Theoretical-practical acquisition of topics relevant to patient safety: dilemmas in the training of nurses

Alvaro Francisco Lopes De Sousa,Lucas Lazarini Bim,Vanderlei José Hass,Denise De Andrade,Andrea Mara Bernardes Da Silva,Paula Regina De Souza Hermann,Felipe Lazarini Bim

doi:10.1590/2177-9465-ean-2017-0127

Alvaro Francisco Lopes De Sousa, Lucas Lazarini Bim + Show 5 more

Open Access

https://doi.org/10.1590/2177-9465-ean-2017-0127

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Abstract

Abstract Objective: To investigate content associated with patient safety included in the curricula of undergraduate nursing courses of two Brazilian higher educational institutions. Method: A descriptive survey study was carried out with 119 students of nursing courses (licentiate and bachelor degree), from August to September 2016. The topics investigated were based on the WHO patient safety curriculum guide: multi-professional edition. Armed with the data, univariate and bivariate analyses were carried out. Results: Of the 46 content areas investigated in the questionnaire, two scored high in non-achievement in theoretical or practical activities, namely "the culture of blame" and "community-acquired infection." Licentiate and bachelor degree students reported a higher acquisition in theoretical classes (p = 0.012), whereas bachelor degree students reported similar acquisition in theory and practice (p = 0.013). Conclusion: The content mostly included theoretical and practical approaches at least once throughout the course. However, when considering content associated with patient safety-related sociocultural aspects, lower scores were found.

Highlights

Patient safety has been widely discussed worldwide and is recognized as an important quality indicator, especially due to the high incidence of adverse events associated with the provision of health care.[1,2]Studies that estimated the occurrence of adverse events show a mortality rate ranging between 40 and 98 thousand patients/year in the United States.[3,4] In Brazil, there is no accurate outlook about the magnitude of adverse events, data point out that, every three minutes, more than two Brazilians die in a hospital, due to errors and other adverse events associated with professional care.[5]
To investigate content associated with patient safety included in the curricula of undergraduate nursing courses of two Brazilian higher educational institutions
Of the 46 content areas investigated in the questionnaire, two scored high in non-achievement in theoretical or practical activities, namely "the culture of blame" and "community-acquired infection." Licentiate and bachelor degree students reported a higher acquisition in theoretical classes (p = 0.012), whereas bachelor degree students reported similar acquisition in theory and practice (p = 0.013)

Summary

Introduction

Patient safety has been widely discussed worldwide and is recognized as an important quality indicator, especially due to the high incidence of adverse events associated with the provision of health care.[1,2]Studies that estimated the occurrence of adverse events show a mortality rate ranging between 40 and 98 thousand patients/year in the United States.[3,4] In Brazil, there is no accurate outlook about the magnitude of adverse events, data point out that, every three minutes, more than two Brazilians die in a hospital (public or private), due to errors and other adverse events associated with professional care.[5].

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