Sobrecarga de trabalho da Enfermagem e incidentes e eventos adversos em pacientes internados em UTI

Abstract

This prospective cohort study aimed to identify the influence of nursing work overload on the occurrence of incidents without injury and adverse events in 399 patients hospitalized in Intensive Care Units (ICU). For data collection, a structured questionnaire was administered and an analysis of medical records was performed. In these admissions, approximately 78% of incidents without injury and adverse events in patients were related to the sphere of Nursing. These occurrences were attributed to overwork, increased the number of days of hospitalization and the risk of death of patients. It is essential that nursing managers work on the staff hospital management avoiding work overload to contribute for patient safety.

Perception of nursing workers humanization under intensive therapy

“…The precarious working conditions in the public service cause suffering due to impotence regarding the quality of patient care, resulting in job dissatisfaction and disruption in the work process (16,(18)(19)(20)(21)(22) .…”

“…The management of people in the nursing area, in hospital institutions, is extremely important to guarantee sufficient and competent human resources to maintain the quality of care and development of nursing work activities, and it is essential that nursing managers participate actively avoiding work overload, thus increasing patient safety (6,9,16,19,(21)(22) .…”

Percepção de profissionais de enfermagem acerca de segurança do paciente em unidades de terapia intensiva

“…It is, therefore, the search for professional commitment with one's self and the others (8) , striving for identification, reporting and problem solution that enhance the potential of AEs (13) . These conceptions value a non-punitive approach and reinforce the initiatives that prevent errors from understanding their chain.…”

“…Furthermore, studies consider the ICU as one of the most vulnerable hospital departments to the occurrence of adverse events related to care, after all, there is a complexity of actions and interventions that are offered as emergency care by the health team involved, and any errors in this assistance entails immediate suffering to the patient (7)(8) .…”

“…It is important to consider that among the members of the health team involved in the care process are nursing professionals, who play a key role in the search for quality by health care organizations, in view of the number of active workers and their responsibility towards the care provided to patients in the course of continuous 24 hours, which can stimulate an event or prevention of error (8) .…”