Segurança do paciente no cenário do hospital psiquiátrico
The implementation of the Patient Safety Culture in health services and, more specifically, within the psychiatric hospital, can become a strong ally in the fight for more humanized and safe care. In this perspective, patient safety is seen as an important device regarding more qualified psychiatric...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/46971 |
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| Resumo: | The implementation of the Patient Safety Culture in health services and, more specifically,
within the psychiatric hospital, can become a strong ally in the fight for more humanized and
safe care. In this perspective, patient safety is seen as an important device regarding more
qualified psychiatric care. It is a qualitative research of the Convergent Assistance type. The
general objective of this study was the construction of the patient safety protocols for a
psychiatric hospital. For that, we sought to: identify the themes considered to be a priority for
the team to develop the protocols; verify the theoretical supports that give basis to the themes
worked; the definition of innovations necessary for the applicability of the protocols; and,
knowing the perception of research participants about the patient safety culture. The
investigation took place in a psychiatric hospital in the city of Natal/RN. The sample
consisted of 17 professionals, which was made up of the care team and members of the
management. Data collection occurred through face-to-face workshops, through the technique
of discussion in a Convergence Group, using the Arco de Maguerez methodology. To analyze
the data regarding the perception of the patient safety culture, the Collective Subject
Discourse method was used. The results of this study were organized into three topics,
namely: the characterization of the convergence group; The construction and presentation of
the protocols; Interdisciplinary Assistance Protocol for Evasion; and Interdisciplinary
Assistance Protocol for Suicide. The conception of the convergence group about the culture of
patient safety: five discourses of the collective subject were identified. The present study
resulted in important developments for the implementation of protocols and the beginning of
the implementation of the risk management culture, namely: the construction of the Adverse
Events Notification Form and the Daily Fall Risk Assessment form; training of professionals
regarding the application of protocols; training of the nursing staff regarding the use of the
Morse Fall Scale; and training of professionals about suicide and about the management of
patients with suicidal ideation. The use of a problematizing methodology and the collective
construction process were essential for the team's adhesion in the construction and
implementation of the products, and for the visualization and conduction of the developments
resulting from this research. |
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