Competencies with an emphasis on patient safety during nursing training
Keywords:
Nursing, Nursing Education, Patient safety.Abstract
Objective: To synthesize the knowledge available in national and international literature on the skills developed during nursing education with an emphasis on patient safety. Method: integrative literature review carried out in the electronic databases Scielo, BDENF, LILACS, Mediline, PubMed, CINAHL, Scopus, Web of Science and Medline, which included studies published from 2012 to 2018. Results: 19 articles were identified, who unveiled competences such as identification, notification, prevention and management of events, infection control, teamwork, effective communication, use of evidence, information, ethical action, leadership, continuous learning and human understanding. Conclusion: The studies analyzed reveal the skills developed during nursing training with an emphasis on patient safety have been little addressed in the training process, configuring the need for innovative reform.
References
Mello JF, Barbosa SFF. Patient Safety Culture in Intensive Care: Nursing Contributions. Texto Contexto Enferm. [Internet]. 2013; [cited 2018 Aug 12]. 22(4):1124-33. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S010407072013000400031 .
Kohn LT, Corrigan JM, Donaldson MS, Committee on Quality of Health Care in America, Institute of Medicine. To err is human: building a safer health system [Internet]. Whashington: National Academy Press; 2000 [cited 2018 Ago 12]. Available from: http://www.nap.edu/catalog/9728.html
Capucho HC, Cassiani SHB. Necessidade de implantar programa nacional de segurança do paciente no Brasil. Rev. Saúde Pública [Internet]. 2013 [cited 2019 Feb 12]; 47(4):791-798. Available from: https://www.scielo.br/pdf/rsp/v47n4/0034-8910-rsp-47-04-0791.pdf
Brasil. Ministério da Saúde. Fundação Oswaldo Cruz. Fiocruz. Agência Nacional de Vigilância Sanitária. Documento de referência para o Programa Nacional de Segurança do Paciente [Internet]. Brasília: Ministério da Saúde; 2014 [cited 2019 Fed 12]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf
Caldana G, Guirardello EB, Urbanetto JS, Peterlini MAS, Gabriel CS. Rede brasileira de enfermagem e segurança do paciente: desafios e perspectivas. Texto Contexto Enferm [Internet]. 2015; [cited 2018 Aug 12]; 24(3): 906-11. Available from: http://www.scielo.br/pdf/tce/v24n3/pt_0104-0707-tce-24-03-00906.pdf
Nie Y, Li L, Duan Y, Chen P, Barraclough BH, Zhang M, et al. Patient Safety Education for undergraduate medical students: a systematic review. BMC Med Educ [Internet] 2011 [cited 2019 Feb 12]; 11(33). Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-11-33
Duarte SCM, Queiroz ABA, Büscher A, Stipp MAC. O erro humano no cotidiano da assistência de enfermagem em terapia intensiva. Rev. Latino-Am. Enfermagem [Internet]. 2015; [cited 2018 Aug 12]. 23(6):1074-81. Available from: http://www.scielo.br/pdf/rlae/v23n6/pt_0104-1169-rlae-23-06-01074.pdf
Wegner W, Silva SC, Kantorski KJC, Predebon CM, Sanches MO, Pedro ENR. Educação para cultura da segurança do paciente: Implicações para a formação profissional. Esc. Anna Nery [Internet]. 2016 [cited 2019 Feb 12]; 20(3):e20160068. Available from: https://www.scielo.br/pdf/ean/v20n3/1414-8145-ean-20-03-20160068.pdf
Aboumatar HJ, Thompson D, Wu A, Dawson P, Colbert J, Marsteller J, et al. Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-effi cacy, and systems thinking among medical students. BMJ Quality & Safety [Internet]. 2012; 21(5):416–22. Available from: https://qualitysafety.bmj.com/content/21/5/416
Agency for Healthcare Research and Quality. AHRQ Patient Safety Network—safety culture. U.S. Departamento f Health & Human Services. EUA. [Internet] 2018. [cited 2018 Aug 15]. Disponível em: http://psnet.ahrq.gov/primer.aspx?primerID=5
Wong BM, Etchells EE, Kuper A, Levinson W, Shojania KG. Teaching Quality Improvement and Patient Safety to Trainees: A Systematic Review. Academy Medicine [Internet]. 2010 [cited 2019 Feb 12]; 85(9):1425–39. Available from: https://insights.ovid.com/crossref?an=00001888-201009000-00013
Frenk JMD, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen1 health systems in an interdependent world. The Lancet [Internet] 2010; [cited 2018 Aug 15] 376(9756):1923-58. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60492-3/fulltext?code=lancet-site
Liao JM. Patient safety: an educational competency. The Lancet [Internet]. 2012; [cited 2018 Aug 15]; 379(9830):1933. Available from: https://www.thelancet.com/action/showPdf?pii=S0140-6736%2812%2960833-2
Sherwood G. Perspectives: Nurses’ expanding role in developing safety culture: Quality and Safety Education for Nurses – competencies in action. J Research in Nursing [Internet]. 2015 [cited 2019 Fed 12]; 20(8):734–740. Availabe from: http://journals.sagepub.com/doi/pdf/10.1177/1744987115621142
Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs [Internet]. 2005 [cited 2019 Feb 12]; 52(5):548-53. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16268861
Mendes KS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto - enferm. [Internet]. 2008 [cited 2019 Feb 12]; 17(4):758-764. Available from: https://www.scielo.br/pdf/tce/v17n4/18.pdf
Stillwell SB, Fineout-Overholt E, Melnyk BM, Williamson KM. Evidence-based practice, step by step: asking the clinical question: a key step in evidence-based practice. Am J Nurs [Internet]. 2010 [cited 2019 Feb 12]; 110(3):58-61. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20179464
Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev. Saúde Pública [Internet]. 2010 [ciited 2019 Feb 12]; 44(3):559-565. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S003489102010000300021&lng=en
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19(6):349-57. doi: http://intqhc.oxfordjournals.org/content/19/6/349.long
Bim LL, Bim FL, Silva AMB, Sousa AFL, Hermann PRS, Andrade D, et al. Aquisição teórico-prática de tópicos relevantes à segurança do paciente: dilemas na formação de enfermeiros. Esc. Anna Nery [Internet]. 2017 [cited 2019 Feb 12]; 21(4):e20170127. Available from: https://www.scielo.br/pdf/ean/v21n4/pt_1414-8145-ean-2177-9465-EAN-2017-0127.pdf
Australian Commission on Safety and Quality in Health Care. Annual Report 2012/2013 [Internet]. Sydney: ACSQHC; 2013 [cited 2019 Feb 12]. Available from: https://www.safetyandquality.gov.au/wpcontent/uploads/2013/10/Finaltagged-PDF-for-Web-Annual-Report-2012-13.pdf
Lee NJ, Jang H, Park SY. Patient safety education and baccalaureate-nursing students’ patient safety competency: A cross-sectional study. Nurs Health Sci [Internet]. 2016 [cited 2019 Feb 12]; 18(2):163–171. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26306563
Cronenwett L, Sherwood G, Barnsteiner 23. J, Disch J, Jonhson J, Mitchell P, et al. Quality and safety education for nurses. Nurs Outlook [Internet]. 2007 [cited 2019 Feb 12]; 55(3):122–131. Available from: https://www.ncbi.nlm.nih.gov/pubmed/17524799
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. What is patient safety culture? A review of the literature. J Nurs Scholarsh [Internet]. 2010 [cited 2019 Feb 12]; 42(2):156–165. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20618600
World Health Organization. Patient safety curriculum guide: multi-professional edition. Geneva; 2011 [cited 2017 Apr 26]. Available from: https://apps.who.int/iris/handle/10665/44641
Melliro MM, Tronchin DMR, Lima ML, Garzin ACA, Martins MS, Cavalcante MBC et al. Temática segurança do paciente nas matrizes curriculares de escolas de graduação em enfermagem e obstetrícia. Rev. baiana enferm [Internet]; 2017 [cited 2019 Feb 19]; 31(2):e16814. Available from: https://portalseer.ufba.br/index.php/enfermagem/article/view/16814/14426 27. Melnyk BM, Gallagher-Ford L, Zellefrow C, Tucker S, Thomas B, Sinnott LT, et al . The First U.S. Study on Nurses’ Evidence-Based Practice Competencies Indicates Major Deficits That Threaten Healthcare Qualit, Safety, and Patient Outcomes. Worldviews Evid Based Nurs [Internet]. 2018 [cited 2018 Aug 13]; 15(1):16-25. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29278664.
Jang H, Lee NJ. Patient safety competency and educational needs of nursing educators in South Korea. PLoS One [Internet]. 2017 [cited 2018 Aug 13]; 12(9): e0183536. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=Jang+H%2C+Lee+NJ.+Patient+safety+competency+and+educational+needs+of+nursing+educators+in+South+Korea .
Usher K, Woods C, Conway J, Lea J, Parker V, Barret F, et al. Patient Safety content and delivery in pre-registration nursing curricula: A national cross-sectional survey study. Nurse Educ Today [Internet]. 2018 [cited 2018 Aug 13]; 66:82-89. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=Patient+Safety+content+and+delivery+in+preregistration+nursing+curricula%3A+A+national+crosssectional+survey+study .
Siman AG, Brito MJM. Mudanças na prática de enfermagem para melhorar a segurança do paciente. Rev. Gaúcha Enferm. [Internet]. 2016 [cited 2019 Feb 06]; 37(spe):e68271. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472016000500413&lng=en
Masters, Kelli. Integrating quality and safety education into clinical Nursing education through a dedicated education unit. Nurse Educ Pract [Internet]. 2016 [cited 2018 Aug 12]; 17:153-60. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26777871
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