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Publication
A visibilidade da cultura de segurança nos serviços de pediatria
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| 2.77 MB | Adobe PDF |
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Abstract(s)
A segurança do doente é hoje uma preocupação que exige forçosamente a gestão do problema
particularmente pelos gestores nos três níveis de intervenção, neste sentido procuramos
compreender a segurança dos doentes na pediatria, a importância dada ao erro e a
implementação do Plano Nacional de Segurança do doente.
A promoção dos níveis de segurança por parte dos enfermeiros gestores apresenta-se como um
tema de crescente interesse e preocupação, na medida em que se enquadra na gestão do risco
e desenvolvimento de ambientes de segurança tanto para os profissionais como para os doentes.
Importa salientar que uma das áreas de competências dos gestores é a qualidade e segurança
expressas nas atividades a desenvolver nas suas unidades, de forma a garantir o
desenvolvimento de um modelo de excelência e referência para a melhoria contínua da
qualidade da prestação de cuidados de saúde e das organizações.
O estudo enquadra-se na metodologia qualitativa em serviços de pediatria, a colheita de dados
suportou-se em observação e entrevistas semi-estrurturada a Enfermeiros Gestores de quatro
serviços no norte de Portugal. Para o tratamento de dados recorremos à análise de conteúdo,
seguindo as diretrizes do método de Bardin e utilizando a ferramenta Atlas.ti, e posteriormente
foi realizada uma leitura flutuante, a categorização e a organização das temáticas.
Da análise de resultados emergiram 6 redes: Cultura de Segurança, Estratégias de Segurança,
Formação para a Segurança, Ocorrência do Evento Adverso, Centralidade na Segurança e Áreas
prioritárias da Segurança. Os resultados obtidos apontam para a existência de muitos elementos
que identificam os mecanismos e procedimentos de segurança que permitem garantir níveis de
segurança nos serviços de pediatria estudados, nos doentes e nas equipas profissionais. No
entanto, foram também apontadas e identificadas oportunidades de melhoria a este nível,
sendo o erro considerado ainda um tema causador de desconforto, medo e mesmo algum temor
por parte dos profissionais de saúde que colaboraram nesta investigação.
As conclusões obtidas permitem-nos afirmar que as preocupações e desafios enfrentados pelos
gestores dos serviços de enfermagem no que concerne ao tema da gestão de segurança se
apresentam transversais a todos os contextos estudados.
Patient safety is, today, a concern that necessarily requires management of the incidents, especially by managers at the three levels of intervention. We seek to understand patient safety in pediatrics, the importance given to incidents and the implementation of the patient’s Plano Nacional de Segurança. The promotion of safety levels by nurse managers has been presenting itself as a topic of growing interest and concern, as it has become increasingly relevant that they have risk management skills and develop a safety environment, both for staff as well as patients. It should be noted that one of the areas of competence of managers is the quality and safety of the activities carried out in their wards in order to guarantee the development of a model of excellence and reference for the continuous improvement of the quality of health care provision and organizations. This study fits into the qualitative methodology in paediatric wards, with data collected by observation and semi-structured interviews with Nurse Managers from four wards in the north of Portugal. For data processing, we resorted to content analysis, following the guidelines of Bardin’s method and using the Atlas.ti tool, and subsequently a floating reading, categorization and organization of subjects. From the analysis of results, 6 networks emerged: Safety Culture, Safety Strategies, Safety Training, the Occurrence of Adverse Event, Centrality in Safety and Priority Safety Areas. The results obtained point to the existence of many elements that identify the mechanisms and safety procedures that allow guaranteeing levels of safety in the paediatric wards studied, in the patients and in the professional teams. However, opportunities for improvement at this level were also pointed out and identified, with errors still being considered a topic that causes discomfort, fear and even some apprehension on the part of the health professionals who collaborated in this investigation. The results obtained allow us to conclude that the concerns and challenges faced by managers of nursing wards with regards to safety management are transversal to all studied contexts
Patient safety is, today, a concern that necessarily requires management of the incidents, especially by managers at the three levels of intervention. We seek to understand patient safety in pediatrics, the importance given to incidents and the implementation of the patient’s Plano Nacional de Segurança. The promotion of safety levels by nurse managers has been presenting itself as a topic of growing interest and concern, as it has become increasingly relevant that they have risk management skills and develop a safety environment, both for staff as well as patients. It should be noted that one of the areas of competence of managers is the quality and safety of the activities carried out in their wards in order to guarantee the development of a model of excellence and reference for the continuous improvement of the quality of health care provision and organizations. This study fits into the qualitative methodology in paediatric wards, with data collected by observation and semi-structured interviews with Nurse Managers from four wards in the north of Portugal. For data processing, we resorted to content analysis, following the guidelines of Bardin’s method and using the Atlas.ti tool, and subsequently a floating reading, categorization and organization of subjects. From the analysis of results, 6 networks emerged: Safety Culture, Safety Strategies, Safety Training, the Occurrence of Adverse Event, Centrality in Safety and Priority Safety Areas. The results obtained point to the existence of many elements that identify the mechanisms and safety procedures that allow guaranteeing levels of safety in the paediatric wards studied, in the patients and in the professional teams. However, opportunities for improvement at this level were also pointed out and identified, with errors still being considered a topic that causes discomfort, fear and even some apprehension on the part of the health professionals who collaborated in this investigation. The results obtained allow us to conclude that the concerns and challenges faced by managers of nursing wards with regards to safety management are transversal to all studied contexts
Description
Keywords
Cultura de segurança Enfermagem Pediatria Gestão