Conceitos de enfermeiros e médicos de um serviço de emergência sobre dor e analgesia no trauma

Calil, Ana Maria; Pimenta, Cibele Andrucioli de Mattos

doi:10.1590/s0080-62342005000300011

Cited by 8 publications

(15 citation statements)

References 10 publications

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“…Studies show the importance of pain assessment with the other vital signs and that the culture of professionals directly affects their assessment of pain (1)(2)(5)(6)8,(10)(11) .…”

Section: Discussionmentioning

confidence: 99%

“…Pain is defined as an unpleasant sensorial and emotional experience, associated with real or potential harm of tissues, or described in terms of such harm (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

“…Thus, graduated professionals do not use this knowledge in their daily practice. Despite these limitations, the implementation of a pain management program is extremely valuable, improving health care and the qualification of future professionals, in addition to dealing with patients in a more humanized way (1)(2)4) .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação da dor como quinto sinal vital: opinião de profissionais de enfermagem

Nascimento

Kreling

2011

Acta paul. enferm.

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Objective: To analyze the implementation of the assessment of pain as the fifth vital sign in a teaching hospital. Methods: Quantitative research using semi-structured questionnaire applied to 188 technicians and nursing assistants working in five inpatient units of a large teaching hospital located in municipality of Londrina-PR. Results: About 79.0% of professionals reported assessing pain as a sign of life; patient welfare was the most mentioned reason. The lack of understanding of the patient about the pain intensity scale was the main difficulty (77.6%). For 64% of professionals, the hospital encourages the assessment of pain and as a suggestion, 49% of professionals reported the need for courses and training. Conclusion: The inclusion of pain as the fifth vital sign was accepted by the nurses. It highlights the need for nursing work in the supervision and training, and the readjustment of the pain measurement scale. Keywords: Pain measurement; Nursing, Team; Pain RESUMOObjetivo: Analisar a implantação da avaliação da dor como quinto sinal vital em um hospital escola. Métodos: Pesquisa quantitativa, utilizando questionário semi-estruturado aplicado a 188 técnicos e auxiliares de enfermagem que trabalhavam em cinco unidades de internação de um hospital-escola de grande porte localizado no Município de Londrina -PR. Resultados: Cerca de 79,0% dos profissionais relataram avaliar a dor como sinal vital, sendo o bem-estar do paciente o motivo mais citado. A falta de compreensão do paciente com a escala de intensidade da dor foi a principal dificuldade apresentada (77,6%). Para 64% dos profissionais, o hospital incentiva a avaliação da dor e como sugestão, 49% dos profissionais relataram a necessidade de cursos e treinamentos. Conclusão: A inclusão da dor como quinto sinal vital foi aceita pelos profissionais de enfermagem. Ressalta-se a necessidade da atuação do enfermeiro na supervisão e treinamento, além da readequação da escala de mensuração da dor. Descritores: Medição da dor; Equipe de enfermagem; Dor RESUMEN Objetivo: Analizar la implantación de la evaluación del dolor como la quinta señal vital en un hospital escuela. Métodos: Investigación cuantitativa, utilizando cuestionario semi-estructurado aplicado en 188 técnicos y auxiliares de enfermería que trabajaban en cinco unidades de internación de un hospital-escuela de gran porte localizado en el Municipio de Londrina -PR. Resultados: Cerca de 79,0% de los profesionales relataron evaluar el dolor como señal vital, siendo el bienestar del paciente el motivo más citado. La falta de comprensión del paciente con la escala de intensidad del dolor fue la principal dificultad encontrada (77,6%). Para 64% de los profesionales, el hospital incentiva la evaluación del dolor y como sugerencia, 49% de los profesionales relataron la necesidad de realizar cursos y entrenamientos. Conclusión: La inclusión del dolor como la quinta señal vital fue aceptada por los profesionales de enfermería. Se destaca la necesidad de la actuación del enfermero en la supervisión ...

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“…Studies show the importance of pain assessment with the other vital signs and that the culture of professionals directly affects their assessment of pain (1)(2)(5)(6)8,(10)(11) .…”

Section: Discussionmentioning

confidence: 99%

“…Pain is defined as an unpleasant sensorial and emotional experience, associated with real or potential harm of tissues, or described in terms of such harm (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Avaliação da dor como quinto sinal vital: opinião de profissionais de enfermagem

Nascimento

Kreling

2011

Acta paul. enferm.

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“…The NRS scale ranges from zero (no pain) to ten points (worst possible pain), and the responses were categorized into four levels for this study, according to the WHO Analgesic Ladder 13 : no pain (0), mild pain (1-3), moderate pain (4-7), and severe pain (8)(9)(10).…”

Section: Crossmentioning

confidence: 99%

Dor nas unidades de internação de um hospital universitário

Ribeiro

Pinto²,

Ribeiro³

et al. 2012

Rev. Bras. Anestesiol.

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“…Com relação à dor, estudos têm mostrado que as repercussões orgânicas do processo álgico são, geralmente, subestimadas ou mesmo ignoradas por médicos e enfermeiros, ou seja, a maioria dos profissionais de saúde desconhece o impacto da dor sobre o paciente (145) .…”

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Segurança do paciente em Unidade de Terapia Intensiva: carga de trabalho de enfermagem e sua relação com a ocorrência de eventos adversos e incidentes

Gonçalves¹

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An observational prospective study of an quantitative approach, aimed at analyzing the workload of nurses, according to the hours of care required by patients, and the allocation of the nursing staff, per patient a day, and its relationship with the occurrence of adverse events and incidents, in four intensive care units (ICUs) belonging to a university hospital, of a tertiary level, in São Paulo, Brazil. This research was performed in the ICU on the 4th floor (Emergency Room and Hematology) and the 6th floor (Pulmonary and Clinics). The sample consisted of 86 patients. To measure the hours of care required by patients, it was applied in a 40-day study, Nursing Activities Score. The data from this study was obtained from the daily analysis of patient charts, the daily monitoring of physician visits and nursing change of shifts on two shifts (morning and night). Patients in the ICU on the 4th floor demanded greater nursing care (15.7 hours) than patients in the ICU on the 6th floor (14.7 hours), with a significant difference (p = 0.008). The available nursing time in the ICU on the 4th floor (16.9 hours) were inferior to the one on the 6th floor (24.4 hours), also with a statistically significant result (p = 0.000). The average difference between the available hours and required ones on nursing care for ICU patients was higher on the 6th floor, compared to the ICU on the 4th floor (p = 0.000). In both ICUs there were 1082 adverse events and incidents, of which 865 (79.9%) were incidents and 217 (20.1%) adverse events. The increase in the difference between the available hours and the required ones on nursing care to patients resulted in increased frequency of adverse events and incidents per patient a day, only in the combined analysis of both ICUs, with an equal correlation of 0.444 (p = 0.000). Out of 1165 allocations of the nursing staff in both ICUs, 893 (76.7%) were adequate and 272 (23.3%) inadequate. The average number of incidents and adverse events was higher in the inadequate allocation of the nursing staff, compared to adequate allocation in both the 4th floor ICU (p = 0.004) and 6th floor ICU (p = 0.000), and when analyzed together both ICUs (p = 0.000). It was also observed that in both ICUs, when analyzed separately and together, the higher the difference between the available hours of nursing care and the required ones by patients, in the allocation of the nursing staff, the lower the frequency of adverse events and incidents was, these significant correlations. In conclusion, the results showed the importance of a proper distribution of the daily nursing staff per patient to ensure patient safety.

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Conceitos de enfermeiros e médicos de um serviço de emergência sobre dor e analgesia no trauma

Cited by 8 publications

References 10 publications

Avaliação da dor como quinto sinal vital: opinião de profissionais de enfermagem

Avaliação da dor como quinto sinal vital: opinião de profissionais de enfermagem

Dor nas unidades de internação de um hospital universitário

Segurança do paciente em Unidade de Terapia Intensiva: carga de trabalho de enfermagem e sua relação com a ocorrência de eventos adversos e incidentes

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