Percepção da equipe de enfermagem sobre a etapa do sign out do checklist de cirurgia segura

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Abstract
Objective: to analyze the nursing staff’s perception of the factors that influence the surgical safety checklist’s sign-out stage. Methods: this is a quantitative-qualitative study. The setting was a Surgical Center and an Obstetrics Center of a large private hospital. The sample consisted of nursing technicians and nurses, with 70 participants in the first stage and 19 in the second. Data collection was carried out in two stages: survey and focus group. Quantitative data were analyzed descriptively and qualitative data through content analysis. Results: the staff observed a 58.62% adherence rate to the time-out process, contrasting with only 1.72% compliance with the sign-out procedure. Barriers hindering adherence to the sign-out process included lack of technical knowledge, organization, haste, resistance to change, and shift changes. Training, routine standardization, safety culture strengthening, and multi-professional engagement stand out for improving compliance, with an emphasis on valuing the nursing staff. Conclusion: adherence to the sign-out process is a critical point due to a lack of standardization and resistance from the staff. Effective implementation requires engaged leadership, nursing staff empowerment, active listening, and continuing education. Contributions to practice: it provides support for the development of strategies that promote greater staff engagement.