Participatory development of educational technology in seeking patient safety in maternity hospitals

Baggio, Manuela Estrela; Costa, Anna Caroline Leite; Brandão, Leyla Gabriela Verner Amaral; Andrade, Vivian Andrezza Alves; Matozinhos, Fernanda Penido; Corrêa, Allana dos Reis; Manzo, Bruna Figueiredo

doi:10.1590/0034-7167-2021-0701

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (5) • 2022 • https://doi.org/10.1590/0034-7167-2021-0701 copy

Participatory development of educational technology in seeking patient safety in maternity hospitals

Desarrollo participativo de tecnología educativa en busca de la seguridad del paciente en la maternidad

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to develop a booklet as an educational technology, together with health professionals, patients and companions, aiming at their involvement in patient safety in maternity hospitals.

Methods:

a qualitative convergent care study, carried out in three stages at a maternity hospital in Belo Horizonte. The booklet construction took place between February and April 2021, with 13 professionals, 06 companions and 11 patients.

Results:

data content analysis was performed, creating three categories: Knowledge and experiences about patient and newborn safety in maternity hospitals; Challenges for involving patient and companion in safety actions; Assessment of patients, companions and professionals on the booklet construction process. The booklet construction involved the participation of health professionals, users and companions in all stages of the process.

Final considerations:

the participatory process enabled the creation of educational technology for the involvement of patients and companions in patient safety actions.

Descriptors:
Patient Safety; Patient Participation; Hospitals, Maternity; Maternal-Child Nursing; Educational Technology

Item	Fragility pointed out in participants' statements	Items considered in the booklet
Concept about PS	- Limited understanding of patient and companion about PS; - Lack of knowledge about how patient and companion could participate in PS.	- Make clear the concept of PS and how patient and companion can participate in safety actions in maternity hospitals.
Patient and NB identification	- Lack of knowledge about what needs to be verified on the identification wristband and when it should be verified; - Lack of understanding about the participation of patient and companion in the identification process.	- Emphasize that patients' and NBs' wristband must be checked by all professionals; - Clarify that patients and companions should signal professionals if any item is wrong or ineligible on the wristband or if it has been lost.
Safe medication	- Lack of understanding about the participation of patient and companion in medication administration so that it occurs safely.	- Present the important information that must be communicated by patients and companions before and after medication administration; - Expose the importance of questions and clarification of doubts about the medications in use.
Hand hygiene	- Frailty in the practice of hand hygiene; - Lack of knowledge of how to properly wash hands.	- Reinforce that hands should be washed whenever anyone touches a patient or NB and before any procedure; - Present the recommended step by step for correct hand hygiene.
Safe performance of procedures	- Lack of understanding about the participation of patient and companion during this moment; - Fragility about the importance of the Informed Consent Form.	- Clarify that patients and companions should ask about the procedure to be performed and clarify doubts; - Reinforce the importance of the Informed Consent Form and its reading.
Fall prevention	- Fragility of the participation of companion in this process; - Little knowledge about NB fall risk.	- Expose the importance of companion and how they should act to prevent fall risk; - Signal the actions that must be taken to prevent NB and patient from falling.
Effective communication	- Lack of knowledge about the importance of dialogue for patient and NB safety; - Fear of patients and companions in talking, questioning behaviors and solving doubts related to diagnoses, treatments and other care given to patient and NB.	- Expose the importance of patients and companions communicating with professionals - Encourage patients and companions to clarify any doubts.

Suggestions and/or observations	Change or justification for not changing
Shorten title	“Como você pode participar da segurança do paciente e do bebê na maternidade?” (How Can You Participate in Patient and Baby Safety in Maternity Hospitals?)
Start the booklet with handwashing action	The order of the booklet was changed following the WHO’s presentation of international PS goals, with the exception of the goal related to effective communication, because the researcher considered this goal essential for all the others to be carried out successfully and also for the outcome of the booklet to be carried out, encouraging patients and companions to dialogue with professionals.

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Anna Caroline Leite Costa E-mail: anna.leitebh@gmail.com