Risks and occurrences of adverse events in the perception of health care nurses

• Amaral, Robson Tostes ^[1] ; Bezerra, Ana Lúcia Queiroz ^[1] ; Teixeira, Cristiane Chagas ^[1] ; Paranaguá, Thatianny Tanferri de Brito ^[2] ; Afonso, Thaisa Cristina ^[1] ; Souza, Adrielle Cristina Silva ^[1]
  1. [1] Universidade Federal de Goiás

     Universidade Federal de Goiás

     Brasil

     
  2. [2] Universidade de Brasília

     Universidade de Brasília

     Brasil

     
• Localización: Rev Rene, ISSN-e 2175-6783, Vol. 20, Nº. 1, 2019
• Idioma: inglés
• DOI: 10.15253/2175-6783.20192041302
• Títulos paralelos:
  • Riscos e ocorrências de eventos adversos na percepção de enfermeiros assistenciais
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 1 Cita
• Resumen
  • English

    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.

  • português

    Objetivo: analisar os riscos e ocorrências de eventos adversos em pacientes hospitalizados na perspectiva de enfermeiros. Métodos: estudo de corte transversal, desenvolvido com 41 enfermeiros assistenciais. Utilizou-se instrumento autoaplicável intitulado Eventos Adversos Associados às Práticas de Enfermagem validado em Portugal e adaptado à realidade brasileira. Resultados: a quantidade de vínculos empregatícios (p=0,019) e a carga horária semanal (p=0,002) se mostraram potencializadores de falhas nos cuidados assistenciais. Houve correlação positiva entre lesões por pressão e quedas (p<0,001), erros de medicamentos e lesões por pressão (p=0,004) e infecções relacionadas à assistência à saúde e erros de medicamentos (p=0,006). Conclusão: a análise evidenciou que a ocorrência de eventos adversos nos cuidados assistenciais como lesões por pressão e infecções relacionadas à assistência à saúde foram as mais frequentes na percepção de enfermeiros. Dos domínios explorados, erros de medicamentos apontou entre os resultados com menor incidência.

• Referencias bibliográficas
  • D’Amour D, Dubois CA, Tchouaket E, Clarke S, Blais R. The occurrence of adverse events potentially attributable to nursing care in medical...
  • Sousa P, Uva AS, Serranheira F, Uva MS, Nunes C. Patient and hospital characteristics that influence incidence of adverse events in acute...
  • 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...
  • Siman AG, Cunha SGS, Brito MJM. Nursing actions for patient safety in hospitals: integrative review. Rev Enferm UFPE on line [Internet]. 2017...
  • Castilho AFOM, Parreira PMD, Martins MMFPS. Nursing Care and Adverse Events at inpatients in acute hospitals: the root cause analysis. Riase...
  • Neves T, Rodrigues V, Graveto J, Parreira P. Scale of adverse events associated to nursing practices: a psychometric study in Portuguese hospital...
  • Araujo MAN, Lunardi Filho WD, Silveira RS, Souza JC, Barlem ELD, Teixeira NS. Segurança do paciente na visão de enfermeiros: uma questão multiprofissional....
  • Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Ramos AM, Silveira RS, Vargas MAO. How have nurses practiced patient advocacy in the hospital...
  • 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....
  • Abreu HCA, Reiners AAO, Azevedo RCS, Silva AMC, Abreu DROM, Oliveira AD. Incidence and predicting factors of falls of older inpatients. Rev...
  • 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...
  • Fen-Fang C, Shu-Yueh C, Hsiang-Chu P. Self-reflection and critical thinking: the influence of professional qualifications on registered nurses....
  • Flores GE, Oliveira DLL, Zocche DAA. Educação permanente no contexto hospitalar: a experiência que ressignifica o cuidado em enfermagem. Trab...
  • World Health Organization. Medication Without Harm - Global Patient Safety Challenge on Medication Safety. Geneva: World Health Organization;...
  • 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....
  • Oliveira HM, Silva CPR, Lacerda RA. Policies for control and prevention of infections related to healthcare assistance in Brazil: a conceptual...
  • Mello JF, Barbosa SFF. Patient safety culture in an intensive care unit: the perspective of the nursing team. Rev Eletr Enf. 2017; 19:a07....