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.
Objective: to build and semantically validate a safe communication tool to systematize care transition in pediatric clinical and emergency units. Method: a methodological study, based on the Classic Theory of Psychometric Tests and on the Instrument Development Model, proposed by Pasquali, which included seven professionals, five nurses and two physicians, experts in pediatrics and/or patient safety, who followed specific criteria for inclusion. Data collection was carried out between November and December 2016 and took place with the application of a form made available to the experts via the Google Drive/Microsoft® tool in two validation rounds, conducted by the Delphi Technique, being organized into two domains with 19 items. Data analysis was performed by calculating the Content Validity Index. Results: in order to validate the content, it was necessary to reach a Content Validity Index ≥ 0.80; thus, in the first round, five items underwent changes and were adjusted according to the experts' recommendations. These were validated in the second round, maintaining two domains and nineteen items. Conclusion: the construction and content validation of the instrument can enhance and qualify the clinical practice and contribute to minimize failures in pediatric patient safety associated with effective communication.
ARTIGO ORIGINALComunicação e cultura de segurança na perspectiva da equipe de enfermagem de emergências pediátricas Comm unication and safety culture by a pediatric emergency nursing team perspective Comunicación y cultura de seguridad del paciente en la perspectiva del equipo de enfermería de emergencias pediátricas
Fragilidades da passagem de plantão em uma unidade pediátrica na perspectiva da equipe de enfermagem Fragility of the shift in a pediatric unit from the perspective of the nursing team Fragilidades del paso de turno en una unidad pediátrica en la perspectiva del equipo de enfermería Resumo Objetivo: Identifi car os fatores que interferem na comunicação durante a passagem de plantão e que repercutem na segurança do paciente pediátrico. Métodos: Dados coletados em fevereiro e maio de 2012, através de entrevista semiestruturada com 32 profi ssionais de enfermagem. Resultados: Originou-se uma categoria: "Os fatores que interferem na comunicação: transcender barreiras para conduzir a passagem de plantão", demonstrando que a comunicação efi caz na passagem de plantão requer a superação das barreiras de ordem física e humana. Conclusão: Diante da magnitude e da complexidade que envolve a segurança do paciente pediátrico, não basta que os profi ssionais se preocupem com a utilização de recursos tecnológicos e com o aprimoramento de técnicas, mas devem também estar atentos às habilidades e competências para realizar uma comunicação efi caz na passagem de plantão. AbstractObjective: To identify the factors that interfere in the communication during the shift and that have repercussions on the safety of the pediatric patient. Methods: Data collected in February and May 2012, through a semi-structured interview with 32 nursing professionals. Results: A category arose: "The factors that interfere in communication: transcending barriers to conduct the shift, " demonstrating that effective communication at the shift requires the overcoming of physical and human barriers. Conclusion: Given the magnitude and complexity of pediatric patient safety, it is not enough that professionals are concerned with the use of technological resources and with the improvement of techniques; they should be aware of the skills and competencies to perform effective communication on shift duty. ResumenObjetivo: Identifi car los factores que interfi eren en la comunicación durante el paso de turno y que repercuten en la seguridad del paciente pediátrico. Métodos: Datos recogidos en febrero y mayo de 2012, a través de una entrevista semiestructurada con 32 profesionales de enfermería. Resultados: Se originó una categoría: "Los factores que interfi eren en la comunicación: trascender barreras para conducir el paso de turno", demostrando que la comunicación efi caz en el paso de turno requiere la superación de las barreras de orden físico y humano Conclusión: Ante la magnitud y la complejidad que implica la seguridad del paciente pediátrico, no basta que los profesionales se preocupen por la utilización de recursos tecnológicos y con el perfeccionamiento de técnicas; ellos deben también estar atentos a las habilidades y competencias para realizar una comunicación efi caz en el paso de turno.Descritores of the shift in a pediatric unit from the perspective of the nursing team]. Rev Soc Bras Enferm Ped. 2018;18(2):62-8. Portuguese
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