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实施患者安全策略的困难:管理护士的观点

Difficulties to implement patient safety strategies: perspectives of management nurses.

作者信息

Reis Gislene Aparecida Xavier Dos, Oliveira João Lucas Campos, Ferreira Andressa Martins Dias, Vituri Dagmar Wilamowius, Marcon Sonia Silva, Matsuda Laura Misue

机构信息

Hospital Santa Casa de Maringá, Gerenciamento de Riscos e Protocolos Clínicos. Maringá, Paraná, Brasil.

Universidade Federal de Mato Grosso (UFMT), Faculdade de Enfermagem. Cuiabá, Mato Grosso, Brasil.

出版信息

Rev Gaucha Enferm. 2019 Jan 10;40(spe):e20180366. doi: 10.1590/1983-1447.2019.20180366.

DOI:10.1590/1983-1447.2019.20180366
PMID:30652811
Abstract

OBJECTIVE

To understand the difficulties to implement patient safety strategies in the hospital environment from the perspective of nurse managers.

METHODS

Descriptive, exploratory and qualitative study, carried out in four public university hospitals, using a semi-structured interview script, from January to March 2015. The sample was of 72 nurses. Content analysis was carried out, in the thematic modality.

RESULTS

The following categories were identified: Inadequate sizing of nursing staff; Lack of support of the top management: from policies to concrete actions and; Lack of adherence of the professionals to patient safety strategies.

CONCLUSIONS

In order for the institution to succeed in the implementation of patient safety strategies, it is necessary to have a continuous and permanent education policy, to raise awareness and to involve professionals from the top management to the front line employees.

摘要

目的

从护士长的角度了解在医院环境中实施患者安全策略的困难。

方法

2015年1月至3月,在四家公立大学医院开展了描述性、探索性和定性研究,使用半结构化访谈脚本。样本为72名护士。采用主题模式进行内容分析。

结果

确定了以下类别:护理人员规模不足;高层管理人员缺乏支持:从政策到具体行动;以及专业人员对患者安全策略缺乏遵守。

结论

为使机构成功实施患者安全策略,有必要制定持续且长期的教育政策,提高认识,并让从高层管理人员到一线员工的专业人员都参与进来。

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