Challenges and possibilities of co-participation of the puerperal woman and the companion in safe care
DOI:
https://doi.org/10.35699/reme.v27i.38840Keywords:
Patient Safety, Patient Participation, Maternity, Family, Medical ChaperonesAbstract
Objective: to identify the challenges and possibilities of co-participation of puerperal women and companions in safe maternity care. Materials and Methods: qualitative study carried out with 23 mothers and 11 companions in a maternity hospital in Belo Horizonte, between March and July 2019. Data were collected through interviews with semi-structured scripts and submitted to thematic content analysis, according to the theoretical framework of patient safety. Results: two categories emerged: contribution of the puerperal woman and the companion for safe care; and challenges and contributions to achieving co-participation of puerperal women and companions in patient safety. Conclusions: companions and puerperal women recognize themselves as co-participants in promoting patient safety, however, a lack of knowledge and encouragement regarding the participation of these actors was observed. The importance of using educational technologies to include them as active partners in patient safety is highlighted.
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References
Word Health Organization. Patient safety - a global priority. Bull World Health Organ [Internet]. Geneva; 2004[citado em 2021 abr. 24];82(12):891-970. Disponível em: https://www.who.int/publications/journals/bulletin
Ministério da Saúde (BR). Portaria nº 529 de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP) [Internet]. Brasília; 2013[citado em 2021 abr. 21]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html
Agência Nacional de Vigilância Sanitária. Resolução RDC nº 36 de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências [Internet]. Brasília: ANVS; 2013[citado em 2021 abr. 21]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html
Ministério da Saúde (BR). DATASUS - Sistema de Informações sobre Nascidos Vivos (SINASC) [Internet]. Brasília: MS; 2018[citado em 2021 abr. 21]. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sinasc/cnv/nvuf.def
Ministério da Saúde (BR). Boletim Epidemiológico n°20 - Mortalidade materna no Brasil [Internet]. Brasília: MS; 2020[citado em 2021 abr. 26]. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/atencao-mulher/mortalidade-materna-no-brasil-boletim-epidemiologico-n-o-20-ms-maio-2020/
Neiva LEC, Barros AF, Imoto AM, Gottems LBD. Reported incidents in obstetric care of a public hospital and associated factors. Vigil Sanit Debate [Internet]. 2019[citado em 2021 maio 21];7(4):54-60. Disponível em: https://doi.org/10.22239/2317-269x.01324
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Serviços de atenção materna e neonatal: segurança e qualidade/Agência Nacional de Vigilância Sanitária [Internet]. Brasília: MS; 2014[citado em 2021 abr. 10]. Disponível em: https://proqualis.net/sites/proqualis.net/files/Servi%C3%A7os%20de%20Aten%C3%A7%C3%A3o%20Materna%20e%20Neonatal%20-%20Seguran%C3%A7a%20e%20Qualidade.pdf
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Pacientes pela segurança do paciente em serviços de saúde: como posso contribuir para aumentar a segurança do paciente? Orientações aos pacientes, familiares e acompanhantes [Internet]. Brasília: MS; 2017[citado em 2021 abr. 12]. Disponível em: https://segurancadopaciente.com.br/wp-content/uploads/2017/08/GUIA_SEGURANA_PACIENTE_ATUALIZADA-1.pdf
Souliotis K, Agapidaki E, Peppou LE, Tzavara C, Varvaras D. Original Article Assessing Patient Organization Participation in Health Policy: a comparative study in France and Italy. Kerman Univ Med Sci [Internet]. 2018[citado em 2021 abr 20];7(1):48-58. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29325402/
Costa DG, Moura GMSS, Pasin SS, Costa FG, Magalhães AMMM. Patient experience in co-production of care: perceptions about patient safety protocols. Rev Latinoam Enferm [Internet]. 2020[citado em 2021 maio 21];28:e3272. Disponível em: https://doi.org/10.1590/1518-8345.3352.3272
Sousa FCP, Montenegro LC, Goveia VR, Corrêa AR, Rocha PK, Manzo BF. Family participation in patient safety in neonatal units from the nursing perspective. Texto & Contexto Enferm [Internet]. 2017[citado em 2021 maio 21];26(3):e1180016. Disponível em: https://doi.org/10.1590/0104-07072017001180016.
Gonçalves KMM, Costa MTTCA, Silva DCB, Baggio ME, Corrêa AR, Manzo BF. Ludic strategy for promoting engagement of parents and caregivers in the safety of pediatric patients. Rev Gaúch Enferm [Internet]. 2020[citado em 2021 maio 21];41:e20190473. Disponível em: https://doi.org/10.1590/1983-1447.2020.20190473
Minayo MCS. Sampling and saturation in qualitative research: consensuses and controversies. Rev Pesquisa Qualitativa [Internet]. 2017[citado em 2021 abr. 23];5(7):1-12. Disponível em: https://editora.sepq.org.br/rpq/article/view/82
Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Theoretical saturation in qualitative research: an experience report in interview with schoolchildren. Rev Bras Enferm [Internet]. 2018[citado em 2021 abr. 23];71(1):228-33. Disponível em: https://doi.org/10.1590/0034-7167-2016-0616
Elo S, Kääriäinen M, Kanste O, Pölkk T, Utriainen K, Kyngäs H. Qualitative content analysis: a focus on trustworthiness. Sage Open [Internet]. 2014[citado em 2021 maio 21];4(1):1-10. Disponível em: https://doi.org/10.1177/2158244014522633
Ricci-Cabello I, Pons-Vigués M, Berenguera A, Pujol-Ribera E, Slight SP, Valderas JM. Patients’ perceptions and experiences of patient safety in primary care in England. Fam Pract [Internet]. 2016[citado em 2021 maio 21];33(5):535-42. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27312563/
Souza HX, Almeida ABAS, Dantas LV, Brito Paranaguá TT. Surgical patients’ perception of safety and their involvement in health care. Rev Enferm UERJ [Internet]. 2020[citado em 2021 maio 21]; 28:e51498. Disponível em: https://doi.org/10.12957/reuerj.2020.51948
Pomey, MP, Clavel, N, Aho-Glele U, Ferré N, Fernandez PM. How patients view their contribution as partners in the enhancement of patient safety in clinical care. J Patient Exp [Internet]. 2018[citado em 2021 maio 20];5(1):35-49. Disponível em: https://doi.org/10.35680/2372-0247.1235
Sendlhofer G, Pregarther G, Leitgeb K, Hoffmann M, Berghold A, Smolle C, et al. Results of a population-based-assessment: we need better communication and more profound patient involvement. Wien Klin Wochenschr [Internet]. 2017[citado em 2021 maio 22];129:269-77. Disponível em: https://doi.org/10.1007/s00508-016-1165-8
Register SJ, Blanchard E, Belle A, Viles A, Moore SP, MacLennan P,White ML. Using AIDET education simulations to improve patient experience scores. Clin Simul Nurs [Internet]. 2020[citado em 2021 jun. 21];38(C):14-7. Disponível em: https://doi.org/10.1016/j.ecns.2019.09.005
Silva RSS, Rocha SS, Gouveia MTO, Dantas ALB, Santos JDM, Carvalho NAR. Wearing identification wristbands: implications for newborn safety in maternity hospitals. Esc Anna Nery Rev Enferm [Internet]. 2019[citado em 2021 jun. 21];23(2):e20180222. Disponível em: https://doi.org/10.1590/2177-9465-ean-2018-0222
Khan A, Spector ND, Baird JD, Ashland M, Starmer AJ, Rosenbluth G, et al. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. BMJ [Internet]. 2018[citado em 2021 jun. 21];363:1-17. Disponível em: https://doi.org/10.1136/bmj.k4764
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