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A importância da gestão da cultura de segurança na prestação dos cuidados: estudo de caso de uma Unidade de Cuidados Continuados Integrados
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Abstract(s)
O ano de 2020 trouxe consigo a pandemia de COVID-19 e inúmeros desafios a nível da gestão dos cuidados de saúde a nível mundial, nomeadamente a nível do Serviço Nacional de Saúde e especificamente da Rede Nacional de Cuidados Continuados Integrados, cuja cultura de segurança permanece largamente por investigar no nosso país.
Para responder a estas questões, este trabalho teve como pretensão compreender a importância da gestão da cultura de segurança numa Unidade de Cuidados Continuados Integrados e identificar as boas práticas e os fatores relacionados com a aprendizagem e eventos adversos, contribuindo para o desenvolvimento de ferramentas para a melhoria da gestão de segurança desta instituição.
Este estudo de caso único, exploratório e descritivo, baseou-se na análise documental de normas e relatórios existentes na instituição estudada, na realização de entrevistas a responsáveis por vários níveis de gestão da instituição e na aplicação de questionários aos profissionais.
Os resultados obtidos através destes métodos revelaram coerência entre os dados documentais, a perceção dos profissionais sobre a cultura de segurança e o que é descrito pelos responsáveis pela gestão da mesma. No geral, quer os profissionais quer os seus responsáveis consideram que a instituição se encontra num estádio de maturidade da cultura de segurança proactivo/sustentável. Ainda assim, foram identificados pontos de melhoria nomeadamente ao nível da comunicação e da formação em segurança e saúde no trabalho, que foram largamente influenciadas pela pandemia e pelas consequências desta na organização da instituição e nas suas preocupações e prioridades.
Com base nos resultados obtidos, sugere-se a realização de investigações noutras instituições e eventualmente com modelos de avaliação da maturidade da cultura de segurança mais adaptados a instituições de saúde.
The year 2020 brought to light COVID-19 pandemic and numerous challenges in terms of healthcare management worldwide, namely in terms of our National Health Service and specifically the Long-Term Care Units, whose safety culture remains largely unexplored in our country. To answer these questions, this work aimed to understand the safety culture and the Occupational Health and Safety Management System of an Long-Term Care Unit and to identify good practices and factors related to adverse events and learning, contributing for the development of tools to improve the safety management of this institution. This single, exploratory and descriptive case study was based on documental analysis of existing protocols and reports in the studied institution, on conducting interviews with those responsible for various levels of management of the institution and on the application of questionnaires to the remaining employees. The results obtained through these methods revealed coherence between the documentary data, the employees' perception of the safety culture and what is described by those responsible for managing it. In general, both employees and those responsible for them consider that the; institution is at a stage of maturity in terms of proactive/sustainable safety culture. Even so, points for improvement were identified, namely in terms of communication and training in safety and health at work, which were largely influenced by the pandemic and its consequences on the organization of the institution and its concerns and priorities. Despite the results obtained, it is suggested that investigations be carried out in other institutions and eventually with models for evaluating the maturity of the safety culture more adapted to health institutions.
The year 2020 brought to light COVID-19 pandemic and numerous challenges in terms of healthcare management worldwide, namely in terms of our National Health Service and specifically the Long-Term Care Units, whose safety culture remains largely unexplored in our country. To answer these questions, this work aimed to understand the safety culture and the Occupational Health and Safety Management System of an Long-Term Care Unit and to identify good practices and factors related to adverse events and learning, contributing for the development of tools to improve the safety management of this institution. This single, exploratory and descriptive case study was based on documental analysis of existing protocols and reports in the studied institution, on conducting interviews with those responsible for various levels of management of the institution and on the application of questionnaires to the remaining employees. The results obtained through these methods revealed coherence between the documentary data, the employees' perception of the safety culture and what is described by those responsible for managing it. In general, both employees and those responsible for them consider that the; institution is at a stage of maturity in terms of proactive/sustainable safety culture. Even so, points for improvement were identified, namely in terms of communication and training in safety and health at work, which were largely influenced by the pandemic and its consequences on the organization of the institution and its concerns and priorities. Despite the results obtained, it is suggested that investigations be carried out in other institutions and eventually with models for evaluating the maturity of the safety culture more adapted to health institutions.
Description
Keywords
Cultura de segurança Unidade de cuidados continuados integrados Rede nacional de cuidados continuados integrados Gestão da segurança