Publicação
A Safety and quality of nursing care: literature review
| Resumo: | INTRODUCTION Security is a fundamental principle of the provided care and requires a complex system of synergies and a broad range of actions to improve quality. It is undeniable that the occurrence of mistakes create a constant concern for professionals, making it essential to promote a culture of safety. OBJETIVE To identify the determining factors of safety and quality of nursing care. METHODS Recognize the determinants to the safety and quality of nursing care. We made a literature review, from the descriptors “Patient Safety”, “Safety Culture”, “Nursing “ , “ Quality of Care “, having emerged 309 articles. They selected 11 articles that answered the research question “What are the factors determinants to the safety and quality of nursing care? RESULTS Of the selected 11 papers two themes emerged: awareness of the error and the creation of a safety culture among organizations. Nurses considered the error notification as punitive and stigmatizing, causing the low frequency of reporting or notification. 95% of the participants reported less than two events in the last twelve months, and the large majority (80%) did not carry out any notification. CONCLUSIONS The results show that errors are a threat to the quality of care and the safety of care users. However, awareness of the risks and the implementation of measures for the development of a safety culture lead to the reduction of errors’ frequency and severity in health institutions. The awareness that mistakes can only be prevented if we talk openly about them, implies the existence of an incident reporting system and a the concern of professionals to raise awareness of the error and its implications. To implement a safety culture involving a guilt-free environment, with error reporting and open discussion, fostering a culture of communication and knowledge management and learning around the error, it is assumed to be important pillar of welfare quality practices. |
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| Autores principais: | Brás, Cláudia |
| Outros Autores: | Ferreira, Manuela |
| Assunto: | Segurança do doente Cultura de Segurança Enfermagem Qualidade dos Cuidados Patient Safety Safety Culture Nursing Quality of Care |
| Ano: | 2016 |
| País: | portugal |
| Tipo de documento: | artigo |
| Instituição associada: | Associação Católica dos Profissionais de Enfermagem e Saúde (ACPES) |
| Idioma: | português |
| Origem: | Servir |
| Resumo: | INTRODUCTION Security is a fundamental principle of the provided care and requires a complex system of synergies and a broad range of actions to improve quality. It is undeniable that the occurrence of mistakes create a constant concern for professionals, making it essential to promote a culture of safety. OBJETIVE To identify the determining factors of safety and quality of nursing care. METHODS Recognize the determinants to the safety and quality of nursing care. We made a literature review, from the descriptors “Patient Safety”, “Safety Culture”, “Nursing “ , “ Quality of Care “, having emerged 309 articles. They selected 11 articles that answered the research question “What are the factors determinants to the safety and quality of nursing care? RESULTS Of the selected 11 papers two themes emerged: awareness of the error and the creation of a safety culture among organizations. Nurses considered the error notification as punitive and stigmatizing, causing the low frequency of reporting or notification. 95% of the participants reported less than two events in the last twelve months, and the large majority (80%) did not carry out any notification. CONCLUSIONS The results show that errors are a threat to the quality of care and the safety of care users. However, awareness of the risks and the implementation of measures for the development of a safety culture lead to the reduction of errors’ frequency and severity in health institutions. The awareness that mistakes can only be prevented if we talk openly about them, implies the existence of an incident reporting system and a the concern of professionals to raise awareness of the error and its implications. To implement a safety culture involving a guilt-free environment, with error reporting and open discussion, fostering a culture of communication and knowledge management and learning around the error, it is assumed to be important pillar of welfare quality practices. |
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