Violations of Nurses in the Use of Equipment in Intensive Care

Ribeiro, Gabriella da Silva Rangel; Silva, Rafael Celestino da; Ferreira, Márcia de Assunção; Silva, Grazielle Rezende da

doi:10.1590/0104-07072017006050015

Cited by 8 publications

(18 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is important to highlight that the other unit items prevent the patient from being neglected by nurses, who can remedy any deficiencies and unforeseen events, thus reducing fragmentation of care. Supporting the proposals of this study, other studies (Ribeiro, Silva, Ferreira, & Silva, 2016; Ribeiro, Silva, Ferreira, & Silva, 2017) demonstrated that, in the care context, failing to verify equipment and materials can cause incidents in ICUs. In addition, many nurses are seen as “problem solvers,” since they spend their shifts correcting failures.…”

Section: Discussionsupporting

confidence: 81%

Checklist validation for care provided to patients in the immediate postoperative period of cardiac surgery

Batistini

Sant’Anna

Giovanazzi

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives: We created and validated a checklist for nursing care of patients in the immediate postoperative period of cardiac surgery. Background: Cardiovascular diseases (CVD) account for about 30% of all deaths recorded in Brazil. There is an arsenal of clinical and surgical treatments for CVD, with a significant number of patients evolving to surgical treatment. Thus, health professionals working in the perioperative period of cardiovascular surgeries need to be updated, trained and qualified to provide adequate and safe care to patients. Design: We developed a checklist that defined essential parameters for quality care, to ensure greater agility and patient safety. Methods: This methodology validation study comprised two stages: checklist creation for care provided by nurses to patients in the IPO of cardiac surgery, and content validation using the Delphi method. Participants were selected through an advanced survey conducted on the Lattes Platform website of the National Council for Scientific and Technological Development. The STROBE checklist was used to guide the study. Results: Three rounds of analysis by specialists resulted in average CVIs of: 95.8% for objectivity, 97.9% for simplicity, 91.0% for clarity, 93.1% for relevance and 96.5% for variety, suggesting high agreement among specialists. Conclusions: The checklist focused on nursing care of patients in the IPO of cardiac surgery and was validated with three topics, four categories, 16 items and 86 subitems of care assignments to be applied in clinical practice. Relevance to clinical practice: This is a validated instrument that guides nurses' actions by admitting postoperative cardiac surgery patients to the ICU based on evidence, which provides more scientific and professional support to health teams' performance, with the objective of strengthening roles and establishing routines; thus presenting a powerful tool for planning nursing actions, providing quality care to patients, and facilitating communication between teams, thereby minimising risks. 4172 | BATISTINI eT Al. 1 | INTRODUC TI ON Cardiovascular diseases (CVD) are responsible for a significant mortality rate on a global scale, especially acute coronary syndrome and heart failure (Pagidipati & Gaziano, 2013; Stewart, Manmathan, & Wilkinson, 2017). Among the set of treatments for CVD, special attention is drawn to clinical and surgical treatments, with high incidence of surgical procedures driven by technological progress and improved techniques used in the field (Furtado et al., 2017). Considering the high complexity involved in the immediate postoperative period (IPO) of cardiac surgery, quality of care becomes the main premise of health assistance, since nurses must identify haemodynamic changes and implement appropriate interventions quickly and effectively, minimising the incidence of errors (Santos,

show abstract

Section: Discussionsupporting

confidence: 81%

Checklist validation for care provided to patients in the immediate postoperative period of cardiac surgery

Batistini

Sant’Anna

Giovanazzi

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Tempo médio total: 10,7 horas intensivos apresentam média de horas de permanência significativamente maior do que as demais categorias, bem como maior complexidade nos cuidados necessários 4 . Assim, a admissão e a permanência de pacientes graves na SRPA causam repercussão negativa na equipe, pois o paciente intensivo, além da instabilidade das funções dos sistemas orgânicos, resultando em situações iminentes de emergência e de alerta constantes comuns aos pacientes em POI, requer, também, múltiplos procedimentos invasivos 16 , gerando alto nível de estresse da equipe que o atende na SRPA 2,4,8 .…”

Section: Discussionunclassified

Perfil e tempo de permanência de pacientes intensivos assistidos na recuperação pós-anestésica

Jardim¹,

Machado²,

Viégas³

2020

Rev SOBECC

View full text Add to dashboard Cite

Objetivo: Identificar a frequência, o perfil e o tempo de permanência de pacientes intensivos admitidos na sala de recuperação pós-anestésica(SRPA). Método: Estudo transversal e retrospectivo, realizado com base em registros de admissões na SRPA de um hospital público no Rio Grande doSul, entre julho de 2012 e julho de 2017. Resultados: No período estudado, admitiram-se no setor 22.333 pacientes, sendo 717 (3,2%) pacientes intensivospor indisponibilidade de leito na unidade de terapia intensiva. Destes, 67,6% eram do sexo feminino, 61,2% em idade adulta, submetidos à neurocirurgia(61,5%). O tempo de permanência médio no setor foi de 10,7 horas, e 4,1% dos pacientes foram a óbito. Conclusão: A permanência de pacientesintensivos na SRPA requer adequação do setor em sua estrutura física e operacional, especialmente no que diz respeito à equipe assistencial tanto emquantidade de pessoal quanto em capacitação técnica necessária para assegurar uma assistência de qualidade.

show abstract

“…In this regard, studies show that there is a prevalence in the lack of adherence of teams, factor determined by the limited interdisciplinary training, directed to programming and configuration of alarms, generating little awareness on the urgency of attending the alarms. This can be one of the factors that contribute to the occurrence of routine violations and that result in adverse events (2,11,22) .…”

Section: Discussionmentioning

confidence: 99%

Alarm fatigue and the implications for patient safety

Oliveira¹,

Machado²,

Santos³

et al. 2018

Rev. Bras. Enferm.

View full text Add to dashboard Cite

Objective: To measure the response time of health professionals before sound alarm activation and the implications for patient safety. Method: This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct. During collection, the unit had 90% of beds occupied and teams were complete. Result: We verified that from the 103 equipment activated, 66.03% of alarms fatigued. Nursing was the professional category that most provided care (31.06%) and the multi-parameter monitor was the device that alarmed the most (66.09%). Conclusion: Results corroborate the absence or delay of the response of teams, suggesting that relevant alarms might have been underestimated, compromising patient safety.

show abstract

Violations of Nurses in the Use of Equipment in Intensive Care

Cited by 8 publications

References 17 publications

Checklist validation for care provided to patients in the immediate postoperative period of cardiac surgery

Checklist validation for care provided to patients in the immediate postoperative period of cardiac surgery

Perfil e tempo de permanência de pacientes intensivos assistidos na recuperação pós-anestésica

Alarm fatigue and the implications for patient safety

Contact Info

Product

Resources

About