy. When we [pharmacy] will question the error, they [nursing professional] assume. (P6)

Everything that increases work [protocols] has a certain resistance [...]. (P3)

It is difficult implementing rules [...] were being implemented by the hospital Infection Control Committee, hand adornments removing... it was difficult for people to understand the importance [...] (P5)

[...] also, we need to improve the communication between us [multidisciplinary team]. (P6)

Lack of the nursing team communication with patients, they read the chart [...] The communication between hospital departments is also a failure. (P9)

In our [medical] area [...] lack human resources. (P7)

[...] we do not have an adequate number of professionals to direct patient care, sometimes professionals burdened with a larger number of patients. (P3)

[...] In the pharmacy, I think it’s the same structural part, [...] including lack of shelves and tables. (P6)

[...] the issue of not having adequate beds, patients often during the night shift are sedated with a heavier dose, turn and fall from the bed, because we have no proper beds with side rails. (P8)

The whole question of the physical structure, has sections that the floor is inadequate; the bathrooms are a step into the door, not to mention that the door is narrow, cannot be entered into with a wheelchair. (P3)

You have a computer, but no printer, [...] we can prescribe, but have no way to print prescriptions [...]. (P7)

It has a structural issue, now we are organizing to put in all support rooms with paper towels, liquid soap and alcohol gel, [...] we are seeking to improve. (P3)

I believe that stress is masked, sometimes healthcare professionals don’t note that they are very stressed. (P8)

I think they realize the stress, but do not admit, do not speak [whispers] I am sure there are things they omitted [in SAQ]; [...] there is a lot they do not speak close to the head. (P4)

[...] sometimes the person does not admit that they are stressed with work in fear of a change in shifts, afraid of punishment (P2).

I think it is related to shift work, if I demonstrate fatigue on the night shift, the manager can punish me and change my shift of work and this will change my routine [...] I prefer to keep my stress with me. (P5)

[...] the perception of stress is related to the professional responsibility to the patient. (P7)