Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Reme (Online) |
Texto Completo: | https://periodicos.ufmg.br/index.php/reme/article/view/50059 |
Resumo: | Risk management has been used by health organizations as an investigative, scientific and technical process to achieve service quality, as well as to guarantee patient and professional safety. This research aimed at identifying the perceptions of nurses regarding hospital risk management and analyse facilitators and barriers to the process. This was a qualitative descriptive and exploratory research. A total of 29 clinical and management nurses at two large private hospitals in south of Minas Gerais participated in the research. The semi structured interviews were recorded and their data submitted to content analysis that resulted in five categories: deficiency in the conceptualization of risk management; risk management qualifying care; need for culture change for the operationalization of risk management; risk management perceived as reporting; and influences of human resources on risk management processes. Results revealed that nurses consider risk management as an instrument to qualify patient safety. Another conclusion was that events were underreported due to lack of time to fill forms, work overload, fear of retaliation and punishment. Actions to raise staff's awareness, permanent education programmes and management support were strategies to develop work processes. |
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Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, BrazilGestión de riesgos: percepción de los enfermeros de dos hospitales del sur de Minas Gerais, BrasilGerenciamento de risco: percepção de enfermeiros em dois hospitais do sul de Minas Gerais, BrasilGestión de RiesgosSeguridad del PacienteAtención de EnfermeríaAtención HospitalariaCalidad de la Atención de SaludGestão de RiscoSegurança do PacienteCuidados de EnfermagemAssistência HospitalarQualidade da Assistência à SaúdeRisk ManagementPatient SafetyNursing CareHospital CareQuality of Health CareRisk management has been used by health organizations as an investigative, scientific and technical process to achieve service quality, as well as to guarantee patient and professional safety. This research aimed at identifying the perceptions of nurses regarding hospital risk management and analyse facilitators and barriers to the process. This was a qualitative descriptive and exploratory research. A total of 29 clinical and management nurses at two large private hospitals in south of Minas Gerais participated in the research. The semi structured interviews were recorded and their data submitted to content analysis that resulted in five categories: deficiency in the conceptualization of risk management; risk management qualifying care; need for culture change for the operationalization of risk management; risk management perceived as reporting; and influences of human resources on risk management processes. Results revealed that nurses consider risk management as an instrument to qualify patient safety. Another conclusion was that events were underreported due to lack of time to fill forms, work overload, fear of retaliation and punishment. Actions to raise staff's awareness, permanent education programmes and management support were strategies to develop work processes.La gestión de riesgos ha sido utilizada por las organizaciones de salud como un proceso investigativo y técnico-científico para lograr la calidad de la prestación de servicios y la seguridad de los pacientes y profesionales de la salud. Este estudio ha tenido como objetivo comprender la percepción de los enfermeros sobre la gestión de riesgos del hospital y analizar las dificultades y facilidades encontradas. Se trata de un estudio cualitativo, exploratorio, descriptivo, con la participación de 29 enfermeros de atención y gestión de 2 grandes hospitales privados de Minas Gerais. Las entrevistas fueron audio grabadas siguiendo un guión semiestructurado. Los datos fueron sometidos a la técnica de análisis de contenido que resultó en cinco categorías: deficiencia en la conceptualización de la gestión de riesgos, gestión de riesgos calificando la atención, cambio cultural necesario para llevar a cabo la gestión de riesgos, gestión de riesgos percibida como notificación y recursos humanos que influyen en la gestión de riesgos. Los resultados han mostrado que los enfermeros relacionan la gestión de riesgos con una herramienta de la calidad y seguridad en la atención del paciente. Se ha observado que, incluso habiendo comunicación, muchas veces los eventos adversos no son informados debido a la falta de tiempo para completar formularios, a la sobrecarga de trabajo, al miedo a las represalias y al castigo por el error. La concienciación del personal, los programas de educación continua y el apoyo de la dirección son estrategias sugeridas para avanzar en los procesos de trabajo.O gerenciamento de risco vem sendo utilizado pelas organizações de saúde como um processo investigativo e técnico-científico para alcançar a qualidade da prestação de serviços e a segurança dos pacientes e dos profissionais de saúde. Este estudo objetivou compreender a percepção dos enfermeiros acerca do gerenciamento de risco hospitalar e analisar as dificuldades e facilidades encontradas. Trata-se de um estudo com abordagem qualitativa, de caráter exploratório, descritivo, com a participação de 29 enfermeiros assistenciais e gerenciais de dois hospitais de caráter privado e de grande porte localizado no interior de Minas Gerais. As entrevistas foram audiogravadas, utilizando-se roteiro semiestruturado. Os dados foram submetidos à técnica de análise de conteúdo, resultando em cinco categorias: deficiência na conceituação do gerenciamento de risco, gerenciamento de risco qualificando a assistência, necessidade de mudança de cultura para operacionalização do gerenciamento de risco, o gerenciamento de risco percebido como notificação e os recursos humanos influenciando no gerenciamento de risco. Os resultados mostraram que os enfermeiros relacionam o gerenciamento de risco como ferramenta de qualidade e segurança na assistência ao paciente. Constatou-se que, mesmo havendo a comunicação dos eventos adversos, muitas vezes há subnotificação por falta de tempo no preenchimento dos formulários, sobrecarga de trabalho, medo da represália e punição mediante o erro. A sensibilização da equipe, os programas de educação permanente e o apoio diretivo são estratégias sugeridas para avançar nos processos de trabalho.Universidade Federal de Minas Gerais2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5005910.5935/1415-2762.20150071REME-Revista Mineira de Enfermagem; Vol. 19 No. 4 (2015)REME-Revista Mineira de Enfermagem; Vol. 19 Núm. 4 (2015)REME-Revista Mineira de Enfermagem; v. 19 n. 4 (2015)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50059/41105https://periodicos.ufmg.br/index.php/reme/article/view/50059/41106https://periodicos.ufmg.br/index.php/reme/article/view/50059/41107Copyright (c) 2015 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessSiqueira, Cibele LeiteSilva, Chayenne de Carvalho eTeles, Jamille Keila NevesFeldman, Liliane Bauer2024-01-23T19:33:52Zoai:periodicos.ufmg.br:article/50059Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-23T19:33:52Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil Gestión de riesgos: percepción de los enfermeros de dos hospitales del sur de Minas Gerais, Brasil Gerenciamento de risco: percepção de enfermeiros em dois hospitais do sul de Minas Gerais, Brasil |
title |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil |
spellingShingle |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil Siqueira, Cibele Leite Gestión de Riesgos Seguridad del Paciente Atención de Enfermería Atención Hospitalaria Calidad de la Atención de Salud Gestão de Risco Segurança do Paciente Cuidados de Enfermagem Assistência Hospitalar Qualidade da Assistência à Saúde Risk Management Patient Safety Nursing Care Hospital Care Quality of Health Care |
title_short |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil |
title_full |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil |
title_fullStr |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil |
title_full_unstemmed |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil |
title_sort |
Management: perception of nurses of two hospitals in the south of the state of Minas Gerais, Brazil |
author |
Siqueira, Cibele Leite |
author_facet |
Siqueira, Cibele Leite Silva, Chayenne de Carvalho e Teles, Jamille Keila Neves Feldman, Liliane Bauer |
author_role |
author |
author2 |
Silva, Chayenne de Carvalho e Teles, Jamille Keila Neves Feldman, Liliane Bauer |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Siqueira, Cibele Leite Silva, Chayenne de Carvalho e Teles, Jamille Keila Neves Feldman, Liliane Bauer |
dc.subject.por.fl_str_mv |
Gestión de Riesgos Seguridad del Paciente Atención de Enfermería Atención Hospitalaria Calidad de la Atención de Salud Gestão de Risco Segurança do Paciente Cuidados de Enfermagem Assistência Hospitalar Qualidade da Assistência à Saúde Risk Management Patient Safety Nursing Care Hospital Care Quality of Health Care |
topic |
Gestión de Riesgos Seguridad del Paciente Atención de Enfermería Atención Hospitalaria Calidad de la Atención de Salud Gestão de Risco Segurança do Paciente Cuidados de Enfermagem Assistência Hospitalar Qualidade da Assistência à Saúde Risk Management Patient Safety Nursing Care Hospital Care Quality of Health Care |
description |
Risk management has been used by health organizations as an investigative, scientific and technical process to achieve service quality, as well as to guarantee patient and professional safety. This research aimed at identifying the perceptions of nurses regarding hospital risk management and analyse facilitators and barriers to the process. This was a qualitative descriptive and exploratory research. A total of 29 clinical and management nurses at two large private hospitals in south of Minas Gerais participated in the research. The semi structured interviews were recorded and their data submitted to content analysis that resulted in five categories: deficiency in the conceptualization of risk management; risk management qualifying care; need for culture change for the operationalization of risk management; risk management perceived as reporting; and influences of human resources on risk management processes. Results revealed that nurses consider risk management as an instrument to qualify patient safety. Another conclusion was that events were underreported due to lack of time to fill forms, work overload, fear of retaliation and punishment. Actions to raise staff's awareness, permanent education programmes and management support were strategies to develop work processes. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50059 10.5935/1415-2762.20150071 |
url |
https://periodicos.ufmg.br/index.php/reme/article/view/50059 |
identifier_str_mv |
10.5935/1415-2762.20150071 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50059/41105 https://periodicos.ufmg.br/index.php/reme/article/view/50059/41106 https://periodicos.ufmg.br/index.php/reme/article/view/50059/41107 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2015 Reme: Revista Mineira de Enfermagem info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2015 Reme: Revista Mineira de Enfermagem |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/plain application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
REME-Revista Mineira de Enfermagem; Vol. 19 No. 4 (2015) REME-Revista Mineira de Enfermagem; Vol. 19 Núm. 4 (2015) REME-Revista Mineira de Enfermagem; v. 19 n. 4 (2015) 2316-9389 1415-2762 reponame:Reme (Online) instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
institution |
UFMG |
reponame_str |
Reme (Online) |
collection |
Reme (Online) |
repository.name.fl_str_mv |
Reme (Online) - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
remeufmg@gmail.com |
_version_ |
1797041905441177600 |