Comunicação de enfermagem e as repercussões na segurança do paciente RESUMO

RESUMOObjetivo: analisar a contribuição da comunicação de enfermagem para a segurança do paciente. Método: trata-se de estudo bibliográfico, descritivo, do tipo revisão integrativa, de 2013 a 2017, nas Bases de Dados MEDLINE, LILACS e BDENF. Organizaram-se os resultados em categorias a partir da técnica de Análise de Conteúdo. Resultados: analisaram-se três estudos e se observou a comunicação interprofissional na passagem de plantão permite o registro e fornece informações condizentes a todo o processo de cuidado, propiciando um ambiente de trabalho harmonioso com assistência livre de danos ao paciente. Conclusão: ressalta-se que a comunicação dos profissionais deve fazer parte da cultura de segurança, minimizando os erros ao paciente. Observou-se como desafios, os atrasos dos profissionais, equipe incompleta e falta de tempo. Sugere-se novos estudos de modo a auxiliar os enfermeiros e demais profissionais de saúde na comunicação durante a passagem de plantão. Verifica-se, também, a necessidade de implementar protocolos específicos de passagem de plantão nos serviços com o proposito de melhorar a comunicação entre a equipe e consequentemente, melhorar a seguraça do paciente. Descritores: Comunicação; Enfermagem; Pacientes Internados; Planejamento; Redução do Dano; Segurança do Paciente.ABSTRACTObjective: to analyze the contribution of nursing communcation to patient safety. Method: this is a bibliographical, descriptive study, of the integrative-review type, from 2013 to 2017, on MEDLINE, LILACS, and BDENF databases. The results were organized into categories from the Content Analysis technique. Results: three studies were analyzed, showing that the interprofessional communication at shift change allows the record and provides consistent information throughout the care process, providing a harmonious working environment with harmless assistance to the patient. Conclusion: the communication of professionals should be part of the safety culture, minimizing the errors to the patient. The observed challenges were delays of professionals, incomplete team and lack of time. Furtehr studies are necessary to assist nurses and other health professionals in communication during the shift change. There is also the need to implement specific protocols of shift change at services with the purpose of improving communication between the team and, consequently, improve the patient safety. Descriptors: Communication; Nursing; Inpatients; Planning; Harm Reduction; Patient Safety.RESUMENObjetivo: analizar la contribución de la comunicación de enfermería a la seguridad del paciente. Método: este es un estudio bibliográfico, descriptivo, del tipo revisión integradora, de 2013 a 2017, en las bases de datos MEDLINE, LILACS y BDENF. Los resultados fueron organizados en categorías a partir de la técnica de Análisis de Contenido. Resultados: se analizaron tres estudios y se observó que la comunicación interprofesional en cambio permite el registro y proporciona información coherente en todo el proceso de atención, proporcionando un ambiente de trabajo armonioso con asistencia libre de daño al paciente. Conclusión: cabe destacar que la comunicación de los profesionales debe ser parte de la cultura de la seguridad, minimizando los errores en el paciente. Los desafíos observados fueron los retrasos de los profesionales, equipo incompleto y la falta de tiempo. Se sugiere realizar estudios adicionales para ayudar a los enfermeros y otros profesionales de la salud en la comunicación durante el cambio de turno. También existe la necesidad de implementar protocolos específicos de cambio de turno en los servicios con el fin de mejorar la comunicación entre el equipo y, por lo tanto, mejorar la seguridad del paciente. Descriptores: Comunicación; Enfermería; Pacientes Internos; Planificación; Reducción del Daño; Seguridad del Paciente.

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Patient safety culture in the perception of health professionals: A mixed methods research study

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2021.20200418 ◽

2021 ◽

Vol 42 ◽

Author(s):

Cassiana Gil Prates ◽

Rita Catalina Aquino Caregnato ◽

Ana Maria Müller de Magalhães ◽

Daiane Dal Pai ◽

Janete de Souza Urbanetto ◽

...

Keyword(s):

Patient Safety ◽

Mixed Methods ◽

Safety Culture ◽

Health Professionals ◽

Mixed Methods Research ◽

Work Organization ◽

Patient Safety Culture ◽

Integrated Analysis ◽

Explanatory Mixed Methods ◽

Perception Of Health

ABSTRACT Objective: To analyze the patient safety culture perceived by health professionals working in a hospital and to understand the elements influencing it. Methods: A sequential explanatory mixed methods study, conducted in 2017 in two interrelated stages in a hospital. The quantitative stage was carried out by applying the questionnaire to 618 professionals and the qualitative stage, with ten, using the focus group technique. The analysis was descriptive statistics for the quantitative data and of content for the qualitative data. Subsequently, the data were submitted to integrated analysis. Results: Of the 12 dimensions, seven were considered weak, the most critical being “non-punitive response to error” with 28.5% of positive answers. Bureaucratic, poorly designed and uncoordinated processes, regional decisions, communication failures, hierarchy, overload, punishment and judicialization were related to the perception. Conclusions: The patient safety culture was considered weak, and elements related to work organization, people management and legal risk influenced this negative perception.

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Development of the Austrian version of the Hospital Survey on Patient Safety Culture

European Journal of Public Health ◽

10.1093/eurpub/ckz185.619 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

ŠD Draganović ◽

G O Offermanns

Keyword(s):

Patient Safety ◽

Factor Structure ◽

Safety Culture ◽

Health Professionals ◽

Online Survey ◽

Patient Safety Culture ◽

Public Hospitals ◽

Added Value ◽

Fit Indices ◽

New Instrument

Abstract Background Patient safety culture in hospitals (PSC), as well as its measurement and development, have received plenty of attention in Europe in recent years. Several instruments have been developed for its measurement in European countries. As Austria does not have empirically reviewed questionnaires to measure PSC jet, the research question of this study was: Is the globally admitted American questionnaire “Hospital Survey on Patient Safety Culture (HSOPSC)” (Sorra & Nieva, 2004) suitable for the healthcare system in Austria? Methods The HSOPSC contains 42 questions, which constituted twelve factors altogether. The pre-test was done with 101 health professionals. The online survey was conducted in ten public hospitals in 2017. Overall 1525 health professionals participated, which corresponded to a response rate of 23%. A new instrument, namely “Hospital Survey on Patient Safety Culture in Austria (HSPSC-AUT)”, was developed using the Exploratory Factor Analysis (EFA) and the Confirmatory Analysis (CFA). Results The factor structure of HSOPSC was not identical to the factor structure of HSPSC-AUT, developed in our study. The study showcased a new tool, HSPSC-AUT, with 30 items altogether, consisting of seven departmental factors, two hospital factors and one outcome factor. This new tool (HSPSC-AUT) showed pleasant results on the model, indicator, and construct level. The results of CFA for HSPSC-AUT (χ2 [360] = 1408.245, p = 0.0001) showed a better model compared to HSOPSC. The absolute and relative fit-indices showed excellent model adjustment (RMSEA = 0.049, SRMR = 0.041, GFI = 0.927, CFI = 0.941, TLI = 0.929). Conclusions The study presents a new instrument, HSPSC-AUT, for the measurement of PSC. According to the results, HSPSC-AUT (10-factor structure) has a better model fit than the original HSOPSC. This was confirmed by chi-square test, absolute and relative fit-indices, informational criteria, reliability, and construct validity. Key messages The development of an instrument for measuring safety culture is the first step leading to a better PSC. For this reason, HSPSC-AUT is recommended as an instrument to measure the PSC in Austria. Finally, it can be said that the development of a new questionnaire as well as the related measurements of validity and reliability have added value to science and practice.

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Potencialidades e desafios da educação em saúde na pandemia da Covid-19

Enfermería Global ◽

10.6018/eglobal.443311 ◽

2021 ◽

Vol 20 (2) ◽

pp. 283-315

Author(s):

Socorro Adriana de Sousa Meneses Brandão ◽

Sônia Maria de Araújo Câmpelo ◽

Ana Roberta Vilarouca da Silva ◽

Herla Maria Furtado Jorge ◽

Telma Maria Evangelista De Araújo ◽

...

Keyword(s):

Health Education ◽

Safety Culture ◽

Health Professionals ◽

Monitoring And Evaluation ◽

Descriptive Study ◽

Healthcare Industry ◽

State University ◽

Residency Programs ◽

Execution Monitoring ◽

Basic Health Units

Objetivo: Informar el potencial y los desafíos de los Programas de Residencia Multiprofesional en educación para la salud a los profesionales de primera línea en la pandemia del Covid-19.Método: Se trata de un estudio descriptivo a partir de un relato de experiencia de profesores del programa de residencia de la Universidad Estatal de Piauí, resultado de un proceso de experiencias y reflexiones críticas sobre las prácticas, educación para la salud ofrecidas a los profesionales de la industria de la salud. frente a hospitales y unidades básicas de salud, en la pandemia de Covid-19, en el municipio de Teresina, Piauí. Las actividades se dividieron en cuatro etapas: planificación; ejecución, seguimiento y evaluación. Y cubrieron rondas de conversaciones y demostraciones del proceso de ponerse y quitarse. Además de la retroalimentación práctica de cada participante al final. También se utilizaron dinámicas de bienvenida y / o finalización.Resultados: Durante los meses de marzo y abril de 2020 se capacitaron 1.343 (mil trescientos cuarenta y tres) profesionales de la salud.Conclusión: Las titulaciones realizadas permitieron un intercambio de experiencias, reflexiones sobre una cultura de seguridad y un aprendizaje bidireccional entre residentes y profesionales de la salud. Además, lidiar con lo nuevo, la indecisión y lo desconocido fue un gran desafío. Objective: To report the potential and challenges of the Multi-professional Residency Programs in health education to frontline professionals in the Covid-19 pandemic.Method: This is a descriptive study from an experience report of professors from the residency program at the State University of Piauí. It shows the result of a process of experiences and critical reflections on the practices, health education offered to professionals in the healthcare industry in front of hospitals and basic health units, during the Covid-19 pandemic, in the municipality of Teresina, Piauí. The activities were divided into four stages: planning; execution, monitoring, and evaluation. There were conversation circles and demonstration of the process of dressing and undressing the equipment and also practical feedback by each participant at the end. Welcoming and/or completion dynamics were also used.Results: During March and April 2020, 1,343 (one thousand, three hundred and forty-three) health professionals were qualified.Conclusion: The qualifications enabled an exchange of experiences, reflections on safety culture, and two-way learning between residents and health professionals. Dealing with the new, indecision and the unknown was a great challenge. Objetivo: Relatar as potencialidades e desafios de Programas de Residências Multiprofissionais na educação em saúde aos profissionais da linha de frente na pandemia da Covid-19. Método: Trata-se de um estudo descritivo proveniente de um relato de experiência de docentes do programa de residências da Universidade Estadual do Piauí, fruto de um processo de vivências e reflexões críticas acerca das práticas de educação em saúde ofertadas aos profissionais da linha de frente dos hospitais e unidades básicas de saúde, na pandemia da Covid-19, no município de Teresina, Piauí. As atividades foram divididas em quatro etapas: planejamento; execução, monitoramento; e avaliação. Estas abrangeram rodas de conversas e demonstração do processo de paramentação e desparamentação, além de devolutiva prática por cada participante ao final. Utilizaram-se também dinâmicas de acolhimento e/ou finalização.Resultados: No decorrer dos meses de março e abril de 2020 foram qualificados 1.343 (mil trezentos e quarenta e três) profissionais de saúde.Conclusão: As qualificações realizadas possibilitaram uma troca de experiências, reflexões sobre uma cultura de segurança e uma aprendizagem de via dupla entre residentes e profissionais de saúde. Como também, lidar com o novo, indecisões e o desconhecido foi um grande desafio.

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Patients’ perception of safety in four hospitals in Tamaulipas, Mexico

Journal of Hospital Administration ◽

10.5430/jha.v6n6p15 ◽

2017 ◽

Vol 6 (6) ◽

pp. 15

Author(s):

Concepción Meléndez Méndez ◽

Rosalinda Garza Hernández ◽

Juana Fernanda González Salinas ◽

Socorro Rangel Torres ◽

Gloria Acevedo Porras ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Safety Culture ◽

Descriptive Study ◽

Cross Sectional ◽

Perception Of Safety ◽

Number Of Patients ◽

Second Surgery ◽

Patients Experience ◽

Clinical Error

Objective: To determine the perceived patient safety related to health care during hospitalization. To identify the number of patients who report having suffered a clinical error and describe the patients’ experience with the clinical error.Methods: A cross-sectional descriptive study performed of patients who were hospitalized between August-November 2013 in four second-level hospitals.Results: A total of 631 patients were surveyed. Regarding the errors suffered during the hospitalization, 7.9% of the patients reported having suffered a complication, 7.9% reported having an infection, 5.2% had an allergic reaction to medication and 5.1% had to undergo a second surgery. Regarding the patients’ responses about the experience with the error, only 4.8% of the patients reported having had experiencing clinical error in their management, 1.9% mentioned that they fully agreed that the error was solved quickly, 2.5% that the error was solved satisfactorily and 3.3% patients disagreed as they were not informed if steps would be taken to prevent the error from recurring.Conclusions: To address safety culture in the hope of improving patient safety will continue to motivate nurse researchers and managers thus more research about patient perception is needed.

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Patient Safety Culture Assessment in Primary Care Settings in Greece

Healthcare ◽

10.3390/healthcare9070880 ◽

2021 ◽

Vol 9 (7) ◽

pp. 880

Author(s):

Ioannis Antonakos ◽

Kyriakos Souliotis ◽

Theodora Psaltopoulou ◽

Yannis Tountas ◽

Maria Kantzanou

Keyword(s):

Primary Care ◽

Patient Safety ◽

Safety Culture ◽

Health Professionals ◽

Improve Patient Safety ◽

Patient Safety Culture ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Survey Tool ◽

Primary Care Settings

Introduction: A positive safety culture is considered a pillar of safety in health organizations and the first crucial step for quality health services. In this context, the aim of this study was to set a reference evaluation for the patient safety culture in the primary health sector in Greece, based on health professionals’ perceptions. Methods: We used a cross-sectional survey with a 62% response rate (n = 459), conducted in primary care settings in Greece (February to May 2020). We utilized the “Medical Office Survey on Patient Safety Culture” survey tool from the Agency for Healthcare Research and Quality (AHRQ). The study participants were health professionals who interacted with patients from 12 primary care settings in Greece. Results: The most highly ranked domains were: “Teamwork” (82%), “Patient Care Tracking/Follow-up” (80% of positive scores), and “Organizational Learning” (80%); meanwhile, the lowest-ranked ones were: “Leadership Support for Patient Safety” (62%) and “Work Pressure and Pace” (46%). The other domains, such as “Overall Perceptions of Patient Safety and Quality” (77%), “Staff Training“ (70%), “Communication about Error” (70%), “Office Processes and Standardization” (67%), and “Communication Openness” (64%), ranked somewhere in between. Conclusions: A positive safety culture was identified in primary care settings in Greece, although weak areas concerning the safety culture should be addressed in order to improve patient safety.

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The effect of patient safety culture on nurses’ near-miss reporting intention: the moderating role of perceived severity of near misses

Journal of Research in Nursing ◽

10.1177/1744987120979344 ◽

2021 ◽

Vol 26 (1-2) ◽

pp. 6-16

Author(s):

Yi Yang ◽

Huaping Liu

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Improve Patient Safety ◽

Patient Safety Culture ◽

Working Environment ◽

Near Miss ◽

Cross Sectional Survey ◽

Near Misses ◽

Perceived Severity ◽

The Relationship

Background Reporting near misses is a practical approach to improve the confounding challenge of patient safety. Evidence suggests that patient safety culture and the characteristics of errors might have important impacts on reporting. No studies, however, have examined the relationships among patient safety culture, perceived severity of near misses and near-miss reporting. Aims To explore the relationship between patient safety culture and nurses’ near-miss reporting intention, and examine the potential moderating effect the perceived severity of near misses might have on this relationship. Methods Using a cross-sectional survey, data were collected with three validated survey instruments completed by 920 Registered Nurses in eight tertiary hospitals in China. Multiple regression analysis tested relationships among the variables. Results Nurses reported a moderate–high level of near-miss reporting intention. Patient safety culture was positively associated with nurses’ near-miss reporting intention. Perceived severity of near misses did not significantly moderate the relationship between patient safety culture and reporting intention. Conclusions Nurses generally showed a positive willingness to report near misses. A specific near-miss management and education system within a learning, supportive working environment are key components to improve reporting intention among nurses which could significantly improve patient safety.

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Perception of Patient Safety Culture Among Health Professionals

Global Health and Nursing (글로벌 건강과 간호) ◽

10.35144/ghn.2016.6.1.20 ◽

2016 ◽

Vol 6 (1) ◽

pp. 20-29 ◽

Cited By ~ 1

Author(s):

최성민 ◽

HyoungSook Park ◽

김은미 ◽

이경란 ◽

이미진

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Health Professionals ◽

Patient Safety Culture

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A Identificação do paciente no alcance de práticas seguras: concepções e práticas

Revista Enfermagem Atual In Derme ◽

10.31011/reaid-2019-v.87-n.especial-art.156 ◽

2019 ◽

Vol 87 (25) ◽

Author(s):

Andréia Guerra

Keyword(s):

Health Care ◽

Patient Safety ◽

Adverse Events ◽

Safety Culture ◽

Descriptive Study ◽

Quality And Safety ◽

Patient Identification ◽

Nursing Team ◽

Study Sites

Objetivo: Avaliar as dificuldades, ações e estratégias realizadas pela equipe de enfermagem para alcançar a meta de segurança de identificação dos pacientes em uma unidade de internação de um hospital filantrópico. Método: estudo descritivocom abordagem qualitativa. A coleta de dados foi realizada de junho a julho de 2016, por meio de entrevistas, com roteirosemiestruturado, com vinte profissionais da equipe de enfermagem. Resultados: foram construídas três categorias temáticas: Identificação do Paciente: concepções, ações e dificuldades vivenciadas; Identificação do Paciente: riscos existentes;Estratégias para desenvolver a cultura de segurança do paciente. Conclusão: evidenciou-se a falta de cultura de segurançado paciente nos locais de estudo. Surge a necessidade de criar estratégias educativas que possibilitem uma melhor capacitação, planejamento e organização das ações, assim como as notificações de eventos adversos garantindo qualidade esegurança aos pacientes.Palavras chave: Segurança do Paciente. Qualidade da Assistência à Saúde. Cultura Organizacional. ABSTRACTObjective: To evaluate the difficulties, actions and strategies carried out by the nursing team in order to achieve the goalof identifying patients in an inpatient unit of a philanthropic hospital. Method: descriptive study with qualitative approach.Data collection was carried out from June to July of 2016, through interviews, with semi-structured script, with twentyprofessionals of the nursing team. Results: three thematic categories were constructed: Patient Identification: conceptions,actions and difficulties experienced; Patient identification: existing risks; Strategies for developing a patient safety culture.Conclusion: the lack of safety culture of the patient in the study sites was evidenced. The need to create educationalstrategies that allow better training, planning and organization of actions, as well as the notifications of adverse events,guaranteeing quality and safety to the patients.Keywords: Patient Safety. Quality of Health Care. Organizational Culture

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