Determinação dos fatores da suspensão de cirurgia e suas contribuições para assistência de enfermagem         Determination of surgery suspension factors and their constributions with nursing assistance

Gonçalves, Renan Araújo; Sampaio, Carlos Eduardo Peres; Júnior, Hélio Paulo Primiano

doi:10.9789/2175-5361.2016.v8i3.4813-4820

Cited by 7 publications

(11 citation statements)

References 9 publications

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“…The factors repeatedly identified in the articles were lack of human resources (4,13,16,(19)(20)22) ; lack, poor quality or unavailability of equipment (8,13,16,19,23); lack of structural conditions (13,20,22) and nursing time (4,16,24) . They were mainly related to the following implications: cancellation of surgeries (8,13,(19)(20)22); work overload, tiredness and stress (16) ; reduction of direct care to the client, which is delegated to other members of the nursing staff (4) ; reduced quality of care (19) ; decreased functional capacity of the operating room (23) and creation of the equipment technician function (24) .…”

Section: Resultsmentioning

confidence: 99%

Workflow and decision making of operating room nurses: integrative review

Rodrigues

Torres

Gomes

et al. 2020

Rev. Gaúcha Enferm.

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Objective: Identify workflow factors in the operating room and their implications, which influence nurses' decision making. Method: Integrative review of the literature conducted through searches in the databases: Latin American and Caribbean Literature in Health Sciences; Nursing Database; Pubmed; Scopus and Cumulative Index to Nursing and Allied Health Literature. The results were organized into factors related to positive, negative and positive and negative implications. Results: The sample of 18 articles included examples of factors with positive implications, such as preoperative data collection, negative outcomes, such as lack of human, material and structural resources, and positive and negative outcomes, as preparation for certification. Conclusions: Factors that influence the decision-making process of nurses are associated to different conditions: client- related conditions and those conditions that go beyond the domain and organization of the surgical environment.

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Section: Resultsmentioning

confidence: 99%

Workflow and decision making of operating room nurses: integrative review

Rodrigues

Torres

Gomes

et al. 2020

Rev. Gaúcha Enferm.

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“…A partir disso, foram enquadradas nos grupos de determinantes ordenados pelo estudo, de acordo com a Tabela 1. 1,5,8,9 . O alto índice pode ser reflexo da falta de planejamento das ações que envolvem todo o processo da programação cirúrgica.…”

Section: Resultsunclassified

“…O resultado diverge dos dados encontrados em outras pesquisas, que citam entre os principais motivos as condições clínicas insatisfatórias do paciente e os motivos assistenciais, por falta de exames 1,5,9 . No presente estudo, esses dois motivos ficaram em sexto e sétimo lugares, com 3,5 e 2,2%, respectivamente, podendo ter como causa a falta de dados que pudessem caracterizar os reais motivos da suspensão cirúrgica ou devido ao déficit de profissionais na instituição.…”

Section: Discussionunclassified

“…A literatura mostra que 60% dos fatores determinantes para as suspensões de cirurgias poderiam ser previstos e evitados. Para tanto, cabe aos gerentes do CC redefinir modelos, estipular metas, estudar as peculiaridades do setor e agrupar fragilidades e potencialidades, para, assim, rever o planejamento do mapa cirúrgico, a visita pré-operatória, o gerenciamento de materiais e os recursos humanos 5,6 . Obter o controle adequado de todos esses fatores proporciona maior segurança para o paciente, diminui o tempo desnecessário de internação, reduz significativamente os custos e otimiza a produtividade do setor 4 .…”

Section: Discussionunclassified

“…O bem-estar do indivíduo em situação cirúrgica deve ser o principal objetivo da equipe de saúde 5 . No momento em que o paciente se prepara para o procedimento cirúrgico surgem, automaticamente, muitas preocupações e expectativas sobre a intervenção que será realizada, e quando cancelado, pode gerar sentimento de frustração 1,6 .…”

Section: Introductionunclassified

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Fatores determinantes para suspensões de cirurgias eletivas em um hospital do Distrito Federal

Gomes¹,

Franco²,

Morais³

et al. 2018

Rev SOBECC

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RESUMO: Objetivo: Identificar os principais fatores determinantes para a suspensão de cirurgias eletivas em um hospital público do Distrito Federal e calcular a taxa de suspensão de cirurgias. Método: Trata-se de um estudo quantitativo, retrospectivo, descritivo, realizado no centro cirúrgico de um hospital público do Distrito Federal. Resultado: De janeiro a outubro de 2015 foram programadas 6.926 cirurgias, das quais foram realizadas 4.587 e suspensas 2.339, totalizando uma taxa de suspensão cirúrgica de 33,8%. O principal motivo de suspensão foram causas injustificadas, com 30,1%. Conclusão: Os determinantes para suspensão de cirurgias devem ser rigorosamente controladas e restringidas. Para isso, é essencial a conscientização de todos os envolvidos, com o intuito de diminuir os índices encontrados. Os achados permitem realizar uma análise situacional a respeito da assistência prestada e possibilitam identificar fragilidades, melhorar o desempenho e adequar o processo de trabalho às necessidades do paciente e do setor.Palavras-chave: Cirurgia. Procedimentos cirúrgicos eletivos. Centro cirúrgico.ABSTRACT: Objectives: To identify the main determinant factors for suspension of elective surgeries in a public hospital of the Federal District, Brazil, and calculate the surgery suspension rate. Method: This is a quantitative, retrospective, and descriptive study carried out at the surgical center of a public hospital of the Federal District. Result: From January to October of 2015, 6,926 surgeries were scheduled, of which 4,587 were performed and 2,339 suspended, totaling a surgery suspension rate of 33.8%. The main reason for suspension was unjustified causes, with 30.1%. Conclusion: The determinants of surgery suspension should be strictly controlled and restricted. To that end, it is essential to raise awareness among all those involved to reduce the rates found. The findings allowed us to conduct a situational analysis of the care provided, identify weaknesses, improve performance, and adapt the work process to the needs of the patient and the area.Keywords: Surgery. Elective surgical procedures. Surgical center. RESUMEN:Objetivo: Identificar los principales factores determinantes para la suspensión de cirugías electivas en un hospital público del Distrito Federal y calcular la tasa de suspensión de cirugías. Método: Se trata de un estudio cuantitativo, retrospectivo, descriptivo, realizado en el centro quirúrgico de un hospital público del Distrito Federal. Resultado: De enero a octubre de 2015 fueron programadas 6.926 cirugías, de las cuales fueron realizadas 4.587 y suspendidas 2.339, totalizando una tasa de suspensión quirúrgica del 33,8%. El principal motivo de suspensión, fueron causas injustificadas, con el 30,1%.Conclusión: Las determinantes para suspensión de cirugías deben ser rigurosamente controladas y restringidas. Para eso, es esencial la concientización de todos los involucrados, con la idea de disminuir los índices encontrados. Los hallazgos permiten realizar un análisis situacional al respecto de...

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Prior Telephone Confirmation to Reduce Absenteeism in Oncological Surgeries: A Phone Call That Saves Lives

Souza

Brazorotto

Sena

et al. 2019

ijirms

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In assessing the quality of health services, the use of quality and resolution indicators used in the operating room stands out. The cancellation fee for operating procedures is one of the most important. Cancellations interfere with the outcome of care and increase hospital costs. In the case of cancer patients, the consequences are severe, since early surgical intervention directly influences prognosis, reducing morbidity, and mortality. Considering that surgical suspensions should be prevented, pre-anesthetic consultation and telephone confirmation days before the procedure configure strategies that can be adopted to minimize the problem. A descriptive observational study with a quantitative approach was conducted on the impact of previous telephone confirmation on the reduction of cancellation of oncologic surgeries due to absenteeism. The research was carried out at Professor Alberto Antunes University Hospital, Federal University of Alagoas (HUPAA/UFAL), city of Maceió, State of Alagoas, Northeastern Brazil. The sample consisted of 205 patients with scheduled cancer surgery from January to June 2019, after approval by the Institutional Ethics Committee. Data analysis was performed descriptively. The effectiveness of previous telephone confirmation was verified, with a 50% reduction in cancellation of elective oncologic surgeries due to absenteeism. The implementation of a call center to confirm the presence of the user consisted of an impact strategy in reducing the cancellation of previously scheduled cancer surgeries.

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Determinação dos fatores da suspensão de cirurgia e suas contribuições para assistência de enfermagem Determination of surgery suspension factors and their constributions with nursing assistance

Cited by 7 publications

References 9 publications

Workflow and decision making of operating room nurses: integrative review

Workflow and decision making of operating room nurses: integrative review

Fatores determinantes para suspensões de cirurgias eletivas em um hospital do Distrito Federal

Prior Telephone Confirmation to Reduce Absenteeism in Oncological Surgeries: A Phone Call That Saves Lives

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