scholarly journals The attitudes of nurses from an intensive care unit in the face of errors: an approach in light of bioethics

2010 ◽  
Vol 18 (3) ◽  
pp. 324-330 ◽  
Author(s):  
Rita de Cássia Pires Coli ◽  
Marcio Fabri dos Anjos ◽  
Luciane Lucio Pereira
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Private Hospital ◽  
Nursing Practice ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
The Face ◽  
The City ◽  
Taking Responsibility

This study analyzed the attitudes of nurses concerning the occurrence of errors in nursing procedures carried out in an Intensive Care Unit (ICU) based on the bioethics framework. This descriptive study with qualitative approach was carried out with 14 nurses from a private hospital in the city of São Paulo, Brazil. Results were analyzed according to Bardin’s proposal of content analysis. The resulting themes were: acknowledging one’s fallibility; acknowledging and reporting errors; hiding errors. The nurses’ reports are based on considerations through the lens of bioethics: taking responsibility for an error implies acknowledging one’s own vulnerabilities; acknowledging an error with responsibility implies ethical conditions in the relationships among those involved; and errors are in the context of a particular environment. This study enables re-thinking nursing practice based on bioethics, resorting to the analysis of errors focusing on the relationships between those involved.

scholarly journals Nurses' work in intensive care units: feelings of suffering

2009 ◽  
Vol 17 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Júlia Trevisan Martins ◽  
Maria Lúcia do Carmo Cruz Robazzi
Keyword(s):  
Physical Activity ◽  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Data Collection ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Team Members ◽  
Defense Strategies

The purpose of this study was to investigate the feelings of suffering that Intensive Care Unit (ICU) nurses experience, and the strategies they use to face these feelings. It is a descriptive study using a qualitative approach and based on content analysis. The study used previous studies on Work Psychodynamics as complementary groundwork. Data collection occurred by means of semi-structured interviews, which were transcribed, categorized, and subcategorized. Results showed that suffering is related to: taking care of a young patient in critical condition, taking problems home, the patient's family, the team's work, and technology at work. As for the defense strategies used, emphasis is given to the search for strength in religion, promoting inter-relationships among team members, engaging in physical activity, and withdrawing from the patient.

Morrendo com dignidade ― sentimentos de enfermeiros ao cuidar de pacientes que morrem na unidade de tratamento intensivo

2009 ◽  
Vol 3 (3) ◽  
pp. 567
Author(s):  
Álvaro Pereira ◽  
Ana Emília Rosa Campos ◽  
Rudval Souza da Silva
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Data Collection ◽  
Nursing Care ◽  
Public Hospital ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
The Family ◽  
Terapia Intensiva

ABSTRACTObjective: to understand the nurses’ feelings who care for patients that are dying at Intensive Care Unit. Method: this is about an exploratory-descriptive study from qualitative approach, which had as principal question: How do you feel taking care of patients outside chance of cure Intensive Care Unit? The sample was composed by ten nurses. It was used as a scenario, the Intensive Care Unit of a public hospital in Salvador city. Data collection occurred from August to September 2008, with recorded interviews using a semi-structured script. The content analysis proposed by Bardin was the reference used for the analysis of data, which defined the categories of analysis. Results: two categories emerged: feelings related to the patient and feelings related to with the family. Conclusion: the death is considered by nurses who deal with it in the Intensive Care Unit, as an experience of conflicting emotions, sometimes painful. Descriptors: death; emotions; nursing care; intensive care unit.RESUMOObjetivo: compreender os sentimentos dos enfermeiros ao cuidar do paciente que está morrendo na Unidade de terapia intensiva. Método: estudo exploratório-descritivo, com abordagem qualitativa, que teve como questão norteadora: Como você se sente cuidando do paciente fora de possibilidade de cura na Unidade de terapia intensiva? Participaram desse estudo, dez enfermeiras. Utilizou-se, como cenário, a Unidade de Terapia Intensiva de um hospital público da cidade de Salvador. A coleta de dados aconteceu entre os meses de agosto e setembro de 2008, a partir de entrevistas gravadas com roteiro semi-estruturado. A Análise de Conteúdo proposta por Bardin foi à referência utilizada para a análise dos dados, onde se definiram as categorias de análise. Resultados: emergiram duas categorias: sentimentos relacionados ao paciente e sentimentos relacionados à família. Conclusão: a morte é tida pelas enfermeiras que com ela lidam no espaço da Unidade de terapia intensiva, como uma vivência de sentimentos conflituosos, por vezes dolorosos. Descritores: morte; emoções; cuidados de enfermagem; unidade de terapia intensiva.RESUMEN Objetivo: comprender los sentimientos de las enfermeras para el cuidado del paciente que está muriendo en la Unidad de Tratamiento Intensivo. Método: estudio descriptivo-exploratorio con aproximación cualitativa, que tênia como pregunta orientadora: ¿Cómo se siente teniendo el cuidado de los pacientes fuera de posibilidades de cura Unidad de Tratamiento Intensivo. La muestra estuvo compuesta por diez enfermeras. Se utilizó como escenario, la Unidad de Cuidados Intensivos de un hospital público en la ciudad de Salvador. La recopilación de datos ocurrieron entre los meses de agosto y septiembre de 2008, registrada a partir de entrevistas semi-estructuradas con el guión. El análisis de contenido propuesta por Bardin fue la referencia utilizada para el análisis de los datos, que definen las categorías de análisis. Resultados: surgieron dos categorías: los sentimientos relacionados con el paciente y los sentimientos relacionados con la familia. Conclusión: la muerte es considerada por las enfermeras para hacer frente a ella dentro de la Unidad de Tratamiento Intensivo, como una experiencia de emociones en conflicto, a veces doloroso. Descriptores: muerte; emociones; cuidados de enfermería; unidad de cuidados intensivos.

scholarly journals Percepção da enfermagem em relação às mães no cuidado de recém-nascidos na unidade de terapia intensiva neonatal

2013 ◽  
Vol 4 (1) ◽  
pp. 45-48 ◽  
Author(s):  
Silvana Santiago Da Rocha ◽  
Dean Douglas Ferreira De Olivindo ◽  
Caroline Neves De Sá ◽  
Luara Freitas Fonseca
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Integrated Care ◽  
Neonatal Intensive Care ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Nursing Team ◽  
Terapia Intensiva

Objetivou-se descrever a percepção da equipe de enfermagem em relação às mães no cuidado de recém-nascidos na unidade de terapia intensiva neonatal. Estudo do tipo exploratório-descritivo, com abordagem qualitativa. A entrevista foi o instrumento utilizado para a coleta dos dados, obedecendo aos critérios da resolução CNS 196/96. Os dados foram analisados utilizando-se a análise de conteúdo, originando três categorias: problemas vivenciados pela equipe de enfermagem; a recuperação do recém-nascido: o cuidado integrado mãe-equipe de enfermagem; desconhecimento das mães percebido pela equipe de enfermagem, que proporcionaram a compreensão que a equipe de enfermagem tem em relação às mães.Descritores: Equipe de Enfermagem, Mães, UTI Neonatal.Nursing team's view of mothers in the care of newborns in the neonatal intensive care unitThis work aimed to describe the nursing team's view of mothers in the care of newborns in the neonatal intensive care unit. An exploratory, descriptive study, with qualitative approach. The interview was the instrument used to collect the data, in accordance with the criteria of resolution CNS 196/1996. The data were analyzed through content analysis, which originated three categories: problems experienced by the nursing team; the recovery of the newborn: the mother-nursing team integrated care; lack of knowledge of the mothers perceived by the nursing team, which provided the understanding that the nursing team has in relation to the mothers.Descriptors: Nursing Team, Mothers, Neonatal ICU.Percepción de la enfermería con relación a las madres en el cuidado a los recién nacidos en la unidad de terapia intensiva neonatal.Se buscó describir la percepción del equipo de enfermería con relación a las madres en el cuidado a los recién nacidos en la unidad de terapia intensiva neonatal. Estudio del tipo exploratorio – descriptivo, con abordaje cualitativo. La entrevista fue el instrumento utilizado para la colecta de datos, obedeciendo a los criterios de la resolución CNS 196/1996. Los datos fueron analizados valiéndose del análisis de contenido, originando tres categorías: problemas vividos por el equipo de enfermería; la recuperación del recién nacido: el cuidado integrado madre – equipo de enfermería; desconocimiento de las madres percibido por el equipo de enfermería, que proporcionaron la comprensión que el equipo de enfermería tiene con relación a las madres.Descriptores: Equipo de Enfermería, Madres, CTI Neonatal.

scholarly journals Billing of nursing procedures at an intensive care unit

2011 ◽  
Vol 19 (3) ◽  
pp. 573-580 ◽  
Author(s):  
Raquel Silva Bicalho Zunta ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Private Hospital ◽  
Quantitative Approach ◽  
Essential Information ◽  
Nursing Managers ◽  
Important Argument ◽  
The City ◽  
Hospital Revenues ◽  
Safe Care

This study aimed to: estimate the billing of nursing procedures at an intensive care unit and calculate how much of total ICU revenues are generated by nursing. An exploratory-descriptive, documentary research with a quantitative approach was carried out. The study was performed at a general ICU of a private hospital in the city of Sao Paulo. The sample consisted of 159 patients. It was concluded that the nursing procedures were responsible for 15.1% of total ICU revenues, which breaks down to an average 11.3% of revenues coming from nursing prescriptions and 3.8% from medical prescriptions. Demonstrating how much nursing contributes to hospital revenues is essential information for nursing managers, as it is an important argument to obtain resources and guarantee safe care.

scholarly journals Direito à saúde e Unidades de Tratamento Intensivo Neonatal (UTINs): uma breve reflexão sobre a eficácia das decisões judiciais no Estado do Maranhão

2017 ◽  
Vol 18 (2) ◽  
pp. 525-544
Author(s):  
Edith Maria Barbosa Ramos ◽  
Lidia Cunha Schramm de Sousa
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Public Management ◽  
Neonatal Intensive Care ◽  
Descriptive Study ◽  
Health Policies ◽  
Public Health Policies ◽  
Childhood And Youth ◽  
The City

Resumo: A judicialização das políticas públicas de saúde é um fenômeno crescente em todo o País, tendo diversos âmbitos do Poder Judiciário recebido demandas relacionadas à saúde, no entanto, percebe-se que essa discussão tem reflexos nos três Poderes. O presente artigo teve por escopo compreender o sistema normativo que regulamenta o acesso a leitos de Unidades de Tratamento Intensivo Neonatal (UTINs), bem como analisar a eficácia das decisões judiciais no Maranhão, com foco nas decisões de magistrados da 1ª Vara da Infância e Juventude da comarca de São Luís, MA. Realizou-se um estudo descritivo e exploratório, com levantamento bibliográfico e documental, notadamente, em documentos disponibilizados nos sites do Poder Judiciário maranhense, do Ministério da Saúde, Secretaria de Saúde do Estado do Maranhão e do Município de São Luís. Ao fim, foram feitas algumas considerações sobre a problemática da judicialização da saúde como fenômeno que expõe as fragilidades e as descontinuidades das ações desenvolvidas pelas casas legislativas, pela gestão pública e pelo próprio sistema de justiça.Palavras-chave: Direito à saúde. Unidade de tratamento intensivo. Poder Judiciário. Abstract: The legalization of public health policies is a growing phenomenon throughout the country, having many areas of the Judiciary received demands related to health, however, it is clear that this discussion is reflected in the three Branches. This article had the scope to understand the legal system that regulates access to the Neonatal Intensive Care Unit beds (NICUs) and to analyze the effectiveness of judgments in Maranhão, focusing on judges decisions of the 1st Court of Childhood and Youth of the district of São Luís, MA. We conducted a descriptive study, with bibliographic and documental survey, notably in documents available on the websites of the judiciary of Maranhão, the Ministry of Health, Health Secretariat of the State of Maranhão, and the City of São Luís. In the end, some considerations were made about the problem of the judicialisation of health as a phenomenon that exposes the weakness and discontinuity of the actions developed by legislative bodies, public management and own justice system.Keywords: Right to health. Neonatal Intensive Care Unit. Judicial Branch.

scholarly journals Direito à saúde e Unidades de Tratamento Intensivo Neonatal (UTINs): uma breve reflexão sobre a eficácia das decisões judiciais no Estado do Maranhão

2017 ◽  
Vol 18 (2) ◽  
pp. 525-544
Author(s):  
Edith Maria Barbosa Ramos ◽  
Lidia Cunha Schramm de Sousa
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Public Management ◽  
Neonatal Intensive Care ◽  
Descriptive Study ◽  
Health Policies ◽  
Public Health Policies ◽  
Childhood And Youth ◽  
The City

Resumo: A judicialização das políticas públicas de saúde é um fenômeno crescente em todo o País, tendo diversos âmbitos do Poder Judiciário recebido demandas relacionadas à saúde, no entanto, percebe-se que essa discussão tem reflexos nos três Poderes. O presente artigo teve por escopo compreender o sistema normativo que regulamenta o acesso a leitos de Unidades de Tratamento Intensivo Neonatal (UTINs), bem como analisar a eficácia das decisões judiciais no Maranhão, com foco nas decisões de magistrados da 1ª Vara da Infância e Juventude da comarca de São Luís, MA. Realizou-se um estudo descritivo e exploratório, com levantamento bibliográfico e documental, notadamente, em documentos disponibilizados nos sites do Poder Judiciário maranhense, do Ministério da Saúde, Secretaria de Saúde do Estado do Maranhão e do Município de São Luís. Ao fim, foram feitas algumas considerações sobre a problemática da judicialização da saúde como fenômeno que expõe as fragilidades e as descontinuidades das ações desenvolvidas pelas casas legislativas, pela gestão pública e pelo próprio sistema de justiça.Palavras-chave: Direito à saúde. Unidade de tratamento intensivo. Poder Judiciário. Abstract: The legalization of public health policies is a growing phenomenon throughout the country, having many areas of the Judiciary received demands related to health, however, it is clear that this discussion is reflected in the three Branches. This article had the scope to understand the legal system that regulates access to the Neonatal Intensive Care Unit beds (NICUs) and to analyze the effectiveness of judgments in Maranhão, focusing on judges decisions of the 1st Court of Childhood and Youth of the district of São Luís, MA. We conducted a descriptive study, with bibliographic and documental survey, notably in documents available on the websites of the judiciary of Maranhão, the Ministry of Health, Health Secretariat of the State of Maranhão, and the City of São Luís. In the end, some considerations were made about the problem of the judicialisation of health as a phenomenon that exposes the weakness and discontinuity of the actions developed by legislative bodies, public management and own justice system.Keywords: Right to health. Neonatal Intensive Care Unit. Judicial Branch.

Nurses’ perspectives on the suffering of preterm infants

2013 ◽  
Vol 20 (7) ◽  
pp. 798-807 ◽  
Author(s):  
Anne Korhonen ◽  
Annu Haho ◽  
Tarja Pölkki
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Preterm Infants ◽  
Nursing Care ◽  
Neonatal Intensive Care ◽  
Research Question ◽  
Qualitative Approach ◽  
Nurses Perceptions ◽  
Individual Threshold

The concept of suffering is discussed among those who are cognitively aware and verbally capable to express their suffering. Due to immaturity, preterm infants’ abilities to express suffering are limited. Relieving suffering is an ethical and juridical demand of good nursing care. The purpose of this study is to describe nurses’ perceptions of the suffering of preterm infants. A descriptive qualitative approach was selected. Data were collected from essays written by nurses (n = 19) working in the neonatal intensive care unit. Inductive content analysis guided by the research question was performed. The nurses described individually determined suffering of the preterm infants according to four categories: suffering ruled by maturation, existence of suffering, individual threshold of suffering and interpreting the cues of suffering. Suffering of preterm infants is manifested by population-specific features, emphasising the need to develop sensitive interventions for relieving their suffering.

scholarly journals Skills and abilities for nursing practice in eye banks

2014 ◽  
Vol 23 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Roberta Teixeira Prado ◽  
Sonia Maria Dias ◽  
Edna Aparecida Barbosa de Castro
Keyword(s):  
Content Analysis ◽  
Nursing Practice ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Professional Skills ◽  
Teaching And Research ◽  
Eye Banks ◽  
Professional Nursing Practice ◽  
Dimensions Of Teaching

The study describes the skills and abilities required for working in Eye Banks, from the perspective of nurses, and offers subsidies for professional nursing practice in these services. This was an exploratory, descriptive study with a qualitative approach. Data were collected through semi-structured interviews with seven nurses working in this service and analyzed with the support of content analysis. By analyzing the testimonies of the subjects in this study, the managerial dimension was perceived as relevant for the subjects, through their statements. Skills required to work in Eye Banks, from the perspective of nurses, included: skills related to education, communication, leadership to maintain team unity; ability to deal with the corpse; and, dexterity in the technical procedures involved. It became clear that nurses needed to devote greater attention to the dimensions of teaching and research. This is a new scenario for nursing practice and it is required that nurses acquire new professional skills.

scholarly journals Desafios maternos frente à fototerapia neonatal: estudo descritivo

2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Juliana Iasmin de Souza Fernandes ◽  
Adriana Teixeira Reis ◽  
Cristiane Vanessa da Silva ◽  
Adriana Peixoto da Silva
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Nursing Staff ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Support Network ◽  
Healthcare Team ◽  
Negative Experience ◽  
Health Institution ◽  
The City

Aim: To expose the challenges faced by mothers of newborn babies who  are  submitted  to  phototherapy  treatment  in  a  rooming-in setting.  Methods:  A descriptive  study,  using  a  qualitative  approach,  conducted  by  interviewing  10  mothers whose babies experienced neonatal phototherapy while rooming-in between the months of June and October of 2014 in a public health institution in the city of Rio de Janeiro. Bardin’s Content Analysis was used for analysis. Results: Three analytical categories emerged: Mothers’ feelings  and  reactions towards  phototherapy treatment; The  lack  ofknowledge when facing a new reality and The healthcare team as a support network for the mothers. Discussion: Despite the simplicity of phototherapy treatment, it makes the mothers  feel  negative  emotions  such  as  anguish,  sadness  and  guilt.  Conclusion:  The nursing staff must be prepared to hear and guide the mothers throughout phototherapy, taking   into   consideration   that   it   is   a   negative   experience   during   the   newborn hospitalization.

Sign in / Sign up

Export Citation Format

Share Document