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Collaborative Care (Coact Program) and the relationship with the leadership, the teamwork and the patient's safety climate

Grant number: 21/09204-4
Support Opportunities:Scholarships in Brazil - Scientific Initiation
Effective date (Start): October 01, 2021
Effective date (End): October 14, 2022
Field of knowledge:Health Sciences - Nursing
Principal Investigator:Andrea Bernardes
Grantee:Lucas Gardim Fabris
Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil


In Brazil, encouraging the adoption of collaborative practices in the health context is urgent. Thus, the recognition of the strategies adopted by countries whose practice is consolidated can serve as a model to solidify this process at the national level. From this perspective, Collaborative Care (CoACT Program) is one of the programs that seek to implement transformational changes in practice to sustain collaborative care. Thus, this study aims to analyze the relationship of resonant leadership, teamwork, and the patient's safety climate in units that have adopted collaborative care. This is an observational, analytical, cross-sectional study, carried out in 17 hospitals in the province of Alberta, Canada, in the 135 units where the program was implemented. The population consists of registered nurses, licensed practical nurses, unit heads, patient care manager, clinical educator nurses and unit managers that answered the CoACT Provider Culture Survey questionnaires, Resonant Leadership Scale, and The Team Climate Inventory. For the analysis of the characterization data of the subjects, descriptive statistics will be used. The numerical variables will be analyzed with the student's t-test and categorical variables with the chi-square test. In order to investigate the association between the variables, the Pearson or similar non-parametric test will be used. The research was approved by the Health Research Ethics Board from the University of Alberta, in accordance with the guidelines for research carried out with human beings established in Canada. This study has the potential to generate results that will ensure the provision of safe and high-quality care, with the perspective that there is a transposition of knowledge to the Brazilian reality. (AU)

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