Representações Sociais de Profissionais de Saúde Acerca da Segurança da Mulher na Atenção ao Parto e Nascimento

Abstract

Introduction: The patient safety is a priority issue in the health system, that is a focus by both national and international bodies. The good practices in hildbirth and birth care are aimed to prevent adverse events related to health care and it is essential that professionals have knowledge about safety protocols. Objective: To analyze the social representation of health professionals about the implementation of protocols for patient safety in the childbirth and birth care. Methods: It is an exploratory, descriptive study with a qualitative approach, that was carried out in a public maternity hospital in Goiânia, from June to August 2016. The data taking was performed through a interview and questionnaire application with eleven professionalsm, mainly nurses and doctors, who perform their activities using the program ALCESTE for corpus analysis. Results: The results might allow to identify that the service meets partially the patient safety protocols. The main activities carried out are screening, admission, labor, normal delivery, cesarean and follow-up of the moments of delivery and after one hour of delivery, performed properly, according to the participants. As a result of the lexical analysis of the eleven interviews, the dendogram with two axes emerged, the first one called (in) safety and the second called risk, respectively with three and four classes: daily; rights; protocols and care. The regular issue about the social representations for the health professionals, is not in relation about the implementation of the protocols for patient safety in the childbirth and birth care, but rather on the safety of women obstetric care. These are based in conceptions and values acquired during the formation and professional performance. Nurses and doctors do not approach the issue in a consistent and systematized manner according to the requirements of the National Sanitary Agency. Final considerations: As results obtained, it is believed that the implementation of the Patient Safety Centers contributes to reverse the inconsistencies found. Alternatively, permanent education actions that address patient safety protocols should be used.