Estratégias audiovisuais das boas práticas para capacitação de equipe de enfermagem sobre a segurança do paciente

Abstract

INTRODUCTION: The National Patient Safety Program (PNSP), implemented in 2013 by the Ministry of Health, aims to contribute to the qualification of care in all health establishments. The subject proposed by the program, its relevance and need in view of aspects that contribute to improving Patient Safety and the Patient Safety culture are continuous processes and involve educational activities. OBJECTIVE: It was to analyze the impacts of training nursing professionals in the area of patient safety, considering the implementation of practices aimed at qualifying care. The research addresses the importance of continuing education and the systematization of actions as strategies to strengthen the safety culture in the hospital environment. The study was carried out in a public hospital, where aspects related to adherence to safe practices and the perception of professionals about the effectiveness of the measures adopted were evaluated, in a public hospital in the Federal District, Brasília - Brazil. METHOD: This is a prospective analytical study, carried out in a public hospital in the Federal District between 31 August st and December 30th, 2023, approved by the Research Ethics Committee of Fepecs/SES-DF (opinion no. 6,096,905) and conducted in accordance with Resolution 466/2012 of the CNS/MS. The sample was of the convenience type, composed of nurses and nursing technicians, considering inclusion criteria such as direct involvement in patient care and a minimum time of six months in the institution. The questionnaires respected the protocols recommended by the Ministry of Health on patient safety and the same protocols were used to prepare the video. The study was conducted in three stages: (1) application of a questionnaire to assess participants' prior knowledge about patient safety, covering topics such as patient identification, hand hygiene, safe surgery, and fall prevention; (2) training through an educational video shared via a mobile messaging app; (3) reapplication of the questionnaire to analyze the impact of the training. Data were analyzed using descriptive statistics and association tests using SPSS version 23, with a significance level of 5%. Nonparametric tests (Mann-Whitney U, Kruskal-Wallis, and Wilcoxon) were used according to the data distribution, and the relationship between categorical variables was assessed using Fisher's exact test. RESULTS: The research revealed a female predominance (80%) in the nursing team, with 56.67% of nurses and 43.33% of nursing technicians, an average age of 40.83 years and length of service of 6.5 years. Despite the high average grades (9.00 in the first stage and 9.43 in the third), there were no significant differences between them, indicating that the video conference on Patient Safety had no measurable impact. No significant associations were found between age, sex, length of service and grades, except in the first stage, where professional performance influenced the results, with emphasis on men and nurses in critical areas presenting better performance. DEVELOPED PRODUCTS: The study presents an innovative training method with the potential to influence public policies and improve healthcare practices. In addition, it contributes to the dissemination of a patient safety culture, promoting a positive impact on the training of professionals and the quality of care provided, with applicability in different healthcare contexts, both locally and nationally. Four products were developed: 1) Protocol for patient identification and reception in a hospital unit; 2) Educational video on patient safety for continuing education in healthcare services; 3) Integrative review article; 4) Original article on the topic in question. The choice of product themes is related to my experience as a nurse in a hospital environment. CONCLUSION: It is highlighted that the results emphasized the need for ongoing education and specific training, suggesting that future studies should investigate in more depth the relationships between demographic characteristics and performance. The research contributed to a better understanding of professional dynamics in nursing, which is essential to improving the quality of care for the population. This project is aligned with the research line of Quality in Healthcare for Adults and the Elderly.