Teaching patient safety in the COVID-19 pandemic: perception of nursing students
Enseñanza de la seguridad del paciente en la pandemia de COVID-19: percepción de los estudiantes de enfermería
Ensino de segurança do paciente na pandemia da covid-19: percepção de estudantes de enfermagem
Ana Carolina Simões Pereira; Taynara de Oliveira Farias Batista; Maria Antonia Ramos Costa; Laura Misue Matsuda; Dandara Novakowski Spigolon; Verusca Soares de Souza
Abstract
Objective: To apprehend the perception of technical and undergraduate nursing students about the teaching of patient safety competencies in the pandemic of COVID-19.
Method: Qualitative study, conducted in 2021, with technical and undergraduate nursing students from Paraná, through individual interviews. The content analysis technique was used.
Results: The following categories emerged: Understanding of the concept of patient safety enhanced by clinical practice; Attitudes and feelings towards near miss, adverse events and unsafe practice and; Negative reflexes of the COVID-19 pandemic on patient safety teaching.
Conclusion and implications for practice: The teaching of patient safety competencies was perceived by students with negative feelings due to the experience of near misses, adverse events and unsafe practices. Due to the pandemic of COVID-19, they reported fragmentation in the teaching of the subject under study, distance from practice and, consequently, academic and professional insecurity. Further discussion of the teaching of patient safety competencies during the pandemic is indispensable to the quality of training and professional performance.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: Apreender a percepção de discentes de curso técnico e superior de Enfermagem sobre o ensino das competências de segurança do paciente na pandemia da COVID-19.
Método: Estudo qualitativo, realizado em 2021, com estudantes de Enfermagem de nível técnico e superior do Paraná, por meio de entrevistas individuais. Utilizou-se técnica de análise de conteúdo.
Resultados: Emergiram as categorias: Compreensão do conceito segurança do paciente potencializada pela prática clínica; Atitudes e sentimentos frente ao near miss, evento adverso e prática insegura e; Reflexos negativos da pandemia da COVID-19 no ensino da segurança do paciente.
Conclusão e implicações para a prática: O ensino das competências de segurança do paciente foi apreendido pelos estudantes com sentimentos negativos pela vivência de near miss, eventos adversos e práticas inseguras. Devido à pandemia da COVID-19, referiram fragmentação no ensino do tema em estudo, distanciamento da prática e; consequentemente, insegurança acadêmica e profissional. O aprofundamento da discussão do ensino das competências de segurança do paciente durante a pandemia é indispensável à qualidade de formação e atuação profissional.
Palavras-chave
Referencias
1 World Health Organization (WHO). Global Patient Safety Action Plan 2021-2030: Towards Zero Patient Harm in Health Care [Internet]. Genebra: World Health Organization; 2020 [citado 2021 nov 17]. Disponível em:
2 Ministério da Saúde (BR). Incidentes relacionados á assistência a saúde. Resultados das notificações realizadas no Notivisa - Brasil [Internet]. Brasília (DF): NOTIVISA; 2022 [citado 2022 jun 17]. Disponível em:
3 Portaria nº 529, de 1 de abril de 2013 (BR). Institui o Programa Nacional de Segurança do Paciente (PNSP). Diário Oficial da União [periódico na internet], Brasília (DF), 2013 [citado 2021 nov 5]. Disponível em:
4 World Health organization (WHO). Patient safety curriculum guide: multi-professional edition [Internet]. Genebra: World Health Organization; 2011 [citado 2021 nov 17]. Disponível em:
5 Ramos-Morcillo AJ, Leal-Costa C, Moral-García JE, Ruzafa-Martínez M. Experiences of nursing students during the abrupt change from face-to-face to e-Learning education during the first month of confinement due to COVID-19 in Spain. Int J Environ Res Public Health. 2020;17(15):5519.
6 Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57.
7 Naderifar M, Goli H, Ghaljaie F. Snowball sampling: a purposeful method of sampling in qualitative. Strides Dev Med Educ. 2017;14(3):e67670.
8 Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
9 Ilha P, Radunz V, Tourinho FSV, Marinho MM. Patient safety from the perspective of nursing students*. Cogitare Enferm. 2016;21:1-10.
10 Agência Nacional de Vigilância Sanitária (BR). Implantação do núcleo de segurança do paciente em serviços de saúde. Série: segurança do paciente e qualidade em serviços de saúde [Internet]. Brasília (DF): ANVISA; 2016 [citado 2021 nov 5]. Disponível em:
11 Prado PR, Ventura CAA, Rigotti AR, Reis RK, Zamarioli CM, Souza FB et al. Linking worker safety to patient safety: recommendations and bioethical issues for the care of patients in the COVID-19 pandemic. Texto Contexto Enferm. 2021;30:e20200535.
12 Lee HY, Hahm MI, Lee SG. Undergraduate medical students’ perceptions and intentions regarding patient safety during clinical clerkship. BMC Medic Educ;18(1):1-7.
13 Gonçalves N, Siqueira LDC, Caliri MHL. Teaching patient safety in undergraduate courses: a bibliometric study. Rev Enferm UERJ. 2017;25(15460):1-7.
14 Lahariya C, Gupta S, Kumar G, Graeve H, Parkash I, Das JK. Patient safety in graduate curricula and training needs of health workforce in India: a mixed-methods study. Indian J Public Health. 2020;64(3):277-84.
15 Mandetta MA, Balleiro MMFG. The COVID-19 pandemic and its implications for patient and family-centered care in pediatric hospital unit. Rev Soc Bras Enferm Ped. 2020;20:77-84.
16 Portaria nº 2.436, de 21 de setembro de 2017 (BR). Aprova a Politica Nacional de Atenção Básica, estabelecendo a revisão para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União [Internet], Brasília (DF), 2017 [citado 2021 nov 5]. Disponível em:
17 Sherwood G. Quality and safety education for nurses: making progress in patient safety, learning from COVID-19. Int J Nurs Sci. 2021;8(3):249-51.
18 Souza VS, Inoue KC, Costa MAR, Oliveira JLC, Marcon SS, Matsuda LM. Nursing errors in the medication process: television electronic media analysis. Esc Anna Nery. 2018;22(02):e20170306.
19 Rigobello JL, Bernardes A, Moura AA, Zanetti ACB, Spiri WC, Gabriel CS. Supervised Curricular Internship and the development of management skills: a perception of graduates, undergraduates, and professor. Esc Anna Nery. 2018;22(2):e20170298.
20 Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the COVID-19 pandemic. Nurse Educ Pract. 2020;46:102809.
21 Silva CM, Toriyama ATM, Claro HG, Borghi CA, Castro TR, Salvador PICA. COVID-19 pandemic, emergency remote teaching and Nursing Now: challenges for nursing education. Rev Gaucha Enferm. 2021;42(spe):e20200248.
22 Sousa No AL, Lima Jr AJ, Souza RC. Patient security in professional teaching: a campaign report. Rev ELO. 2018;7(2):45-8.
23 Bohomol E. Patient safety education of the graduation in Nursing from the teaching perspective. Esc Anna Nery. 2019;23(2):e20180364.
24 Garzin ACA, Melleiro MM. Safety in the training of health professional. Ciênc Cuid Saúde. 2019;18(4):e45780.
Submitted date:
04/08/2022
Accepted date:
05/12/2022
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email