The Culture of Patient Safety in Nursing Homes
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.36367/ntqr.8.2021.663-675 |
Resumo: | Introduction: Since its inception, nursing has valued patient safety. However, its importance was greatly boosted by the Institute of Medicine's report “To Err is Human”, in 1999. The culture of patient safety in nursing homes, still little studied, deserves to be developed with a view to improving quality of care; Objective: To analyze the scientific evidence on the culture of patient safety in nursing homes; Inclusion criteria: Participants: Caregivers in nursing homes. Concept: Culture of Patient Safety. Context: Nursing home; Research strategy: Integrative literature review, study research through CINHAL and MEDLINE and using Google Scholar and dissertation repositories. Complement of research in the references of the studies fully analyzed. The time period between 2015 and 2020 was defined and the inclusion of articles with full text; Results: 12 articles were selected referring to studies on the culture of patient safety from different realities and from different countries; Discussion: Home staff have a positive overall assessment of patient safety. The culture of patient safety has a correlation with the quality of care provided. There are transversally deficient areas in nursing homes, related to human resources and the notification of adverse events. The managers of nursing homes reveal a general perception of the safety of residents that is more favorable than those closest to the care; Conclusion: The scientific evidence regarding the culture of patient safety in nursing homes is scarce in Portugal. The complexity of the population of nursing homes, the multiprofessional influence and structural deficits in important areas, such as staff, point to the need for further studies, mainly qualitative, and a set of emerging interventions that lead to an improvement in the culture of patient safety and the quality of care provided in these structures. |
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The Culture of Patient Safety in Nursing HomesA Cultura de Segurança em Estruturas Residenciais para Pessoas IdosasCasa de saúdeSegurança do doenteCuidadoresGestão da SegurançaEnfermagemNursing HomePatient SafetyCaregiversSafety ManagementNursingIntroduction: Since its inception, nursing has valued patient safety. However, its importance was greatly boosted by the Institute of Medicine's report “To Err is Human”, in 1999. The culture of patient safety in nursing homes, still little studied, deserves to be developed with a view to improving quality of care; Objective: To analyze the scientific evidence on the culture of patient safety in nursing homes; Inclusion criteria: Participants: Caregivers in nursing homes. Concept: Culture of Patient Safety. Context: Nursing home; Research strategy: Integrative literature review, study research through CINHAL and MEDLINE and using Google Scholar and dissertation repositories. Complement of research in the references of the studies fully analyzed. The time period between 2015 and 2020 was defined and the inclusion of articles with full text; Results: 12 articles were selected referring to studies on the culture of patient safety from different realities and from different countries; Discussion: Home staff have a positive overall assessment of patient safety. The culture of patient safety has a correlation with the quality of care provided. There are transversally deficient areas in nursing homes, related to human resources and the notification of adverse events. The managers of nursing homes reveal a general perception of the safety of residents that is more favorable than those closest to the care; Conclusion: The scientific evidence regarding the culture of patient safety in nursing homes is scarce in Portugal. The complexity of the population of nursing homes, the multiprofessional influence and structural deficits in important areas, such as staff, point to the need for further studies, mainly qualitative, and a set of emerging interventions that lead to an improvement in the culture of patient safety and the quality of care provided in these structures.Introdução: Desde a sua génese que a enfermagem valoriza a segurança do paciente. No entanto, a sua importância teve um grande impulso com o relatório do Institute of Medicine “To Err is Human”, no ano 1999. A cultura de segurança do paciente em estruturas residenciais para pessoas idosas (ERPI), ainda pouco estudada, merece ser desenvolvida com vista à melhoria da qualidade dos cuidados; Objetivo: Analisar a evidência científica sobre a cultura de segurança do paciente nos lares de idosos; Critérios de inclusão / Métodos: Participantes: Cuidadores nos lares de idosos. Conceito: Cultura de Segurança do Paciente. Contexto: ERPI; Estratégia de pesquisa: Revisão integrativa da literatura, pesquisa de estudos através da CINHAL e MEDLINE e com recurso ao Google Scholar e repositórios de dissertações. Complemento de pesquisa nas referências dos estudos integralmente analisados. Definiu-se o período temporal entre 2015 e 2020 e a inclusão de artigos com texto completo; Resultados: Selecionaram-se 12 artigos referentes a estudos sobre a cultura de segurança do paciente de diferentes realidades e de diferentes países; Discussão: Os colaboradores das ERPI têm uma apreciação geral da segurança do paciente positiva. A cultura de segurança do paciente tem uma correlação com a qualidade dos cuidados prestados. Existem áreas transversalmente deficitárias nos lares de idosos, relacionadas com os recursos humanos e com a notificação de eventos adversos. Os gestores das estruturas para pessoas idosas revelam perceção geral da segurança dos residentes mais favorável que os colaboradores mais próximos dos cuidados; Conclusões: A evidência científica quanto à cultura de segurança do paciente nas ERPI é escassa em Portugal. A complexidade da população das ERPI, a influência multiprofissional e os défices estruturais em áreas importantes como a dos recursos humanos, remetem para a necessidade de novos estudos, principalmente qualitativos, e para um conjunto de intervenções emergentes que conduzam à melhoria da cultura de segurança do paciente e da qualidade dos cuidados prestados nestas estruturas.Ludomedia2021-07-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.36367/ntqr.8.2021.663-675https://doi.org/10.36367/ntqr.8.2021.663-675New Trends in Qualitative Research; Vol. 8 (2021): Qualitative Research in Health: Advances and Challenges; 663-675New Trends in Qualitative Research; Vol. 8 (2021): Investigación Cualitativa en Salud: avances y desafíos; 663-675New Trends in Qualitative Research; Vol. 8 (2021): Investigação Qualitativa em Saúde: avanços e desafios; 663-6752184-777010.36367/ntqr.8.2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://publi.ludomedia.org/index.php/ntqr/article/view/460https://publi.ludomedia.org/index.php/ntqr/article/view/460/456José ResendeGraça QuaresmaPedro Lucasinfo:eu-repo/semantics/openAccess2023-08-13T09:13:23Zoai:ojs.publi.ludomedia.org:article/460Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:48:19.363412Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Culture of Patient Safety in Nursing Homes A Cultura de Segurança em Estruturas Residenciais para Pessoas Idosas |
title |
The Culture of Patient Safety in Nursing Homes |
spellingShingle |
The Culture of Patient Safety in Nursing Homes José Resende Casa de saúde Segurança do doente Cuidadores Gestão da Segurança Enfermagem Nursing Home Patient Safety Caregivers Safety Management Nursing |
title_short |
The Culture of Patient Safety in Nursing Homes |
title_full |
The Culture of Patient Safety in Nursing Homes |
title_fullStr |
The Culture of Patient Safety in Nursing Homes |
title_full_unstemmed |
The Culture of Patient Safety in Nursing Homes |
title_sort |
The Culture of Patient Safety in Nursing Homes |
author |
José Resende |
author_facet |
José Resende Graça Quaresma Pedro Lucas |
author_role |
author |
author2 |
Graça Quaresma Pedro Lucas |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
José Resende Graça Quaresma Pedro Lucas |
dc.subject.por.fl_str_mv |
Casa de saúde Segurança do doente Cuidadores Gestão da Segurança Enfermagem Nursing Home Patient Safety Caregivers Safety Management Nursing |
topic |
Casa de saúde Segurança do doente Cuidadores Gestão da Segurança Enfermagem Nursing Home Patient Safety Caregivers Safety Management Nursing |
description |
Introduction: Since its inception, nursing has valued patient safety. However, its importance was greatly boosted by the Institute of Medicine's report “To Err is Human”, in 1999. The culture of patient safety in nursing homes, still little studied, deserves to be developed with a view to improving quality of care; Objective: To analyze the scientific evidence on the culture of patient safety in nursing homes; Inclusion criteria: Participants: Caregivers in nursing homes. Concept: Culture of Patient Safety. Context: Nursing home; Research strategy: Integrative literature review, study research through CINHAL and MEDLINE and using Google Scholar and dissertation repositories. Complement of research in the references of the studies fully analyzed. The time period between 2015 and 2020 was defined and the inclusion of articles with full text; Results: 12 articles were selected referring to studies on the culture of patient safety from different realities and from different countries; Discussion: Home staff have a positive overall assessment of patient safety. The culture of patient safety has a correlation with the quality of care provided. There are transversally deficient areas in nursing homes, related to human resources and the notification of adverse events. The managers of nursing homes reveal a general perception of the safety of residents that is more favorable than those closest to the care; Conclusion: The scientific evidence regarding the culture of patient safety in nursing homes is scarce in Portugal. The complexity of the population of nursing homes, the multiprofessional influence and structural deficits in important areas, such as staff, point to the need for further studies, mainly qualitative, and a set of emerging interventions that lead to an improvement in the culture of patient safety and the quality of care provided in these structures. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-08 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://doi.org/10.36367/ntqr.8.2021.663-675 https://doi.org/10.36367/ntqr.8.2021.663-675 |
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https://doi.org/10.36367/ntqr.8.2021.663-675 |
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por |
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https://publi.ludomedia.org/index.php/ntqr/article/view/460 https://publi.ludomedia.org/index.php/ntqr/article/view/460/456 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Ludomedia |
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Ludomedia |
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New Trends in Qualitative Research; Vol. 8 (2021): Qualitative Research in Health: Advances and Challenges; 663-675 New Trends in Qualitative Research; Vol. 8 (2021): Investigación Cualitativa en Salud: avances y desafíos; 663-675 New Trends in Qualitative Research; Vol. 8 (2021): Investigação Qualitativa em Saúde: avanços e desafios; 663-675 2184-7770 10.36367/ntqr.8.2021 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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