Enfermagem para a segurança do paciente

Abstract

Nursing interventions and outcomes to ensure patient's safety Visionary people are admirable human beings who are ahead of their time. Their innovative ideas and premises remain updated for many generations and captivate our admiration and respect. Florence Nightingale was one of such visionary people. She was a woman with ideas ahead of her time that transformed nursing and developed new ways to provide safer health care. Her ideas have been documented in memorable publications such as the one documented in 1959-the first duty of the hospital is "do no harm." More than a century later, in 1999 the evaluation of several epidemiological studies lead to the publication of "To Err is Human: Building a Safer Health Care System in the United States," which reported that even with huge investment in healthcare, medical errors were common and caused harm and even death to thousands of patients in healthcare organizations throughout the united States. Today, there is a need to recognize that the even in the most well designed and structured healthcare system that provides preventive, rehabilitative, and curative services, medical errors and adverse events are likely to occur. Therefore, patients and their families had been at risk for medical errors and adverse events in those healthcare systems. Operational deficiencies of the healthcare system affect patient safety and good health outcomes. These require nurses to expend energy in correcting deficiencies, preventing them from providing the types of nursing care that they learned and that have served as an ideal for their patients. Thus, nurses have not been able to focus entirely on integral and individualized care to their patients, activities that distinguish nurses from other healthcare professionals. This situation can result in loss of professional identity and may affect optimum delivery of nursing care to attend the patient needs and preferences. Intermediating between the biological and human sciences, nurses are agents who interconnect the healthcare system and the patient, and they are in a unique position to promote patient safety with focus on patient care and not on the correction of deficiencies of the healthcare system. As one of the major workforces in healthcare, nurses must be visionaries and must assume a vanguard position for the development of new ideas to modify the actual healthcare system. In this premise, researchers from the "

Enfermagem Baseada Em Evidência: Caracterização Dos Estudos No Brasil

“…Considerando o contexto assistencial do país, a falta de aproximação dos profissionais à pesquisa, o baixo nível de participação dos enfermeiros em atividades científicas (1) corrobora com os resultados apresentados nesse estudo, no qual, a maioria dos profissionais são os enfermeiros docentes que desenvolvem e utilizam a PBE.…”

“…Não se pode apenas implementar uma evidência a qualquer tipo de situação, elas precisam ser similares ou próximas do contexto no qual a pesquisa foi realizada. Assim, na busca por uma efetividade do cuidado prestado, as intervenções de enfermagem precisam ser validadas para o contexto em que serão empregadas (1,5,30) .…”

“…O uso de evidências científicas em enfermagem tem como pressuposto a realização de estudos que gerem práticas inovadoras, com vista a sustentar as ações e as relações do profissional enfermeiro no sistema de saúde, bem como demonstrar o impacto de tais evidências na prática (1) .…”

Erros in the administration of medications: study with a nursing team/Erros na administração de medicamentos: estudo com uma equipe de enfermagem/Errores en la administración de medicamentos: estudio con un equipo de enfermería

“…Nesse sentido, pode-se dizer que a busca pela segurança e pela qualidade dos serviços de saúde não é um fato recente na enfermagem (1) (2) .…”

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

“…It can be also observed that patients and relatives are at constant risk of becoming victims of preventable errors and/or adverse events, even in highly structured health institutions. [7][8][9][10] Among the various health care areas, ICUs stand out as an environment in which the focus on patient safety is of immense importance, as patients admitted to these units tend to be more vulnerable to the occurrence of errors and adverse events due to the severity and gravity of their conditions, a higher frequency of pharmacologic and therapeutic interventions, and the use of multiple technological devices. [10][11][12] The severity and continuous fluctuation in the patient's health status reinforce the relevance of the need for support structures that can provide objective decisionmaking processes toward safer care.…”