Patient safety in nursing technician training

a documentary study, conducted in three technical nursing courses at a public university in northeastern Brazil, based on the Multi-Professional Patient Safety Curriculum Guide, published by the World Health Organization.

Results:

we found that, of the 26 subjects in each course, the tracking terms were found in 22 subjects in the A/C courses, 23 in the B course. The topics of the guide with the highest number of terms were the improvement in medication safety, with 85 terms (22.6%), and Infection prevention and control, with 75 terms (20%). The contents do not express the comprehensiveness of patient safety education; some subjects had this focus, while others did not.

Conclusions:

the documents revealed gaps in the contents related to patient safety and demonstrated that they are addressed only in the course syllabus and discipline plans.

Descriptors:
Nursing Technicians; Patient Safety; Nursing Education; Nursing Technical Education; Curriculum

Guide topics	Course A n = 127		Course B n = 139		Course C n = 109		Total N = 375
Guide topics	n	%	n	%	n	%	n	%
1 - What Is Patient Safety?	5	3.9	6	4.3	4	3.7	15	4.0
2 - Reasons why the application of human factors are important for Patient Safety	2	1.6	10	7.2	6	5.5	18	4.8
3 - Understanding of systems and the effect of complexity on patient care	14	11.0	16	11.5	8	7.3	38	10.1
4 - Be a participant of an effective team	18	14.2	10	7.2	14	12.8	42	11.2
5 - Learning from mistakes to avoid damage	0	0	1	0.7	0	0	1	0.3
6 - Understanding and managing clinical risks	12	9.4	23	16.5	6	5.5	41	10.9
7 - Use of quality improvement methods to improve care	2	1.6	1	0.7	2	1.8	5	1.3
8 - Interaction with patients and caregivers	12	9.4	6	4.3	12	11.0	30	8.0
9 - Infection prevention and control	26	20.5	19	13.7	30	27.5	75	20.0
10 - Patient safety and invasive procedures	9	7.0	20	14.4	6	5.5	35	9.3
11 - Improved medication safety	27	21.3	27	19.4	21	19.3	85	22.6

Disciplines	Period	Content found in document analysis based on tracking terms	Guide Topics^* * 11 topics from the Multi-Professional Patient Safety Curriculum Guide.
Human Anatomy and Physiology	I	-	-
Education for Self-care	I	32, 89, 111	3, 8, 9
Research Notions	I	-	-
Fundamentals of Nursing I	I	27, 111, 119, 133, 134, 147	3, 9, 11
Organization of the Work Process in Nursing	I	22, 34, 35, 39, 42, 68, 90, 95, 127	2, 4, 6, 8, 10
Collective Health I	I	25, 103, 104, 10	3, 9
Microbiology, Parasitology and Immunology	I	102, 106, 114, 118, 135	9, 11
Technical Portuguese	I	-	-
Fundamentals of Nursing II	II	1, 12, 13, 27	1, 3
Collective Health II	II	103, 105, 118, 140, 144	9, 11
Epidemiology	II	25, 35, 76, 127	3, 4, 7, 10
Adult Health I	II	27, 42, 68, 90	3, 4, 6, 8
Notions of Pharmacology	II	4, 133, 134, 136, 140, 143, 145, 146, 147	1, 11
First Aid	II	-	-
Women's Health	III	21, 27, 100, 101, 102	2, 3, 9
Perioperative Assistance I	III	26, 27, 30, 42, 68, 90, 107, 112, 116, 120, 132	3, 4, 6, 9, 10
Occupational Safety and Health	III	34, 56, 60, 64	6
Adult Health	III	145	11
Neonatal Unit	III	27, 42, 68, 90, 118, 134, 147	3, 4, 6, 8, 9, 11
Notions of Administration in Health Services	III	26, 34, 35, 39, 40, 44, 76, 89, 128,	3, 4, 7, 8, 10
Patient in Serious Condition	IV	64, 134	3, 6, 11
Health of the Elderly	IV	42, 68, 90, 95, 111	4, 6, 8, 9
Urgency and Emergency	IV	25, 54, 134, 147	3, 6, 11
Mental Health	IV	35, 42, 68, 90, 95, 134, 140, 147, 146	4, 6, 8, 11
Perioperative Assistance II	IV	4, 101, 102, 106, 111, 122, 123, 121, 132, 134, 140, 147	1, 9, 10, 11
Child and Adolescent Health	IV	26, 42, 68, 90, 118	3, 4, 6, 8, 9

Disciplines	Period	Content found in document analysis based on tracking terms	Guide Topics^* * 11 topics from the Multi-Professional Patient Safety Curriculum Guide.
Organization of the Work Process in Nursing	I	21, 27, 36	2, 3, 4
Human Anatomy and Physiology	I	16	2
Education for Self-care	I	32, 89	3, 8
Collective Health I	I	25, 101, 103, 105	3, 9
Microbiology, Parasitology and Immunology	I	103, 104, 105, 118, 144	9, 11
Notions of Nursing Research	I	-	-
Technical Portuguese	I	-	-
Basic Fundamentals of Nursing I	I	1, 13, 21, 26, 33, 64, 124, 136, 137, 140, 147, 152, 153	1, 2, 3, 6, 10, 11
Collective Health II	II	22, 34, 68, 89, 95, 118	2, 6, 4, 8, 9
Epidemiology	II	34, 35, 36	4
Basic Fundamentals of Nursing II	II	21, 151	1, 2, 11
First Aid	II	-	-
Adult Health I	II	22, 26, 42, 55, 58, 59, 63, 68, 120	2, 3, 4, 6, 8, 9
Notions of Pharmacology	II	4, 133, 134, 138, 139, 140, 143, 147, 151	1, 11
Perioperative Assistance I	III	27, 102, 123, 132	3, 9, 10
Notions of Administration in Health Services	III	26, 27, 32, 33, 40, 42, 55, 63, 64, 66	2, 3, 4, 6
Adult Health II	III	100, 101, 102, 106, 110, 117, 120	9, 10
Occupational Safety and Health	III	19, 27, 44, 63, 64, 111	2, 3, 4, 6, 9
Neonatal Unit	III	22, 30, 42, 54, 59, 63, 66, 68, 118	2, 3, 4, 6, 9
Women's Health	III	27, 120, 121, 122, 123, 128	3, 9,10
Perioperative Assistance II	IV	18, 112, 120, 121, 122, 123, 128, 129, 130	2, 9, 10, 11
Assistance to patients in serious condition	IV	14, 30, 55, 58, 59, 100, 120, 122, 128, 137, 140, 146, 153	1, 3, 6, 9, 10, 11
Mental Health	IV	4, 14, 52, 95, 136, 137, 138, 140, 151, 153	1, 5, 8, 10, 11
Urgency and Emergency	IV	27, 134	3, 11
Health of the Elderly	IV	68, 79, 90	6, 7, 8
Child and Adolescent Health	IV	20, 68, 90	1, 3, 6, 8

Disciplines	Period	Content found in document analysis based on tracking terms	Guide Topics^* * 11 topics from the Multi-Professional Patient Safety Curriculum Guide.
Microbiology, Parasitology and Immunology	I	64, 114, 135, 103, 105, 118	6, 9, 11
Basic Fundamentals of Nursing I	I	26, 64, 1, 148, 93, 101, 109, 119, 112	1, 6, 8, 9
Notions of Nursing Research	I	-	-
Organization of the Work Process in Nursing	I	118, 101, 34, 35, 39, 93, 95, 127, 22, 42, 68, 90	3, 4, 6, 8, 10
Education for Self-care	I	32, 111, 100, 101, 102, 106	3, 9
Human Anatomy and Physiology	I	-	-
Collective Health I	I	93, 89, 101, 104, 109, 103, 105	8, 9
Occupational Safety and Health	I	111, 17, 1, 13	1, 2, 9
Technical Portuguese	I	-	-
Epidemiology	II	76	7
Adult Health I	II	26, 42, 85	3, 4, 8
Basic Fundamentals of Nursing II	II	93, 147, 21	2, 8, 11
First Aid	II	-	-
Collective Health II	II	118, 103, 105, 89	8, 9
Notions of Pharmacology	II	147, 140, 134, 139, 142, 143, 144, 146	11
Notions of Administration in Health Services	III	77, 64, 34, 127, 43, 26, 40, 44	3, 4, 6, 7, 10
Adult Health II	III	-	-
Neonatal Unit	III	26, 42, 133, 147, 118, 21	2, 3, 4, 9, 11
Perioperative Assistance I	III	129, 26, 112	3, 9, 10
Women's Health	III	86	8
Child and Adolescent Health	IV	54, 42	4, 6
Health of the Elderly	IV	42	4
Mental Health	IV	95, 42, 133, 140, 147	4, 8, 11
Assistance to the Patient in Serious Condition	IV	26, 21, 133	2, 3, 11
Perioperative Assistance II	IV	121, 122, 123, 100, 101, 106, 133, 147, 111, 4, 140	1, 9, 10, 11
Urgency and Emergency	IV	26, 64, 42, 22, 94, 134	2, 3, 6, 8, 11

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Ruth Cardoso Rocha E-mail: ruthcardoso@ufpi.edu.br