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| Documento principal | 2.58 MB | Adobe PDF |
Authors
Abstract(s)
Enquadramento: A segurança dos doentes é reconhecida como um dos pilares
fundamentais da qualidade dos cuidados de saúde, sendo prioritário desenvolver uma
cultura de segurança que vise minimizar a ocorrência de erros, favorecendo a aprendizagem
com os mesmos.
Objetivo: Caracterizar a cultura de segurança da criança hospitalizada, percecionada pelos
enfermeiros.
Metodologia: Estudo quantitativo, descritivo-correlacional e transversal, efetuado numa
amostra de 68 enfermeiros a exercer funções em serviços de pediatria/neonatologia (52,9%)
e serviços de obstetrícia (47,1%) num centro hospitalar da zona Centro. Os participantes
são maioritariamente do sexo feminino (98,5%), com idades entre os 27 e os 56 anos, tendo
a maioria entre 3 a 7 anos de experiência na prestação de cuidados à criança (35,3%).
Utilizámos uma versão adaptada do questionário Hospital Survey on Patient Safety Culture,
(Agency for Healthcare Research and Quality, [AHRQ], 2014).
Resultados: Como pontos fortes da cultura de segurança salientaram-se as seguintes
dimensões: “trabalho em equipa”,“expectativas do supervisor/ gestor e ações que promovam
a segurança do doente”, “aprendizagem organizacional – melhoria contínua” e “feedback e
comunicação acerca do erro”. Por outro lado, as dimensões que constituem oportunidades
de melhoria foram: “trabalho entre unidades”, “apoio à segurança do doente pela gestão”,
“resposta ao erro não punitiva” e “frequência da notificação de eventos”. Os enfermeiros
licenciados, com idade ≥ a 38 anos e que não possuem formação em segurança do doente
e gestão do risco foram os que evidenciaram uma cultura de segurança superior.
Conclusão: Para obter melhores resultados nas áreas identificadas como oportunidades de
melhoria é fundamental o envolvimento de todos, pois apenas com uma colaboração
conjunta teremos uma cultura de segurança mais enraizada e fortalecida.
Abstract Background: Patient’s safety is recognized as one of the pillars of the health care quality. Develop a safety culture that aims to minimize the occurrence of mistakes, and encourage people to learn with them is considered a priority. Goal: Characterize the safety culture of the hospitalized child, from the nurses’ perception. Methodology: Quantitative, descriptive-correlational and transversal study, accomplished on a sample of 68 nurses working into pediatric/neonatology services (52,9%) and into obstetrics services (47,1%) of a hospital center in the Center zone. The participants are mostly females (98, 5%), with ages between 27 and 56 years old, having in majority about 3 to 7 years of experience in the care of children (35, 3%). We used an adapted version of the questionnaire Hospital Survey on Patient Safety Culture (Agency for Healthcare Research and Quality, [AHRQ], 2014). Results: As strong points in the safety culture, stood out the following dimensions: "teamwork within units", " supervisor / manager’s expectations and actions promoting patient safety", "organizational learning - continuous improvement", and "feedback and communication about the error". On the other hand, the dimensions that revealed themselves as opportunities to improve were: : "teamwork across units", "management support for patient safety", "non-punitive response to error" and "frequency of events reported". The licensed nurses, with age greater than or equal to 38 years old and that don’t possess training on patient’s safety and risk management, were the ones that showed a superior safety culture. Conclusion: To obtain better results in the identified areas as improvement opportunities, it’s fundamental everyone’s involvement, because only with joint collaboration will we have a rooted and strengthened safety culture.
Abstract Background: Patient’s safety is recognized as one of the pillars of the health care quality. Develop a safety culture that aims to minimize the occurrence of mistakes, and encourage people to learn with them is considered a priority. Goal: Characterize the safety culture of the hospitalized child, from the nurses’ perception. Methodology: Quantitative, descriptive-correlational and transversal study, accomplished on a sample of 68 nurses working into pediatric/neonatology services (52,9%) and into obstetrics services (47,1%) of a hospital center in the Center zone. The participants are mostly females (98, 5%), with ages between 27 and 56 years old, having in majority about 3 to 7 years of experience in the care of children (35, 3%). We used an adapted version of the questionnaire Hospital Survey on Patient Safety Culture (Agency for Healthcare Research and Quality, [AHRQ], 2014). Results: As strong points in the safety culture, stood out the following dimensions: "teamwork within units", " supervisor / manager’s expectations and actions promoting patient safety", "organizational learning - continuous improvement", and "feedback and communication about the error". On the other hand, the dimensions that revealed themselves as opportunities to improve were: : "teamwork across units", "management support for patient safety", "non-punitive response to error" and "frequency of events reported". The licensed nurses, with age greater than or equal to 38 years old and that don’t possess training on patient’s safety and risk management, were the ones that showed a superior safety culture. Conclusion: To obtain better results in the identified areas as improvement opportunities, it’s fundamental everyone’s involvement, because only with joint collaboration will we have a rooted and strengthened safety culture.
Description
Keywords
Atitude do pessoal de saúde Criança Criança hospitalizada Cultura Enfermagem pediátrica Enfermeiros Pediatria Qualidade de cuidados de saúde Segurança do doente Attitude of health personnel Child Child, hospitalized Culture Nurses Patient safety Pediatric nursing Pediatrics Quality of health care