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Authors
Abstract(s)
Enquadramento: A segurança do doente tem um carácter multidimensional e
multidisciplinar que exige abordagens sistémicas e integradas que viabilizem a consecução
de planos de melhoria da qualidade dos cuidados e, consequentemente, a garantia da
segurança dos doentes nas organizações de saúde. No âmbito da sua índole
multidimensional a OMS evidencia a importância da qualidade da interação e da
comunicação como determinantes da qualidade e da segurança na prestação dos cuidados
de saúde.
Objetivo: Analisar qual a perceção dos enfermeiros, sobre a comunicação como
determinante da qualidade e segurança dos cuidados de saúde.
Método: Este estudo, de carácter quantitativo, descritivo/correlacional, analítico e
transversal, realizou-se numa amostra de 138 enfermeiros. Foi utilizada a escala Avaliação
da Cultura de Segurança do Doente em Hospitais (Eiras, 2011), e a Escala de
Competências de Comunicação Clinica (ECCC) validada por Ferreira; Silva & Duarte (2016)
para avaliação das competências comunicacionais.
Resultados: Os inquiridos têm uma idade média de 32.51 anos, com um desvio
padrão de 7.958. São maioritariamente do sexo feminino (77.54%) com licenciatura (94.4%)
e tem, em média 9.41 anos, de experiência profissional. A idade, o estado civil, a
experiência profissional não influenciam a cultura de segurança do doente. Após a análise
inferencial através de uma regressão múltipla multivariada, registamos que todas as
variáveis manifestas (Anos experiencia profissional, recolhe informação, partilha Informação
e permite terminar o diálogo) registam valores significativos. Aferimos que a dimensão
permite terminar o dialogo apresenta maior peso preditivo em relação à cultura de
segurança no que diz respeito a frequência de notificação, comunicação e feedback acerca
erro e aprendizagem organizacional – melhoria continua. Quanto maior os anos de
experiencia profissional menor a resposta ao erro não punitiva.
Conclusão: Os resultados apontam para a importância da comunicação sobre
algumas variáveis na cultura de segurança do doente. Esta realidade circunscreve-se de
novos pressupostos e atitudes, profissionais que têm que acompanhar, em tempo útil, a
evolução do conhecimento, garantindo comunicação enfermeiro / utente eficaz e práticas de
cuidados seguras, com garantia de qualidade dos cuidados prestados.
Palavras-chave: Cultura de segurança, Enfermagem, Qualidade de cuidados,
Comunicação.
Abstract Background: Patient’s safety as a multidimensional and multidisciplinary character that needs a systemic and integrated approach that make viable the achievement of plans to improve the quality of care and, consequently, ensuring patient safety in health organizations. In the context of its multidimensional nature, WHO highlights the importance of the quality interaction and communication as determinants of quality and safety in health care delivery. Goal: Analyze nurse’s perceptions about the importance of communication as a determinant of quality and safety in health care. Methodology: This study of, quantitative, descriptive-correlational, analytical and transversal nature, was accomplished on a sample of 138 nurses. We used the scale Evaluation of patient safety culture in Hospitals (Eiras, 2011), and the scale Clinical Communication Skills (ECCC) validated by Ferreira, Silva & Duarte (2016) to evaluate communication skills. Results: The participants have a mean age of 32.51 years, with a standard deviation of 7.958. They are mostly female (77.54%) with a degree (94.4%) and have, on average, 9.41 years of professional experience. Age, marital status, work experience does not influence the safety culture of the patient. After the inferential analysis through a multivariate multiple regression, we note that all manifest variables (Years of professional experience, collects information, share information and allows to terminate the dialogue) showed significant values. We assessed the dimension allows end the dialogue has increased predictive weight in relation to safety culture as regards the frequency of notification, communication and feedback about errors and organizational learning – continuous improvement. The greater the years of professional experience less punitive error response. Conclusion: The results point to the importance of some variables in the safety culture of the patient. This reality is circumscribed by new presuppositions and attitudes; Professionals who have to attend, in a timely manner, the evolution of knowledge, ensuring safe practices, assuring the quality of the care provided. Keywords: Safety culture, Nursing, Quality of care, Communication.
Abstract Background: Patient’s safety as a multidimensional and multidisciplinary character that needs a systemic and integrated approach that make viable the achievement of plans to improve the quality of care and, consequently, ensuring patient safety in health organizations. In the context of its multidimensional nature, WHO highlights the importance of the quality interaction and communication as determinants of quality and safety in health care delivery. Goal: Analyze nurse’s perceptions about the importance of communication as a determinant of quality and safety in health care. Methodology: This study of, quantitative, descriptive-correlational, analytical and transversal nature, was accomplished on a sample of 138 nurses. We used the scale Evaluation of patient safety culture in Hospitals (Eiras, 2011), and the scale Clinical Communication Skills (ECCC) validated by Ferreira, Silva & Duarte (2016) to evaluate communication skills. Results: The participants have a mean age of 32.51 years, with a standard deviation of 7.958. They are mostly female (77.54%) with a degree (94.4%) and have, on average, 9.41 years of professional experience. Age, marital status, work experience does not influence the safety culture of the patient. After the inferential analysis through a multivariate multiple regression, we note that all manifest variables (Years of professional experience, collects information, share information and allows to terminate the dialogue) showed significant values. We assessed the dimension allows end the dialogue has increased predictive weight in relation to safety culture as regards the frequency of notification, communication and feedback about errors and organizational learning – continuous improvement. The greater the years of professional experience less punitive error response. Conclusion: The results point to the importance of some variables in the safety culture of the patient. This reality is circumscribed by new presuppositions and attitudes; Professionals who have to attend, in a timely manner, the evolution of knowledge, ensuring safe practices, assuring the quality of the care provided. Keywords: Safety culture, Nursing, Quality of care, Communication.
Description
Keywords
Comunicação Gestão da segurança Qualidade de cuidados de saúde Relação enfermeiro-doente Relação profissional-doente Relações interprofissionais Segurança do doente Communication Interprofessional relations Nurse-patient relations Patient safety Professional-patient relations Quality of health care Safety management