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☐ ☆ ✇ BMJ Open

Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review

Por: Guerra-Paiva · S. · Lobao · M. J. · Simoes · D. G. · Fernandes · J. · Donato · H. · Carrillo · I. · Mira · J. J. · Sousa · P. — Diciembre 27th 2023 at 10:54
Objectives

This study aims to map and frame the main factors present in support interventions successfully implemented in health organisations in order to provide timely and adequate response to healthcare workers (HCWs) after patient safety incidents (PSIs).

Design

Scoping review guided by the six-stage approach proposed by Arksey and O’Malley and by PRISMA-ScR.

Data sources

CINAHL, Cochrane Library, Embase, Epistemonikos, PsycINFO, PubMed, SciELO Citation Index, Scopus, Web of Science Core Collection, reference lists of the eligible articles, websites and a consultation group.

Eligibility criteria for selecting studies

Empirical studies (original articles) were prioritised. We used the Mixed Methods Appraisal Tool Version 2018 to conduct a quality assessment of the eligible studies.

Data extraction and synthesis

A total of 9766 records were retrieved (last update in November 2022). We assessed 156 articles for eligibility in the full-text screening. Of these, 29 earticles met the eligibility criteria. The articles were independently screened by two authors. In the case of disagreement, a third author was involved. The collected data were organised according to the Organisational factors, People, Environment, Recommendations from other Audies, Attributes of the support interventions. We used EndNote to import articles from the databases and Rayyan to support the screening of titles and abstracts.

Results

The existence of an organisational culture based on principles of trust and non-judgement, multidisciplinary action, leadership engagement and strong dissemination of the support programmes’ were crucial factors for their effective implementation. Training should be provided for peer supporters and leaders to facilitate the response to HCWs’ needs. Regular communication among the implementation team, allocation of protected time, funding and continuous monitoring are useful elements to the sustainability of the programmes.

Conclusion

HCWs’ well-being depends on an adequate implementation of a complex group of interrelated factors to support them after PSIs.

☐ ☆ ✇ Cultura de los cuidados

Percepción de estudiantes de enfermería sobre la formación pedagógica en la pre- vención de la Sintomatología Musculoesquelética: estudio cualitativo

La formación de los estudiantes en la educación superior y específicamente en la licen-
ciatura en enfermería ha sido objeto de estudio por parte de los profesores. Es parte de la práctica
de enfermería respetar el proceso de toma de decisiones del estudiante y brindarle el derecho a la
información, promoviendo la adquisición de competencias que le permitan tomar decisiones res-
ponsables para su futuro. El objetivo de esta investigación fue conocer la perspectiva de los estu-
diantes de enfermería, en cuanto a su participación en la formación pedagógica sobre los síntomas
musculoesqueléticos. Sé realizó un estudio cualitativo, exploratorio y descriptivo mediante el mé-
todo de grupos focales con seis estudiantes de enfermería. El análisis cualitativo se realizó según
Bardin y el mapa mental se realizó con el software FreeMind®.Los estudiantes revelaron satisfac-
ción con el interés real en su aprendizaje con la reflexión sobre la adquisición de habilidades en
cuanto al conocimiento sobre los síntomas musculoesqueléticos y la necesidad del pensamiento crí-
tico en la profesión de enfermería.

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