儿童医院中偏差的正常化:卫生工作者对卫生工作者的看法
Gabrielle da Silva Carvalho1, Eveline Pinheiro Beserra2, Erika da Silva Bandeira3
1Escola de Saúde Pública do Ceará (ESP/CE). Residência Multiprofissional em Saúde. Fortaleza, Ceará, Brasil.
Revista gaucha de enfermagem
|June 28, 2023
概括
卫生工作者认为,偏差的正常化,包括忽视手部卫生和设备使用,对儿科医院的患者安全构成重大风险. 这种现象源于人类和组织因素.
科学领域:
- 医疗保健的质量和安全.
- 医疗保健中的组织行为
- 患者安全研究的研究.
背景情况:
- 偏差的正常化是医疗保健中的一个关键问题,在医疗保健中,从标准程序的常规偏差可以升级.
- 了解医疗保健工作者的看法对于制定有效的患者安全干预措施至关重要.
研究的目的:
- 探索卫生工作者对儿科医院环境中偏差正常化的看法.
- 确定具体的例子和导致这种现象的因素.
主要方法:
- 在巴西的一家儿科医院进行了定性,探索和描述性研究.
- 对21名医疗保健工作者进行了深入采访.
- 使用MAXQDA®软件进行了主题分类内容分析.
主要成果:
- 内容分析揭示了128个上下文单元,分为概念,例子和贡献因素.
- 关键的感知偏差包括不适当的手部卫生,不正确的个人防护设备 (PPE) 使用和禁用报警器.
- 人类因素和组织因素被确定为主要贡献者.
结论:
- 卫生工作者认为偏差的正常化包括疏忽,鲁和违反最佳实践的行为.
- 这些偏差对儿科医疗保健环境中的患者安全有直接风险.
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