Hemşirelerin Hasta Güvenliği ve Hemşirelik Uygulamasındaki Hatalarla İlişkili Algıları: Nitel Bir Çalışma

Yıl 2024, Cilt: 13 Sayı: 1, 90 - 104, 27.03.2024

Ana Luiza Ferreira Aydoğdu

https://doi.org/10.37989/gumussagbil.1366537

Öz

Sağlık sektöründeki tüm gelişmelere rağmen, hastaların güvenliğini tehdit eden birçok advers olay hala meydana gelmektedir. Bu hatalar arasında hemşirelikle ilgili olanlar da bulunmaktadır. Bu çalışma, hemşirelerin hasta güvenliği ve hemşirelik uygulamasındaki hatalarla ilişkili algılarını belirlemeyi amaçlamaktadır.
Bu, nitel bir yaklaşıma sahip betimsel bir çalışmadır. Bir çevrimiçi, açık uçlu anket kullanılmıştır. Brezilya’nın farklı bölgelerindeki çeşitli sağlık kuruluşlarından toplam 47 hemşire çalışmaya katılmıştır. Nitel içerik analizi kullanılmıştır.
Beş tema belirlenmiştir: (1) hemşirelik uygulamalarında en yaygın yapılan hatalar; (2) hemşirelik uygulaması sırasında meydana gelebilecek hatalarla ilişkili duygular; (3) hemşirelik uygulamalarındaki hataları önlemek için alınan tedbirler; (4) hemşirelik uygulamalarındaki hataları takip eden eylemler ve (5) hemşirelik uygulamalarındaki hataların nedenleri. Elde edilen sonuçlar, ilaç uygulamaları, hasta tanılama, hasta mobilizasyonu, el hijyeni ve hemşirelik kayıtları ile ilgili hataların özel dikkat gerektirdiğini vurgulamaktadır. İş koşullarının olumsuzluğundan kaynaklanan engeller, yetersiz iletişim, akademik ve hizmet içi eğitimlerdeki eksiklikler ve dikkat dağıtıcılar hemşirelik uygulamalarındaki hataların nedenleri olarak tanımlanmıştır.
Eğitim ve sağlık kuruluşlarının yöneticileri, hemşirelik eğitmenleri ve yöneticileri, hemşirelik uygulamalarındaki hataları önlemek için

Anahtar Kelimeler

Nitel Araştırma, Sağlık Hizmeti Kalitesi, Hasta Güvenliği, Neredeyse Hata, Yönetici Hemşireler

Etik Beyan

The Research Ethics Committee of the Anna Nery School of Nursing – Sao Francisco de Assis School Hospital of the Federal University of Rio de Janeiro reviewed and approved (approval date: July 11, 2023; decision number: 6.175.577). The ethical principles for medical research on human subjects established by the Declaration of Helsinki were followed.

Nurses’ Perceptions of Patient Safety and Errors in Nursing Practice: A Qualitative Study

Öz

Despite all the advances in the healthcare sector, many adverse events that threaten patient safety still occur. Among these errors are those involving nursing. The study aimed to explore nurses’ perceptions regarding patient safety and errors in nursing practice.
This is a descriptive study with a qualitative approach. An online, open-ended questionnaire was used. A total of 47 nurses from various healthcare institutions in different regions of Brazil took part in the study. Qualitative content analysis was carried out.
Five themes were identified: (1) most common errors made during nursing practice; (2) feelings regarding errors that can occur during nursing practice; (3) measures taken to prevent errors during nursing practice; (4) actions taken after errors occurred during nursing practice, and (5) reasons for errors during nursing practice. The obtained results highlight that errors in medication administration, patient identification, patient mobilization, hand hygiene, and nursing documentation require special attention. Barriers caused by inadequate working conditions, poor communication, deficiencies in academic education, lack of in-service training and distractions were identified as reasons for errors in nursing practice.
Administrators of educational and healthcare institutions, along with nursing educators and managers, play essential roles in developing strategies to prevent errors in nursing practice.

Anahtar Kelimeler

Qualitative Research, Quality of Health Care, Patient Safety, Near Miss, Nurse Administrators

Kaynakça

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