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Research

Effectiveness of the Positive Nursing Practice Environment Promotion Programme in improving patient safety in primary health care: a study protocol for a randomised controlled clinical trial

Soraia Cristina de Abreu Pereira, Eduardo José Ferreira Santos, Cintia Silva Fassarella and Olga Maria Pimenta Lopes Ribeiro
BJGP Open 2025; 9 (4): BJGPO.2025.0025. DOI: https://doi.org/10.3399/BJGPO.2025.0025
Soraia Cristina de Abreu Pereira
1 Abel Salazar Biomedical Sciences Institute, University of Porto, Porto, Portugal
2 Nursing School of the University of Porto, Porto, Portugal
3 RISE-Health, Porto, Portugal
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  • ORCID record for Soraia Cristina de Abreu Pereira
  • For correspondence: pereirasoraia87{at}gmail.com
Eduardo José Ferreira Santos
3 RISE-Health, Porto, Portugal
4 Polytechnic Institute of Viseu, Higher School of Health, Viseu, Portugal
5 Health Sciences Research Unit-Nursing (UICISA: E), Coimbra, Portugal
6 Evidence-Based Practice Center of Portugal (PCEBP): A JBI Centre of Excellence, Coimbra, Portugal
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Cintia Silva Fassarella
7 Faculty of Nursing, The State University of Rio de Janeiro, Rio de Janeiro, Brazil
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Olga Maria Pimenta Lopes Ribeiro
3 RISE-Health, Porto, Portugal
8 Nursing School of the University of Porto, Porto, Portugal
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    Figure 1. Study design and workflow. PPAPEP = Positive Nursing Practice Environments Promotion Programme

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    Table 1. Content of the PPAPEP
    SessionContent
    1)Presentation of the PPAPEP.
    Characteristics and variables related to clients and professionals that contribute to a positive nursing practice environment
    2)Characteristics and variables related to institutions that contribute to a positive nursing practice environment
    3)Attributes of a positive nursing practice environment
    4)Outcomes of a positive nursing practice environment related to professionals
    5)Outcomes of a positive nursing practice environment related to institutions and clients
    6)Group dynamics to consolidate the knowledge acquired throughout the PPAPEP.
    Conclusion of the PPAPEP
    • PPAPEP = Positive Nursing Practice Environments Promotion Programme

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    Table 2. Outcome measures and data collection evaluation moments
    ActivityStudy period
    T – 1 (Pre-allocation)EM0 (baseline)EM1 (pre-intervention)Intervention periodEM2 (post-intervention)EM3 (follow-up)
    Enrollment
    - Participants' informationX
    - Participants express interest in PPAPEPX
    - Participant consentX
    - Random group allocationX
    Intervention: PPAPEP————
    Outcomes
    Data collection:
    - Demographic and professional dataX
    - Scale for the Environment's Evaluation of Professional Nursing Practice — Shortened VersionXXXX
    - Safety Attitudes Questionnaire — Short FormXXXX
    - Qualitative data from participants’ knowledge during interventionX
    • EM = evaluation moment. PPAPEP = Positive Nursing Practice Environments Promotion Programme

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Effectiveness of the Positive Nursing Practice Environment Promotion Programme in improving patient safety in primary health care: a study protocol for a randomised controlled clinical trial
Soraia Cristina de Abreu Pereira, Eduardo José Ferreira Santos, Cintia Silva Fassarella, Olga Maria Pimenta Lopes Ribeiro
BJGP Open 2025; 9 (4): BJGPO.2025.0025. DOI: 10.3399/BJGPO.2025.0025

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Effectiveness of the Positive Nursing Practice Environment Promotion Programme in improving patient safety in primary health care: a study protocol for a randomised controlled clinical trial
Soraia Cristina de Abreu Pereira, Eduardo José Ferreira Santos, Cintia Silva Fassarella, Olga Maria Pimenta Lopes Ribeiro
BJGP Open 2025; 9 (4): BJGPO.2025.0025. DOI: 10.3399/BJGPO.2025.0025
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Keywords

  • working conditions
  • Patient Safety
  • primary health care

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