This mixed-methods study identifies barriers and designs an implementation strategy to improve PSC assessments in Brazil, suggesting effective policy changes.
Key Points
The study aims to develop an implementation strategy to improve the adoption of Patient Safety Culture assessments in Brazilian hospitals.
Conducted a sequential exploratory mixed-methods study in three phases.
Performed a qualitative survey with 82 coordinators to identify barriers and facilitators.
Administered a quantitative survey with 297 coordinators to prioritize barriers.
Utilized CFIR and ERIC frameworks to design the implementation strategy.
Identified main barriers including inadequate dissemination, lack of training, and survey resistance.
Developed 16 action strategies such as improved communication and training to enhance readiness.
Strategy aims to reduce complexity and promote engagement with PSC assessments.