Incidentes com pacientes atendidos nos centros de atenção psicossociais: vivências da equipe de saúde
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2019-04-29
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Universidade Federal de Goiás
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OBJECTIVE: To analyze the security context of the users served at the Psychosocial Care Centers, based on the experiences of the multiprofessional team. METHODOLOGY: Qualitative study, intervention, mediated by the Cycle of Experiential Learning. 31 professionals from two service units - Psychosocial Care Center - Adult CAPS III from the metropolitan region of Goiânia participated. The data collection took place through group meetings, in which the professionals developed activities proposed by the researcher that led to reflection and learning about patient safety. The data were submitted to content analysis, using qualitative analysis software. RESULTS: The thematic content analysis was performed with the data obtained through participants' experiential techniques. The thematic categories that emerged from the content analysis were: 1 - Knowledge of professionals about patient safety; 2 - Incidents and situations of risks experienced by professionals of the multiprofessional team 3 - Strategies and evaluation of the educational process to promote safety in care. The data revealed low knowledge in the area of patient safety, which further heightened the interest of the team's professionals in understanding the issue. Understanding that the theory is currently more focused on the hospital environment, its focus on psychosocial care is something innovative. Incidents and situations of risks to the patient's safety were revealed in the physical aspects of the unit; in the work process in the services and low communication of the service network; in the lack and professional qualification; inadequate care; low family involvement; deficiency of records and mechanism from prescription to drug administration. The Permanent Health Education strategy in a problematic and participatory manner developed the team's understanding of safe care, which enabled professionals to outline strategies for incident prevention and promotion of safe care in CAPS. The process was evaluated as positive because it allows rethinking and instigating better attitudes in the work, in a dynamic and involving way, being possible to align theory and practice, besides being able to demystify that the clinic does not fit in the unit of mental health respecting the psychosocial attention. FINAL CONSIDERATIONS: Continuous efforts are required in practice, from senior management to direct assistance professionals, with the aim of promoting physical, human and organizational structure that guarantees the promotion of the safety culture in the CAPS. The experiential method favored the reflection of the service dynamics revealing the risk situations in the assistance to the users. The legitimacy of EPS as spaces for the exchange of practices and knowledge in the reflexion-action-reflection process, for the production of knowledge that improves patient safety in mental health is perceived, which will help both the improvement of the quality of services and in the training of professionals.
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SOUZA, A. C. S. Incidentes com pacientes atendidos nos centros de atenção psicossociais: vivências da equipe de saúde. 2019. 260 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2019.