Abstract
To understand the meaning of patient safety for a multiprofessional team in a psychiatric unit of a general hospital. Qualitative study adopting the social phenomenological framework, employing open-ended interviews whose content was analyzed and discussed based on the literature through the elaboration of categories of analysis. Eleven open-ended interviews were conducted. The meaning of psychiatric patient safety was understood to encompass team management experiences that emphasize physical coercion and control of symptomatology while indicating the expectation of elaborating new procedures that account for humanization. It also includes issues regarding organizational composition and experienced difficulties concerning physical structure, its interference in the process of providing safe care and expectations of improvement. This study analyzed the conception of patient safety in the multiprofessional team viewpoint, considering socio-historical and cultural contexts and the mutual relations that are part of meaning construction in the study setting.
Highlights
Considering the late start of Psychiatric Reform in Brazil, it was known that the complexity of a new assistance model aimed at overcoming the asylum model would encounter hindrances such as low investment in public policies and the slow changes for the complete substitution of the mental asylum model(1-2)
This study analyzed the conception of patient safety in the multiprofessional team viewpoint, considering socio-historical and cultural contexts and the mutual relations that are part of meaning construction in the study setting
Not constituting a basis for assistance, the General Hospital Psychiatric Hospitalization Units (UIPHG – Unidades de Internação Psiquiátricas em Hospitais Gerais) play an important role in the acute phase of psychiatric conditions, when out-of-hospital services are insufficient(3). Due to their providing integral care in moments of crisis to return subjects to daily life, assessing how patient safety is operationalized in such places becomes opportune, since they are not concerned with hospitalizations which are permanent or may cause loss of identity and harm to the patients’ relations(3-5)
Summary
Considering the late start of Psychiatric Reform in Brazil, it was known that the complexity of a new assistance model aimed at overcoming the asylum model would encounter hindrances such as low investment in public policies and the slow changes for the complete substitution of the mental asylum model(1-2). Not constituting a basis for assistance, the General Hospital Psychiatric Hospitalization Units (UIPHG – Unidades de Internação Psiquiátricas em Hospitais Gerais) play an important role in the acute phase of psychiatric conditions, when out-of-hospital services are insufficient(3). Due to their providing integral care in moments of crisis to return subjects to daily life, assessing how patient safety is operationalized in such places becomes opportune, since they are not concerned with hospitalizations which are permanent or may cause loss of identity and harm to the patients’ relations(3-5).
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