Objective To analyse how therapeutic play structured in a nursing care model contributes to the care of hospitalised children. Method This is a qualitative study based on convergent care research (CCR). Seven children participated in the study. Data were collected in September and October of 2014 by means of interviews with open-end questions and participant observation of therapeutic and dramatic play sessions and/or instructional play sessions based on the stages "Welcoming/Playing/Concluding" of the nursing model Care with Play. Data were analysed according to the analysis and interpretation stages of the CCR. Results The following three categories emerged: Meanings attributed by the child to hospitalisation and its influence on nursing care; Perception of the therapeutic procedures through therapeutic play, and Importance of the family in care. Final considerations It is concluded that the application of therapeutic play structured in the care model contributes to systematic and specialised nursing care.
This quantitative, survey type study aimed to analyze the patient safety culture of the nursing and medical teams of public hospitals of Florianopolis. A total of 141 professionals participated, with data collected between February/April 2013, after approval by the Ethics Committee. The Hospital Survey on Patient Safety Culture was used and the 12 dimensions of the culture were evaluated. Descriptive analysis was performed, classifying the dimensions into areas of strength or critical areas. Despite not verifying a specific area of strength, the dimensions with the best evaluation were Supervisor/manager expectations and actions promoting safety and Organizational learning -continuous improvement. The dimensions with the highest percentage of negative responses, identified as critical were: Non-punitive response to errors and Management support for safety. The safety culture in the Neonatal Intensive Care Units presented aspects that could potentially become areas of strength. Cultural changes are necessary, especially in addressing errors. EVALUACIÓN DE LA CULTURA DE LA SEGURIDAD DEL PACIENTE EN CUIDADOS INTENSIVOS NEONATALRESUMEN: Estudio cuantitativo, tipo survey, con la finalidad de analizar la cultura de seguridad del paciente del personal de enfermería y médico de cuatro hospitales públicos. Fueron añadidos 141 profesionales. Los datos recolectados entre febrero/abril de 2013, con la aplicación del Hospital Survey on Patient Safety Culture. Fue utilizada estadística descriptiva, clasificando las dimensiones por áreas de fortaleza o crítica. A pesar de no ocurrir un área de fuerza particular, se destacaron como las mejores áreas las Expectativas y acciones del supervisor/jefe para la promoción de la seguridad, y, Aprendizaje organizacional -mejora continua. Como área crítica se identificaron: Respuesta no punitiva al error y Apoyo a la gestión hospitalaria para la seguridad. La cultura de seguridad en las Unidades de Cuidados Intensivos Neonatales tiene potencial para convertirse en área fuerte. Llegamos a la conclusión de que se necesitan cambios culturales, especialmente en el tratamiento de errores. DESCRIPTORES:Seguridad del paciente. Cultura organizacional. Enfermería neonatal. Unidades de Cuidado Intensivo Neonatal.
A utilização de diferentes referenciais metodológicos tem sido uma busca constante na prática de pesquisa em distintas áreas do conhecimento. A enfermagem, neste sentido, tem buscado fundamentar suas pesquisas em referenciais diversificados como forma de ampliar seu corpo de conhecimentos. Desta forma, este artigo tem como objetivo tecer algumas considerações e reflexões acerca da utilização e contribuições da fenomenologia enquanto método de pesquisa na área da Enfermagem, por meio de um resgate de seus principais pressupostos orientadores, bem como, da aplicabilidade da mesma em trabalhos da área. Assim, reafirmamos a importância da fenomenologia como referencial não só metodológico, mas também teórico-filosófico, para a pesquisa em enfermagem.
Qualitative, exploratory-descriptive study. The aim of this study was to discover how nursing professionals perceive the communication during shift handover and its repercussion in pediatric patient safety. This study was performed at a Pediatric Inpatient Unit of a University Hospital in the South of Brazil. Data was collected by a semi-structured interview, involving 32 nursing professionals. To analyze the data, thematic analysis was used. Data was grouped in categories: shift handover and its interface with communication. The results evidenced the importance of shift handover, in which effective communication is essential for safe care. However, greater objectivity is needed in the information transmission, the time used needs to be reduced and the shift handover records need to be systemized.
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