NURSES’ DECISION-MAKING REGARDING INCIDENTS RELATED TO PATIENT SAFETY

Authors

  • Roberta Meneses Oliveira Universidade Estadual do Ceará -UECE
  • Érika da Silva Bandeira Centro Universitário Estácio do Ceará.
  • Claudiene Regia Silva Centro Universitário Estácio do Ceará
  • Antônia Marina Lima Soares Centro Universitário Estácio do Ceará
  • Deiviane Barbosa Fonteles Centro Universitário Estácio do Ceará
  • Francismeire Brasileiro Magalhães Barboza Centro Universitário Estácio do Ceará

DOI:

https://doi.org/10.5380/ce.v21i3.45683

Keywords:

Nursing, Patient safety, Patient harm, Nursing records, Decision Making.

Abstract

This study aimed to analyze nurses’ decision-making regarding incidents related to patient safety. A documentary study was undertaken in a public hospital in Fortaleza, Ceará, between September and December 2014, analyzing records made in the Ward Notes (Livros de Ocorrência de Enfermagem). An association was ascertained between the variables of type of incident, professional category and degree of harm with the ameliorating actions implemented after the occurrence. Univariate and bivariate analysis was undertaken, applying the Pearson chi-squared test. It was observed that, of the 196 records found, only in 34.2% were the decisions made by the nurses described – the majority of these being directed towards the team and the patient. A significant statistical association was found between type of incident and documenting of ameliorating actions (p=0.000), emphasis being placed on those implemented in cases in which there was mild harm (24.4%) rather than serious harm. It is concluded that there is underreporting of incidents and decisions taken for mitigating them, indicating little recognition of either their importance or the harm to patient safety.

Author Biographies

Roberta Meneses Oliveira, Universidade Estadual do Ceará -UECE

Enfermeira, Doutora em Cuidados Clínicos em Enfermagem e Saúde, Professora do Curso de Graduação em Enfermagem da UECE.

Érika da Silva Bandeira, Centro Universitário Estácio do Ceará.

Enfermeira, graduada pelo Centro Universitário Estácio do Ceará.

Claudiene Regia Silva, Centro Universitário Estácio do Ceará

Enfermeira, graduada pelo Centro Universitário Estácio do Ceará.

Antônia Marina Lima Soares, Centro Universitário Estácio do Ceará

Enfermeira, graduada pelo Centro Universitário Estácio do Ceará.

Deiviane Barbosa Fonteles, Centro Universitário Estácio do Ceará

Enfermeira, graduada pelo Centro Universitário Estácio do Ceará.

Francismeire Brasileiro Magalhães Barboza, Centro Universitário Estácio do Ceará

Enfermeira, Doutora em Saúde Coletiva, Professora do Curso de Graduação em Enfermagem do Centro Universitário Estácio do Ceará

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Published

2016-10-06

How to Cite

Oliveira, R. M., Bandeira, Érika da S., Silva, C. R., Soares, A. M. L., Fonteles, D. B., & Barboza, F. B. M. (2016). NURSES’ DECISION-MAKING REGARDING INCIDENTS RELATED TO PATIENT SAFETY. Cogitare Enfermagem, 21(3). https://doi.org/10.5380/ce.v21i3.45683

Issue

Vol. 21 No. 3 (2016)

Section

Research

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