Práticas educativas para a promoção de uma cultura de segurança do paciente em um Hospital de Ensino : um estudo de caso.

Abstract

This thesis addresses the issue of educational practices developed in a teaching hospital for the promotion of a Patient Safety Culture, a topic that is considered one of the six attributes of quality of care. The culture of an institution is understood as the result of values and beliefs that guide managers' decisions and the paths to be followed at all levels of the organizational structure. The general objective of the study is to describe and analyze the educational practices for the promotion of the Patient Safety Culture developed in a teaching hospital and to understand how these are linked to the care work, according to nursing professionals from the same institution. The research is a case study type with a qualitative approach, having been carried out in a Teaching Hospital in Vale do Rio Pardo, located in the interior of Rio Grande do Sul. Study participants were assistant and managerial nurses and nursing technicians. The techniques used for the production of information were the focus group (FG), and the individual semi-structured interview, carried out via Google Meet from January to May. The content analysis was based on the operative proposals of Bardin (1977) and Triviños (1987). The research took place during the COVID-19 pandemic, being influenced by the pandemic scenario. Among the main results, the study revealed that the educational practices carried out by the hospital involve formal, non-formal and informal education, with training being the main tool for the continuing education of its workers. The study institution has been working to promote the Patient Safety Culture through work groups, training and safe practices involving the six goals of the National Patient Safety Program, however, it is clear that professionals absorb what they consider important for their daily work activity based on their beliefs and values, according to what they believe and recognize as important based on their experiences. All professionals understand and consider the importance of educational practices and patient safety for the promotion of a Patient Safety Culture, however, patient care happens, in many moments, in a mechanized way due to the lack of time for the carrying out assistance activities. The study reaffirms the fact that working conditions influence patient safety and the quality of health services. It is considered that the research results are relevant and contribute to the advancement of knowledge on the subject of educational practices for the promotion of the Patient Safety Culture.