Teoria do comportamento planejado aplicada à segurança do paciente
uma revisão de escopo
Palavras-chave:
Atitude do pessoal de saúde, Serviços de saúde, Modelos psicológicos, Cuidados de enfermagem, Gestão da segurançaResumo
Este estudo teve como objetivo mapear as evidências existentes sobre como o comportamento dos profissionais de enfermagem pode ser associado à segurança do paciente no contexto hospitalar, considerando a Teoria do Comportamento Planejado. Foi realizada uma revisão de escopo com busca em oito bases de dados eletrônicas. O processo de pesquisa identificou inicialmente 2.531 estudos. Após a aplicação dos critérios de inclusão e exclusão, o corpus final da análise foi composto por 29 artigos que atenderam ao escopo da investigação, sendo selecionados para extração e síntese dos dados. As evidências analisadas indicam que os comportamentos mais estudados foram a adesão geral a protocolos de segurança do paciente, a rotinas de cirurgia segura e a práticas de higienização das mãos. Constatou-se que os determinantes do comportamento, conforme a teoria utilizada, variam significativamente dependendo da conduta específica em questão, demonstrando a complexidade da adesão às práticas seguras. A identificação dos determinantes específicos do comportamento dos trabalhadores no cenário do cuidado representa uma etapa fundamental para o desenvolvimento de intervenções eficazes. Estratégias direcionadas podem promover maior adesão aos protocolos, fomentar a colaboração interprofissional em prol da segurança do paciente no ambiente hospitalar e, consequentemente, contribuir para a diminuição da sobrecarga de trabalho das equipes. Embora estratégias de treinamento tenham sido frequentemente citadas na literatura
revisada como um meio de influenciar o comportamento, as evidências indicam que elas não têm sido eficazes, destacando a necessidade de intervenções alternativas.
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Copyright (c) 2026 Rafaela Andolhe, GiuliaDos Santos Goulart, Marculina da Silva, Carla Renata Silva Andrechuk, Maria Cecília Bueno Jayme Gallani, Roberta Cunha Matheus Rodrigues
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