Risks and occurrences of adverse events in the perception of health care nurses
DOI:
https://doi.org/10.15253/2175-6783.20192041302Keywords:
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
