The reasons of the nursing staff to notify adverse events
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Authors: | Miriam Cristina Marques da Silva de Paiva Regina Célia Popim Marta Maria Melleiro Daisy Maria Rizatto Tronchim Silvana Andréa Molina Lima Carmen Maria Casquel Monti Juliani |
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Institution: | 2.PhD, RN, Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil;3.PhD, Assistant Professor, Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil;4.PhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil |
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Abstract: | OBJECTIVE: this research aimed to understand the motivation for reporting adverse events
from the perspective of nursing staff in the work environment. METHOD: qualitative study that used the phenomenology of Alfred Schutz for reference,
which offers a systematic approach to understand the social aspects of human
action. Data were collected by open interviews with 17 nurses and 14
technicians/assistant nurses in a university hospital. RESULTS: motivation was revealed through six categories: all types of occurrences must be
reported; the incident report is an auxiliary instrument to health care provision
management; the culture of punishment in transition; nurses as the agents
responsible for voluntary reporting; sharing problems with higher management and
achieving quality in the work process. DISCUSSION: it was unveiled that, when reporting adverse events, team members perceived
themselves to be in a collaborative relationship with the institution and trusted
that they would receive administrative support and professional security, which
encouraged them to continue reporting. Reporting allows health care professionals
to share responsibilities with managers and encourages corrective actions. FINAL CONSIDERATIONS: the study revealed the nursing staff''s motivation for adverse event reporting,
contributing to reflections on institutional policies aimed at patient safety in
health care. |
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Keywords: | Safety Risk Management Medical Errors Nursing Qualitative Research |
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