Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Abstract

Objective: to analyze nurses' abilities regarding the prevention of falls in hospitalized children in light of the Galway Consensus.Method: a cross-sectional study was conducted with 40 nurses who worked in the open hospitalization units of a pediatric hospital. Data collection was performed through the application of a questionnaire with validated content. The actions performed by the nurses, according to the fall prevention protocol, were related to the eight domains of the Galway health promotion competency model. Statistical analysis and professional performance analysis were performed.Result: the domain of competence leadership was present in all actions (15). The other areas of competence were presented in the following frequencies: advocacy (9 actions), catalyzing changes (6 actions), implementation (6 actions), planning (3 actions), partnerships (3 actions), needs assessment (2 actions) and impact assessment (2 actions).Conclusion: the competence domains were considered in at least two fall prevention actions. The importance of the identification of nurses' competences in the prevention of falls of hospitalized children is highlighted, aiming to improve the quality of care and, consequently, to reduce unsafe actions. COMPETÊNCIAS DO ENFERMEIRO NA PREVENÇÃO DE QUEDAS EM CRIANÇAS À LUZ DO CONSENSO DE GALWAY RESUMOObjetivo: analisar as competências do enfermeiro na prevenção de quedas de crianças hospitalizadas, à luz do Consenso de Galway.Método: estudo transversal, realizado com 40 enfermeiras que atuavam nas unidades abertas de internação de um hospital pediátrico. Coleta dos dados realizada mediante aplicação de um questionário com conteúdo validado. Foram relacionadas as ações executadas pelas enfermeiras, segundo o protocolo de prevenção de quedas, com os oito domínios do modelo de competências para promoção da saúde de Galway. Procedeu-se à análise estatística e análise do desempenho dos profissionais.Resultado: o domínio de competência liderança esteve presente em todas as ações (15). Os demais domínios de competência apresentaramse na nas seguintes frequências: defesa (9 ações), catalisar mudanças (6 ações), implementação (6 ações), planejamento (3 ações), parcerias (3 ações), avaliação das necessidades (2 ações) e avaliação do impacto (2 ações).Conclusão: os domínios de competência foram contemplados em pelo menos duas ações de prevenção de quedas. Destaca-se a importância da identificação das competências de enfermeiros na prevenção de quedas de crianças hospitalizadas, visando melhoria da qualidade assistencial e, consequentemente, redução de atos inseguros. DESCRITORES: COMPETENCIAS DEL ENFERMERO EN LA PREVENCIÓN DE CAÍDAS EN NIÑOS A LA LUZ DEL CONSENSO DE GALWAY RESUMENObjetivo: analizar las competencias del enfermero en la prevención de caídas de niños hospitalizados, a la luz del Consenso de Galway.Método: estudio transversal, realizado con 40 enfermeras que actuaban en las unidades abiertas de internación de un hospital pediátrico. La recolección de los datos realizada mediante la...

Nurse's interventions in preventing falls in hospitalized children: scoping review

“…In Figure 1, the selection process of the articles with a PRISMA flow chart is presented, with the seven included in the final sample (two articles from EBSCO [CINAHL and MEDLINE] (20)(21) , four articles from PubMed (22)(23)(24)(25) and one article from SciELO (26) ).…”

“…Competencies of the Nurse in the Prevention of Falls in Children in the Light of the Galway Consensus (2017) (26) -Most used fall prevention nursing interventions were: inform whether the child can walk or not (97.5%), educate the child/caregiver about the risk of falling (92.5%), assess the risk of falls at the moment after admission (92.5%), arrange for transportation on a stretcher or wheelchair (95%), keep one of the crates lifted from the cradle during the child's clothes/diaper change (92.5%).…”

“…Regarding the notification of the fall incident, the authors refer that it is one of the least used interventions by the nursing team, and the nurses themselves assume that (25)(26) .…”

“…Competencies of the Nurse in the Prevention of Falls in Children in the Light of the Galway Consensus (26) Gurgel, S., Ferreira, A., Sandoval, L., Araújo, P., Galvão, M. e Lima, F. (23) Fujita, Y., Fujita, M., Fujiwara, C.…”

Professional skills for health promotion in caring for tuberculosis patients

“…Analysis of nurses' skills in preventing falls in hospitalized children, in the light of the Galway Consensus, identified that among these, the Leadership domain was present in all actions. It also found that continuing education for the implementation of a practice based on health promotion is considerable (21) .…”