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Fadiga por Compaixão e Cultura de Segurança do Doente: Estudo com Profissionais de Serviços de Urgência
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Abstract(s)
Os serviços de urgência/emergência são ambientes desafiadores, únicos, em constante mudança, caracterizados pela sua complexidade e diversidade, colocando os profissionais de saúde em maior risco de respostas ao stress relacionado com o trabalho, tornando-os mais vulneráveis à Fadiga por Compaixão (Carneiro et al., 2024). Esta caracteriza-se por um estado de exaustão biológica, psicológica e social, sendo uma consequência do processo de cuidar, podendo estar negativamente correlacionado com a satisfação do trabalhador e a segurança do doente (Carneiro et al., 2024).
O presente estudo, integrado no Projeto multicêntrico Health Work International Project (Escola Superior de Enfermagem do Porto/Centro de Investigação em Tecnologias e Serviços de Saúde/ Rede de Investigação em Saúde), teve como objetivos identificar os níveis de Fadiga por compaixão dos profissionais de Serviços de Urgência, caracterizar a Cultura de segurança do doente na perspetiva dos profissionais de Serviços de Urgência, identificar a relação da Fadiga por compaixão e da Cultura de segurança do doente com as variáveis sociodemográficas e profissionais e analisar a relação entre a Fadiga por compaixão e a Cultura de segurança do doente. Para isso desenvolveu-se um estudo quantitativo, descritivo, correlacional e transversal. Para a recolha de dados, aplicou-se um questionário para caracterização sociodemográfica e profissional, a Professional Quality of Life Scale 5 (Satmm, 2010; Carvalho & Sá, 2011) e o Hospital Survey on Patient Safety Culture (Sorra & Nieva, 2004; Eiras et al., 2014). Optou-se por uma amostra de conveniência, tendo participado no estudo 172 profissionais de Serviços de Urgência de um hospital do centro de Portugal.
Dos resultados obtidos salienta-se: os profissionais revelaram valores moderados de Satisfação por compaixão e de Fadiga por compaixão; esta foi influenciada pela prática de Atividades de lazer e pelo Local de trabalho. Verificou-se a necessidade de intervenção em todas as dimensões da Cultura de segurança do doente, sendo que a dimensão com maior percentagem média de respostas positivas foi o Trabalho em equipa e a que obteve um valor mais baixo foi a Resposta ao erro não punitiva. A Fadiga por compaixão revelou associações negativas com 11 dimensões da Cultura de segurança do doente.
Assim, a segurança do profissional de saúde e do doente são domínios inseparáveis e conduzem a práticas interconectadas. É importante o envolvimento de todos os membros das organizações, realçando-se o papel do enfermeiro gestor, enquanto dinamizador do desenvolvimento profissional da sua equipa, assim como da qualidade e segurança dos cuidados prestados ao cidadão.
Urgent and emergency services are changeling and unique environments, in constant change, characterized by their complexity and diversity, putting the healthcare professionals in higher risk of stress related with their work, making them more susceptible to compassion fatigue (Carneiro et al., 2024). This is characterized by a state of physical, psychological and social exhaustion, being one of the consequences of the care process which can be negatively correlated with the professional satisfaction and the patient safety. The present study, integrated into the multicentre project Health Work International Project (Escola Superior de Enfermagem do Porto/Research Center for Health Technologies and Services/ Health Research Network), had as its main goals: to identify the levels of compassion fatigue of the healthcare professionals in emergency departments; characterize the patient safety culture in the perspective of professionals in the emergency department; identify the relation between compassion fatigue and patient safety culture, with sociodemographic and professional variables; and analyse the relationship between compassion fatigue and patient safety culture. For this propose, a quantitative, descriptive, correlational and transversal study was developed. For data collection, a questionnaire was applied to characterize the sociodemographic and professional dimensions, the Professional Quality of Life Scale 5 (Stamm, 2010; Carvalho & Sá, 2011) and the Hospital Survey on Patient Safety Culture (Sorra & Nieva, 2004; Eiras et al., 2014). A convenience sample was chosen, having 172 healthcare professionals participated in the study, from the Emergency Department of a Hospital in the centre region of Portugal. From the results obtained, has highlighted: the professional’s revealed moderate scores of compassion satisfaction and compassion fatigue; this was influenced by the practice of leisure activities and by the workplace. It was verified the need for intervention in all aspects of patient safety culture dimensions, being the dimension with the highest percentage of positive response the Teamwork and the one that obtained the lowest score the Non-punitive error response. Compassion fatigue has showed negative associations with 11 dimensions of patient safety culture. Thus, the healthcare professionals and patient safety are inseparable domains and lead to interconnected practices. It is important the involvement of all of the organization’s members, highlighting the role of the nurse manager, promoting the continuous professional development of the team, as well as the quality and safety of care provided to citizens.
Urgent and emergency services are changeling and unique environments, in constant change, characterized by their complexity and diversity, putting the healthcare professionals in higher risk of stress related with their work, making them more susceptible to compassion fatigue (Carneiro et al., 2024). This is characterized by a state of physical, psychological and social exhaustion, being one of the consequences of the care process which can be negatively correlated with the professional satisfaction and the patient safety. The present study, integrated into the multicentre project Health Work International Project (Escola Superior de Enfermagem do Porto/Research Center for Health Technologies and Services/ Health Research Network), had as its main goals: to identify the levels of compassion fatigue of the healthcare professionals in emergency departments; characterize the patient safety culture in the perspective of professionals in the emergency department; identify the relation between compassion fatigue and patient safety culture, with sociodemographic and professional variables; and analyse the relationship between compassion fatigue and patient safety culture. For this propose, a quantitative, descriptive, correlational and transversal study was developed. For data collection, a questionnaire was applied to characterize the sociodemographic and professional dimensions, the Professional Quality of Life Scale 5 (Stamm, 2010; Carvalho & Sá, 2011) and the Hospital Survey on Patient Safety Culture (Sorra & Nieva, 2004; Eiras et al., 2014). A convenience sample was chosen, having 172 healthcare professionals participated in the study, from the Emergency Department of a Hospital in the centre region of Portugal. From the results obtained, has highlighted: the professional’s revealed moderate scores of compassion satisfaction and compassion fatigue; this was influenced by the practice of leisure activities and by the workplace. It was verified the need for intervention in all aspects of patient safety culture dimensions, being the dimension with the highest percentage of positive response the Teamwork and the one that obtained the lowest score the Non-punitive error response. Compassion fatigue has showed negative associations with 11 dimensions of patient safety culture. Thus, the healthcare professionals and patient safety are inseparable domains and lead to interconnected practices. It is important the involvement of all of the organization’s members, highlighting the role of the nurse manager, promoting the continuous professional development of the team, as well as the quality and safety of care provided to citizens.
Description
Keywords
Fadiga de Compaixão Segurança do paciente Profissionais de saúde Serviço hospitalar de emergência Saúde ocupacional