Patient Safety: A Proposal for Curriculum Measurement

Abstract

Objective: to propose an instrument capable of identifying cognitive and curricular attributes obtained by nursing undergraduates about patient safety. Methodology: this is a methodological study, based on the Multi-professional Patient Safety Curriculum Guide and tracking terms identified in the literature. Participated 17 judges who composed a committee for face-content validation regarding semantic and idiomatic equivalence. Results: The theoretical attributes that support the knowledge of nursing undergraduates to act based on the principles of patient safety were structured in 46 items, later subdivided into eight domains that composed the instrument. The items seek to evaluate from organizational and training aspects to acting in stages. Conclusion: the identification of the topics will allow / contribute to future analyzes and reflections from the perspective of nursing undergraduates, who provide subsidies to the teaching, research and extension triad in order to provide an iatrogenic free assistance. Descriptors: Patient Safety; Curriculum; Education, Higher. RESUMOObjetivo: propor um instrumento capaz de identificar atributos cognitivos e curriculares obtidos por graduandos de enfermagem acerca da segurança do paciente. Metodologia: trata-se de um estudo de caráter metodológico, baseado no Multi-professional Patient Safety Curriculum Guide e termos rastreadores identificados na literatura. Participaram 17 juízes que compuseram um comitê para validação de face-conteúdo referente à equivalência semântica e idiomática. Resultados: os atributos teóricos que sustentam o conhecimento dos graduandos de enfermagem para atuação baseada nos princípios da segurança do paciente foram estruturados em 46 itens, posteriormente subdivididos em oito domínios que compuseram o instrumento. Os itens buscam avaliar desde aspectos organizacionais e de formação a atuação em estágios. Conclusão: a identificação dos tópicos permitirá / contribuirá para futuras análises e reflexões a partir da perspectiva dos graduandos em enfermagem, que forneçam subsídios à tríade ensino, pesquisa e extensão, com intuito de prover uma assistência livre de iatrogenias. Descritores: Infecção hospitalar; Unidade de terapia intensiva; Procedimentos invasivos. RESUMÉNObjetivo: proponer un instrumento capaz de identificar atributos cognitivos y curriculares obtenidos por graduandos de enfermería acerca de la seguridad del paciente. Metodología: se trata de un estudio de carácter metodológico, basado en el Multi-professional Patient Safety Curriculum Guide y términos rastreadores identificados en la literatura. Participaron 17 jueces que compusieron un comité para la validación de cara-contenido referente a la equivalencia semántica e idiomática. Resultados: los atributos teóricos que sostienen el conocimiento de los graduandos de enfermería para actuación basada en los principios de la seguridad del paciente fueron estructurados en 46 ítems, posteriormente subdivididos en ocho dominios que compusieron el instrumento. Los ítems buscan evalua...

Nursing technicians’ professional training in patient safety: A mixed-methods study

“…In the quantitative stage, a questionnaire was used to characterize the students’ sociodemographic aspects and knowledge about patient safety. A previously validated instrument was also employed, structured in eight domains and 46 items (screening terms), to assess the training context (theory) and performance in the internships (practice), in the context of patient safety 20 . The domains that comprise the instrument are as follows: what is patient safety?…”

“…; reasons why applying human factors is important for patient safety; effective team; learning from errors to avoid harms; use of good quality methods to improve the assistance provided; medication safety; interaction with patients and caregivers; and prevention and control of infections. The instrument has an adjectival scale to answer in which context they had contact with a screening term: theoretical or practical; only one of them; or none (20) . This instrument was prepared to assess the curricula of Nursing undergraduate courses.…”

“…The quantitative data analysis was performed in the Statistical Package for the Social Sciences statistical software program (version 21.0). In order to interpret the data related to the number of triggering terms referenced by the students, according to the context in which knowledge about the patient safety contents was obtained, the parameter of values above or below 50% was used to classify the findings of the instrument to identify cognitive and curricular attributes (20) .…”

Formación profesional del técnico en enfermería en seguridad del paciente: estudio mixto

“…En la etapa cuantitativa, se utilizó un cuestionario para la caracterización sociodemográfica y del conocimiento de los estudiantes sobre la seguridad del paciente. También se usó un instrumento previamente validado, estructurado en ocho dominios y 46 ítems (términos indicadores), para evaluar el contexto de formación (teoría) y el desempeño en las prácticas (práctica), sobre seguridad del paciente (20) .…”

“…Los dominios que componen el instrumento son: qué es la seguridad del paciente; razones por las que la intervención de factores humanos es importante para la seguridad del paciente; equipo eficaz; aprender de los errores para evitar daños; uso de métodos de calidad para mejorar la atención; seguridad en la medicación; interacción con pacientes y cuidadores; y prevención y control de infecciones. El instrumento cuenta con una escala de adjetivos para saber en qué contexto tuvieron contacto con el término indicador: teórico o práctico; solo en uno de ellos; o en ninguno (20) .…”