Desafios das gestoras da Rede Brasileira de Enfermagem e Segurança do Paciente/Polo Bahia para a promoção da segurança do paciente durante a pandemia por Covid-19

Abstract

This study aims to analyze the challenges of the managers of the Brazilian Network of Nursing and Patient Safety (REBRAENSP) Polo Bahia to promote patient safety during the COVID-19 pandemic and as specific objectives to identify and describe the challenges of managers of REBRAENSP Polo Bahia for the promotion of patient safety during the COVID-19 pandemic. This is a descriptive-exploratory study with a qualitative approach. Twelve nurses who act as managers of REBRAENSP Polo Bahia and of Nucleos Salvador, Reconcavo da Bahia, Feira de Santana, Itabuna and Lauro de Freitas took part in it, comprising 05 coordinators, 04 vice coordinators and 03 secretaries. The inclusion criterion for the study was to be a manager - coordinator, vice coordinator and/or secretary - of REBRAENSP Polo Bahia and/or its Nuclei, which were chosen because they are directly involved in the management, planning, organization and promotion of activities aimed at patient safety in the context of the pandemic. The exclusion criteria were managers of Nuclei created after the onset of the COVID-19 pandemic, considered in this study, from March 1, 2020. For data collection, the semi-structured interview technique was used. between December 30, 2020 and January 21, 2021 and carried out, due to the pandemic, on a virtual basis, via the Zoom® digital platform. The interviews were recorded in audio and video, and the organization and analysis of the data took place using the Bardin Content Analysis technique and was structured through the formation of categories and subcategories. The participants were predominantly women, between 24 and 66 years old, with an average age of 46.7 years, all postgraduates, with an average time since graduation of 22.2 years. Most of them have only one employment relationship, and are mostly public servants with public service exams with heterogeneous areas of activity. About the time of participation in the Network, half joined more than 05 years ago and took over as manager for about 01 year. Based on the analysis of the interviews, 03 categories emerged, one of which originated 04 subcategories. The first category was Keeping Network Activities and its subcategories were: Performing Distance Activities; Reconcile Service Work with Network Activities; Implement a New Plan of Activities and Develop Activities in a Scenario of Fear, Insecurity and Stress. The second category was Using Digital Resources and the third Recognizing Fake News. It was concluded that maintaining the continuity of the Network's activities, using digital resources and identifying fake news were the challenges faced by the Network's managers to support the health system in the promotion and guarantee of patient safety during a health emergency.