Renata Pereira Silva Artioli

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.

RESUMO Objetivo: relatar a experiência da implementação dos princípios da norma ISO 14001 no Centro de Material e Esterilização de uma instituição de saúde de grande porte. Métodos: estudo quantitativo, descritivo, do tipo relato de experiência desenvolvido em um hospital privado de grande porte da cidade de Porto Alegre, RS, Brasil, no período de janeiro de 2020 a julho de 2025. Resultados: foram desenvolvidas as seguintes iniciativas: uso racional da água; otimização do consumo do papel grau cirúrgico; e reorganização de materiais estéreis embalados de forma unitária. Ações educativas, aliadas ao uso de tecnologias de monitoramento, revelaram estratégias eficazes para modificar comportamentos e despertar uma cultura organizacional voltada à sustentabilidade. Considerações finais: a experiência apresentada demonstra como essa abordagem pode direcionar intervenções e embasar a tomada de decisões sustentáveis, servindo como referência para organizações que buscam aprimorar suas práticas ambientais.

Objective: to report the experience of implementing the principles of ISO 14001 in the Sterile Processing Department of a large healthcare institution. Methods: a quantitative, descriptive experience report conducted in a large private hospital in the city of Porto Alegre, RS, Brazil, from January 2020 to July 2025. Results: the following initiatives were developed: rational use of water; optimization of surgical-grade paper consumption; and reorganization of sterile materials packaged individually. Educational actions, combined with the use of monitoring technologies, proved to be effective strategies for modifying behaviors and fostering an organizational culture focused on sustainability. Final considerations: the reported experience demonstrates how this approach can guide interventions and support sustainable decision-making, serving as a reference for organizations seeking to improve their environmental practices.