Communication and patient safety in an Intensive Care Unit: prospects of the multiprofissional health team
DOI:
https://doi.org/10.33448/rsd-v10i13.20898Keywords:
Quality of Health Care; Patient Safety; Health Communication; Patient Care Team; Intensive care units.Abstract
The objective of this study was to evaluate the patient safety culture related to communication in an Adult Intensive Care Unit of a hospital in the interior of the state of Rio Grande do Sul from the perspective of the multiprofessional health team. This is a survey study, carried out in October 2019, which used the Hospital Survey on Patient Safety Culture questionnaire for data collection, and for the purposes of this study, the dimensions "Openness to communication" and "Shift and internal transfers" were evaluated, thus constituting 7 items. The survey had the participation of 54 health professionals, being the majority nursing technicians (48.15%), female (75.93%), aged between 20 and 29 years (61.11%), with time of work in intensive care units between 1 and 5 years (46.30%). The dimension "openness for communication" received and 59.26% of positive answers, being considered neutral and the dimension "change of shifts and internal transfers" received 33.80%, being considered fragile. It was evident that in the analysis of the two dimensions there are weaknesses in patient safety in the intensive care unit in the aspect evaluated, highlighting the need to discuss the issue in the unit under study and in all units of the hospital.
References
Bagnasco, A., Costa, A., Catania, G., Zanini, M., Ghirotto, L., Timmins, F., & Sasso, L. (2019). Improving the quality of communication during handover in a Paediatric Emergency Department: a qualitative pilot study . Journal of Preventive Medicine and Hygiene, 60(3), e219-e225.
Biasibetti, C., Hoffmann, L. M., Rodrigues, F. A., Wegner, W., & Rocha, P. K. (2019). Comunicação para a segurança do paciente em internações pediátricas. Revista Gaúcha de Enfermagem. 40(esp), e20180337.
Bohrer, C. D., Marques, L. G. S., Vasconcelos, R. O., Oliviera, J. L. C., Nicola, A. L., & Kawamoto, A. M. (2016). Comunicação e cultura de segurança do paciente no ambiente hospitalar: visão da equipe multiprofissional. Revista Enfermagem da UFSM. 6(1), 50-60.
Bruton, J., Norton, C., Smyth, N., Ward, H. & Day S. (2016). Nurse handover: patient and staff experiences. British Journal of Nursing, 25(7), 386-393.
Burgener, A. (2020). Enhancing Communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 6(3), 238–243.
Cervi, C., Blumke, A. C. & Blumke. (2021). Diminuição de barreiras organizacionais: a comunicação interna como estratégia de gestão hospitalar. Revista de Gestão em Sistemas de Saúde, 9(2), 173-192.
Felipe, T. R. L. & Spiri, W. C. Construção de um instrumento de passagem de plantão. Revista Enfermagem em Foco, 76-82.
Kruschewsky, N. D., Freitas K. S. & Filho, A. M. S. (2021). Cultura de segurança do paciente em terapia intensiva: revisão integrativa. Revista Baiana de Enfermagem, 35:e37164.
Lemos, G. S., Mota, I. V. R, Reis, A. M. M., Perini, E., Rosa, M. B. & Pádua, C. A. M. (2021). Cultura de segurança do paciente e notificação de eventos adversos de equipe multiprofissional de saúde. Research, Society and Development, 10(8), e27410817291.
Lippke, S., Wienert, J., Keller, F. M., Derksen, C., Welp, A., Kotting, L., Hofreuter-Gatgens, K., Muller, H., Louwen, F., Weigand, M., Ernst K., Reister, F., Polasik, A., Seemann, B. H. N., Jennewein, L., Scholz, C. & Hannawa. (2019). Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study. BMC Health Services Research, 19:908.
Madalozzo, M. M., Lucas, J. I. P., Marcon, S. R. A., Souza, A. S., Michelin, F. T. & Hoffman S. P. (2021). Cultura de segurança do paciente em um hospital acreditado de alta complexidade. Research, Society and Development, 10(6), e55510616113.
Massaroli, A., Rodrigues, M. E. C., Kooke, K., Pitilin, E. B., Haag, F. B. & Araújo, J. S. (2021). Avaliação da cultura de segurança do paciente em um hospital do sul do Brasil. Ciencia y Enfermeria, 27:10.
Mello, J. F., & Barbosa, S. F. F. (2017). Patient safety culture in an intensive care unit: the perspective of the nursing team. Revista Eletrônica de Enfermagem, 19, a07.
Methangkool, E., Tollinche, L., Sparling, J., & Agarwala, AV. (2019). Communication: Is There a Standard Handover Technique to Transfer Patient Care? International Anesthesiology Clinics. 57(3), 35-47.
Minuzzi, A.P., Salum, N. C., Locks, M. O. H, Amante, L. N., & Matos, E. (2016). Contribuições da equipe de saúde visando à promoção da segurança do paciente no cuidado intensivo. Escola Anna Nery. 20 (1), 121-129.
Nogueira, J. W. S. & Rodrigues, M.C.S. (2015). Comunicação efetiva no trabalho em equipe em saúde: desafio para a segurança do paciente. Cogitare Enfermagem, 20(3), 636-640.
Olds, D. M, Aiken, L. H., Cimiotti, J. P. & Lake, E. T. (2017) Association of nurse work environment and safety climate on patient mortality: A cross-sectional study. International Journal of Nursing Studies, 74:155e161.
Olino, L., Gonçalves, A.C., Strada, J.K.R., Vieira, L.B., Machado, M.L.P., Molina, K.L., & Cogo, A.L.P. (2019). Comunicação efetiva para a segurança do paciente: nota de transferência e Modified Early Warning Score. Revista Gaúcha de Enfermagem. 40(esp), e20180341.
Oliveira, R. M., Silva, L. M. S., Guedes, M. V. C., Oliveira, A. C. S., Sánchez, R. G., & Torres, R. A. M. (2016). Analyzing the concept of disruptive behavior in healthcare work: an integrative review. Revista da Escola de Enfermagem da USP. 250(4), 690-9.
Pereira, F. S., Silveira, M. S., Hoffmann, L. M., Peres, M. A., Breigeiron, M. K. & Wegner W. (2021). Perception of the multi-professional team regarding the safety of pediatric patients in critical áreas. Revista Enfermagem da UFSM, 11 (e42):1-20.
Reis, C. T., Laguardia, J., Vasconcelos, A. G. G. & Martins M. (2016). Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study. Cadernos de Saúde Pública, 32:e00115614.
Silva, M. F., Anders, J. C., Rocha, P. K., Souza, A. I. J, & Burciaga, V. B. (2016). Comunicação na passagem de plantão de enfermagem: segurança do paciente pediátrico. Texto & Contexto Enfermagem. 25(3), e3600015.
Silva, M. R., Rodovalho, A. P. N., Alves, L. R., Camelo S. H. H., Laus, A. M. & Chaves, L. D. P. (2017). Passagem de plantão em enfermagem hospitalar: uma revisão integrativa. Revista Cuidarte, 11(1), 122-130.
Sorra J., Gray, L., & Streagle, S.(2018). AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. AHRQ Publication Agency for Healthcare Research and Quality., n. 18-0036-EF.
Tartaglia, A., Silva M. G., Portela, S. D. C., Santos, R. M., Mendes, A. C., & Andrade, E. C. L. (2018). Comunicação, comportamentos destrutivos e segurança do paciente. Revista SOBECC. 23(4), 226-30.
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Copyright (c) 2021 José Augustinho Mendes Santos; Amuzza Aylla Pereira dos Santos; Mari Ângela Gaedke; Isabel Comassetto; Patrícia de Carvalho Nagliate; Fernanda Ribeiro Gallisa; Estherfane Ribeiro de Lima; Diana Hadaça de Lima Araújo Vilela; Anna Paula Ferreira Ferro; Amanda Maria Silva da Cunha
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