The quality of nursing care provided by health services, particularly in hospitals, has been the focus of several studies internationally, with evidences that certain characteristics of the work environment provide the practice of nursing professionals, as well as providing greater professional satisfaction and positively contribute to the patient safety. However, these studies are not directed to pediatric units, therefore motivate further research in this field. The study aims to examine the relationship between work environment, patient safety and patient outcomes and nursing staff. This is a retrospective, longitudinal (with analysis of administrative data from children hospitalized in the past five years) and transversal (characteristics of the nursing staff, nurse satisfaction, quality of care, patient safety and work environment) will be conducted in three large pediatric hospitals in the State of São Paulo. For the data collection process, two characterizations will be used: 1) personal and professional: completed by the subjects and 2) institutional: completed by the researcher, and through three instruments: 1) Nursing Work Index - Revised Brazilian version (version for nurses and technicians and nursing assistants), 2) the Maslach Burnout Inventory - Emotional Exhaustion subscale and 3) Safety Attitudes Questionnaire - Short Form 2006 - Brazilian version. The profile of nurses and institutions will be described with values of absolute frequency and percentage and measures of position and dispersion. The reliability of the instruments will be assessed by internal consistency. The correlation between the variables will be expressed by Spearman coefficient. A theoretical model of the relationships between the variables and the evaluation of the model estimates, quality adjustments, modifications and construction of the final model has been proposed, and will be performed by Structural Equation Modeling. The hospital indicators will be related to the variables of the environment, safety and exhaustion with logistic regression analysis and odds ratios and confidence intervals. For all tests, the significance level of p <0.05 is to be accepted.
News published in Agência FAPESP Newsletter about the scholarship: