Riscos e ocorrências de eventos adversos na percepção de enfermeiros assistenciais

Robson Tostes Amaral; Ana Lúcia Queiroz Bezerra; Cristiane Chagas Teixeira; Thatianny Tanferri de Brito Paranaguá; Thaisa Cristina Afonso; Adrielle Cristina Silva Souza

doi:10.15253/2175-6783.20192041302

Authors

Robson Tostes Amaral Universidade Federal de Goiás https://orcid.org/0000-0003-3194-5296
Ana Lúcia Queiroz Bezerra Universidade Federal de Goiás https://orcid.org/0000-0002-6439-9829
Cristiane Chagas Teixeira Universidade Federal de Goiás https://orcid.org/0000-0002-4752-0439
Thatianny Tanferri de Brito Paranaguá Universidade de Brasília https://orcid.org/0000-0003-0562-8975
Thaisa Cristina Afonso Universidade Federal de Goiás https://orcid.org/0000-0001-5026-8142
Adrielle Cristina Silva Souza Universidade Federal de Goiás https://orcid.org/0000-0002-9169-7143

DOI:

https://doi.org/10.15253/2175-6783.20192041302

Keywords:

Patient Safety; Nursing Care; Patient Harm.

Abstract

Objective: to analyze the risks and occurrences of adverse events in hospitalized patients from the perspective of nurses. Methods: cross-sectional study, developed with 41 nurses. We used a self-administered instrument titled Adverse Events Associated with Nursing Practices validated in Portugal and adapted to the Brazilian reality. Results: the amount of employment bonds (p=0,019) and weekly workload (p=0.002) foster failures in care assistance. There was a positive correlation between pressure and falls injuries (p<0.001), medication errors and pressure injuries (p=0.004) and infections related to health care and medication errors (p=0.006). Conclusion: the analysis showed that the occurrence of adverse events in care such as pressure injuries and infections related to health care were the most frequent in the perception of nurses. Drug errors had the lowest incidence among the results of the explored domains.

References

D’Amour D, Dubois CA, Tchouaket E, Clarke S, Blais R. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. Int J Nurs Stud. 2014; 51(6):882-91. doi: http://dx.doi.org/10.1016/j.ijnurstu.2013.10.017

Sousa P, Uva AS, Serranheira F, Uva MS, Nunes C. Patient and hospital characteristics that influence incidence of adverse events in acute public hospitals in Portugal: a retrospective cohort study. Int J Qual Health Care. 2018; 30(2):132-7. doi: http://dx.doi.org/10.1093/intqhc/mzx190

Duarte SCM, Stipp MAC, Silva MM, Oliveira FT. Adverse events and safety in nursing care. Rev Bras Enferm. 2015; 68(1):136-46. doi: http://dx.doi.org/10.1590/0034-7167.2015680120p

Françolin L, Gabriel CS, Bernardes A, Silva AEBC, Brito MFP, Machado JP. Patient safety management from the perspective of nurses. Rev Esc Enferm USP. 2015; 49(2):277-83. doi: http://dx.doi.org/10.1590/S0080-623420150000200013

Siman AG, Cunha SGS, Brito MJM. Nursing actions for patient safety in hospitals: integrative review. Rev Enferm UFPE on line [Internet]. 2017 [cited Feb 17, 2019];11(Suppl. 2):1016-24. Available from:https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/13472/16174

Castilho AFOM, Parreira PMD, Martins MMFPS. Nursing Care and Adverse Events at inpatients in acute hospitals: the root cause analysis. Riase online. 2016; 2(2):605-23. doi: http://dx.doi.org/10.24902/r.riase.2016.2(2).600

Neves T, Rodrigues V, Graveto J, Parreira P. Scale of adverse events associated to nursing practices: a psychometric study in Portuguese hospital contexto. Rev Latino-Am Enfermagem. 2018; 26:e3093. doi: http://dx.doi.org/10.1590/1518-8345.2595.3093

Araujo MAN, Lunardi Filho WD, Silveira RS, Souza JC, Barlem ELD, Teixeira NS. Segurança do paciente na visão de enfermeiros: uma questão multiprofissional. Enferm Foco [Internet]. 2017 [citado 2019 fev 07];8(1):52-6. Disponível em: http://revista.cofen.gov.br/index.php/enfermagem/article/view/984

Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Ramos AM, Silveira RS, Vargas MAO. How have nurses practiced patient advocacy in the hospital context? - a foucaultian perspective. Texto Contexto Enferm. 2016; 25(1):e2560014. doi: http://dx.doi.org/10.1590/0104-0707201600002560014

Quality and Safety Education for Nurses (Qsen) Institute. Qsen competencies [Internet]. 2019 [cited Feb 17, 2019]. Available from: http://qsen.org/competencies/pre-licensure-ksas/

Fagerström L, Kinnunen M, Saarela J. Nursing workload, patient safety incidents and mortality: an observational study from Finland. BMJ Open. 2018; 8:e016367. doi: http://dx.doi.org/10.1136/bmjopen-2017-016367

Abreu HCA, Reiners AAO, Azevedo RCS, Silva AMC, Abreu DROM, Oliveira AD. Incidence and predicting factors of falls of older inpatients. Rev Saúde Pública. 2015; 49(37):1-8. doi: http://dx.doi.org/10.1590/S0034-8910.2015049005549

Savieto RM, Leão ER. Nursing assistance and Jean Watson: a reflection on empathy. Esc Anna Nery. 2016; 20(1):198-02. doi: http://dx.doi.org/10.5935/1414-8145.20160026

Bernardes RM, Caliri MHL. Pressure ulcer pre valence in emergency hospitals: a cross-sectional study. Online Braz J Nurs [Internet]. 2016 [cited Aug 24, 2019]; 15(2):236-44. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/5391

Fen-Fang C, Shu-Yueh C, Hsiang-Chu P. Self-reflection and critical thinking: the influence of professional qualifications on registered nurses. Contempt Nurse. 2019; 55(1):59-70. doi: http://dx.doi.org/10.1080/10376178.2019.1590154

Flores GE, Oliveira DLL, Zocche DAA. Educação permanente no contexto hospitalar: a experiência que ressignifica o cuidado em enfermagem. Trab Educ Saúde. 2016; 14(2):487-04. doi: http://dx.doi.org/10.1590/1981-7746-sip00118

World Health Organization. Medication Without Harm - Global Patient Safety Challenge on Medication Safety. Geneva: World Health Organization; 2017.

Pachá HHP, Faria JIL, Oliveira KA, Beccaria LM. Pressure ulcer in Intensive Care Units: a case-control study. Rev Bras Enferm. 2018; 71(6):3027-34. doi: http://dx.doi.org/10.1590/0034-7167-2017-0950

Oliveira HM, Silva CPR, Lacerda RA. Policies for control and prevention of infections related to healthcare assistance in Brazil: a conceptual analysis. Rev Esc Enferm USP. 2016; 50(3):505-11. doi: http://dx.doi.org/10.1590/S0080-623420160000400018

Mello JF, Barbosa SFF. Patient safety culture in an intensive care unit: the perspective of the nursing team. Rev Eletr Enf. 2017; 19:a07. doi: http://dx.doi.org/10.5216/ree.v19.38760