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Previous issue date: 2017-06-26 / A cultura de seguran?a do paciente se apresenta como uma tem?tica de relev?ncia por ser considerada forte indicador e ferramenta importante de diagn?stico da avalia??o da qualidade dos servi?os de sa?de. Sua ades?o representa um desafio na atualidade, visto que o processo de mudan?a de atitudes e condutas na assist?ncia ? sa?de ? lento, demanda tempo e trabalho, bem como exige conhecimento e participa??o de todos os profissionais que comp?em um ?rg?o de presta??o de servi?os dessa natureza. Dessa forma, o objeto deste estudo ? a cultura de seguran?a dos profissionais de enfermagem no servi?o de urg?ncia e emerg?ncia. Diante do exposto, questiona-se: Como os profissionais de enfermagem consideram a cultura de seguran?a? A fim de respond?-la, objetiva-se analisar a cultura de seguran?a da equipe de enfermagem no servi?o de urg?ncia e emerg?ncia. Trata-se de estudo descritivo-anal?tico, desenvolvido no Pronto-Socorro Cl?vis Sarinho. Os dados foram obtidos mediante o preenchimento do instrumento de ?Pesquisa sobre Seguran?a do Paciente em Hospitais?, composto por 42 itens que abordam quest?es objetivas e subjetivas, e abrangem 12 dimens?es que mensuram a cultura de seguran?a do paciente, esses itens s?o avaliados de acordo com a escala de Likert de cinco pontos referente ao grau de concord?ncia. Outras quest?es presentes no instrumento est?o relacionadas ? atribui??o de notas ? seguran?a do paciente, relato do n?mero de eventos notificados e perfil sociodemogr?fico. Os dados foram analisados descritivamente por meio de pacote estat?stico para determina??o dos valores m?dios e percentuais referentes aos c?lculos das dimens?es da cultura de seguran?a. Os coment?rios a respeito da seguran?a do paciente, ?ltima quest?o do instrumento, foram processados e analisados com apoio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. O estudo foi submetido ao Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte e obteve aprova??o mediante parecer consubstanciado de n? 1.847.136, sob Certificado de Apresenta??o para Aprecia??o ?tica n? 61201316.3.0000.5537. Constatou-se como dimens?es mais propensas a melhorias o aprendizado organizacional ? melhoria cont?nua (49,7%), expectativas sobre o seu supervisor/chefe, a??es promotoras de seguran?a do paciente (47,5%) e trabalho em equipe dentro das unidades (45,5%); entretanto, respostas n?o punitivas aos erros (58,8%), frequ?ncia de relatos de eventos (51,5%) e adequa??o de profissionais (51,1%) foram as ?reas consideradas cr?ticas. Quanto ? percep??o dos profissionais sobre a seguran?a do paciente, os aspectos considerados primordiais no servi?o de urg?ncia e emerg?ncia s?o o ambiente seguro e prop?cio para o cuidado efetivo e eficaz ao paciente, com o intuito de reduzir ou evitar poss?veis danos; a disponibilidade de estrutura f?sica e recursos humanos; trabalho em equipe; e o uso de protocolos. Logo, verificou-se a presen?a de uma cultura punitiva no cen?rio de pesquisa e a necessidade de a??es por parte dos gestores a fim de disseminar e fortalecer as boas pr?ticas de seguran?a no ambiente de urg?ncia e emerg?ncia e, assim, apoiar os profissionais de sa?de em seu processo de trabalho. / The safety culture of the patient presents itself as a relevant topic, since it is considered a strong indicator and an important diagnostic tool for the evaluation of the quality of health services. Its adherence represents a challenge today, since the process of changing attitudes and behaviors in health care is slow, demands time and work, as well as requires knowledge and participation of all the professionals that make up a service body of this nature. Thus, the object of this study is the safety culture of nursing professionals in the emergency service. In view of the above, the question is: How do nursing professionals consider the safety culture? In order to answer it, it aims to analyze the safety culture of nursing team in the emergency service. This is a descriptive-analytic study, developed in the Emergency Room Cl?vis Sarinho. The data were obtained by completing the "Patient Safety Research in Hospitals" instrument, composed of 42 items that address objective and subjective questions and cover 12 dimensions that measure the patient's safety culture, these items are evaluated according to The Likert scale of five points regarding the degree of agreement. Other issues present in the instrument are related to the assignment of notes to patient safety, reporting the number of events reported and sociodemographic profile. The data were analyzed by means of a statistical package, to determine the mean and percentage values for the safety culture size calculations. Comments on patient safety, the last issue of the instrument, were processed and analyzed with the support of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. The study was submitted to the Ethics Committee in Research of the Federal University of Rio Grande do Norte and obtained approval by means of a consubstantiated opinion of n?. 1,847,136, under Certificate of Presentation for Ethical Appreciation n? 61201316.3.0000.5537. It was found that dimensions that were more prone to improvement was, organizational learning - continuous improvement (49.7%), expectations about the supervisor / chief, actions promoting patient safety (47.5%) and teamwork within the units (45.5%); However, non-punitive responses to errors (58.8%), frequency of event reports (51.5%) and adequacy of professionals (51.1%) were critical areas. Regarding the professional?s perception of patient safety, the aspects considered to be primordial in the emergency service are the safe and propitious environment for effective and effective patient care, with the aim of reducing or avoiding possible damages; The availability of physical structure and human resources; team work; And the use of protocols. Therefore, it was verified the presence of a punitive culture in the research scenario and the need for action by the managers in order to disseminate and strengthen good safety practices in the emergency environment and thus support health professionals In your work process.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/23848 |
| Date | 26 June 2017 |
| Creators | Silva, Micheline da Fonseca |
| Contributors | 72339039053, http://lattes.cnpq.br/5808110442588994, Tourinho, Francis Solange Vieira, 78150361987, http://lattes.cnpq.br/5614479933447169, Ferreira J?nior, Marcos Antonio, 81717881149, http://lattes.cnpq.br/0912795990605736, Costa, Theo Duarte da, 05066196480, http://lattes.cnpq.br/8305343735444335, Santos, Viviane Euz?bia Pereira |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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