Segurança do paciente e a interface com o trabalho em turnos de técnicos de enfermagem

Abstract

The following study aimed to identify the perceptions on patient safety,safety actions carried out in the clinical unit, and gather suggestions for improving patient safety practicesby nursing technicians who work in shifts. It is characterized as an exploratory and descriptive research with a qualitative approach, developed in a private hospital in the Northwesternregion of the state of Rio Grande do Sul. Fourteen nursing technicians working for a medical unit of the hospital have taken part of the study, meeting the inclusion criteria as it follows: having a minimum of six months of experience in the Clinical Unit and being a nursing technician. Data collection occurred from April to June 2017, through semi-structured interviews and systematic non-participant observation. For assessment of the data obtained, it has been applied Thematic Content Analysis proposed by Minayo. The recommendations set out in Resolution # 466/2012 of the National Health Council have been followed, regarding the regulatory standards for research involving human subjects, with approval by the Ethics Committee of the UFSM No 65333317.3.0000.5346 and Opinion Number: 1982855. The analyses of the statements of participants and records of the observations were organized in three thematic categories: care of systematic practices designed to promote patient safety; patient safety and their interfaces in nursing shifts; and patient safety: what to do to improve? The systematic practices of care to promote patient safety involve, besides the respect to ministerial protocols implemented in the institution, a new perception of the worker to the changes taking place in favor of patient safety, such as the inclusion of the patient and companion in the care process. Perceptions regarding the safety of the patient and the interfaces in nursing work pervade by aspects related to knowledge of patient safety, personal organization, teamwork, and routines inherent to the work shift. The suggestions refer to training in shifts and workplace, constant reminders, especially on the checking of the “novecertos” for medication administration, the importance of the partner's presence, and the need for improvement in physical resources. It was concluded that the study participants were aware of the actions related to patient safety according to institutional protocols deployed and sought to develop safe care in their working shifts.