Patient Safety In The Vaccine Room Of Primary Health Care - Perception Of The Nursing Team
Nursing; Vaccination; Patient Safety; Working Conditions; Primary Health Care.
The nursing team's work in vaccination rooms in Primary Health Care involves complex activities, with the potential to lead to incidents that compromise patient safety. Therefore, we recognize the need for studies addressing patient safety in the context of immunization, fostering reflection and promoting changes related to health surveillance and professional training. The objective was to develop a practical guide for patient safety in vaccination rooms in Primary Health Care, based on the nursing team's perception of the challenges faced in the immunization process. This is an exploratory, descriptive study conducted in three Family Health Units in Felipe Camarão, with the participation of 10 healthcare professionals from the nursing team who worked directly in the vaccination rooms. Data collection was conducted through semi-structured interviews, guided by a script previously tested in units not participating in the study. Data analysis was conducted using the content analysis technique proposed by Bardin (2011), allowing the identification of thematic categories that reflect the main challenges experienced in the investigated context. This research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, following the recommendations of Resolution No. 466/2012 of the National Health Council. The results revealed a sample with a higher prevalence of females (80.0%), nursing technicians (80.0%), technical-level academic qualifications (70.0%), and no specific training in patient safety in the vaccination room in the last 12 months (80.0%). From the content analysis, six thematic categories emerged that express the factors contributing to the challenges faced in the vaccination room, namely: (1) management of complications and adverse events; (2) conservation of immunobiologicals; (3) complexity of the work environment; (4) infrastructure and human resources; (5) professional education and training; (6) subjective and cultural factors. Based on these findings, a practical guide in digital booklet format was developed, with recommendations for best practices focused on patient safety in vaccination rooms, considering the realities of the professionals and units involved. The conclusion is that this study contributes to broadening the understanding of the perceptions of professionals working in vaccination rooms by highlighting relevant aspects of the work process and the main challenges faced in daily practice. It is expected that the use of the guide will improve the systematization of the work process in the vaccination room, with the potential to improve the attitudes and skills of these professionals in response to the challenges they face, promoting the quality of care provided and patient safety, in addition to contributing to the safe implementation of vaccination actions.