Detalhes bibliográficos
| Ano de defesa: |
2024 |
| Autor(a) principal: |
Santos, Jânia Oliveira
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| Orientador(a): |
Bezerra, Ana Lúcia Queiroz
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| Banca de defesa: |
Bezerra, Ana Lúcia Queiroz,
Paranaguá, Thatianny Tanferri de Brito,
Souza, Adrielle Cristina Silva,
Barbosa, Maria Alves,
Suzuki, Karina |
| Tipo de documento: |
Tese
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| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Federal de Goiás
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| Programa de Pós-Graduação: |
Programa de Pós-graduação em Enfermagem (FEN)
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| Departamento: |
Faculdade de Enfermagem - FEN (RMG)
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| País: |
Brasil
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| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Palavras-chave em Espanhol: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://repositorio.bc.ufg.br/tede/handle/tede/13811
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Resumo: |
INTRODUCTION: Patient involvement in medication administration has gained prominence since the publication of the Third Global Patient Safety Challenge in 2017. Incidents related to health practices in national and international scenarios, with emphasis on medication errors and adverse events, are independent of strategies implemented in recent decades to reduce them. It is believed that patients, when trained, are able to identify and intervene to avoid errors, constituting the last real barrier to preventing incidents related to medication administration. GENERAL OBJECTIVE: To analyze patients' experiences regarding nursing professionals' care practices and personal strategies to promote their involvement in safe care, in the medication administration stage, during hospitalization. METHODOLOGY: This is a single, descriptive case study with a qualitative approach. Sixty-four patients from a public hospital in the North Region of Brazil participated. Data were collected from June to August 2022 through semi-structured interviews. Descriptive statistics and content analysis were used according to Bardin's assumptions. The project was approved by the Research Ethics Committee, opinion No. 5,348,969. RESULTS: Most participants (72%) were male; 25% were between 31 and 40 years old; 22% were 61 years old or older. Of these, 67% completed the eighth grade; 11% had higher education and 3% were illiterate. Content analysis allowed the creation of four thematic categories: 1. Incidents in medication administration, concepts and experiences; 2. Nursing team care practices that enhance or weaken patient involvement in the medication administration stage; 3. Patient strategies for preventing incidents in the medication administration stage and 4. Patient experience for their safety during medication administration. Predominantly, patients understand the meaning of incidents in medication administration, and that they occur for various reasons; that among the care practices to enhance patient involvement in medication safety, professional/patient relationships and communication stand out as tools to improve the quality of guidance on the safe use of medications. The factors that weaken this are predominantly related to the management of the health service, with emphasis on the professional's attitude and communication. The following strategies were highlighted as patients' strategies for preventing incidents: asking about medications and observing procedures. Patients predominantly feel safe regarding the use of medications during hospitalization, because they trust the multidisciplinary team. FINAL CONSIDERATIONS: The study contributes to the care and organizational context by enabling practical reflections on patient participation in care based on their experiences as barriers to incident prevention and pointing out strategies adopted to increase their safety in care at the medication administration stage. The explicit evidence in the context of this study shows paths to follow, especially by strengthening the process of permanent education of the multidisciplinary team, aiming to value the practice of patient involvement for safe care in a hospital environment. |
