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Advisor(s)
Abstract(s)
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 e favorecendo
a aprendizagem com os mesmos. Caracterizar a cultura de segurança da
criança hospitalizada, percecionada pelos enfermeiros. 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
e o grupo com 3 a 7 anos de experiência na prestação de cuidados à criança
aparece com os valores mais elevados (35,3%). Utilizámos uma versão adaptada
do questionário Hospital Survey on Patient Safety Culture (Eiras, Escoval, Grillo,
& Silva-Fortes, 2014). Como pontos fortes da cultura de segurança salientaramse
as seguintes dimensões: “Trabalho em Equipa” (81,6%), “Expectativas do
Supervisor/Gestor e Ações que Promovam a Segurança do Doente” (69,5%),
“Aprendizagem Organizacional – Melhoria Contínua” (62,3%) e “Feedback
e Comunicação Acerca do Erro” (62,3%). Por outro lado, as dimensões que
constituem oportunidades de melhoria foram: “Trabalho entre Unidades” (38,3%),
“Apoio à Segurança do Doente pela Gestão” (30,9%), “Resposta ao Erro Não
Punitiva” (25,5%) e “Frequência da Notificação de Eventos” (18,4%). 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 mais fortalecida.
Destacamos a necessidade de formação na área da segurança do doente e gestão
do risco e o desenvolvimento de estratégias que progressivamente permitam
uma mudança de paradigma, permitindo a passagem da cultura da culpa onde o
profissional de saúde é o centro das atenções, para uma cultura de aprendizagem
com os erros.
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 are considered a priority. Characterize the safety culture of the hospitalized child, from the nurses’ perception. 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 (Eiras, Escoval, Grillo, & Silva-Fortes, 2014). As strong points in the safety culture, stood out the following dimensions: “Teamwork within Units” (81.6%), “Supervisor/Manager’s Expectations and Actions Promoting Patient Safety” (69.5%), “Organizational Learning - Continuous Improvement” (62.3%), and “Feedback and Communication about the Error” (62.3%). On the other hand, the dimensions that revealed themselves as opportunities to improve were: “Teamwork across Units”(38.3%), “Management Support for Patient Safety” (30.9%), “Non-punitive Response to Error”(25.5%) and “Frequency of Events Reported” (18.4%). 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. We highlight the need for training in the area of patient safety and risk management and the development of strategies that progressively allow a change of mentalities, allowing the passage of the culture of guilt where the health professional is the center of attention, for a culture of learning from mistakes.
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 are considered a priority. Characterize the safety culture of the hospitalized child, from the nurses’ perception. 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 (Eiras, Escoval, Grillo, & Silva-Fortes, 2014). As strong points in the safety culture, stood out the following dimensions: “Teamwork within Units” (81.6%), “Supervisor/Manager’s Expectations and Actions Promoting Patient Safety” (69.5%), “Organizational Learning - Continuous Improvement” (62.3%), and “Feedback and Communication about the Error” (62.3%). On the other hand, the dimensions that revealed themselves as opportunities to improve were: “Teamwork across Units”(38.3%), “Management Support for Patient Safety” (30.9%), “Non-punitive Response to Error”(25.5%) and “Frequency of Events Reported” (18.4%). 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. We highlight the need for training in the area of patient safety and risk management and the development of strategies that progressively allow a change of mentalities, allowing the passage of the culture of guilt where the health professional is the center of attention, for a culture of learning from mistakes.
Description
Keywords
Segurança do paciente Pediatria Qualidade dos cuidados de saúde Patient’s safety Pediatrics Quality of the healthcare
Pedagogical Context
Citation
Silva, E., Garcia, C., Silva, D. & Duarte, J. (2018). A segurança dos cuidados da criança hospitalizada : Perceção dos enfermeiros. Revista de Psicologia da Criança e do Adolescente, 9(1), 67-82. Disponível em http://revistas.lis.ulusiada.pt/index.php/rpca/article/view/2672/2888
Publisher
Fundação Minerva - Cultura - Ensino e Investigação Científica / Universidade Lusíada