Safety of the patient in an emergency situation: perceptions of the nursing team

Experience of the patient regarding their safety in the hospital environment

OBJECTIVES

to analyze the factors that can impact patients' experience concerning safety-related measures in the hospital setting.

METHODS

this qualitative, descriptive, and exploratory study was conducted with patients and their family members at a hospital in southern Brazil. Semi-structured interviews were carried out using the Critical Incident Technique between January and February 2022. The collected data underwent content analysis with the assistance of IRaMuTeQ software.

RESULTS

five patients, four family members, and three patient-family units participated in the study. The following categories emerged: "Patientprofessional interaction as a component of safe care," "Recognition of safety protocols in the patient's experience," and "Safe care and the challenges in hospital care."

CONCLUSIONS

patient-professional interaction, communication, awareness of safety protocols, and the availability of the nursing team are factors that influence patients' experience regarding the safety of their care during hospitalization.

Patient safety in nursing technician training

OBJECTIVES

to analyze the contents on patient safety in the training of nursing technicians.

METHODS

a documentary study, conducted in three technical nursing courses at a public university in northeastern Brazil, based on the Multi-Professional Patient Safety Curriculum Guide, published by the World Health Organization.

RESULTS

we found that, of the 26 subjects in each course, the tracking terms were found in 22 subjects in the A/C courses, 23 in the B course. The topics of the guide with the highest number of terms were the improvement in medication safety, with 85 terms (22.6%), and Infection prevention and control, with 75 terms (20%). The contents do not express the comprehensiveness of patient safety education; some subjects had this focus, while others did not.

CONCLUSIONS

the documents revealed gaps in the contents related to patient safety and demonstrated that they are addressed only in the course syllabus and discipline plans.

Patient safety culture among nursing professionals in the intensive care environment

OBJECTIVE

To analyze the patient safety culture among intensive care nursing professionals.

METHOD

This is a cross-sectional study carried out in Intensive Care Units of a public hospital. Data collection was carried out from September to October 2017 with nursing professionals, using the Hospital Survey on Patient Safety Culture questionnaire. Cronbach's Alpha, Pearson's Chi-Square or Fischer's Exact tests (5% significance level) were performed.

RESULTS

The final sample consisted of a total of 163 nursing professionals. No strong areas were observed for patient safety. The dimensions "teamwork in the unit", "expectations and actions of the supervisor/manager for the promotion of patient safety" and "organizational learning and continuous improvement" had the highest rates of positive responses, whereas the dimensions "opening for communication" and "feedback and communication about the error" had the lowest percentages. The general degree of patient safety was considered very good 72 (47%) and underreporting of the events was observed, most of them were carried out by nurses.

CONCLUSION

No dimension assessed was considered to be a strong area. However, most were shown to be potential areas for patient safety culture.