scholarly journals Evaluating the intervening factors in patient safety: focusing on hospital nursing staff

2015 ◽  
Vol 49 (1) ◽  
pp. 104-113 ◽  
Author(s):  
Roberta Meneses Oliveira ◽  
Ilse Maria Tigre de Arruda Leitao ◽  
Leticia Lima Aguiar ◽  
Adriana Catarina de Souza Oliveira ◽  
Dionisia Mateus Gazos ◽  
...  
Keyword(s):  
Patient Safety ◽  
Nursing Staff ◽  
Quality Care ◽  
Team Work ◽  
Structured Interviews ◽  
Professional Qualification ◽  
Hospital Nursing ◽  
Training Team ◽  
Intervening Factors ◽  
And Training

OBJECTIVE To evaluate intervening factors in patient safety, focusing on hospital nursing staff. METHOD The study is descriptive, with qualitative approach, excerpt from a larger study with analytical nature. It was undertaken in a public hospital in Fortaleza, CE, Brazil, between January and June 2013, with semi-structured interviews to 70 nurses, using Thematic Content Analysis. RESULTS The principal intervening factors in patient safety related to hospital nursing staff were staff dimensioning and workload, professional qualification and training, team work, being contracted to the institution, turnover and lack of job security, and bad practice/disruptive behaviors. These aspects severely interfere with the establishment of a safety culture in the hospital analyzed. CONCLUSION It is necessary for managers to invest in nursing staff, so that these workers may be valued as fundamental in the promotion of patient safety, making it possible to develop competences for taking decisions with focus on the improvement of quality care.

scholarly journals The quality of handover on an inpatient psychiatric unit - information is key!

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S183-S183
Author(s):  
Emma Davies ◽  
Ijeoma Enemo-Okonkwo
Keyword(s):  
Patient Safety ◽  
Nursing Staff ◽  
Current Issue ◽  
Improve Patient Safety ◽  
Quality Care ◽  
Limited Information ◽  
Psychiatric Unit ◽  
Trainee Doctor ◽  
Inpatient Psychiatric Unit

AimsTo study the quality of handover, between nursing staff and doctors, on an inpatient psychiatric unit.Effective handover between professionals is vital to ensure the accurate transfer of useful information to enable quality care and patient safety.Implementation of a handover tool has been shown to improve patient safety, especially when used to structure communication over the phone.Feedback at trainee doctor forums highlighted insufficient handover from nursing staff whilst on-call, a problem which prompted further exploration.MethodStandards were developed for the expected quality of handover, consisting of a set of criteria for the minimum information required to ensure a safe and effective handover, stemming from the SBAR (Situation, Background, Assessment, Recommendation) approach, with adequate identification of patients, clear communication of the current situation and relevant details.In an inpatient psychiatric setting, telephone calls to the on-call doctor were recorded for a two-week period, documenting whether key information was communicated.ResultTotal number of calls to on-call doctor recorded: 68. The patients name was given in 49% and the ID number in just 10%. Both relevant diagnosis/history and NEWS score was provided in 18%. However, the current issue and recommendation was given in 90% and 95% respectively.ConclusionThe results thus far demonstrate a lack of structure and often limited information delivered in handover from nursing staff to the on-call doctor. This leads to difficulties in prioritisation, identifying the urgency of the situation and inefficiencies, as time is spent requesting further information which is not readily available.After nursing colleagues were made aware, results from a further two-week period, from 65 total calls, demonstrated some improvement. Patient name given in 51%, ID number in 18%, relevant diagnosis/history in 12%, NEWS score in 17%, current issue in 92% and recommendation in 51%. It is clear that with marginal improvement, there remains a problem which we aim to address by collaborating further with senior nursing leads whilst implementing a succinct handover proforma. It is likely that with COVID-19 as the priority on the agenda this past year, quality improvement projects such as this has not been the main focus. We hope that we will be able to implement these changes in the coming months.

scholarly journals Use of Checklist Prevents Errors during Surgeries

2013 ◽  
Vol 1 (1) ◽  
pp. 25-28
Author(s):  
Jatin Kumar ◽  
Akash Sud
Keyword(s):  
Patient Safety ◽  
Postoperative Complications ◽  
Operating Room ◽  
Death Rate ◽  
Team Work ◽  
Audit Tool ◽  
Safety Practices ◽  
Safe Surgery ◽  
The Right ◽  
And Training

ABSTRACT ‘Hospitals do most of the right things, on most patients, most of the time. The checklist helps them to do all the right things, on all patients, all the time.’ According to International Patient Safety Goal-4 (IPSG-4), the hospitals need to ensure the correct patient, correct site, correct procedure and correct surgery. WHO launched Safe Surgery Saves Lives program in 2009 to reduce the number of surgical deaths across the globe. In the complex setting of an operating room, any of the steps may be overlooked during the fast-paced preoperative, intraoperative, or postoperative preparations. So a customized checklist was introduced after sensitization and training of all OT users to reinforce accepted safety practices and foster better communication and team work between clinical disciplines. The aim of the checklist is to reduce the number of errors during surgery and to reduce postoperative complications. The use of the checklist reduced the rate of deaths and complications by more than one-third. The rate of major inpatient complications dropped from 11 to 7%, and the inpatient death rate following major operations fell from 1.5 to 0.8% after implementation of the checklist. Audit tool printed at the backside of the checklist is analyzed every month, to observe the shortcomings. How to cite this article Kumar J, Sud A. Use of Checklist Prevents Errors during Surgeries. Int J Res Foundation Hosp Healthc Adm 2013;1(1):25-28.

scholarly journals Cultura de segurança do paciente: perspectiva de profissionais da saúde

2019 ◽  
Vol 13 ◽  
Author(s):  
Célia Maria Pinheiro dos Santos ◽  
Reginaldo Guedes Coelho Lopes ◽  
Maria Luiza Toledo Leite Ferreira da Rocha ◽  
Bruno Pinheiro dos Santos ◽  
Marilda Gonçalves de Sousa ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Health Professionals ◽  
Health Personnel ◽  
Descriptive Analysis ◽  
Team Work ◽  
Work Commitment ◽  
Trabajo En Equipo ◽  
Quantitative Descriptive ◽  
Training Team

Objetivo: conhecer a perspectiva dos profissionais de saúde sobre a cultura de segurança do paciente. Método: trata-se de estudo quantitativo, descritivo, observacional, com 242 profissionais da saúde. Coletaram-se os dados de por meio de um questionário, tabulando-se pelos softwares: SPSS V20, Minitab 16 e Excel Office 2010. Confeccionaram-se tabelas para apresentar os resultados realizando-se a análise descritiva. Resultados: revela-se que, dos respondentes, 50,4% foram capacitados nos últimos dez anos, 90,1% afirmaram a cultura de segurança como preocupação mundial, 72,3% conheciam os protocolos e os praticavam, 74,7% acreditavam que a cultura de segurança evita erros, 97,0% afirmaram a importância do envolvimento de todos para a mudança da cultura. Conclusão: observou-se inconstância na perspectiva dos profissionais em relação ao entendimento sobre a cultura de segurança e, entre outras dificuldades, a falta de capacitação, de entrosamento no trabalho em equipe, de comprometimento com as práticas diárias e de disseminação da cultura em todo o hospital. Descritores: Cultura; Segurança do Paciente; Opinião Pública; Pessoal de Saúde; Hospitais; Assistência à Saúde. ABSTRACTObjective: to know the perspective of health professionals about the culture of patient safety. Method: this is a quantitative, descriptive, observational study with 242 health professionals. Data was collected by means of a questionnaire, tabulated by the software: SPSS V20, Minitab 16 and Excel Office 2010. Tables were made to present the results by performing the descriptive analysis. Results: it appears that 50.4% of the respondents were trained in the last ten years, 90.1% affirmed the safety culture as a worldwide concern, 72.3% knew the protocols and practiced them, 74.7% believed that safety culture avoids mistakes, 97.0% affirmed the importance of everyone's involvement for culture change. Conclusion: there was inconsistency in the perspective of professionals regarding the understanding of the safety culture and, among other difficulties, lack of training, team work, commitment to daily practices and dissemination of culture throughout the hospital. Descriptors: Culture; Patient Safety; Public Opinion; Health Personnel; Hospitals; Health Care.RESUMENObjetivo: conocer la perspectiva de los profesionales de la salud sobre la cultura de seguridad del paciente. Método: este es un estudio cuantitativo, descriptivo, observacional con 242 profesionales de la salud. Los datos se recopilaron mediante un cuestionario tabulado por los softwares: SPSS V20, Minitab 16 y Excel Office 2010. Se realizaron tablas para presentar los resultados mediante el análisis descriptivo. Resultados: parece que el 50.4% de los encuestados fueron capacitados en los últimos diez años, el 90.1% afirmó que la cultura de seguridad era una preocupación mundial, el 72.3% conocía los protocolos y los practicaba, el 74.7% creía que la cultura de seguridad evita errores, el 97.0% afirmó la importancia de la participación de todos para el cambio cultural. Conclusión: hubo inconsistencia en la perspectiva de los profesionales con respecto a la comprensión de la cultura de seguridad y, entre otras dificultades, la falta de capacitación, buen convivio en el trabajo en equipo, el compromiso con las prácticas diarias y difusión de la cultura en todas partes del hospital. Descriptores: La Cultura; Seguridad del Paciente; Opinión Pública; Personal de Salud; Los Hospitales; Asistencia a la Salud.

scholarly journals Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Lucídio Clebeson de Oliveira ◽  
Harlon França de Menezes ◽  
Richardson Lemos de Oliveira ◽  
Dhyanine Morais de Lima ◽  
Sâmara Fontes Fernandes ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Nursing Staff ◽  
Thematic Analysis ◽  
Care Service ◽  
Structured Interviews ◽  
Professional Qualification ◽  
Northeast Region ◽  
Emergency Situations ◽  
Containment Measures ◽  
Physical And Chemical

ABSTRACT Objective: To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência). Method: Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis. Results: The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions. Final considerations: Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.

Fakor Determinan yang Memengaruhi Budaya Keselamatan Pasien di RS Pemerintah Kabupaten Kuningan

1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Lia Mulyati ◽  
Dedy Rachman ◽  
Yana Herdiana
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Work Satisfaction ◽  
Patient Safety Culture ◽  
Team Work ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

Budaya keselamatan merupakan kunci untuk mendukung tercapainya peningkatan keselamatan dan kesehatan kerja dalam organisasi. Upaya membangun budaya keselamatan merupakan langkah pertama dalam mencapai keselamatan pasien. Terdapat beberapa faktor yang berkontribusi dalam perkembangan budaya keselamatan yaitu; sikap baik individu maupun organisasi, kepemimpinan, kerja tim, komunikasi dan beban kerja. Penelitian ini bertujuan mengetahui faktor determinan yang berhubungan dengan terciptanya budaya keselamatan pasien di RS Pemerintah Kabupaten Kuningan. Teknik pengambilan sampel yang digunakan incidental sampling 88 orang perawat pelaksana. Rancangan penelitian menggunakan survey analitik dengan pendekatan cross sectional, uji hipotesis digunakan Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan terdapat pengaruh yang signifikan antara persepsi terhadap manajemen (p 0.0005, odd rasio 21.3), dukungan tim kerja (p 0.0005, odd rasio 13.34), stress kerja (p 0.006, odd rasio 3.94), kepuasan kerja (nilai p 0. 002) dengan budaya keselamatan pasien. Tidak terdapat pengaruh yang signifikan kondisi kerja dengan budaya keselamatan pasien dengan nilai p 0.507. Berdasarkan analisis multuvariat diperoleh persepsi terhadap manajemen menjadi factor determinan dengan nilai p 0.000 < α 0.05. Simpulan; unsur pimpinan memiliki pengaruh yang signifikan dalam menciptakan budaya keselamatan pasien. Pimpinan memiliki kewenangan dalam menerapkan system yang berlaku dalam organisasi, oleh karena itu gaya kepemimpinan, teknik komunikasi serta kemampuan manajerial merupakan suatu hal yang sangat perlu diperhatikan dalam menciptakan atmosfer kerja yang kondusif sebagai upaya terciptanya budaya keselamatan pasien. Berdasarkan hasil penelitian bahwa model kepemimpinan transformasional merupakan model yang sesuai diterapkan untuk meningkatkan budaya keselamatan pasien, pelatihan keterampilan komunikasi efektif serta pengembangan model pendidikan antar profesi sebagai upaya peningkatan kemampuan kolaborasi.Kata kunci:Budaya keselamatan pasien, stress kerja, kepuasan kerja.Determinant factors that are Influencing Patient Safety Culture in a Government-owned Hospitals in Kuningan Regency AbstractSafety culture is a key to support the achievement of occupational health and safety in an organization. An effort to build safety culture is the first step in ensuring patient safety. There are some factors that contribute in the development of safety culture, namely, individual and organizational attitude, leadership, team work, communication, and work load. This study aimed to identify the determinant factors that are related to achievement of patient safety culture in a government-owned hospital in Kuningan Regency. Eighty eight samples of nurses were recruited using incidental sampling technique. The research design was using cross sectional study, the hypothesis testing were using Chi Square and multiple logistic regression. The results showed that there were significant influenced between perception towards management (p= 0.0005, odd rasio 21.3), team work support (p= 0.0005, odd rasio 13.34), work-related stress (p= 0.006, odd rasio 3.94), work satisfaction (p= 0. 002) with patient safety culture. There was not significant influenced between work condition and patient safety (p= 0.507). The multivariate analysis showed that perception towards management was the determinant factor for patient safety culture (p 0.000 < α 0.05). In conclusion, leaders have significant influence in creating patient safety culture. Leaders have authority to implement systems in the organization. Therefore, leadership style, communication technique, and managerial ability are important in order to create a conducive atmosphere for developing patient safety culture. As recommendation, transformational leadership is a model that is appropriate to be applied in order to increase patient safety culture, trainings of effective communication and inter-professional education model are also needed to increase the collaboration skills among health professionals.Keywords:Patient safety culture, work-related stress, work satisfaction.

Significados de Morte: o Discurso do Sujeito Coletivo da Enfermagem / Meaning of Death: the collective subject speech of the nursing staff

1970 ◽  
Vol 6 (1) ◽  
pp. 52-58
Author(s):  
Fellipe Afonso de Azevedo ◽  
Noé D’jalma Araújo ◽  
Néliton Célio de Novais ◽  
José Vítor da Silva ◽  
Renato Augusto Passos
Keyword(s):  
Nursing Staff ◽  
Hospital Setting ◽  
Field Research ◽  
Structured Interview ◽  
Minas Gerais ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Emergency Units ◽  
Methodological Guidelines

RESUMOObjetivo: o presente trabalho teve como objetivo identificar os significados de morte emergentes das equipes de enfermagem que atuam nas unidades de Pronto Socorro e Unidade de Terapia Intensiva (UTI) em uma entidade de médio porte situada no Sul de Minas Gerais. Materiais e métodos: estudo de abordagem qualitativa, do tipo descritivo, de campo e transversal. A amostra estudada foi composta de oito enfermeiros, 22 técnicos e quatro auxiliares de enfermagem, totalizando 34 profissionais, sendo utilizado o instrumento de caracterização pessoal e profissional da equipe de enfermagem e o roteiro de entrevista semiestruturada. A amostragem foi proposital. A coleta de dados foi realizada através de entrevista semiestruturada, gravada e transcrita. As diretrizes metodológicas do Discurso do Sujeito Coletivo foram utilizadas para a seleção das ideias centrais e expressões-chave correspondentes, a partir das quais foram extraídos os discursos dos sujeitos, no cenário da instituição hospitalar. Resultados e Discussão: ao analisar o tema “significados de morte”, obtiveram-se as seguintes ideias centrais: “passagem”, “diversos significados”, “fim da vida” e “fim e começo de outra vida”. Conclusão: As concepções acerca do tema morte para os profissionais participantes deste trabalho reforça a necessidade de estudos sobre o tema durante a formação acadêmica. Certos de que irão vivenciar este tipo de situação no dia-a-dia profissional, é preciso prepará-los psicologicamente para isso.Palavras-chave: Morte, Equipe de enfermagem, Assistência ao paciente.ABSTRACTObjective: This study aimed to identify the meanings of emerging death of the nursing staff working in the Emergency Units and Intensive Care Unit (ICU) in a medium-sized entity located in southern Minas Gerais. Materials and methods: A cross-sectional qualitative field research. The sample was composed of 8 nurses, 22 technicians and 4 nursing assistants, totaling 34 professionals. It was used a tool of personal and professional characterization of the nursing team and a semi-structured interview. Sampling was intentional. Data collection was conducted through semi-structured interviews, that were recorded and transcribed. The methodological guidelines of the Collective Subject Speech were used for the selection of the central ideas and corresponding key expressions, from which the speeches of the subjects were taken, in the hospital setting. Results and discussion: to examine the topic "death meanings" yielded the following core ideas: "pass", "different meanings", "end of life" and "end and beginning of another life." Conclusion: The conceptions about the death theme for the professional participants of this study reinforces the need for studies on the subject during their academic training. It is certain that they will experience this type of situation on their daily professional routine, therefore there is a need to prepare them psychologically for this.Keywords: Death, Nursing staff, Patient care.

Understanding the Abortion Experiences of Young People to Inform Quality Care in Argentina, Bangladesh, Ethiopia, and Nigeria

2021 ◽  
pp. 0044118X2110110
Author(s):  
Laura E. Jacobson ◽  
Ana Maria Ramirez ◽  
Chiara Bercu ◽  
Anna Katz ◽  
Caitlin Gerdts ◽  
...  
Keyword(s):  
Young People ◽  
Quality Care ◽  
First Trimester ◽  
Structural Barriers ◽  
Structured Interviews ◽  
Safe Abortion ◽  
Medication Abortion ◽  
Abortion Care ◽  
The Mean ◽  
Reproductive Healthcare

Young people face social and structural barriers when accessing abortions. High-quality, sexual and reproductive healthcare is needed; however, literature on youth-informed abortion services is limited. This study assesses accounts of youth who obtained an abortion in Argentina, Bangladesh, Ethiopia, and Nigeria and provides recommendations to improve person-centered aspects of abortion quality. We analyzed 48 semi-structured interviews with clients recruited from clinics, safe abortion hotlines, and patent and proprietary medicine vendors. We coded transcripts and conducted a thematic analysis. The mean age was 21 years (range 16–24), and the majority had a first trimester, medication abortion. Prominent themes included access to information; privacy; stigma associated with age or marital status; the decision-making process; and comfort and rapport with providers. Youth-centered abortion care should anticipate the distinct needs of younger clients. Supportive providers have an important role in offering a non-judgmental service that makes young clients feel comfortable and prepared.

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