Mestrado em Enfermagem e Saúde (FEN)
URI Permanente para esta coleção
Navegar
Navegando Mestrado em Enfermagem e Saúde (FEN) por Por Orientador "Bezerra, Ana Lúcia Queiroz"
Agora exibindo 1 - 4 de 4
Resultados por página
Opções de Ordenação
Item Práticas assistenciais e ocorrências de eventos adversos: percepção dos enfermeiros(Universidade Federal de Goiás, 2018-04-30) Amaral, Robson Tostes; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Paranaguá, Thatianny Tanferri de Brito; Barreto, Regiane Aparecida dos Santos SoaresObjective: To analyze nurses' perceptions regarding nursing care practices and their relationship with risks and occurrence of adverse events in hospitalized patients. Method: Cross-sectional, correlational study developed in medical clinic units, surgical and renal replacement therapy of a public hospital of state education, with a population of 45 nursing assistants. Data collection was from January to May 2017, by means of the instrument "Adverse Events Associated with Nursing Practices", a self-administered questionnaire, with Likert type scales, translated and validated into Brazilian Portuguese. Results: The total number of participants was equivalent to 91.1% of the nurses working in the clinics surveyed, being 75.6% female, with an average age of 33 years, 53.7% had two or more employment relationships, average weekly working time of 56.2 hours and 63.4%, in the last 12 months, participated in a course on patient safety. In the general perception of nurses, 24.4% indicated that the occurrence of adverse events associated to care practices never/rarely compromises patient safety. Regarding the existence of risks and occurrence of adverse events were pointed out failures in the preventive practices, associated with inadequate clinical surveillance/judgment, defense deficit, falls, pressure injuries, medication errors, and health care-related infections. Maintain patient vigilance indicated a reduction in risk and occurrence of pressure injuries (p = 0.040). Preventive practices in pressure injuries (p = 0.0012), prevention of falls (p = 0.043), hand hygiene (p = 0.028) and care with personal protective equipment and environmental hygiene (p = 0.034), reduced adverse events in the medication process. In the nurses' perception, the existence of risk (24.4%) and occurrence (4.9%) of medication errors were high. Failures in the medication administration process increased the risk and occurrence of adverse events for falls (p = 0.049), pressure lesions (p = 0.012) and health care-related infections (p = 0.004). Failures in medication monitoring increased the risk and occurrence of falls (p = 0.035) and health care-related infections (p = 0.014). In the multiple regression analysis, medication preparation failures increased the risk and occurrence of adverse events in all phases of the medication process (p = 0.006). Considerations: Strategies related to the permanent training of the professionals in patient safety with approaches in the systemic errors associated to the organizational support for the learning is a way to be followed by the leaderships to minimize / mitigate occurrences of adverse events related to the assistance practices and with that to develop a safety culture focused on improvements in care quality in health and nursing services.Item Riscos e danos relacionados ao contexto do trabalho da equipe de enfermagem de unidades neonatais(Universidade Federal de Goiás, 2018-04-20) Silva, Ana Patrícia Batista; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Barreto, Regiane Aparecida dos Santos Soares; Suzuki, KarinaTo analyze the work context and occupational damage, from the perspective of nursing staff professionals, in an Intensive Care Unit and Neonatal Intermediate Unit. METHODS: Cross-sectional, observational study with quantitative-qualitative approach performed at a large public health institution in the state of Goiás. The sample consisted of 44 workers from the neonatal units nursing team. Data collection was performed in the months of July and September of 2017 through observation and interview. For the data analysis, descriptive and analytical statistics were used using Student's t test and ANOVA for associations and Pearson's test for correlations, with a significance level of 5% (p ≤ 0,05). RESULTS: As for the professional profile, eight (18,2%) were nurses, 27 (61,4%) technicians and nine (20,4%) nursing assistants, female (100%), and mean age of 41,7 (± 9,7) years. The work context, from the perspective of the workers, was considered critical. For the organization of work, the items "excessive work rate" and "strong collection by results" presented higher averages (4,2±1,0), classified as severe. Concerning the working conditions, the highest averages corresponded to the "uncomfortable physical environment" (4,0±1,3), "a lot of noise in the environment" (4,1±1,1) and "inadequate physical space" (3,4±1,4). In the socio-professional relations, the highest averages involved "non-existent autonomy" (3,5±1,3) and "disputes among professionals" (3,5±1,1). A significant statistical difference was found between the two units for work organization factors (p=0,048), working conditions (p=0,046) and socio-professional relationships (p=0,0001). Regarding the occupational damage, the critical evaluation prevailed, with the psychological one having the highest mean (3,9±2,0) in the Intensive Care Unit. Already In the Neonatal Intermediate Unit, greater mean was identified for physical damage (2,6±1,4). There was a significant statistical difference between the Intensive and Intermediate Unit Care for the psychological (p=0,0002) and social (p=0,0009) damages. There was an association between the "work organization" domain and wage income variables (p=0,044) and hourly unit load (p=0,009); for "working conditions", the variables employment bond (p=0,016) and wage income (p=0,0001) were statistically significant. As well as for "physical damages" and the variables performed domestic activity (p=0,009), time acting on the unit (p=0,04) and wage income (p=0,02); for "psychological damages" and "social damages", there was an association with the variables working hours (p=0,02) and work shift (p=0,04/0,005). It was found a moderate and significant correlation between: physical damage and work organization (r=0,5721, p=0,0001), psychological damage and working conditions (r=0,5614, p=0,0001), psychological damage and socio-professional relations (r=0,6687, p=0,0001) and high and significant correlation between social and psychological damage (r=0,9072, p=0,0001). CONCLUSION: The work context of the neonatal units presents unfavorable elements and in inadequacy with the health and safety regulations of the worker, predisposing them to physical, psychic and social damage.Item Eventos adversos ocorridos com idosos hospitalizados(Universidade Federal de Goiás, 2015-04-24) Teixeira, Cristiane Chagas; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Pagotto, Valéria; Silva, Ana Elisa Bauer de Camargo; Ciosak, Suely Itsuko; Pereira, Lilian VarandaOBJECTIVE: Analyze adverse events recorded in medical records of hospitalized elderly patients. METHOD: A descriptive, cross-sectional, having as data source the records of elderly patients admitted from July 2013 to December 2013, the Surgery Unit of a teaching hospital, Midwest region of Brazil. Data collection was guided by a structured and pre-validated form and were analyzed through Statistical Package For The Social Science (SPSS), version 20.0 for Windows. The prevalence and the ranges of 95% confidence adverse events were calculated and descriptive analysis was done. To identify associated factors, chi-square test and uni and multivariate analysis were used. RESULTS: In 260 admissions, 50.4% were male, average age 68.5 years and 68.5% had comorbidities. Adverse events were identified in 531 records, defined an average of 2.04 events per admission. The types of adverse events were related to the clinical Process such as acute pain in pre and postoperative unresolved, unscheduled withdrawal and obstruction of tubular devices, failure during technical procedures, surgical dehiscence and non-drug allergic process; Medication, related to adverse reaction to medications; Blood product, related to lack of blood; Clinical management, as surgical suspension and booked exam but not performed; Hospital infection related to the surgical site, phlebitis and sepsis and Accident with the patient, such as loss and pressure ulcers. Most of the events occurred during the night shift. Damage caused to the patient were classified as mild 73.1%, 25.4% moderate, severe 0.6% and 0.9% died. The prevalence was 58.8%, indicating that hospital admissions were exposed to 153, at least one type of adverse event. The associated factor was related to length of stay for more than nine days as an independent risk variable for adverse events occurrence. CONCLUSION: The results indicate the need for initiatives by managers to modify the care practice, through educational activities, work processes improvement and better articulation between subsystems integrated into the institution, focusing on promoting quality in health services and safety culture development, especially on the elderly in hospitals.Item Análise da cultura de segurança em um hospital de ensino da região centro-oeste do Brasil(Universidade Federal de Goiás, 2013-08-28) Tobias, Gabriela Camargo; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Freitag, Maria Salete Batista; Silva, Ana Elisa Bauer de Camargo; Najberg, Estela; Minamisava, RuthIn the context of health, the safety culture centered on the quality of care and the systematization of work processes contributes to human error prevention avoidable and, therefore, for the patient safety. The study aims to analyze the perception of a teaching hospital nurses about the dimensions of safety culture’s patient. The methodology is descriptive, exploratory, carried out at a teaching hospital in the Central West region of Brazil, with a population of 117 nurses. The data were collected in October to December of 2011 through autoaplicavel instruments,those belongs to the Hospital Survey on Patient Safety Culture, proposed and used by Agency for Health Research and Quality, specific for the detection of safety culture in hospital, translated and validated for the portuguese language. The data were analysed by the Statistical Package for Social Sciences Program, version 18.0. The project was approved, protocol 064/2008. The percentual of participants were 84.8 % of the nurses of the hospital, 89.7 % were female, predominant age range between 45 to 51 years, 51% with 16 to 21 years of profession, 36% with the same time in the institution and 13.7 % worked in the Emergency Room. The weekly workload of 87% was about 20 to 39 hours and 96% had directly contact with the patient. The reply “Not punitive to mistakes” had the lowest rate, 28%. The weaknesses for the institution were: the team considers that their mistakes could be used against them; the team was afraid that the mistakes were recorded in their functional files; insufficient staff; they work more than necessary; occurrence of problems in the exchange of information between the units; the security has to be sacrificed instaed of doing more things; patient safety problem in the unit, procedures and inadequate systems for the mistakes prevention. The strength points were: the supervisor/manager takes the suggestions to improve the patient safety, considers security problems; work actively doing things to improve the servisse quality; support each other; work in a team; treating with respect and having a good relationship with professionals from other units. However, 59% considered safety patient acceptablevin the unit, and 52% said they never reported adverse events. The conclusion was that the research gave the nurses perception and envolved them with the patient security, the same as how to prove that the aplication of a analysed instrument for actions can be used for estimulating the adoption of politics those bring changes and attitudes for the development of institution security culture.