Siman Andréia Guerra, Brito Maria José Menezes
Universidade Federal de Viçosa (UFV), Departamento de Medicina e Enfermagem, Viçosa, Minas Gerais, Brasil.
Universidade Federal de Minas Gerais (UFMG), Departamento de Enfermagem Aplicada, Belo Horizonte, Minas Gerais, Brasil.
Rev Gaucha Enferm. 2017 Apr 27;37(spe):e68271. doi: 10.1590/1983-1447.2016.esp.68271.
To identify changes in nursing practice to improve the quality of care and patient safety.
A case study conducted at an inpatient unit with professionals from the patient safety centre and a nursing team, totalling 31 participants. Data were collected from May to December 2015 through interviews, observations recorded in a field journal, and documentary analysis, followed by content analysis.
The changes observed in the nursing practice included the identification of care and physical risks, especially the risk of falls and pressure injury, with the use of personal forms and the Braden scale; notification of adverse events; adoption of protocols; effective communication with permanent education and multiprofessional meetings.
Changes were observed in the nursing practice, chiefly focused on risk management.
确定护理实践中的变化，以提高护理质量和患者安全。
在一个住院单元进行了一项案例研究，参与者包括患者安全中心的专业人员和一个护理团队，共计31人。2015年5月至12月期间，通过访谈、实地日志记录的观察以及文献分析收集数据，随后进行内容分析。
在护理实践中观察到的变化包括通过使用个人表格和布拉登量表识别护理和身体风险，尤其是跌倒和压力性损伤风险；报告不良事件；采用协议；通过持续教育和多专业会议进行有效沟通。
在护理实践中观察到了变化，主要集中在风险管理方面。
