scholarly journals Human error in daily intensive nursing care

2015 ◽  
Vol 23 (6) ◽  
pp. 1074-1081 ◽  
Author(s):  
Sabrina da Costa Machado Duarte ◽  
Ana Beatriz Azevedo Queiroz ◽  
Andreas Büscher ◽  
Marluci Andrade Conceição Stipp
Keyword(s):  
Nursing Care ◽  
Human Error ◽  
Care Center ◽  
Active Faults ◽  
Daily Practice ◽  
Medication Administration ◽  
Multiprofessional Team ◽  
Material Resources ◽  
Semistructured Interviews ◽  
Quantitative Descriptive

Objectives: to identify the errors in daily intensive nursing care and analyze them according to the theory of human error. Method: quantitative, descriptive and exploratory study, undertaken at the Intensive Care Center of a hospital in the Brazilian Sentinel Hospital Network. The participants were 36 professionals from the nursing team. The data were collected through semistructured interviews, observation and lexical analysis in the software ALCESTE(r). Results: human error in nursing care can be related to the approach of the system, through active faults and latent conditions. The active faults are represented by the errors in medication administration and not raising the bedside rails. The latent conditions can be related to the communication difficulties in the multiprofessional team, lack of standards and institutional routines and absence of material resources. Conclusion: the errors identified interfere in nursing care and the clients' recovery and can cause damage. Nevertheless, they are treated as common events inherent in daily practice. The need to acknowledge these events is emphasized, stimulating the safety culture at the institution.

scholarly journals Boas práticas de Enfermagem a pacientes em uso de ventilação mecânica

2019 ◽  
Vol 14 ◽  
Author(s):  
Carolina Papa Pazos ◽  
Francisco Mayron Morais Soares ◽  
Luana Cordeiro Barroso ◽  
Gustavo Mitsuo Cavalcante de Sousa ◽  
Gabriel Ítalo Da Silva Rodrigues ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Social Science ◽  
Nursing Care ◽  
Care Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
Ventilation Method

Objetivo: identificar os cuidados de enfermagem a pacientes em uso de ventilação mecânica. Método: trata-se de um estudo quantitativo, descritivo e transversal, com pacientes em uso de ventilação mecânica internados no Centro de Terapia Intensiva, divididos entre cirúrgicos e clínicos. Utilizou-se, para a análise dos dados, o programa Statistic Package for Social Science (versão 20). Resultados: revela-se, quanto aos cuidados de enfermagem, que manter a cabeceira elevada a 30º foi o mais encontrado, em 77,9% dos casos, e checar posicionamento do TOT ou TQT foi o menos encontrado, atingindo 61,9% das prescrições. Conclusão: conclui-se que ainda é necessário que haja organização da equipe na implementação das intervenções prescritas para o paciente em uso de ventilação mecânica para que, assim, se diminuam o tempo de internação, as complicações e as infecções, e o desmame ocorra em um tempo menor. Descritores: Respiração artificial; Enfermagem; Cuidados de Enfermagem; Cuidados Críticos; Unidades de Terapia Intensiva; Enfermagem Prática.AbstractObjective: to identify nursing care for patients on mechanical ventilation. Method: this is a quantitative, descriptive and cross-sectional study with patients on mechanical ventilation admitted to the Intensive Care Center, divided into surgical and clinical. For data analysis, the Statistical Package for Social Science program (version 20) was used. Results: it is revealed, as for nursing care, that keeping the head up to 30º was the most found in 77.9% of cases, and checking TOT or TQT positioning was the least found, reaching 61.9% of the cases. prescriptions. Conclusion: it is concluded that there is still a need to organize the team in the implementation of the prescribed interventions for the patient using mechanical ventilation, thus reducing the length of stay, complications and infections, and weaning to occur. a shorter time. Descriptors: Respiration, Artificial; Nursing; Nursing Care; Critical Care; Intensive Care Units; Nursing, Practical.ResumenObjetivo: identificar los cuidados de enfermería para pacientes con ventilación mecánica. Método: este es un estudio cuantitativo, descriptivo y transversal con pacientes en ventilación mecánica ingresados en el Centro de Cuidados Intensivos, dividido en quirúrgico y clínico. Para el análisis de datos, se usó el programa Statistic Package for Social Science (versión 20). Resultados: se revela, en cuanto a la atención de enfermería, que mantener la cabeza a 30º fue lo más encontrado en el 77.9% de los casos, y verificar el posicionamiento del TOT o TQT fue el menos encontrado, llegando al 61.9% de los casos, de las prescripciones. Conclusión: se concluye que todavía es necesario organizar al equipo en la implementación de las intervenciones prescritas para el paciente utilizando ventilación mecánica, reduciendo así la duración de la estadía, las complicaciones e infecciones y el destete en un tiempo más corto. Descriptores: Respiración Artificial; Enfermería; Atención de Enfermería; Cuidados Críticos; Unidades de Cuidados Intensivos; Enfermería Práctica.

scholarly journals Multiprofessional team perception of a music therapeutic workshop developed by nurses

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Dionasson Altivo Marques ◽  
Marcelo da Silva Alves ◽  
Fábio da Costa Carbogim ◽  
Divane de Vargas ◽  
Graziela Lonardoni de Paula ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Nursing Care ◽  
Care Center ◽  
Psychosocial Care ◽  
Minas Gerais ◽  
Human History ◽  
Structured Interviews ◽  
Multiprofessional Team ◽  
Type Data

ABSTRACT Objective: To understand the perception of a multiprofessional team regarding the use of music in a therapeutic workshop developed by nurses. Method: Qualitative study, of the exploratory type. Data were collected through semi-structured interviews, with the participation of 13 professionals from a Psychosocial Care Center in a municipality of Minas Gerais’ Zona da Mata, and analyzed according to Michel Maffesoli’s comprehensive sociology approach. Results: The testimonies revealed that the use of music in the nurse’s activities in mental health represents a re-signification of nursing care and favors the user’s subjectivity. Final considerations: This study allowed us to show that nurses need to listen to the music that comes from the heart, from the soul, and to the truths that are not always stated in the scenarios of therapeutic practices with individuals going through psychic suffering. Therefore, the care offered should be centered on the human history, which wants to be unveiled and understood.

scholarly journals Anticipated nursing care: findings from a qualitative study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Michela Bottega ◽  
Alvisa Palese
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Daily Practice ◽  
Medication Administration ◽  
Care Plan ◽  
Individual Values ◽  
Research Guidelines ◽  
Antecedents And Consequences ◽  
Underlying Mechanisms ◽  
Missed Nursing Care

Abstract Background Contrary to Missed Nursing Care, some anecdotal data and sparse evidence has documented the tendency of nurses to anticipate some nursing interventions. However, no study has been conducted to date with the purpose of understanding this phenomenon and its underlying mechanisms and consequences. The aim of this study was to describe the phenomenon of delivering anticipated nursing care, its antecedents and consequences as perceived by nurses. Method A descriptive qualitative study. The Consolidated Criteria for Reporting Qualitative Research guidelines were followed. A purposeful sample of 17 clinical nurses and nurse managers working in three Italian hospitals were interviewed in depth in 2019. The audio-recorded interviews were verbatim transcribed and thematically analysed. Results ‘Anticipated Nursing Care’ is delivered significantly earlier than when expected by nurses in their care plan, by patients, by caregivers and by other members of the team. Medication administration, mobilisation of patients, hygiene care, changes of dressing, vital parameter monitoring, blood sampling and administrative activities were reported as interventions delivered before rather than when expected. Clinically stable patients have been reported to be at risk of receiving anticipated nursing care. Individual values and attitudes, group attitudes of being always ready for the “unexpected”, implicit group norms to “leave the patients and the unit in order”, high workloads, intertwined activities and work processes inside the units, have been reported as reasons for Anticipated Nursing Care. Effects of this phenomenon have been reported at the patients’ and at the nurses’ level. Conclusion Anticipated Nursing Care occurs when nurses perform interventions earlier than expected according to an implicit or explicit decision and not as a consequence of a request. The phenomenon requires future studies to detect its diffusion and to accumulate evidence. Its presence in daily practice, if confirmed, suggests that Missed Nursing Care studies should also consider the combined effect of these two phenomena as, on one hand, there may be the tendency to postpone and, on the other hand, the tendency to anticipate interventions.

Nurses’ knowledge and deliberations crucial to Barcoded Medication Administration technology in a Dutch hospital: Discovering nurses’ agency inside ruling

2018 ◽  
Vol 24 (3) ◽  
pp. 279-298 ◽  
Author(s):  
Marcel Boonen ◽  
Janet Rankin ◽  
Frans Vosman ◽  
Alistair Niemeijer
Keyword(s):  
Nursing Care ◽  
Human Error ◽  
Participant Observation ◽  
Institutional Ethnography ◽  
Medication Administration ◽  
Quality And Safety ◽  
Dutch Hospital ◽  
Safety Practices ◽  
Orthopaedic Ward ◽  
Nurses Knowledge

This article shows how Barcoded Medication Administration technology institutionally organizes and rules the daily actions of nurses. Although it is widely assumed that Barcoded Medication Administration technology improves quality and safety by reducing the risk of human error, little research has been done on how this technology alters the work of nurses. Drawing on empirical and conceptual strategies of analysis, this qualitative study used certain tools of institutional ethnography to provide a view of how nurses negotiate Barcoded Medication Administration technology. The approach also uses elements from practice theory in order to discern how technology operates as a player on the field instead of being viewed as a ‘mere’ tool. A literature review preceded participant observation, whereby 17 nurses were followed and data on an orthopaedic ward were collected over a period of 9 months in 2011 and 2012. Barcoded Medication Administration technology relies on nurses’ knowledge to mediate between the embedded logics of its design and the unpredictable needs of patients. Nurses negotiate their own professional logic of care in the form of moment-to-moment deliberations which subvert the ruling frame of the barcoded system and its objectified model of patient safety. The logic of Barcoded Medication Administration technology differs from the logic of nursing care, as this technology presumes medication distribution to be linear, even though nurses follow another line of actor-bound safety practices that we characterize as ‘deliberations’.

scholarly journals Patient safety: understanding human error in intensive nursing care

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Sabrina da Costa Machado Duarte ◽  
Marluci Andrade Conceição Stipp ◽  
Maria Manuela Vila Nova Cardoso ◽  
Andreas Büscher
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Human Error ◽  
Participant Observation ◽  
Quality Care ◽  
Hospital Data ◽  
Nursing Team ◽  
Proactive Measures ◽  
Intensive Care Nursing ◽  
Care Nursing

ABSTRACT Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.

scholarly journals Violência de gênero, viés social e drogas

2020 ◽  
Vol 14 ◽  
Author(s):  
Vanessa Ferreira de Almeida Piuchi ◽  
Claudia Barleta ◽  
Juliana Monte Real
Keyword(s):  
Black Women ◽  
Care Center ◽  
Psychosocial Care ◽  
Cross Sectional Study ◽  
Gender Violence ◽  
Cross Sectional ◽  
Salud Mental ◽  
Las Mujeres ◽  
Quantitative Descriptive ◽  
High Level

Objetivo: analisar a violência de gênero sofrida pelas mulheres usuárias do Centro de Atenção Psicossocial Álcool e Drogas. Método: trata-se de um estudo quantitativo, descritivo, de corte transversal, com 30 mulheres atendidas pelo CAPS AD, que estavam ativas no sistema Registro das Ações Ambulatoriais de Saúde e responderam a um questionário estruturado. Analisaram-se os dados empregando a estatística não paramétrica. Resultados: apresenta-se, pelas mulheres pesquisadas, índice de violência elevada em relação à média nacional. Detalha-se que os fatores que apareceram como agravantes foram raça/cor, escolaridade e moradia, as maiores vítimas: mulheres negras e de escolaridade baixa. Conclusão: agrava-se, pelos fatores sociais, a violência praticada contra as mulheres pesquisadas. Mostra-se, para os agravantes, a necessidade de se incluir discussões nas políticas de combate à violência. Revela-se que o número de denúncia é baixo, assim como a procura por serviços de saúde. Descritores: Violência de Gênero; Saúde mental; Uso de Drogas; CAPS AD; Saúde Pública; Violência contra Mulheres.AbstractObjective: to analyze the gender violence suffered by women, users of the Psychosocial Care Center for Alcohol and Drugs. Method: this is a quantitative, descriptive, cross-sectional study of 30 women treated at CAPS AD, who were active in the Outpatient Health Actions Registry system and answered a structured questionnaire. Data was analyzed using nonparametric statistics. Results: the surveyed women presented a high level of violence in relation to the national average. It is noted that the factors that appeared as aggravating factors were race / color, education and housing, the biggest victims: black women and low education. Conclusion: the violence against women surveyed is aggravated by social factors. For the aggravating factors, the need to include discussions in the policies to combat violence is shown. The number of complaints is low, as is the demand for health services. Descriptors: Gender Violence; Mental Health; Drug Use; CAPS AD; Public Health; Violence Against Women.ResumenObjetivo: analizar la violencia de género que sufren las mujeres usuarias del Centro de Atención Psicosocial de Alcohol y Drogas. Método: este es un estudio cuantitativo, descriptivo, transversal con 30 mujeres atendidas por CAPS AD, que estaban activas en el sistema de Registro de Acciones de Salud Ambulatoria y respondieron un cuestionario estructurado. Los datos se analizaron mediante la estadística no paramétrica. Resultados: las mujeres encuestadas presentaron un alto nivel de violencia en relación con el promedio nacional. Cabe señalar que los factores que aparecieron como factores agravantes fueron la raza / color, la educación y la vivienda, las principales víctimas: las mujeres negras y de baja educación. Conclusión: la violencia contra las mujeres encuestadas se ve agravada por factores sociales. Para los factores agravantes, se muestra la necesidad de incluir discusiones en las políticas para combatir la violencia. El número de quejas es bajo, al igual que la demanda de servicios de salud. Descriptores: Violencia de Género; Salud Mental; Uso de Drogas; CAPS AD; Salud Pública; Violencia Contra la Mujer.

scholarly journals Humanização da assistência de enfermagem em uma unidade de internação obstétrica

2013 ◽  
Vol 4 (2) ◽  
pp. 88 ◽  
Author(s):  
Natália Chantal Magalhães Da Silva ◽  
Ludmila De Oliveira Ruela ◽  
Zélia Marilda Rodrigues Resck ◽  
Maria Betânia Tinti De Andrade ◽  
Eliana Peres Rocha Carvalho Leite ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Data Collection ◽  
Nursing Care ◽  
Nursing Staff ◽  
Prospective Data ◽  
Hospital Unit ◽  
Strategic Actions ◽  
Normal Birth ◽  
Quantitative Descriptive

Resumo: O estudo objetivou verificar o atendimento prestado pela equipe de enfermagem durante o trabalho de parto e parto. Optou-se pelo método quantitativo, descritivo, transversal e prospectivo. A coleta de dados foi realizada no período de maio a junho de 2011, abrangendo uma amostra de 30 puérperas de parto normal. Os resultados evidenciam que algumas atividades ainda estão em discordância com o que é recomendado pelo Programa de Humanização. É necessário o desenvolvimento de ações estratégicas, buscando a melhoria da qualidade da assistência que ainda se encontra aquém das expectativas.Palavras-chave: Enfermagem; Humanização da assistência; Parto.Humanization Nursing Care in a Hospital Unit ObstetricalAbstrat:The study aimed to verify the care provided by nursing staff during labor and birth. We chose the method quantitative, descriptive, crosssectional and prospective. Data collection was conducted from May to June 2011, covering a sample of 30 mothers of normal birth. The results show that some activities are still in disagreement with what is recommended by the Humanization Program. It requires the development of strategic actions, seeking to improve the quality of care that is still below expectations.Keywords: Nursing; Humanization of assistance; Childbirth.Humanización de la Atención de Enfermería en una Unidad Hospitalaria ObstétricaResumen: El estudio tuvo como objetivo verificar la atención recibida por el personal de enfermería durante el parto y el nacimiento. Elegimos el método cuantitativo, descriptivo, transversal y prospectivo. La recolección de datos se llevó a cabo entre mayo y junio de 2011, que abarcó una muestra de 30 madres de nacimiento normal. Los resultados muestran que algunas actividades aún están en desacuerdo con lo que es recomendado por lo Programa de Humanización. Se requiere el desarrollo de acciones estratégicas, que buscan mejorar la calidad de la atención que todavía está debajo de las expectativas.Palabras clave: Enfermería; Humanización de la asistencia; Parto.

scholarly journals Sociological analysis of Montenegrin teachers’ digital capital

2020 ◽  
Vol 37 ◽  
pp. 169-184 ◽  
Author(s):  
Ida Cortoni ◽  
Jelena Perovic
Keyword(s):  
Formal Education ◽  
Daily Practice ◽  
The Internet ◽  
Children's Media ◽  
Social Perspectives ◽  
Material Resources ◽  
Digital Pedagogy ◽  
Digital Competencies ◽  
Nationally Representative ◽  
Digital Capital

Starting with the concept of digital capital in social sciences, this article presents the key findings of the “Global Kids Online” nationally representative survey of primary and high school teachers’ digital skills and practices that was conducted in Montenegro with Unicef’s support in 2018. Digital capital, as any other form of capital within Bourdieu’s perspective, has a sociological validity only in correlation with other forms of capital – such as economic, cultural and social – in a limited context and according to a multi-dimensional approach which goes from a macro- to a micro-social perspective (Pandolfini, 2016). This article identifies and discusses three perspectives of digital capital – macro, meso-social and micro – and their material (technologies, digital services and school experiments with devices) and non-material resources (digital competencies). Analysis of data from the Montenegrin research relating to this perspective shows that the daily practice of using digital technology in classrooms seems to be marginal, even though most teachers have access to the internet in their schools. Currently the majority of teachers are using the internet at school mostly just for checking information online. Their digital competencies are not generally advanced: on average, social and operational skills are the most developed, while their creative skills are least developed. Therefore, to support the development of children’s media literacy through formal education, further investments towards the strengthening of teachers’ digital competencies need to be made and the research shows that the demand for digital pedagogy courses already exists among most teachers. In other words, the Montenegrin research points to the need to invest more in education and experimentation related to the meso- and micro-social perspectives of digital capital.

scholarly journals Clinical judgment in medication administration among nursing students

2017 ◽  
Vol 5 (4) ◽  
pp. 52
Author(s):  
Leona Konieczny
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Nursing Care ◽  
Clinical Judgment ◽  
Prescription Medication ◽  
Medication Administration ◽  
Nontraditional Student ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Nursing Educators

Nursing education includes the area of pharmacological therapies. Nursing educators may benefit from having students think like a nurse related to medication administration. The increased use of prescription medication and the complexities of medication administration present the need for clinical judgment. Simulation is used as an educational strategy to provide the opportunity for students to practice safe interventions which require the use of judgment to notice changes and interpret and intervene correctly. The comparison of low-fidelity and high-fidelity simulation experience in a study sample (n = 126) is examined for the effect on clinical judgment. The Lasater Clinical Judgment Rubric (LCJR) is used to score students after the simulation related to medication administration. Two of the items in the LCJR, noticing deviations (p = .35) and self analysis (p = .32), are positively affected by the level of fidelity of the simulation. A diverse, nontraditional student study sample demonstrated consistency in LCJR scoring. The outcome of increased clinical judgment may improve safety and nursing care in medication administration among nursing students.

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