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认证与患者安全之间的接口:护理团队的观点。

Interface between accreditation and patient safety: nursing team perspectives.

机构信息

Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brasil.

Universidade Estadual de Maringá, Programa de Pós-Graduação em Enfermagem, Maringá, PR, Brasil.

出版信息

Rev Esc Enferm USP. 2020 Sep 7;54:e03604. doi: 10.1590/S1980-220X2018053703604. eCollection 2020.

DOI:10.1590/S1980-220X2018053703604
PMID:32935752
Abstract

OBJECTIVE

To understand the relationship between accreditation and patient safety from the perspective of the nursing team.

METHOD

A descriptive-exploratory study implementing a qualitative approach. It was developed with nursing workers from two Intensive Care Units in a hospital certified in excellence by Brazilian accreditation. The participants responded to individual semi-structured interviews guided by the question: "Tell me about the relationship between accreditation and patient safety in this hospital and unit". The corpus was transcribed in full, and the thematic content analysis technique was used.

RESULTS

There were 14 professionals interviewed. There are several specific improvements in patient safety mediated by accreditation between the two emerging categories. The workers reported that at times the advances in safe care are transversally visible to the certification/maintenance of accreditation visit, and at times they point to safety as something independent of the quality seal.

CONCLUSION

It was concluded that the investigated relationship was shown to be both dependent, as accreditation is a bridge for specific improvements, as well as independent, since patient safety goes beyond the certification process itself. In this context, criticality was revealed among nursing workers.

摘要

目的

从护理团队的角度理解认证与患者安全之间的关系。

方法

这是一项描述性的探索性研究,采用定性方法进行。该研究在一家获得巴西认证卓越奖的医院的两个重症监护病房的护理人员中开展。参与者通过回答个人半结构化访谈问题来回应:“告诉我这家医院和病房的认证与患者安全之间的关系。” 全文转录了语料,并使用了主题内容分析技术。

结果

共采访了 14 名专业人员。在两个新兴类别中,认证在患者安全方面有几个具体的改进。工作人员报告说,有时安全护理的进步在认证/维护访问时是横向可见的,而有时则将安全视为独立于质量印章的东西。

结论

研究结果表明,调查结果表明,认证与患者安全之间的关系既是相互依赖的,因为认证是特定改进的桥梁,也是相互独立的,因为患者安全不仅仅是认证过程本身。在这种情况下,护理人员表现出了批判性。

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