基于文化历史活动理论的医院职业风险预防
Beatriz Eliseu Ferreira1, Rodolfo Andrade de Gouveia Vilela2, Adelaide Nascimento3
1Programa de Pós-Graduação em Enfermagem, Universidade Federal de São Carlos. São Carlos SP Brasil.
医院管理人员必须改善职业风险预防. 目前的战略重点是合规,而不是实际的健康和安全,影响工作质量和患者安全.
科学领域:
- 职业健康和安全问题 职业健康和安全问题
- 医疗保健管理的管理
- 劳动社会学工作的社会学.
背景情况:
- 有效的职业风险和伤害预防对于提高医院工作质量和患者安全至关重要.
- 医院现有的预防活动在他们的活动系统中面临着历史和经验上的矛盾.
研究的目的:
- 在医院环境中分析职业风险和伤害预防活动系统.
- 找出阻碍有效预防成果的矛盾和不相容性.
主要方法:
- 使用文化历史活动理论进行的探索性定性研究.
- 数据收集包括与卫生和安全专业人员和医院管理人员进行半结构化采访,实地观察和文档分析.
- 这项研究于2021年9月至2022年1月在圣保罗大学医院进行.
主要成果:
- 预防活动的目标已经扩大,但其他系统元素没有适应,导致不兼容性.
- 观察到的响应行动主要集中在监管合规方面 (例如,团队组成,医疗检查).
- 这些以合规为重点的行动对促进真正的职业健康和安全做出了最小的贡献.
结论:
- 当前的医院预防系统表现出矛盾,使其有效性受到损害.
- 需要从单纯的监管合规转向适应性战略,才能真正促进职业健康和安全.
- 解决系统性不兼容性对于改善医疗保健工作者福祉和患者安全至关重要.
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