Revista Brasileira de Enfermagem ()

Case study: using participatory photographic methods for the prevention of medication errors

  • Ana Paula Gobbo Motta,
  • Juliana Magalhães Guerreiro,
  • Ana Flora Fogaça Gobbo,
  • Luciana Kusumota,
  • Elisabeth Atila,
  • Rebecca O. Shasanmi,
  • Fernanda Raphael Escobar Gimenes

DOI
https://doi.org/10.1590/0034-7167-2017-0040

Abstract

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ABSTRACT Objective: To describe the experience of using participatory photographic research methods to engage nurses and researchers in a collaborative study to improve medication safety conditions, particularly in patients with feeding tubes in a nursing home for the elderly (NHE). Method: This qualitative study was conducted in Brazil and proceeded in iterative phases of visual and textual data collection and analysis. Interviews, subsequent nurse-led photo-narrated walkabouts, and photo elicitation were used with nurses. Results: The need to transform the work design and the workplace to improve medication safety and improving medication processes through effective communication was identified. Unsafe workforce is a challenge in achieving safe medication administration practices; and lack of a patient safety culture is a barrier for adaptive learning and growth. Conclusion: Our findings demonstrated the effectiveness of a restorative research approach for supporting nurses to study and act on medication safety.

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