Banca de DEFESA: MICHELINE DA FONSECA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : MICHELINE DA FONSECA SILVA
DATA : 26/06/2017
HORA: 09:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Culture of patient safety of the nursing team in the urgent and emergency service

PALAVRAS-CHAVES:

Patient Safety; Safety Culture; Urgent and Emergency Services; Nursing.

PÁGINAS: 50
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

The culture of patient safety is shown as a topic of relevance, regarded as a strong indicator and an important diagnostic tool for evaluating the quality of health services. Its adherence is a challenge in the current days, since the process of changing attitudes and behaviors in health care is slow, demands time and work, besides requiring knowledge and participation of all professionals that are part of a service-rendering body of this type, which warns us about the essential need for combining these efforts to achieve the goals proposed by the Brazilian Ministry of Health to ensure Patient Safety and, consequently, contribute to the adherence to an effective and efficient safety culture. Accordingly, the object of this study is the safety culture in the urgent and emergency service. In light of the above, we ask: How do nursing professionals perceive the safety culture? In order to answer this question, the objective is to analyze the safety culture of nursing team in the urgent and emergency service. This is a descriptive-analytical study, developed in the Clóvis Sarinho Emergency Room (PSCS). The data were obtained through the completion of the “Research on Patient Safety in Hospitals” (HSOPSC) instrument, which is composed of 42 items addressing objective and subjective questions and encompassing 12 dimensions that assess the culture of patient safety, and these topics are evaluated according to the five-point Likert scale regarding the degree of agreement. Other questions contained in the instrument are related to the assignment of notes to patient safety, report of the number of notified events and sociodemographic profile. The data were descriptively analyzed by means of a statistical package, with the purpose of determining the average and percentage values concerning the calculations of the dimensions of the safety culture. The comments on patient safety, which constitute the last question of HSOPSC, were processed and analyzed with the support of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) software. This study was submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte and obtained approval by means of a consubstantiated opinion numbered as 1,847,136, under the Certificate of Presentation for Ethical Consideration numbered as 61201316.3.0000.5537. We found that the dimensions more prone to improvements were organizational learning – continuous improvement (49.7%), expectations about your supervisor/boss, actions to promote patient safety (47.5%) and team work within the units (45.5%); however, non-punitive answers to errors (58.8%), frequency of event reports (51.5%) and suitability of professionals (51.1%) were regarded as critical areas. As for the perception of professionals on patient safety, the aspects regarded as essential for promoting it in the urgent and emergency service are the safe and propitious environment for the effective and efficient patient care, in order to mitigate or prevent possible damages; the availability of physical structure and human resources; team work; and the use of protocols. Therefore, we noted the presence of a punitive culture in the research scenario and the need for action on the part of managers, with the aim of disseminating and strengthening good safety practices in the urgent and emergency environment and, consequently, providing support to health professionals in their work process.

MEMBROS DA BANCA:
Externo à Instituição - FRANCIS SOLANGE VIEIRA TOURINHO - UFSC
Interno - 1352508 - MARCOS ANTONIO FERREIRA JUNIOR
Externo ao Programa - 2881512 - THEO DUARTE DA COSTA
Presidente - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS