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Challenges to patient safety in intensive care: a grounded theory

Abstract

Objective

To understand, from Intensive Care Unit nurses’ perspective, the challenges to patient safety.

Methods

This is qualitative research conducted with 20 nurses in two sample groups of two Intensive Care Units (ICU) in northern Brazil. Data were collected through semi-structured interviews. The method adopted was the Grounded Theory, emphasizing in this article a category and its subcategories with regard to conditions. The study was approved by the Research Ethics Committees of two institutions, under Opinions 2,755,619 and 2,829,210, in 2018.

Results

Three subcategories explained challenges to patient safety, namely: Being immersed in non-systematized work processes; Communication failure among professionals; and Finding gaps in continuing education.

Conclusion

The disorganization of work processes, faulty communication and insufficient continuing education actions correspond to the main challenges pointed out by nurses in the ICU routine, generating chains that directly affect patient safety management.

Patient safety; Grounded theory; Symbolic interactionism; Intensive care units

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br