Keywords
Patient participation
Nursing team
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To analyze nurses' perception of patient participation in safety issues. Methods: This was a cross-sectional quantitative and qualitative study. Participants answered a semi-structured questionnaire with three closed and six open questions. In the closed ones, professionals assigned scores from 1 to 5, with 1 being the worst and 5 being the best. Open responses were analyzed by inductive content analysis of manifest content. Results: 19 nurses participated. 63% rated the involvement of patients with a score of 3. Regarding the encouragement of patients by the team, 42% assigned a score of 4. As for the level of safety, 58% assigned a 4. The participants stated that involving the patient in promoting safety is essential and providing guidelines favor participation. Factors that prevent patient involvement: lack of material resources, cultural factors, absence of a companion and problems related to the team. Conclusion: It is concluded that patients are little encouraged by professionals to play an active role during care, in addition, institutional policies for patient involvement are not clear. Therefore, the patient's participation in his own safety is related to the behavior of professionals and the institutional culture.
References
ARAÚJO MAN, et al. Perfil sociodemográfico dos Enfermeiros da Rede Hospitalar. Rev enferm UFPE on line, 2017; 11(11): 4546–53.
BIASIBETTI C, et al. Comunicação para a segurança do paciente em internações pediátricas. Rev Gauch Enferm., 2019; 40(spe): e20180337.
BRASIL. Ministério da Saúde, Fundação Oswaldo Cruz, Agência Nacional de Vigilância Sanitária. Documento de referência para o Programa Nacional de Segurança do Paciente [Internet]. Brasília: Ministério da Saúde; 2014. 40p. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf
BRASIL. Ministério da Saúde. Portaria No 529 de 1o de abril de 2013 (BR) [Internet]. Institui o Programa Nacional de Segurança do Paciente (PNSP). Diário Oficial da União. 01 abr 2013 [citado 2022 Abr 20]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html
CHEGINI Z e SHARIFUL ISLAM SM. Expert perspectives on the active role of patients in their safety: Toward a framework using Delphi methodology. Nurs Forum., 2021; 56(3): 490–9.
CORBALLY MT e TIERNEY E. Parental Involvement in the Preoperative Surgical Safety Checklist Is Welcomed by Both Parents and Staff. Int J Pediatr., 2014; 2014(vi): 1–3.
De CARVALHO REFL, et al. Avaliação da cultura de segurança em hospitais públicos no Brasil. Rev Lat Am Enfermagem. 2017; 25: e2849.
De REZENDE HA, et al. Interventions to reduce patient identification errors in the hospital setting: a systematic review protocol. JBI Database System Rev Implement Rep., 2019; 17(1): 37-42.
GRANEHEIM UH e LUNDMAN B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today, 2004; 24(2): 105–12.
HOFFMEISTER LV e MOURA GMSS. Use of identification wristbands among patients receiving inpatient treatment in a teaching hospital. Rev Lat Am Enfermagem, 2015; 23(1): 36–43.
HWANG JI, et al. Patient Participation in Patient Safety and Its Relationships with Nurses’ Patient-Centered Care Competency, Teamwork, and Safety Climate. Asian Nurs Res., 2019; 13(2): 130–6.
INSTITUTE OF MEDICINE (US) COMMITTEE ON QUALITY OF HEALTH CARE IN AMERICA. To Err is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS, editors. Washington (DC): National Academies Press (US); 2000. 312p. PMID: 25077248. Bookshelf ID: NBK225182.
MENDES W, et al. The assessment of adverse events in hospitals in Brazil. Int J Qual Heal Care, 2009; 21(4): 279–84.
MINUZZI AP, et al. Contributions of healthcare staff to promote patient safety in intensive care. Esc Anna Nery - Rev Enferm., 2016; 20(1): 121–9.
NEWMAN B, et al. Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. Health Expect., 2021; 24(6): 1905-23.
OKUYAMA JHH, et al. Healthcare professional’s perception of patient safety measured by the hospital survey on patient safety culture: A systematic review and meta-analysis. Sci World J., 2018.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Plano de ação gobal para a segurança do paciente 2021-2030: Em busca da eliminação dos danos evitáveis nos cuidados de saúde. Genebra: Organização Mundial da Saúde; 2021. Licença: CC BY-NC-SA 3.0 IGO.
QUADRADO ERS, TRONCHIN DMR. Avaliação do protocolo de identificação do neonato de um hospital privado. Rev Lat Am Enfermagem, 2012; 20(4): 659–67.
SAHLSTRÖM M, et al. Patient participation in patient safety still missing: Patient safety experts’ views. Int J Nurs Pract., 2016; 22(5): 461–9.
SANTOS CMP, et al. Cultura de segurança do paciente: perspectiva de profissionais da saúde. Rev Enferm UFPE on line., 2019; 13: 1-11.
SCHILDMEIJER K, et al. Determinants of patient participation for safer care: A qualitative study of physicians’ experiences and perceptions. Health Sci Rep., 2018; 1(10): e87.
SOUSA FCP, et al. A participação da família na segurança do paciente em unidades neonatais na perspectiva do enfermeiro. Texto e Context Enferm., 2017; 26(3): e1180016.
TOBIANO G, et al. Nurses’ views of patient participation in nursing care. J Adv Nurs., 2015; 71(12): 2741–52.
TRINDADE TVC, et al. Segurança do paciente em unidade de terapia intensiva: uso de pulseiras de identificação. Enferm Bras., 2019; 18(2): 225.
YOONG W, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. Postgrad Med J., 2019; 95(1123): 266–70.