scholarly journals VIOLATIONS OF NURSES IN THE USE OF EQUIPMENT IN INTENSIVE CARE

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Gabriella da Silva Rangel Ribeiro ◽  
Rafael Celestino da Silva ◽  
Márcia de Assunção Ferreira ◽  
Grazielle Rezende da Silva
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Safety Culture ◽  
Qualitative Approach ◽  
Direct Care ◽  
Systematic Observation ◽  
Hospital Data ◽  
Thick Description ◽  
Data Production

ABSTRACT Objective: to identify situations of violation in the use of equipment by nurses in the intensive care unit and analyze their implications on patient safety. Method: a descriptive field study with qualitative approach was carried out from March to December 2014, with the use of James Reason's violation concept. The participants were nurses from the day shift, working in direct care at an intensive care unit of a federal hospital. Data production was carried out through systematic observation and interviews, and were analyzed based on thick description of scenes and content of responses. Results: violations in planning care regarding the checking of the equipment functioning before its use and alarms were found, when nurses disconnect them to reduce the effects caused by the overload of noise on the team. Conclusion: the situations reported compromise safety and cause serious risks to patients. Therefore, implementation of strategies to promote a safety culture is required.

scholarly journals COMMUNICATION NOISE DURING THE NURSING TEAM HANDOVER IN THE INTENSIVE CARE UNIT

2019 ◽  
Vol 28 ◽  
Author(s):  
Grazielle Rezende da Silva dos Santos ◽  
Fabiana de Mello Barros ◽  
Priscilla Valladares Broca ◽  
Rafael Celestino da Silva
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Communication Process ◽  
Care Plan ◽  
Direct Patient Care ◽  
Observation Data ◽  
Systematic Observation ◽  
Thick Description ◽  
Nursing Team

ABSTRACT Objective: to describe the communication process among the professionals of the intensive care nursing team during the handover, analyzing the existence of noise and its repercussions on patient safety. Method: qualitative and exploratory study, in the light of Berlo, carried out at the intensive care unit of a federal hospital with 42 nursing professionals participating in the handover and/or acting in direct patient care. An audio recording of the handover was performed, as well as its systematic observation and the care practices of the nursing team. The audios were transcribed for an instrument and analyzed through descriptive statistics regarding the presence, completeness and correction of the information. The observation data were submitted to thick description. Results: the noises were related to the absence/incompleteness of information about the patient, with focus on the communication about intercurrences and clinical evolution of the last 24 hours and little valuation of the data on evaluation, care plan and clinical condition of the patient; in addition to late arrivals, speaking with a low tone of voice, parallel conversations, and the use of cell phones. Such noises have caused unnecessary, wrong procedures or prevented procedures from being performed. Conclusion: noise in the communication process negatively affects nursing and patient safety.

scholarly journals Equipment failure: conducts of nurses and implications for patient safety

2018 ◽  
Vol 71 (4) ◽  
pp. 1832-1840
Author(s):  
Gabriella da Silva Rangel Ribeiro ◽  
Rafael Celestino da Silva ◽  
Márcia de Assunção Ferreira ◽  
Grazielle Rezende da Silva ◽  
Juliana Faria Campos ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Public Institution ◽  
Direct Care ◽  
Monitoring Systems ◽  
Equipment Failure ◽  
Systematic Observation ◽  
Thick Description ◽  
Equipment Failures

ABSTRACT Objectives: To identify equipment failures during handling by nurses and analyze the conduct of the professionals when these failures occur. Methods: Descriptive, exploratory and qualitative study, whose field was the intensive care unit of a public institution, and the participants were day nurses that worked providing direct care to patients. Data were produced in 2014 through systematic observation and interviews and were examined with thick description and content analysis. Results: The outcomes evinced the inadequate functioning of infusion bombs, users' errors related to the design of equipment and problems with batteries of artificial fans. These failures related to the management of equipment in the unit. Final considerations: It is necessary to strengthen the monitoring systems of safety conditions of equipment in intensive nursing care to prevent incidents.

Applying an ecological restoration approach to study patient safety culture in an intensive care unit

2016 ◽  
Vol 25 (7-8) ◽  
pp. 1073-1085 ◽  
Author(s):  
Fernanda Raphael Escobar Gimenes ◽  
Mayara Carvalho Godinho Rigobello Torrieri ◽  
Carmen Silvia Gabriel ◽  
Fernanda Ludmilla Rossi Rocha ◽  
Ana Elisa Bauer de Camargo Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Ecological Restoration ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Study Patient

scholarly journals EXPERIENCE OF NURSES IN THE MANAGEMENT OF CONTINUOUS HEMODIALYSIS AND ITS INFLUENCES ON PATIENT SAFETY

2019 ◽  
Vol 28 ◽  
Author(s):  
Bianca Ribeiro Porto de Andrade ◽  
Fabiana de Mello Barros ◽  
Honorina Fátima Ângela de Lúcio ◽  
Juliana Faria Campos ◽  
Rafael Celestino da Silva
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Collaborative Model ◽  
Complete Evaluation ◽  
Thick Description ◽  
The Impact ◽  
Continuous Hemodialysis

ABSTRACT Objective: to analyze the professional experience of intensive care nurses and its influence on their work activities in the continuous hemodialysis process and patient safety in the intensive care unit within the scope of the collaborative model. Method: qualitative and exploratory research, based on the systemic paradigm of patient safety, developed at the Intensive Care Unit of a private institution in the city of Rio de Janeiro, Brazil. There were 23 nurse participants who had been working for more than three months in study scenery and in direct contact with continuous hemodialysis. The data were produced from June to October of 2016 by means of observation, analyzed using thick description as well as semi-structured interviews, and then submitted to the content analysis technique. Results: were organized in two categories: the first one portrays the influence of the professional working experience on the safety of nurses' performance, which verified that in relation to continuous hemodialysis, inexperienced nurses follow guidelines and manuals, without a complete evaluation of this care situation and face difficulties in the performance of everyday care. The second category demonstrates the impact of the nurse´s inexperience on the occurrence of active errors, evidencing actions that result in the occurrence of adverse events. Conclusion: the insertion of inexperienced nurses is a latent condition in the investigated system that results in the occurrence of incidents in the continuous hemodialysis process, requiring the improvement of the collaborative model through the systematic monitoring of the performance of these professionals, such as the proposal of a safety barrier.

scholarly journals Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

2017 ◽  
Vol 3 (1) ◽  
pp. 110
Author(s):  
Safaa M. El-Demerdash ◽  
Heba K. Obied
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Safety Culture ◽  
Negative Correlation ◽  
Patient Safety Culture ◽  
Significant Negative Correlation ◽  
Team Work ◽  
High Level ◽  
Intensive Care Unit Nurses

Intensive care unit (ICU) nurses face many uncertain situations that may affect their patient care decisions and jeopardize patients’ safety.Aim: This study aimed to explore the relationship between uncertainty and patient safety culture among intensive care unit nurses at Tanta Main University Hospital.Study subject: included (155) nurses worked in intensive care units at Tanta University Main Hospital. Two tools were used Tool (I): Nurses’ Uncertainty Questionnaire. Tool (II): Patient Safety Culture Questionnaire.Results: 74.2% of participant ICU nurses’ experienced high levels of uncertainty. Above half (56.1% and 56.1%) of them always experienced being uncomfortable and confused& loss of control when facing uncertain situations in ICUs. 84.5% and 76.8% of them always used team work; and learn from past experience to deal with uncertainty. 47.1% of them evaluated patient safety in their ICUs as acceptable and bad. There was a high statistical negative correlation between the levels of patient safety culture and experiencing uncertainty by ICU nurses at p= 0.000.Conclusions: ICU nurses experienced high level of uncertainty; they rely on experience and teamwork rather than evidence-based practices to manage clinical uncertainty. High statistical significant negative correlation was found between patient safety culture and experiencing uncertainty by ICU nurses.

scholarly journals Patient safety culture in the intensive care unit: cross-study

2019 ◽  
Vol 13 (06) ◽  
pp. 496-503
Author(s):  
Mabel Duarte Alves Gomides ◽  
Astrídia Marília de Souza Fontes ◽  
Amanda Oliveira Soares Monteiro Silveira ◽  
Geraldo Sadoyama
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Safety Culture ◽  
Work Experience ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Adult Intensive Care Unit

Introduction: Patient safety culture has been the reason for great concern for the scientific community due to the high number of failures resulting from the provision of health care. The objective of this study was to evaluate the perception regarding the patient safety culture and their differences between categories, in the professional teams of the adult intensive care unit (ICU). Methodology: This is a cross-sectional descriptive study, with a quantitative approach, to evaluate the patient safety culture developed in the unit adult ICU of a public university hospital. Results: In this survey, 138 employees of the ICU participated, among them: physicians, psychologists, nutritionists, physiotherapists, nurses, nursing technicians, and secretaries. There was a predominance of nursing technicians (76.8%) and work experience time from 5 to ≥ 21 years (62.3%). The overall mean of the safety culture in the ICU was 57.80, and the domains with the best average were stress perception (73.84) and satisfaction at work (72.38) and with the worst mean was the perception of hospital management (42.69). The perception of safety attitudes in the professional category of physicians presented a general average of 61.63, being strengthened to job satisfaction (77,89) and with a higher perception in relation to nurses. Conclusions: The overall ICU average for the patient safety culture was less than 75, which demonstrates a team with weakened safety attitude and, in addition, low perceptions of safety attitudes based on the results of management domains, working conditions and communication failures.

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