Banca de QUALIFICAÇÃO: JOSÉ AUGUSTINHO MENDES SANTOS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : JOSÉ AUGUSTINHO MENDES SANTOS
DATE: 10/12/2021
TIME: 09:00
LOCAL: Sala Virtual - meet.google.com/ndk-rmiq-smj
TITLE:
KEY WORDS:

Organizational culture; Patient care team; Maternity; Patient safety; Nursing.

PAGES: 102
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

INTRODUCTION: Pregnancy and birth, in great majority, occurs without intercurrences, however in many cases complications may arise that may be related to the assistance offered, either in relation to the structure of birthplaces, as well as due to errors in the work process and that may lead to adverse events (AE). A peculiar fact is that in obstetric care services, the proportion of lawsuits for error remains around 23.2%. In order to draw the attention of health institutions and develop a new culture of safety, the Brazilian Ministry of Health instituted the Ordinance No. 529, which defines the strategies for improving Patient Safety (PS), among such strategies is the promotion of safety culture. We realize that there are still many challenges to be overcome and, consequently, immediate interventions are needed to make care safer. Before that, it is important to evaluate the safety culture so that professionals are made aware of the importance of promoting SP with the aim of improving the quality of care. OBJECTIVE: To evaluate patient safety culture in high-risk maternity hospitals in a state of the Northeast region of Brazil, from the perspective of the multiprofessional health team working there, using the Hospital Patient Safety Survey (HSOPSC) instrument. METHODS: This is a descriptive study of a quantitative nature of the survey type, carried out in two high-risk maternity hospitals of a state in the northeastern region of Brazil. Data collection was performed from December 2020 to April 2021, using the HSOPSC instrument, which in addition to assessing the profile of professionals, has 42 items divided into 12 dimensions that assesses the Patient Safety Culture (PSC). After collection, the data were validated and later analyzed through descriptive statistics using the JASP Software, to identify the strong areas for CSP. The research was approved by the Research Ethics Committee of the Federal University of Alagoas. RESULTS: A total of 318 professionals participated in the study, most of them female, with a mean age of 41.7 years, with a postgraduate degree in specialization and most of them are part of the nursing team. As far as the average time of work in the profession is concerned, an average of 14.5 years was found. As for the time of work in the hospital/maternity, it was observed that the highest percentages concentrated between 16 to 20 years and 1 to 5 years, in addition, regarding the time of work in the current area, the percentages were also concentrated in the aforementioned intervals. Regarding the workload, it was predominantly from 20 to 39 hours per week. Regarding the dimensions of CSP, no dimension was rated as strong for CSP. We highlight the dimensions that were evaluated with the highest percentages of positive answers, however, being considered neutral, since they did not reach 75% or more of positive answers, namely: expectations and actions of the supervisor for patient safety, teamwork in the unit, organizational learning-continuous improvement and openness to communication. The other eight dimensions were considered to be weak, namely: staffing-adequacy of personnel, transfers and changeover, hospital management support for patient safety, feedback and communication about errors, overall perception of patient safety, teamwork between units, frequency of reported events, and non-punitive responses to errors. When assessing the number of AE notification performed in the last 12 months by the professionals, it was observed that of the total respondents, 77.3% did not perform any notification and 20.8% performed between 1 and 5 notifications. Regarding the patient safety score assigned to the work unit, it was observed that 49.0% perceived safety as regular and 26.8% as good. CONCLUSION: This study is the first in the state that evaluated the CSP through the HSOPSC in the maternal and child area. Several weak points are observed for the CSP, which urges the need for a reflective analysis by professionals and managers about the quality of care provided, in order to improve the SP and take ownership of the safety culture. It is necessary to improve the 12 dimensions of the CSP, especially with regard to non-punitive responses to errors, because if professionals believe they will be penalized for the errors and AEs committed, they will end up neglecting the notifications, which consequently will make it impossible to know the AEs and errors that are affecting pregnant and postpartum women and newborns. It is noteworthy that it is important the commitment of all to transform this culture of blame into a just culture, which establishes balance between the responsibility of the professional and the organization.

BANKING MEMBERS:
Externa à Instituição - MARI ÂNGELA GAEDKE
Presidente - 2731160 - AMUZZA AYLLA PEREIRA DOS SANTOS
Interna - 2582344 - THAIS HONORIO LINS BERNARDO