Adherence of the nursing team to patient safety actions in neonatal units

Mendes, Léia Arcanjo; Costa, Anna Caroline Leite; Silva, Daniela Cristina Zica; Simões, Delma Aurelia da Silva; Corrêa, Allana dos Reis; Manzo, Bruna Figueiredo

doi:10.1590/0034-7167-2020-0765

Cited by 4 publications

(3 citation statements)

References 12 publications

(12 reference statements)

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“…However, in order to achieve this, it is important, according to the latest data, to use fewer irritating products, such as hydrogel pads, silicone-based or hydrocolloid pads [ 53 ] or even new technologies for pain monitoring [ 54 ]. At the same time, the systematic evaluation of their application points and their frequent change of position should be ensured In addition, we avoid great pressure on the patch points by changing positions of the newborn in the incubator and we follow the protocols for correct fixation of the equipment (e.g., nasogastric catheter) [ 55 , 56 ].…”

Section: Pain and Fetal Lifementioning

confidence: 99%

Effectiveness of Non-Pharmacological Methods, Such as Breastfeeding, to Mitigate Pain in NICU Infants

et al. 2022

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Neonates do experience pain and its management is necessary in order to prevent long-term, as well as, short-term effects. The most common source of pain in the neonatal intensive care unit (NICU) is caused by medically invasive procedures. NICU patients have to endure trauma, medical adhesive related skin injuries, heel lance, venipuncture and intramuscular injection as well as nasogastric catheterization besides surgery. A cornerstone in pain assessment is the use of scales such as COMFORT, PIPP-R, NIPS and N-PASS. This narrative review provides an up to date account of neonate pain management used in NICUs worldwide focusing on non-pharmacological methods. Non-steroidal anti-inflammatory drugs have well established adverse side effects and opioids are addictive thus pharmacological methods should be avoided if possible at least for mild pain management. Non-pharmacological interventions, particularly breastfeeding and non-nutritive sucking as primary strategies for pain management in neonates are useful strategies to consider. The best non-pharmacological methods are breastfeeding followed by non-nutritive sucking coupled with sucrose sucking. Regrettably most parents used only physical methods and should be trained and involved for best results. Further research in NICU is essential as the developmental knowledge changes and neonate physiology is further uncovered together with its connection to pain.

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Section: Pain and Fetal Lifementioning

confidence: 99%

Effectiveness of Non-Pharmacological Methods, Such as Breastfeeding, to Mitigate Pain in NICU Infants

et al. 2022

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“…Nurses' close proximity to patients allows them to detect potential risks, intervene promptly, and provide critical feedback on the effectiveness of patient safety protocols. Additionally, nurses' role extends beyond mere adherence to protocols, as they also contribute to creating a culture of safety within the healthcare environment, fostering open communication, collaboration, and a proactive approach to identifying and preventing adverse events (Mendes et al., 2021). Overall, nurses' commitment to implementing patient safety protocols is instrumental in safeguarding patients from harm and ensuring the provision of high‐quality and safe healthcare.…”

Section: Introductionmentioning

confidence: 99%

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Labrague

2023

J of Nursing Scholarship

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IntroductionEnsuring patient safety is a critical component of healthcare delivery, and nurses play a vital role in adhering to patient safety protocols to prevent adverse events. However, studies linking nurses' adherence to these protocols with patient outcomes is scarce. This study has two‐fold purposes: (1) to examine determinants of nurses' adherence to patient safety protocols, and (2) to investigate the relationship between nurses' adherence to patient safety protocols and adverse patient events.DesignA cross‐sectional design.MethodsA total of 343 clinical nurses from five hospitals in the Philippines were included in this study. Two standardized scales were used to collect data, including the Patient Safety Adherence Scale and the Adverse Patient Events Scale. Data collection took place from April 2022 to August 2022.ResultsAdherence to patient safety protocols was generally moderate to high (M = 4.483), while nurse‐reported adverse events occurred at a lower frequency (M = 1.150). Lower adherence rates were identified in areas such as reporting safety errors (M = 3.950), conducting fall risk assessments (M = 4.299), and adhering to pressure ulcer prevention guidelines (M = 3.979). Patients' and their families' complaints (M = 2.129) and abuses (M = 1.475) were the most frequently reported adverse events. Increased adherence to safety protocols was associated with higher reporting of adverse patient events (β = 0.115, p < 0.001).ConclusionHigher adherence to patient safety protocols resulted in an increased reporting of adverse patient events. The factors identified that contributed to nurses' adherence to patient safety protocols can be utilized in the development of strategies aimed at improving compliance, especially in areas where adherence is currently low.Clinical RelevanceHealthcare organizations should prioritize efforts to enhance adherence to patient safety protocols, particularly in areas with lower compliance rates, through relevant trainings, resource provision, and support systems. Promoting a culture of open communication and reporting can significantly contribute to reducing adverse events and improving patient safety.

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“…According to a survey that identified the frequency of adherence of the nursing staff to patient safety actions at the NICU, by using a previously validated instrument, the technologies that increase the survival of NBs requiring intensive care can cause cutaneous lesions when misused. To avoid complications, adverse events, and worsening of clinical status, the multi-professional team must be oriented about the conditions of the NB, emphasizing that adverse events can prolong hospitalization and even lead to death (9) .…”

Section: Introductionmentioning

confidence: 99%

Alteration of skin condition in newborns admitted to neonatal intensive care: a concept analysis

Araújo

Silva

et al. 2022

Rev. Bras. Enferm.

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Objectives: to analyze the concept of alteration of skin condition in newborns admitted to the Neonatal Intensive Care Unit. Methods: this is a concept analysis operationalized by scoping review. The search was conducted in three parts: the first, in sources like Scopus and Web of Science; the second, in Google Scholar®; and the third, through a parallel list of references. Results: according to the types of skin, the most frequent alterations were erythema/redness and pressure injuries. The concept analysis was more evident in the attribute “skin lesions or alterations” than the others. The most frequent antecedents were gestational age, birth weight, and factors related to hospitalization. Among the consequences stood out infection/sepsis. Conclusions: this study allows improving the vision of health professionals regarding alterations in skin condition of neonates and, therefore, may contribute to a safe and systematized nursing practice.

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Adherence of the nursing team to patient safety actions in neonatal units

Cited by 4 publications

References 12 publications

Effectiveness of Non-Pharmacological Methods, Such as Breastfeeding, to Mitigate Pain in NICU Infants

Effectiveness of Non-Pharmacological Methods, Such as Breastfeeding, to Mitigate Pain in NICU Infants

Nurses' adherence to patient safety protocols and its relationship with adverse patient events

Alteration of skin condition in newborns admitted to neonatal intensive care: a concept analysis

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