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Social Representations of Nurses on Medical Safety Culture in Clinical Care for Elderly People

Social Representations of Nurses on Medical Safety Culture in Clinical Care for Elderly People

Maria do Céu Mendes Pinto Marques (Comprehensive Health Research Center (CHRC), Universidade de Évora, Portugal), Francisca Tereza Galiza (Universidade Federal do Piauí, Brazil), Maria Célia Freitas (Universidade Estadual do Ceará, Brazil), and Maria Vilani Cavalcante Guedes (Universidade Estadual do Ceará, Brazil)
Copyright: © 2020 |Pages: 12
DOI: 10.4018/978-1-7998-1937-0.ch004
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Abstract

Evaluating the culture of drug safety, of certain services, and specific subjects, especially for the elderly population, makes it possible to identify gaps in clinical nursing care. The study aimed to analyze the social representations of nurses regarding the culture of drug safety in clinical care for the elderly people. This is a descriptive and exploratory research of qualitative nature, having the theoretical support of social representations. The chapter samples 38 nurses via interview and a non-participant observation. Analysis is done using Alceste software. This resulted in seven stable classes, and Class 3 had the largest representation, 23% of the corpus. Class 3 maintained hierarchical and semantic proximity to Class 2, which deals with technologies to ensure the safety of elderly patients in the use of medicines. For nurses, technologies help in the safety of elderly patients, but do not guarantee the extinction of adverse events. The chapter considered the need for patient safety to become an organizational culture favoring the quality of clinical nursing care in the handling of medicines.
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Methodology

This is a descriptive and exploratory research of qualitative nature, having the theoretical support of Social Representations. For Jodelet (2001), social representations are the result of the appropriation of the world outside of thought and the psychological and social resignification of this world.

Data were collected at Intensive Care Units of a hospital in Évora-Portugal, from November 2015 to January 2016. 38 nurses participated, who met the following selection criteria: components of the adult/cardiac ICU nursing team who were present during the collection period and provide medication care to the elderly patients hospitalized in the determined sector.

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