Segurança do paciente na administração de medicamento intramuscular em pediatria: avaliação da prática de enfermagem

Abstract

OBJECTIVE To evaluate the nursing care regarding the intramuscular medication administration procedure in pediatrics. METHODS It was an observational and quantitative study performed in a pediatric hospital located in the city of Fortaleza, in Ceará, Brazil. The data collection was carried out through the observation of 327 intramuscular medication administration procedures. An observational checklist composed by 25 steps was used to collect data. The performance of the 25 steps of the checklist was divided as follows: (1) five steps were applied before the procedure of intramuscular medication administration; (2) fourteen steps during the procedure; (3) six steps after the procedure. RESULTS It was found that none of the five steps carried out before the intramuscular medication administration procedure were satisfactory performed. Regarding the fourteen steps applied during the procedure, six of them were satisfactory performed (42.8%). With regards to the six steps applied after the procedure, three of them were satisfactory performed (50%). CONCLUSIONS Fragilities that negatively impact the intramuscular medication administration procedures in pediatric patients were identified in this study.

Parents’ Perspectives on the Health Education Provided by Clinicians in Portuguese Pediatric Hospitals and Primary Care for Children Aged 1 to 10 Years

“…We also know that there are multiple challenging factors in the construction of good professional nursing practice [ 26 ], so the lack of time availability of nurses (pointed out by four participants) can indicate that nurses are overloaded with work, either due to the lack of human resources or due to the bureaucratic processes (records) inherent to nursing care, which can be a demotivating and impeding situation for the effective development of HE practice. Additionally, in a study the participants pointed out the difficulties observed in the performance of nurses in primary care, the work overload, and the problems of human resources [ 28 ]. In this sense, problems such as the lack of employees, the high number of users, or the exhaustion of work are often faced by health professionals [ 27 ], and have been frequently pointed out in nursing studies that aim to understand the lack of quality, adverse effects events, and professional dissatisfaction in health care [ 29 ].…”

Implementação dos núcleos de segurança do paciente e as infecções relacionadas à assistência à saúde

“…The study also highlighted the importance for the managers to support the inclusion and Rev Gaúcha Enferm. 2019;40(esp):e20180306 visibility of the accompanying persons and family members in the strategies to promote safety (15) .…”

Avaliação das práticas seguras em hospital público do nordeste brasileiro [Evaluation of safe practices in a public hospital in the northeast of Brazil] [Evaluación de prácticas seguras en un hospital público en el noreste de Brasil]

“…As etapas do processo de utilização de medicamentos -prescrição, dispensação, administração, monitoramento e utilizaçãopodem ocasionar vários problemas relacionados à segurança. Os erros que acontecem no processo de utilização de medicamentos podem surgir em qualquer uma destas etapas e possuem diferentes tipologias 29,30 .…”