Brazilian registered nurses' perceptions and attitudes towards adverse events in nursing care: a phenomenological study. 2011

Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
School of Nursing, University of Sao Paulo, Sao Paulo, Brazil. genivalf@usp.br

OBJECTIVE To describe the perceptions and attitudes of registered nurses (RNs) towards adverse events (AEs) in nursing care. BACKGROUND The professionals' subjective perspectives should be taken into account for the prevention of AEs in care settings. METHODS Schütz's social phenomenology was developed. Interviews were conducted with nine Intensive Care Unit RNs. RESULTS The following five descriptive categories emerged: (1) the occurrence of AEs is inherent to the human condition but provokes a feeling of insecurity, (2) the occurrence of AEs indicates the existence of failures in health care systematization, (3) the professionals' attitudes towards AEs should be permeated by ethical principles; (4) the priority regarding AEs should be the mitigation of harm to patients, and (5) decisions regarding the communication of AEs were determined by the severity of the error. CONCLUSIONS The various subjective perspectives related to the occurrence of AEs requires a health care systematization with a focus on prevention. Ethical behaviour is essential for the patients' safety. CONCLUSIONS Activities aimed at the prevention of AEs should be integrated jointly with both the professionals and the health care institution. A culture of safety, not punishment, and improvement in the quality of care provided to patients should be priorities.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D009042 Motivation Those factors which cause an organism to behave or act in either a goal-seeking or satisfying manner. They may be influenced by physiological drives or by external stimuli. Incentives,Disincentives,Expectations,Disincentive,Expectation,Incentive,Motivations
D009726 Nurses Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health. Nursing Personnel,Personnel, Nursing,Registered Nurses,Nurse,Nurse, Registered,Nurses, Registered,Registered Nurse
D009745 Nursing, Supervisory Administration of nursing services for one or more clinical units. Charge Nurses,Head Nurses,Nurses, Head,Supervisory Nursing,Charge Nurse,Head Nurse,Nurse, Charge,Nurse, Head,Nurses, Charge
D010465 Perception The process by which the nature and meaning of sensory stimuli are recognized and interpreted. Sensory Processing,Processing, Sensory
D011582 Psychological Theory Principles applied to the analysis and explanation of psychological or behavioral phenomena. Social Cognitive Theory,Psychologic Theory,Psychological Theories,Theories, Psychological,Theory, Psychological,Cognitive Theories, Social,Cognitive Theory, Social,Psychologic Theories,Social Cognitive Theories,Theories, Psychologic,Theories, Social Cognitive,Theory, Psychologic,Theory, Social Cognitive
D001938 Brazil A country located on the eastern coast of South America, located between Colombia and Peru, that borders the Atlantic Ocean. It is bordered on the north by Venezuela, Guyana, Suriname, and French Guiana, on the south by Uruguay, and on the west by Argentina. The capital is Brasilia.
D003695 Delivery of Health Care The concept concerned with all aspects of providing and distributing health services to a patient population. Delivery of Dental Care,Health Care,Health Care Delivery,Health Care Systems,Community-Based Distribution,Contraceptive Distribution,Delivery of Healthcare,Dental Care Delivery,Distribution, Non-Clinical,Distribution, Nonclinical,Distributional Activities,Healthcare,Healthcare Delivery,Healthcare Systems,Non-Clinical Distribution,Nonclinical Distribution,Activities, Distributional,Activity, Distributional,Care, Health,Community Based Distribution,Community-Based Distributions,Contraceptive Distributions,Deliveries, Healthcare,Delivery, Dental Care,Delivery, Health Care,Delivery, Healthcare,Distribution, Community-Based,Distribution, Contraceptive,Distribution, Non Clinical,Distributional Activity,Distributions, Community-Based,Distributions, Contraceptive,Distributions, Non-Clinical,Distributions, Nonclinical,Health Care System,Healthcare Deliveries,Healthcare System,Non Clinical Distribution,Non-Clinical Distributions,Nonclinical Distributions,System, Health Care,System, Healthcare,Systems, Health Care,Systems, Healthcare
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000056 Accident Prevention Efforts and designs to reduce the incidence of unexpected undesirable events in various environments and situations. Prevention, Accident,Accident Preventions,Preventions, Accident

Related Publications

Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
January 2020, Journal of nursing management,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
January 2019, BMC nursing,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
September 1996, Curationis,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
January 2005, Nursing economic$,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
August 2002, Nursing times,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
August 2018, Issues in mental health nursing,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
October 2023, Journal of clinical nursing,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
March 2020, Nursing & health sciences,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
September 2005, Journal of nursing management,
Genival Fernandes De Freitas, and Luiza Akiko Komura Hoga, and Maria de Fátima Prado Fernandes, and José Siles González, and María Carmen Solano Ruiz, and Bárbara Barrionuevo Bonini
May 1992, The Journal of nursing administration,
Copied contents to your clipboard!