Nurses’ perceptions of patient safety in the emergency setting: a qualitative study

Ana de Cássia da Ponte Portela; Márcia Aline de Castro Olímpio; Michelle Alves Vasconcelos Ponte; Francisco Diogenes dos Santos; Alicequel Ferreira Gomes de Paiva; Vanessa Emille Carvalho de Sousa

doi:10.14198/cuid.2017.49.03

Autores/as

Ana de Cássia da Ponte Portela Applied Theology Institute, Brasil
Márcia Aline de Castro Olímpio Applied Theology Institute, Brasil
Michelle Alves Vasconcelos Ponte Irmandade da Santa Casa de Misericordia de Sobral, Brasil
Francisco Diogenes dos Santos State University of the Valley of the Acarau, Brasil
Alicequel Ferreira Gomes de Paiva Irmandade da Santa Casa de Misericordia de Sobral, Brasil
Vanessa Emille Carvalho de Sousa University of Illinois at Chicago, Estados Unidos

DOI:

https://doi.org/10.14198/cuid.2017.49.03

Palabras clave:

Gestión de riesgos, Seguridad del paciente, Enfermería de emergencia, Investigación cualitativa

Resumen

Las enfermeras están en una posición clave en la mejora de la calidad de la atención a través de intervenciones y estrategias para la seguridad del paciente. En general, percepciones sobre el impacto de los factores del entorno de trabajo sobre seguridad de los pacientes son engañosas.

Este estudio cualitativo tuvo como objetivo explorar la percepción de enfermeras sobre seguridad del paciente. Las entrevistas semiestructuradas se llevaron a cabo con 13 enfermeras en una sala de emergencia en un hospital del noreste de Brasil. Un análisis de contenido convencional fue utilizado y el análisis se llevó a cabo sin imponer clases preconcebidas. Los resultados fueron agrupados en tres categorías: Barreras y facilitadores para la adopción de prácticas de seguridad del paciente, Problemas en la formación en seguridad del paciente y Papel de la enfermera en la calidad de las prácticas de seguridad del paciente. Las enferme- ras informaron que los factores que afectan la seguridad del paciente incluyen: deficiencia de recursos, hacinamiento, sobrecarga de trabajo, mala formación y comunicación ineficaz. Los resultados sugieren que la seguridad de los pacientes se puede mejorar mediante el desarrollo y fortalecimiento de la cultura de seguridad y la provisión de infraestructura y mecanismos de apoyo.

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