The complexity of patient safety in the Intensive Care Unit

Detalhes bibliográficos
Autor(a) principal: Hang, Adriana Tavares
Data de Publicação: 2020
Outros Autores: Valadares, Glaucia Valente, Paes, Graciele Oroski
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/4924
Resumo: Issues associated with patient safety are a health problem worldwide and have been widely discussed at the most diverse levels of health care. Objective: to analyze the meaning of conditions for patient safety in the intensive care unit from the nurses' perspective. Methodology: a qualitative study using the Straussian Grounded theory, approved by the Research Ethics Committee. With 20 nursing participants from two state public hospitals in Rondônia, from a semi-structured interview, between August 2018 and September 2019, analyzing the data according to the method, considering: open, axial and integration coding. Results: three categories were obtained from the analysis: “The work environment is at high risk of harm”; Recognizing human resources as determinants for active failures; and Experiencing disorganized work processes. The following phenomenon emerged from these categories: Considering the structure, professionals and work processes that are challenging for patient safety. Conclusion: Each category and subcategories represent the conditions experienced by nurses that directly influence the safety of critical patients in the intensive care unit. The results provide subsidies for mitigating actions or even resolving these conditions, strengthening the actions of nursing and the multidisciplinary team and, therefore, patient safety in the intensive care unit.
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spelling The complexity of patient safety in the Intensive Care UnitLa complejidad de la seguridad del paciente en la Unidad de Cuidados IntensivosA complexidade da segurança do paciente na Unidade de Terapia IntensivaIntensive Care UnitsGrounded TheoryPatient safetyNursing.Unidade de Terapia IntensivaGrounded theorySegurança do PacienteEnfermagemUnidades de Cuidados IntensivosTeoría FundamentadaSeguridad del pacienteEnfermería.Issues associated with patient safety are a health problem worldwide and have been widely discussed at the most diverse levels of health care. Objective: to analyze the meaning of conditions for patient safety in the intensive care unit from the nurses' perspective. Methodology: a qualitative study using the Straussian Grounded theory, approved by the Research Ethics Committee. With 20 nursing participants from two state public hospitals in Rondônia, from a semi-structured interview, between August 2018 and September 2019, analyzing the data according to the method, considering: open, axial and integration coding. Results: three categories were obtained from the analysis: “The work environment is at high risk of harm”; Recognizing human resources as determinants for active failures; and Experiencing disorganized work processes. The following phenomenon emerged from these categories: Considering the structure, professionals and work processes that are challenging for patient safety. Conclusion: Each category and subcategories represent the conditions experienced by nurses that directly influence the safety of critical patients in the intensive care unit. The results provide subsidies for mitigating actions or even resolving these conditions, strengthening the actions of nursing and the multidisciplinary team and, therefore, patient safety in the intensive care unit.Los problemas asociados con la seguridad del paciente son un problema de salud en todo el mundo y se han discutido ampliamente en los más diversos niveles de atención médica. Objetivo: analizar el significado de las condiciones para la seguridad del paciente en la Unidad de Cuidados Intensivos desde la perspectiva de los enfermeros. Metodología: estudio de abordaje cualitativo, que aplica la vertiente Straussiana de la Grounded Theory, aprobado por el Comité de Ética en Investigación. Con 20 participantes enfermeros de dos hospitales públicos estaduales de Rondônia, con base en entrevista semiestructurada, entre agosto de 2018 y septiembre de 2019, analizando los datos según el método, considerando: codificación abierta, axial e integración. Resultados: del análisis fueron obtenidas tres categorías: “Siendo el ambiente de trabajo con elevado riesgo de daños”; “Reconociendo los recursos humanos como determinantes para las fallas activas”; y “Experimentando procesos de trabajo desorganizados”. De estas categorías emergió el fenómeno: Considerando la estructura, los profesionales y los procesos de trabajo desafiantes para la seguridad del paciente. Conclusión: Cada categoría y subcategorías representan las condiciones vividas por los enfermeros que influyen directamente la seguridad del paciente crítico en la Unidad de Cuidados Intensivos. Los resultados proporcionan subsidios para acciones de mitigación o hasta mismo la resolución de estas condiciones, fortaleciendo las acciones de enfermería y del equipo multidisciplinario y, por consiguiente, la seguridad del paciente en la Unidad de Cuidados Intensivos.As questões associadas à segurança do paciente constituem um problema de saúde em todo o mundo e vêm sendo amplamente discutidas nos mais diversos níveis de atenção à saúde. Objetivo: analisar o significado das condições para a segurança do paciente na Unidade de Terapia Intensiva na perspectiva dos enfermeiros. Metodologia: estudo de abordagem qualitativa, aplicando a vertente Straussiana da Grounded Theory, aprovado por Comitê de Ética em Pesquisa. Com 20 participantes enfermeiros de dois hospitais públicos estaduais de Rondônia, a partir de entrevista semiestruturada, entre agosto de 2018 e setembro de 2019, analisando os dados segundo o método, considerando: codificação aberta, axial e integração. Resultados: da análise foram obtidas três categorias: “Sendo o ambiente de trabalho com elevado risco de danos”; “Reconhecendo os recursos humanos como determinantes para as falhas ativas”; e “Vivenciando processos de trabalho desorganizados”. Destas categorias emergiu o fenômeno: Considerando a estrutura, os profissionais e os processos de trabalho desafiantes para a segurança do paciente. Conclusão: Cada categoria e subcategorias representam as condições vivenciadas pelos enfermeiros que influenciam diretamente a segurança do paciente crítico na Unidade de Terapia Intensiva. Os resultados fornecem subsídios para ações de mitigação ou mesmo resolução destas condições, fortalecendo as ações de enfermagem e da equipe multidisciplinar e, por conseguinte, a segurança do paciente na Unidade de Terapia Intensiva.Research, Society and Development2020-06-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/492410.33448/rsd-v9i7.4924Research, Society and Development; Vol. 9 No. 7; e898974924Research, Society and Development; Vol. 9 Núm. 7; e898974924Research, Society and Development; v. 9 n. 7; e8989749242525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/4924/4326Copyright (c) 2020 Adriana Tavares Hang, Glaucia Valente Valadares, Graciele Oroski Paesinfo:eu-repo/semantics/openAccessHang, Adriana TavaresValadares, Glaucia ValentePaes, Graciele Oroski2020-08-20T18:05:03Zoai:ojs.pkp.sfu.ca:article/4924Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:28:37.166644Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv The complexity of patient safety in the Intensive Care Unit
La complejidad de la seguridad del paciente en la Unidad de Cuidados Intensivos
A complexidade da segurança do paciente na Unidade de Terapia Intensiva
title The complexity of patient safety in the Intensive Care Unit
spellingShingle The complexity of patient safety in the Intensive Care Unit
Hang, Adriana Tavares
Intensive Care Units
Grounded Theory
Patient safety
Nursing.
Unidade de Terapia Intensiva
Grounded theory
Segurança do Paciente
Enfermagem
Unidades de Cuidados Intensivos
Teoría Fundamentada
Seguridad del paciente
Enfermería.
title_short The complexity of patient safety in the Intensive Care Unit
title_full The complexity of patient safety in the Intensive Care Unit
title_fullStr The complexity of patient safety in the Intensive Care Unit
title_full_unstemmed The complexity of patient safety in the Intensive Care Unit
title_sort The complexity of patient safety in the Intensive Care Unit
author Hang, Adriana Tavares
author_facet Hang, Adriana Tavares
Valadares, Glaucia Valente
Paes, Graciele Oroski
author_role author
author2 Valadares, Glaucia Valente
Paes, Graciele Oroski
author2_role author
author
dc.contributor.author.fl_str_mv Hang, Adriana Tavares
Valadares, Glaucia Valente
Paes, Graciele Oroski
dc.subject.por.fl_str_mv Intensive Care Units
Grounded Theory
Patient safety
Nursing.
Unidade de Terapia Intensiva
Grounded theory
Segurança do Paciente
Enfermagem
Unidades de Cuidados Intensivos
Teoría Fundamentada
Seguridad del paciente
Enfermería.
topic Intensive Care Units
Grounded Theory
Patient safety
Nursing.
Unidade de Terapia Intensiva
Grounded theory
Segurança do Paciente
Enfermagem
Unidades de Cuidados Intensivos
Teoría Fundamentada
Seguridad del paciente
Enfermería.
description Issues associated with patient safety are a health problem worldwide and have been widely discussed at the most diverse levels of health care. Objective: to analyze the meaning of conditions for patient safety in the intensive care unit from the nurses' perspective. Methodology: a qualitative study using the Straussian Grounded theory, approved by the Research Ethics Committee. With 20 nursing participants from two state public hospitals in Rondônia, from a semi-structured interview, between August 2018 and September 2019, analyzing the data according to the method, considering: open, axial and integration coding. Results: three categories were obtained from the analysis: “The work environment is at high risk of harm”; Recognizing human resources as determinants for active failures; and Experiencing disorganized work processes. The following phenomenon emerged from these categories: Considering the structure, professionals and work processes that are challenging for patient safety. Conclusion: Each category and subcategories represent the conditions experienced by nurses that directly influence the safety of critical patients in the intensive care unit. The results provide subsidies for mitigating actions or even resolving these conditions, strengthening the actions of nursing and the multidisciplinary team and, therefore, patient safety in the intensive care unit.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-16
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://rsdjournal.org/index.php/rsd/article/view/4924
10.33448/rsd-v9i7.4924
url https://rsdjournal.org/index.php/rsd/article/view/4924
identifier_str_mv 10.33448/rsd-v9i7.4924
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/4924/4326
dc.rights.driver.fl_str_mv Copyright (c) 2020 Adriana Tavares Hang, Glaucia Valente Valadares, Graciele Oroski Paes
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Adriana Tavares Hang, Glaucia Valente Valadares, Graciele Oroski Paes
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 7; e898974924
Research, Society and Development; Vol. 9 Núm. 7; e898974924
Research, Society and Development; v. 9 n. 7; e898974924
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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