The visibility of hygiene self-care in nurse-to-nurse shift change reports

Abstract

This study aimed to understand the visibility of hygiene care related to inpatients with compromised self-care through the nurse-to-nurse shift change report. A qualitative approach was used and data were collected through observation and semi-structured interviews. A total of 33 nurses from medical and surgical units were observed and eight of them were interviewed. The results indicate that the nurse-to-nurse shift change report is a cyclically recreated practice that results in group coherence in updating information and in the continuity of care, and keeps nurses united. Hygiene care activities are present in the shift change reports; they are frequent in the shift change from morning to afternoon and less frequent in the remaining. Information concerning these activities helps to determine the type of aid necessary to the continuity of hygiene and of many other care activities and the rhythm of the following shifts. La visibilidad del autocuidado higiene en el cambio de turno de los enfermerosEl objetivo fue comprender la visibilidad de los cuidados de higiene en la información del cambio de turno, inherentes a la persona internada con el autocuidado comprometido. Se recurrió al abordaje cualitativo, utilizando la observación y la entrevista semiestructurada.Fueron observados 33 enfermeros, 8 de los cuales fueron entrevistados, provenientes de un servicio de medicina y otro de cirugía. De los hallazgos, se puede destacar que el cambio de turno es una práctica recreada cíclicamente y apunta para el sentido de coherencia del grupo en la reactualización de la información, la continuidad de los cuidados y mantiene unidos a los enfermeros. Los cuidados de higiene muestran su presencia en los relatos del cambio de turno, con vínculo explícito en el turno de las 14h30min e implícito en los restantes cambios. La información sobre estos proporciona orientaciones para la continuación de dichos cuidados, así como de los restantes cuidados, actividades y ritmo del próximo turno.Descriptores: Investigación en Enfermaría; Autocuidado; Trabajo por Turnos.

Evaluation of nursing documentation on patient hygienic care

“…Our results on audited records indicated that although some of the patient hygienic cares were undocumented despite which they had been performed by nurses, the consistency between nursing hygienic care and its documentation was 77.6%. This finding is incongruent with the previous studies reporting that patient hygienic care activities of nurses were less widely recorded, [11][12][13] but consistent with the results of a qualitative study of Penaforte and Martins, 18 who showed that hygiene care activities are present in the shift change reports. The observational study of De Marinis et al 19 showed that nursing records reported 37% of the assessments and 45% of the interventions.…”

Perception of the nursing staff about the nurse’s role in the emergency service

“…Therefore, the written record is not only a bureaucratic and institutional demand, but mostly, is a fundamental resource for information management and continuity of care being provided, as well as its evaluation (17) . Given that, amid the fast pace of the flow of patients and procedures, registration facilitates the resumption of the current state of the patient, with emphasis on complications and procedures performed during the period and those which should be performed in the following shifts, which can also contribute to the direction of the work of general nursing staff, and not just nurses.…”

Bath for dependent patients: theorizing aspects of nursing care in rehabilitation

“…Baths have a strong routine-centered representation (1) , although they are also referred to as a moment of interaction with patients (1,6,10) . Lastly, the therapeutic vision is associated with the technique, intentionality, and principles to which they are intended, such as anxiety (10) .…”

“…These ways of doing-thinking baths, including baths performed as a body hygiene and care and comfort procedure, baths for dependent patients performed in the shower or bath tub, or by spilling small volumes of water over the body, should be performed with serenity, gentle movements, careful observation to physical, sensory, and emotional responses, gathering a detailed list of nursing records for identification of nursing therapeutic procedures and diagnoses (1)(2)(3) . Dependence in relation to bath-related body care appears essentially associated with altered mobility presented by individuals with pathologies (1) , that is, individuals' musculoskeletal incapacity to be independent in their activities of daily living.…”

“…Dependence in relation to bath-related body care appears essentially associated with altered mobility presented by individuals with pathologies (1) , that is, individuals' musculoskeletal incapacity to be independent in their activities of daily living. Reflecting on the essence of what constitutes a bath, it is possible to affirm that it is a complex care procedure that goes beyond the replacement of a patient presenting no strength, willingness, or knowledge to do it (3) .…”