Educational strategies capable of promoting a culture of patient safety in the surgical environment
DOI:
https://doi.org/10.33448/rsd-v12i6.42204Keywords:
Organizational Culture; Surgicenters; Perioperative Nursing; Patient Safety; Simulation training.Abstract
Objective: To map educational strategies capable of promoting a patient safety culture in the surgical environment. Method: Scope review based on the methodology proposed by the Joanna Briggs Institute. The searches were carried out from March to June 2022, in six databases, by two independent reviewers. Original articles in English, Portuguese and Spanish published between January 2016 and February 2022 were included. Results: The final sample consisted of 16 eligible articles. Most of the articles were published in 2018 (4; 25%) and 2021 (3; 18.7%), originating in the United States (5; 31.2%), the Netherlands (3; 18.7%) and Canada (2; 12.5%). The most prominent educational strategies were training, followed by videos and simulations. The educational strategies identified sought to promote, present, train and improve the skills of health professionals in relation to care practices and thus contribute to the promotion of a safety culture in the surgical environment. Conclusion and implications for practice: The study showed that the educational strategies employed promote integration and involvement of the health team. Through training, they seek improvement and support the dissemination of a safety culture.
References
Abreu, I. M., Rocha, R. C., Avelino, F. V. S. D., Guimarães, D. B. O., Nogueira, L. T. & Madeira, M. Z. de. A. (2019). Patient safety culture at a surgical center: the nursing perception. Rev Gaúcha Enferm., 40(esp):e20180198. https://doi.org/10.1590/1983-1447.2019.20180198.
Agência Nacional de Vigilância Sanitária (ANVISA). (2021). Avaliação Nacional da Cultura de Segurança do Paciente em Hospitais. Anvisa.
Ahn, S., & Lee N. J. (2021). Development and Evaluation of a Teamwork Improvement Program for Perioperative Patient Safety. J Nurs Res. 29(6). https://doi.org/10.1097/JNR.0000000000000460.
Almeida, P. P. (2019). Active methodologies for safety culture. Vigil Sanit Debate. 7(4), 96-103. https://doi.org/10.22239/2317-269X.01349.
Alvarez A. G., Dal Sasso, G. T. M., & Iyengar, M. S. (2018). Mobile persuasive technology for the teaching and learning in surgical safety: Content validation. Nurse Educ Today. (71), 129-134. https://doi.org/10.1016/j.nedt.2018.09.030.
Amante, L. N., Knihs, N. da. S., Antunes, L. Girondi, J. B. R., Farias, G. F. de. & Candemil, I. L. (2021). Problem Based Learning applied to nursing teaching by the virtual learning environment: qualitative study. Enferm Br. 20(1), 53-67. https://doi.org/10.33233/eb.v20i1.4456.
Andrade, A. C. L., Penteado, G. F. D. R., Braga, P. D. P. C., Mendes, S. P., & Cavalini, R. G. (2021). A percepção dos profissionais de saúde sobre a cultura de segurança do paciente em um hospital de ensino da grande São Paulo. Rease. 7(10), 231-236. https://periodicorease.pro.br/rease/article/view/2498.
Andrade, L. E. L., Lopes, J. M., Filho Souza, M. C. M. S., Júnior Vieira, R. F., Farias, L. P. C., Santos, C. C. M. D., et al. (2018). Patient safety culture in three Brazilian hospitals with different types of management. Ciênc Saúde Colet. 23(1), 161-172. https://doi.org/10.1590/1413-81232018231.24392015.
Ayisa, A, Gatahun, Y., & Yesuf, N. (2021). Patient Safety Culture and Associated Factors Among Health-Care Providers in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Drug Healthc Patient Saf. 2(13), 141-150. https://doi.org/10.2147/DHPS.S291012.
Bahar, S., & Önler, E., (2020). Turkish surgical nurses' attitudes related to patient safety: A questionnaire study. Niger J Clin Pract. 23(4), 470-475. https://doi.org/10.4103/njcp.njcp_677_18.
Batista, J., Cruz, E. D. D. A., Alpendre, F. T., Rocha, D. J. M. D., Brandão, M. B., & Maziero, E. C. S. (2019). Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil. Rev Lat Am Enfermagem. 27:e2939. https://doi.org/10.1590/1518-8345.2939.3171.
Batista, L. M. B. M., & Cunha, V. M. P. (2021). The use of active methodologies in teaching and learning practices. Rev Doc Disc. 2(1), 60-70. http:doi.org/10.7322/jhgd.v30.11112.
Bereta-Vilela, R. P., Sanfelice, F. A., Ruiz, P. B.O., Ruiz, P. B. O., Gouveia, J. L., & Jericó, M. C. (2020). The use of active learning method for patient safety discipline: an experience report. Rev Unifunec Cient Multid. 9(11), 1-13. https://doi.org/10.24980/rfcm.v9i11.4097.
Bohomol, E., & Tatarli, J. A. (2017). Use of scenarios for education about patient safety in a surgery center. Rev SOBECC. 22(3), 138-144. https://doi.org/10.5327/Z1414-4425201700030004.
Bolaños, L. P. (2022). Nursing perception. A current look at the safety culture in the operating room. Inv Enf. 22(22). https://doi.org/10.11144/Javeriana.ie22.pema.
Borchhardt, S. V. B., Rodrigues, S., Silva, S. M. S., Calvette, A. M., Rangel, R. F., & Siqueira, H. C. H. (2022). Care management for patient safety in the operationg room: contributions from nurses. Res Soc Develop. 11(6):e25711629075. https://doi.org/10.33448/rsd-v11i6.29075.
Buso, F. D. S., Ferreira, M. B. G., Felix, M. M. S., Galvão, C. M. Barichello, E., & Barbosa, M. H., (2021). Pressure injury related to surgical positioning and associated factors. Acta Paul Enferm. 34:eAPE00642. https://doi.org/10.37689/acta-ape/2021AO00642.
Carvalho, P. A., Amorim, F. F., Casulari, L. A., & Gottems, L. B. D. (2021). Safety culture in the perception of public-hospital health professionals. Rev Saude Publica. 55(56), 1-11. https://doi.org/10.11606/s1518-8787.2021055002838.
Clendinneng, D. (2020). Case study research on nurses' perceptions of various educational Strategies for learning perioperative non-technical skills. ORNAC Journal. 38(1), 12-40. https://www.proquest.com/openview/f3104540838193bc90fe139e4d0ce401/1?pq-.
Cruz, L. L., Neto, Silva, R. M., Ramos, J. L. S., Feitosa, N. K. A., Bezzera, I. M. P., & Garcia, C. L. (2021). Assessment of the culture of patient safety in the surgical center: a cross-sectional study. Nursing. 24(278): 5980-5988. https://doi.org/10.36489/nursing.2021v24i278p5980-5997.
Danko, C. L. (2019). The Effect of an Undergraduate Perioperative Nursing Course on Safety Knowledge. AORN J. 109(3), 346-354. https://doi.org/10.1002/aorn.12613.
Dezordi, C. C. M., Benett, S. A. W., Tanaka, A. K. R., Benetti, E. R. R., Treviso, P., & Carenato, R. C. A., et al. (2020). Safety climate in the operating room: attitudes of health professionals. Cogitare Enferm. 25:e65577. https://doi.org/10.5380/ce.v25i0.65577.
Dixon, J. L., Mukhopadhyay, D., Hunt, J., Jupiter, D., Smythe, W. R., & Papaconstantinou, H. T., (2016). Enhancing surgical safety using digital multimedia technology. Am J Surg. 211(6), 1095-1098. https://doi.org/10.1016/j.amjsurg.2015.08.023.
Dunstan, E., Coyer, F. (2020). Safety culture in two metropolitan Australian tertiary hospital intensive care units: A cross-sectional survey. Aust Crit Care. 33(1), 4-11. https://doi.org/10.1016/j.aucc.2018.11.069.
Erlinger, L. R., Bartlett, A., & Perez, A. (2019). High-Fidelity Mannequin Simulation versus Virtual Simulation for Recognition of Critical Events by Student Registered Nurse Anesthetists. AANA J. 87(2), 105-109. https://pubmed.ncbi.nlm.nih.gov/31587722/.
Fagundes, T. E., Acosta, A. S., Gouvea, P. B., Massaroli, R., Rangel, R. C. T., & Andrade, P. D. (2021). Patient safety culture in surgical center from perspective of the nursing team. J Nurs Health. 11(2):e2111219510. https://periodicos.ufpel.edu.br/ojs2/index.php/enfermagem/article/view/19510.
Ferreira, N. C. S., Ribeiro, L., Mendonça, E. T., & Amaro, M. O. F. (2019). Checklist for safe surgery: knowledge and use of the instrument from the perspective of nurse technicians. Rev Enferm Cent-Oeste Min. 08;9:e2608. https://10.19175/recom.v9i0.2608.
Garcia, C. T. F., Mertins, S. M., Santos, E. B., Sartor, L., Purolnik, M., & Georgen, C. (2019). Uso de metodologias ativas como prática para educação continuada em enfermagem em uma organização hospitalar [Internet]. 6° Congresso Internacional em Saúde (CIS Saúde). https://publicacoeseventos.unijui.edu.br/index.php/conintsau/article/view/11297.
Govêia, C. S., Tardelli, M. A., Albuquerque, M. A. C., Nunes, R. R., & Curi, E. F. (2020). Complicações e eventos adversos em anestesia [Internet]. Rio de Janeiro: Sociedade Brasileira de Anestesiologia. https://saes.org.br/images/meta/0f132de0-3693-4884-87be-a2618a62c884/133/complicac-o-es-e-eventos-adversos-em-anestesia.pdf.
Gutierres, L. S., Menegon, F. H. A., Lanzoni, G. M. M., Silva, R. M., Lopes, S. G., & Santos, J. L. G. (2020). Difficulties of nurses in patient safety in the surgical center: an exploratory study. Online Braz J Nurs. 19(4). https://doi.org/10.17665/1676-4285.20206438.
Habahbeh, A. A., & Alkhalaileh, M. A. (2020). Effect of an educational programme on the attitudes towards patient safety of operation room nurses. Br J Nurs. 29(4), 222-228. https://doi.org/10.12968/bjon.2020.29.4.222.
Handley, M. A., Lyles, C. R., McCulloch C, & Cattamanchi A. (2018). Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Annu Rev Public Health. 39, 5-25. https://doi.org/10.1146/annurev-publhealth-040617-014128.
Heidmann, A., Trindade, L. F., Schmidt, C. R., Loro, M. M., Fontana, R. T., & Kolankiewicz, A. C. B. (2019). Contributive factors for the consolidation of patient safety culture in the hospital environment. Esc Anna Nery. 24(1): e20190153. https://doi.org/10.1590/2177-9465-EAN-2019-0153.
Jowsey, T., Beaver, P., Long, J., Civil, I., Garden, A. L., Henderson, K., et al. (2019). Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis. BMJ Open. 31;9(10):e027122. https://doi.org/10.1136/bmjopen-2018-027122.
Kaldheim, H. K. A., Fossum, M., Munday, J., Johnsen, K. M. F., & Slettebo, A. (2020). A qualitative study of perioperative nursing students' experiences of interprofessional simulation‐based learning. J Clin Nurs. 27(30). 1-2. https://doi.org/10.1111/jocn.15535.
Kandler, L., Tscholl, D. W., Kolbe, M., Seifert, B., Spahn, D. R., & Noethiger, C. B. (2016). Using educational video to enhance protocol adherence for medical procedures. Br J Anaesth. 116(5), 662-669. https://doi.org/10.1093/bja/aew030.
Knihs, N. S., Girondi, J. B. R., Nascimento, K. C., Amante, L. N., Bellaguarda, M. L. R., Sebold, L. F., et al. (2021). Planning and development of empathic educational pedagogical practice in the process of death and dying: A pilot test. J Nurs Educ Pract. 11(10), 63-73. https://doi.org/10.5430/jnep.v11n10p63.
Knipe, G. A., Sherry, D. F., & Donatello, R. A. (2020). Deliberate Practice in Simulation: Evaluation of Repetitive Code Training on Nursing Students’ BLS Team Skills. Clin Simul Nurs. (48), 8-14. https://doi.org/10.1016/j.ecns.2020.08.001.
Krauzer, I. M., Dall’Agnoll, C. M., Gelbcke, F. L., Lorenzini, E., & Ferras, L. (2018). The construction of assistance protocols in nursing work. Rev Min Enferm. 22:e1087. https://doi.org/10.5935/1415-2762.20180017.
Kurup, V., Matei, V., & Ray, J. (2017). Role of in-situ simulation for training in healthcare. Curr Opin Anaesthesiol. 30(6), 755–760. https://doi.org/10.1097/ACO.0000000000000514.
Lagoo, J., Singal, R., Berry, W., Gawande, A., Lim, C., Paibulsirijit, S., et al. (2019). Development and Feasibility Testing of a Device Briefing Tool and Training to Improve Patient Safety During Introduction of New Devices in Operating Rooms: Best Practices and Lessons Learned. J Surg Res. 244:579-586. https://doi.org/10.1016/j.jss.2019.05.056.
Leal, P. C. S. (2020). Education in front of a new paradigm: distance learning came to stay. Gestão & Tecnologia. 1(30), 41-43. https://www.faculdadedelta.edu.br/revistas3/index.php/gt/article/view/44.
Leong, K. B. M. S. L., Hanskamp-Sebregts, M., Van Der Wal, R. A., & Wolff, A. P. (2017). Effects of perioperative briefing and debriefing on patient safety: a prospective intervention study. BMJ Open. 7(12):e018367. https://doi.org/10.1136/bmjopen-2017-018367.
Lozito, M., Whiteman, K., Swanson-Biearman, B., Barkhymer, M., & Stephens, K. (2018). Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 107(6), 705-714. https://doi.org/10.1002/aorn.12148.
Maya, A. M. S., & Martin, D. M. R. (2020). Patient Safety Culture Observed at Six Surgical Centers in Antioquia, Colombia. Rev Cuid. 11(2):e1040. https://doi.org/10.15649/cuidarte.1040.
Miller, C. J., Smith, S. N., & Pugatch, M. (2020). Experimental and quasi-experimental designs in implementation research. Psychiatry Res. 283:112452. https://doi.org/10.1016/j.psychres.2019.06.027.
Ministério da Saúde (BR). (2013). Portaria Nº 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente. Brasília: Ministério da Saúde.
Monahan, J. J. (2018). Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 108(5), 548-552. https://doi.org/10.1002/aorn.12394.
Mucelini, F. C., Matos, F. G. O. A., Silva, E. B., Alves, D. C. I., Nishiyama, J. A. P., & Oliveira, J. L. C. (2021). Patient safety climate surgical: team evaluation multidisciplinary. Rev SOBECC. 26(2), 91-98. https://doi.org/10.5327/Z1414-4425202100020005.
Nagel, M. V. O. S., Santos, R. K., Araujo, B. R., Viégas, K., & Caregnato, R. C. A. (2022). Perioperative patient safety: active methodologies as teaching-learning-assessment strategies. Rev SOBECC. 27:e2227762. https://doi.org/10.5327/Z1414-4425202227762.
Odell, D. D., Quinn, C. M., Matulewicz, R. S., Johnson, J., Engelhardt, K. E., Stulberg, J. J., et al. (2019). Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Improvement Collaborative. J Am Coll Surg. 229(2), 175-183. https://doi.org/10.1016/j.jamcollsurg.2019.02.046.
Oliveira, J. R., Rodrigues, S. G., Rangel, K. P., Freitas, P. S. S., Moreira, R. S. L, & Fiorin, B. H. (2019). A avaliação dos eventos adversos relacionados ao procedimento cirúrgico no ambiente hospitalar: uma revisão na literatura. Nursing. 22(258), 3274-3279. https://doi.org/10.36489/nursing.2019v22i258p3273-3278
Paulino, D. B., Rosa, G. F. C., Alves, G. H. F., Barros, M. C. V., Oliveira, B. C., & Raimondi, G. A. (2019). Role-Play as a Pedagogical Strategy to Problematize the Lines of Comprehensive Health Care for Adolescents and Young People. Rev Bras Educ Med. (43), 662-671. https://doi.org/10.1590/1981-5271v43suplemento1-20180151.
Rocha, R. C., Abreu, I. M., Carvalho, R. E. F. L., Rocha, S. S., Madeira, M. Z. A., & Avelino, F. V. S. D. (2021). Patient safety culture in surgical centers: nursing perspectives. Rev Esc Enferm USP. 55:e03774. https://doi.org/10.1590/S1980-220X2020034003774.
Sachedina, A. K., Blisset, S., Remtulla, A., Sridhar, K., & Morrison, D. (2019). Preparing the Next Generation of Code Blue Leaders Through Simulation: What's Missing?. Simul Healthc. 14(2), 77-81. https://doi.org/10.1097/SIH.0000000000000343.
Santiago, C., Smith, O., Butorac, E., Lewis, E., Mustard, M., Poon, L., et al. (2020). Intensive care unit nurse satisfaction with medication manage-ment before and after introduction of an electronic medication management system. Can J Crit Care Nurs. 31(2), 20-28. https://web.s.ebscohost.com/ehost/detail/detail?vid=0&sid=0343cc91-02f0-4a15-88f6-040b85e81315%40redis&bdata=Jmxhbmc9cHQtYnImc2l0ZT1laG9zdC1saXZl#db=c8h&AN=145972657.
Santos, A. D., Pierobon, N., Zarichen, F. A., Wibbelt, G. L., Bertoni, A. P. M., Mota, C. C., et al. (2021). Adverse events in surgical patients: An integrative review. Res Soc Dev. 10(4):e16810413896. https://doi.org/10.33448/rsd-v10i4.13896.
Santos, K. C. B., Diniz, A. S. S., Nogueira, J. S., Rolim, I. L. T. P., & Sardinha, A. H. L. (2019). Communication and interpersonal relationship in the surgical center: application of the problematization methodology. Revista Eletrônica Acervo Saúde. 26(24). https://doi.org/10.25248/reas.e698.2019.
Schaap, M., Hanskamp-Sebregts, M., Merkx, T. M. A. W., Heideveld-Chevalking, A. A. J., & Meijerink, J. W. J. H. J. (2021). Long-term effects of perioperative briefing and debriefing on team climate: A mixed-method evaluation study. Int J Clin Pract. 75(3):e13689. https://doi.org/10.1111/ijcp.13689.
Sebold, L. F., Boell, J. E. W., Fermo, V. C., Girondi, J. B. R., & Santos, J. L.G. (2018). Role-playing: teaching strategy that encourages reflections on nursing care. Rev Bras Enferm. (71), 2867-73. https://doi.org/10.1590/0034-7167-2017-0733.
Silva Júnior, J. F., Jesus, Júnior, P. J., Carvalho, T. A., Aguiar, M. P. C., Mendonça, B. S. C., & Lordelo, S. D. (2020). Patient safety culture: perceptions and attitudes of surgical center workers. Rev SOBECC. 25(3), 136-142. https://doi.org/10.5327/Z1414-4425202000030003.
Smiley, K., Ofori, L., Spangler, C., Acquaah-Arhin, R., Deh, D., Enos, J., et al. (2019). Safety culture and perioperative quality at the volta river authority hospital in Akosombo, Ghana. World J Sur. 43(1), 16-23. https://doi.org/10.1007/s00268-018-4763-y.
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 169(7), 467-73. https://doi.org/10.7326/M18-0850.
Van Dalen, A. S. H., Swinkels, J. A., Coolen, S., Hackett, R., & Schijven, M. P. (2022). Improving teamwork and communication in the operating room by introducing the theatre cap challenge. J Perioper Pract. (32), 4-9. https://doi.org/10.1177/17504589211046723.
Vitorino, M., Aguiar, P., & Sousa, P. (2020). In-hospital adverse drug events: analysis of trend in Portuguese public hospitals. Cad Saúde Pública. 36(3):e00056519. https://doi.org/10.1590/0102-311X00056519.
Weiser, M. R., Gonen, M., Pottinger, T., Samedy, P., Patel, D., Smith, J. J. et al. (2018). Effectiveness of a multidisciplinary patient care bundle for reducing surgical-site infections. Br J Surg. 105(12), 1680-1687. https://doi.org/10.1002/bjs.10896.
Weller, J., Long, J. A., Beaver, P., Cumin, D., Frampton, C., Garden, A. L., et al. (2020). Evaluation of the effect of multidisciplinary simulation-based team training on patients, staff and organisations: protocol for a stepped-wedge cluster-mixed methods study of a national, insurer-funded initiative for surgical teams in New Zealand public hospitals. BMJ Open. 10(2):e032997. https://doi.org/10.1136/bmjopen-2019-032997.
Westbrook, J., Sunderland, N. S., Woods, A., Raban, M. Z., & Gates, P., Li, L. (2020). Changes in medication administration error rates associated with the introduction of electronic medication systems in hospitals: a multisite controlled before and after study. BMJ Health Care Inform. 27:e100170. https://doi.org/10.1136/bmjhci-2020-100170.
White, N. J., Reitzel, S. L., Weinstein, T. I., & Samuel, T. L. (2021). Improving operating room culture and efficiency through professional development and implementation of communication strategies. Int J Surg Med. 7(2), 14-19. https://doi.org/10.5455/ijsm.Improving-Operating-Room-Culture.
Zanetti, A. C. B., Gabriel, C. S., Dias, B. M., Bernardes, A., Moura, A. A., Gabriel, A. B, et al. (2020). Assessment of the incidence and preventability of adverse events in hospitals: an integrative review. Rev Gaúcha Enferm. 41:e20190364. https://doi.org/10.1590/1983- 1447.2020.20190364.
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