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Advisor(s)
Abstract(s)
Enquadramento: A segurança do doente é um problema internacional e uma prioridade das
políticas de saúde de múltiplos organismos/instituições nacionais de saúde. Neste âmbito,
surgem os sistemas de notificação de incidentes.
Objetivo: Conhecer a perceção dos enfermeiros sobre a notificação de incidentes e sobre a
segurança do doente.
Métodos: Recorremos a uma triangulação metodológica constituída por um estudo
quantitativo (estudo A) e outro qualitativo (estudo B). O estudo A é analítico, transversal,
realizado com 182 enfermeiros. Os dados foram recolhidos por questionário, constituído por
variáveis sociodemográficas e profissionais e escalas para avaliar doze dimensões da
notificação e segurança do doente. O estudo B é exploratório, realizado com 18 enfermeiros,
através de entrevista semiestruturada.
Resultados: Para os enfermeiros todos os incidentes devem ser notificados, mas a
frequência de notificação é baixa e diminui com a gravidade do dano, 65,0% não registou
qualquer ocorrência no último ano e 82,3% desconhece o sistema de notificação. Os
principais obstáculos à notificação são o receio de punição e os principais fatores
facilitadores são os benefícios que advêm da notificação para o doente, a ausência de
retaliações no trabalho, uma relação positiva com os superiores hierárquicos, o anonimato e
a perceção de resultados da notificação. Aproximadamente 60,0% dos enfermeiros tem uma
perceção geral da segurança do doente positiva.
Conclusão: A perceção dos enfermeiros sobre a notificação de incidentes reflete
desconhecimento da temática, elevado receio de punição, originando baixa frequência de
notificação. A perceção sobre a segurança do doente é positiva. É necessário melhorar a
cultura de segurança da organização e o conhecimento dos enfermeiros sobre o papel da
notificação.
Palavras-Chave: segurança do doente, notificação de incidentes, enfermeiros.
Abstract Background: Patient safety is an international issue and a priority of multiple health policy organizations and national health institutions. In this context, there are incidents reporting systems. Objective: The main objective is to know the perception of nurses on reporting incidents and the safety of the patient. Methods: It was applied the methodological triangulation that consists in a quantitative study (study A) and another qualitative study (study B). The study A is cross-sectional study that had included 182 nurses. The data were collected through questionnaire that consists on socio-demographic and professional data, also were applied scales to assess twelve dimensions of notification and patient safety. The study B is exploratory and was carried out with 18 nurses, through semi-structured interviews. Results: For nurses all incidents should be reported, but the frequency of reporting is low and decreases with the severity of the damage, 65,0% did not register any occurrence in the last year and 82.3% are unaware of the notification system. The main obstacles to notice is the fear of punishment and major facilitating factors are the benefits arising out of the notice to the patient, the absence of retaliation at work, a positive relationship with superiors, anonymity and the perception of reporting results. Approximately 60,0% of nurses have an overall positive perception of the safety of the patient. Conclusion: The perception of nurses about reporting incidents reflects ignorance of the subject, high fear of punishment, resulting low frequency notification. The perception about patient safety is positive, but it is necessary to improve the organization's safety awareness and knowledge the nurses of the importance of reporting. Keywords: patient safety, hospital Incident reporting, nurses.
Abstract Background: Patient safety is an international issue and a priority of multiple health policy organizations and national health institutions. In this context, there are incidents reporting systems. Objective: The main objective is to know the perception of nurses on reporting incidents and the safety of the patient. Methods: It was applied the methodological triangulation that consists in a quantitative study (study A) and another qualitative study (study B). The study A is cross-sectional study that had included 182 nurses. The data were collected through questionnaire that consists on socio-demographic and professional data, also were applied scales to assess twelve dimensions of notification and patient safety. The study B is exploratory and was carried out with 18 nurses, through semi-structured interviews. Results: For nurses all incidents should be reported, but the frequency of reporting is low and decreases with the severity of the damage, 65,0% did not register any occurrence in the last year and 82.3% are unaware of the notification system. The main obstacles to notice is the fear of punishment and major facilitating factors are the benefits arising out of the notice to the patient, the absence of retaliation at work, a positive relationship with superiors, anonymity and the perception of reporting results. Approximately 60,0% of nurses have an overall positive perception of the safety of the patient. Conclusion: The perception of nurses about reporting incidents reflects ignorance of the subject, high fear of punishment, resulting low frequency notification. The perception about patient safety is positive, but it is necessary to improve the organization's safety awareness and knowledge the nurses of the importance of reporting. Keywords: patient safety, hospital Incident reporting, nurses.
Description
Keywords
Atitude do pessoal de saúde Enfermeiros Gestão de riscos Qualidade de cuidados de saúde Segurança do doente Attitude of health personnel Nurses Patient safety Quality of health care Risk management