(Des)encontros dos conhecimentos formais e experienciais no trabalho de segurança do paciente na enfermagem.

Abstract

The current scenario of health institutions is compound by a series of factors in constant mutation, in which the search for quality and safety in attendance has been a differential. In the context of this reality, which also involves constant technological renewal, they are inserted the nursing workers, like this researcher. Precisely for worrying with this scenario and being inserted it, that there is the intention to search on the subject of safety of patients. Therefore, we seek to understand how the health work is organized and how current conditions in which it is developed. Aware that this practice occur concomitant with the use and applicability of diverse knowledge, the research problematic arises: in which way the nursing team workers use their knowledge and experience in their professional activities, in benefit to the patient’s safety in a medium-sized hospital located in the countryside of Rio Grande do Sul. As the main objective of this research we propose to describe, understand and analyze, as workers of the nursing staff perceive the relationship between the formal and experiential knowledge in patient care based on care insurance. The research was developed as a qualitative study using semi-structured interview as instrument performed with nursing technicians and nursing assistants· members of the Patient Safety Nucleus (NPS) of the institution. From the tabulation of information was elected four categories of analysis that discourse on formal and experiential knowledge, care, and organization and the workload and continuing education in health concluded that the research subject’s employees use diverse knowledge to compose your work practice by setting a move between formal and experiential knowledge, which we call here the “agreement” and “disagreement”. In each activity to be developed, each procedure to be executed, the nursing professional, in a dynamic manner decides which knowledge will be used and which the best method to relate them. Moreover, nursing professionals identify as positive educational interventions proposed by the institution, believing that they help in the improvement of their working activities related to safe care.