scholarly journals A HOSPITALIZAÇÃO DO ADOLESCENTE NA ÓTICA DOS PROFISSIONAIS DE ENFERMAGEM

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Nathália Da Silva Pimentel Reis ◽  
Maria Fabiane Galdino Dos Santos ◽  
Inez Silva De Almeida ◽  
Helena Ferraz Gomes ◽  
Dayana Carvalho Leite ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Medical Records ◽  
Rio De Janeiro ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Legal Aspects ◽  
Quantitative Approach ◽  
Patient Identification

Objetivo: Compreender a ótica dos profissionais de enfermagem sobre a hospitalização de adolescentes. Metodologia: Pesquisa qualitativa, descritiva, utilizando entrevista com perguntas semi-estruturadas, realizada em uma enfermaria especializada em saúde do adolescente no Rio de Janeiro, no período de fevereiro a abril de 2016, com 15 profissionais de enfermagem. Resultados: A partir da análise de conteúdo de Bardin, definiram-se três categorias: a inexperiência no cuidado de enfermagem ao adolescente como um desafio, especificidades da adolescência, e sentimentos gerados pela hospitalização do adolescente no profissional de enfermagem. Conclusão: Conclui-se que os profissionais de enfermagem se colocaram inexperientes em cuidar desse público e declararam que o cuidado a essa população é um desafio para a equipe.Descritores: Adolescente, Enfermagem, Hospitalização.THE ADOLESCENT’S HOSPITALIZATION IN THE OPTICS OF NURSING PROFESSIONALSObjective: Analyze the contents of nursing notes in patients’ records in an intensive care unit (ICU) of a public tertiary hospital in Fortaleza, CE. It is a descriptive study with quantitative approach that analyzed 151 medical records of patients admitted to an ICU, from September 2014 to February 2015, whose 48 hour and discharge notes were evaluated. Data revealed notes with poor content, which did not express the patients’ situation, nor the nursing care provided. Data concerning date, time, and patient identification were adequate. However, the COREN number and the professional’s signature raised concern given the high percentage of non-compliance regarding ethical and legal aspects. Nursing notes did not reflect the severity of patients, nor the dynamics in the ICUDescriptors: Adolescent, Nursing, HospitalizationADOLESCENTE EN PERSPECTIVA DE LOS PROFESIONALES DE ENFERMERÍAComprender la óptico del profesional de enfermería de hospitalización de los adolescentes. Metodología: cualitativos, investigación descriptiva, utilizando entrevistas con preguntas semi-estructuradas en una sala especializada para la salud de los adolescentes en Río de Janeiro, en el período de febrero a abril 2016 con 15 profesionales de enfermería. Resultados: A partir del análisis de contenido de Bardin, definido tres categorías: la falta de experiencia en la atención de enfermería a la adolescente como un desafío, características de los adolescentes y los sentimientos generados por la hospitalización de los adolescentes en profesionales de enfermería. Conclusión: Se concluye que los profesionales de enfermería se colocaron inexpertos en cuidar de ese público y declararon que el cuidado a esa población es un desafío para el equipo.Descriptores: Adolescente, Enfermería, Hospitalización

scholarly journals ANÁLISE DOS REGISTROS DE ENFERMAGEM APÓS COLETA DE SECREÇÃO TRAQUEOBRÔNQUICA PARA CULTURA: IMPORTÂNCIA ÉTICA E LEGAL

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Josi Andrade Da Silva ◽  
Vládia Teles Moreira ◽  
Rita Neuma Dantas Cavalcante De Abreu ◽  
Tatiana De Medeiros Colletti Cavalcante ◽  
Rubens Nunes Veras Filho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Nursing Care ◽  
Medical Records ◽  
Tracheal Aspirate ◽  
Descriptive Study ◽  
Quantitative Approach ◽  
Terapia Intensiva

Conhecer os principais micro-organismos obtidos por meio da cultura de secreção traqueobrônquica e analisar os prontuários quanto aos registros de enfermagem sobre a descrição das características do material obtido durante a aspiração de secreção traqueobrônquica para cultura. Metodologia: trata-se de um estudo documental, descritivo com abordagem quantitativa, realizado com uma amostra de 85 registros nos prontuários dos pacientes internados na Unidade de Terapia Intensiva (UTI). Resultados: o estudo apontou que 60% das culturas do aspirado traqueal foi negativa. Dentre as culturas positivas, Pseudomonas aeruginosa foi o micro-organismo mais prevalente. Quantos aos registros de enfermagem sobre o procedimento realizado pelo enfermeiro foram observados registros curtos deste procedimento. Conclusão: este estudo destaca um maior percentual de culturas negativas nas amostras colhidas; carência dos registros detalhados dos procedimentos de enfermagem conforme recomendações do conselho de classe.Descritores: cuidados de enfermagem, sucção, cuidados críticos.ANALYSIS OF NURSING RECORDS AFTER COLLECTION OF TRACHEOBRONCHIAL SECRETION FOR CULTURE: ETHICAL AND LEGAL IMPORTANCEObjectives: To know the main microorganisms obtained by means of the culture of tracheobronchial secretion and to analyze the charts on the nursing records on the description of the characteristics of the material obtained during the aspiration of tracheobronchial secretion for culture. Methodology: This is a descriptive, descriptive study with a quantitative approach, carried out with a sample of 85 records in the medical records of patients admitted to the Intensive Care Unit (ICU). Results: the study indicated that 60% of tracheal aspirate cultures were negative. Among the positive cultures, Pseudomonas aeruginosa was the most prevalent microorganism. How many of the nursing records about the procedure performed by the nurse were observed short records of this procedure. Conclusion: this study highlights a higher percentage of negative cultures in the samples collected; Lack of detailed records of nursing procedures as recommended by the class council.Descripitors: nursing care, suction, critical care.ANÁLISIS DE LOS REGISTROS DE ENFERMERÍA DESPUÉS DE LA RECOGIDA DE SECRECIONES TRAQUEOBRONQUIALES PARA LA CULTURA: IMPORTANCIA ÉTICA Y LEGALObjetivos: Conocer los principales microorganismos obtenidos por medio de la cultura de secreción traqueobronquica y analizar los prontuarios en cuanto a los registros de enfermería sobre la descripción de las características del material obtenido durante la aspiración de secreción traqueobronquial para cultivo. Metodología: Se trata de un documental, estudio descriptivo con un enfoque cuantitativo, realizado con una muestra de 85 registros en las historias clínicas de los pacientes ingresados en la Unidad de Cuidados Intensivos (UCI). Resultados: El estudio encontró que el 60% de los cultivos de aspirado endotraqueal fue negativo. Entre los cultivos positivos, Pseudomonas aeruginosa fue el microorganismo más prevalente. Como los registros de enfermería en el procedimiento realizado por las enfermeras se observaron registros cortos de este procedimiento. Conclusión: Este estudio pone de manifiesto un mayor porcentaje de cultivos negativos en las muestras; la falta de un registro detallado de los procedimientos de enfermería según lo recomendado por el consejo de clase.Descriptores: cuidados de enfermería, chupar, cuidados críticos

scholarly journals Evaluation of Intensivist-Nurses’ Knowledge Concerning Medication Administration Through Nasogastric and Enteral Tubes

2010 ◽  
Vol 18 (5) ◽  
pp. 888-894 ◽  
Author(s):  
Maria Lurdemiler Sabóia Mota ◽  
Islene Victor Barbosa ◽  
Rita Mônica Borges Studart ◽  
Elizabeth Mesquita Melo ◽  
Francisca Elisângela Teixeira Lima ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Descriptive Study ◽  
Medication Administration ◽  
Tertiary Hospital ◽  
Dosage Forms ◽  
Pharmaceutical Formulation ◽  
Quantitative Approach ◽  
The Subject

This study evaluates the knowledge of nurses working in intensive care units concerning recommendations for the proper administration of medication through nasogastric and enteral tubes. This exploratory-descriptive study with a quantitative approach was carried out with 49 nurses in an intensive care unit of a tertiary hospital in Fortaleza, CE, Brazil. A total of 36.7% of nurses reported they disregard the dosage forms provided by the pharmacy at the time of administering the medication through tubes. Metal, wood, or a plastic mortar is the method most frequently reported (42.86%) for crushing prescribed solid forms; 32.65% leave the drugs in 20ml of water until dissolved; 65.3% place the responsibility for choosing the pharmaceutical formulation and its correlation with the tube site, either into the stomach or into the intestine, on the physician. The results indicate there is a gap between specific literature on medication administered through tubes and knowledge of nurses on the subject.

scholarly journals Riscos para o desenvolvimento de úlceras por pressão em idosos utilizando as subescalas de Braden

2019 ◽  
Vol 77 (15) ◽  
Author(s):  
Belarmino Santos de Sousa Júnior ◽  
Ana Elza Oliveira de Mendonça ◽  
Fernando Hiago da Silva Duarte ◽  
Cíntia de Carvalho Silva
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Nursing Care ◽  
Medical Records ◽  
Descriptive Study ◽  
Ethics Committee ◽  
Terapia Intensiva ◽  
Very High

Introdução: O avanço tecnológico e científi co vem possibilitando o aperfeiçoamento dos serviços e cuidados desaúde, no entanto, o surgimento de Úlceras por Pressão (UP), em pacientes hospitalizados permanece elevado,principalmente em idosos que necessitam de cuidados intensivos. Objetivo: Analisar os riscos no desenvolvimentode UP em pacientes idosos, admitidos em uma Unidade de Terapia Intensiva (UTI), utilizando as subescalas deBraden. Método: Trata-se de um estudo descritivo, com abordagem quantitativa; a população consistiu de 20pacientes idosos acamados, de ambos os sexos. Para a coleta de dados utilizou-se de um instrumento estruturado ea análise dos prontuários, após aprovação do Comitê de Ética em Pesquisa. Resultados: A Escala de Braden (EB) foiaplicada durante o exame físico, e demonstrou risco muito elevado em 95% dos pacientes estudados e evidencioua presença de UP em 95% destes pacientes. Conclusões: A EB é de fácil aplicação na prática clínica do enfermeiro emostrou-se útil na avaliação de predição do risco de UP no grupo estudado.Palavras-chave: Unidades de terapia intensiva; Úlcera por pressão; Cuidados de enfermagem. ABSTRACTIntroduction: technological and scientifi c advancement has enabled the improvement of services and health care,however, the emergence of Pressure Ulcers (PU) in hospitalized patients remains high, especially in the elderlywho need intensive care. Objective: To analyze the risks in the development of PU in elderly patients admitted toan Intensive Care Unit (ICU) using the subscales Braden. Method: This is a descriptive study with a quantitativeapproach; population consisted of 20 elderly bedridden patients, of both sexes. For data collection was used astructured instrument and analysis of medical records, after approval by the Research Ethics Committee. Results:Braden Scale (SB) was applied during the physical examination, and demonstrated very high risk in 95% ofpatients studied and showed the presence of PU in 95% of patients. Conclusions: SB is easy to apply in clinicalnursing practice and proved useful in PU risk prediction assessment in this group.Keywords: Intensive care units; Pressure ulcer; Nursing care.

scholarly journals Mapping nursing goals of an Intensive Care Unit to the Nursing Outcomes Classification

2012 ◽  
Vol 20 (5) ◽  
pp. 854-862 ◽  
Author(s):  
Tânia Couto Machado Chianca ◽  
Patrícia de Oliveira Salgado ◽  
Juliana Peixoto Albuquerque ◽  
Camila Claudia Campos ◽  
Meire Chucre Tannure ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Records ◽  
Descriptive Analysis ◽  
Descriptive Study ◽  
Nursing Process ◽  
Nursing Outcomes ◽  
Nursing Outcomes Classification ◽  
Mapping Process ◽  
Nursing Diagnoses

AIM: to analyze whether nursing goals formulated for nursing diagnoses can be mapped to nursing outcomes classification and to identify the scales most appropriate to the outcomes mapped. METHOD: a descriptive study was developed in an intensive care unit. Data collection involved extraction of goals in 44 medical records, content standardization, cross-mapping to the outcomes, identification of appropriated scales and validation. Descriptive analysis and agreement with the cross-mapping process were performed. RESULTS: nursing goals (59) were mapped to (28) different outcomes, with agreement of 83% in the mapping process. All goals were mapped to outcomes, which allows to affirm that these outcomes contemplates the goals elaborated to patient care. CONCLUSION: these results favor the inclusion of outcomes and scales validated in the planning and evaluation phases of the nursing process of a software in construction.

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 Direct and indirect nursing care time in an Intensive Care Unit

2014 ◽  
Vol 22 (1) ◽  
pp. 150-157 ◽  
Author(s):  
Luciana Emi Kakushi ◽  
Yolanda Dora Martinez Évora
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Electronic Medical Records ◽  
Nursing Care ◽  
Medical Records ◽  
Private Hospital ◽  
Direct Care ◽  
Health Records ◽  
Indirect Care

OBJECTIVE: to identify the direct and indirect nursing care time in an Intensive Care Unit. METHOD: a descriptive/exploratory study conducted at a private hospital. The Nursing Activities Score classification system was used to estimate the direct care time, and electronic health records were used to estimate the indirect care time. The data were collected from March to June 2011. RESULTS: the findings indicate that the average nursing care time was 29.5 hours, consisting of 27.4 hours of direct care and 2.1 hours of indirect care per patient/day. The nursing care time was higher on weekends and holidays, with predominant use of electronic medical records at night. CONCLUSION: ascertaining nursing care times will contribute to a quantitative evaluation of human resources, assisting in the determination of workloads and workforce size.

scholarly journals Proton pump inhibitor indications in a Brazilian tertiary hospital

2020 ◽  
Vol 66 (7) ◽  
pp. 913-917
Author(s):  
Abadia Gilda Buso Matoso ◽  
Fernanda Arantes Mendonça Toledo Almeida ◽  
Lígia Paiva ◽  
Patrícia Munhoz Margonari ◽  
Tainá Mendes Bertolin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Medical Records ◽  
Tertiary Hospital ◽  
Patient Records ◽  
Cross Sectional ◽  
Main Motivation ◽  
Assistant Physician

SUMMARY OBJECTIVES To evaluate the frequency of prescription of proton pump inhibitors (PPIs) and their indications in patients hospitalized at the Hospital de Clínicas of the Federal University of Uberlândia (HC-UFU). METHODS This is a quantitative cross-sectional observational study that analyzes data obtained from patient records on prescriptions of PPIs for patients hospitalized at the HC-UFU and from a questionnaire applied to assistant physicians on the indications of the drug in each case and evaluates the indication based on literature data. RESULTS On a pre-determined day, of a total of 462 inpatients, there was a prescription of PPI for 183 (39.3%), with a higher frequency (73.5%) in the Intensive Care Unit (ICU), followed by the infirmaries and the Emergency Room. The assistant physician was located in 116 cases, and the main motivation referred to prescription was prophylaxis of digestive hemorrhage (77%). However, after reviewing medical records, it was noticed that in 50.8% of the cases, the prescription was not supported by the literature. CONCLUSION The frequency of PPI prescriptions for inpatients in the HC-UFU is among the lowest described in the literature, but there are still unnecessary prescriptions. Instruction and awareness of the assisting team can minimize these numbers.

scholarly journals FAST HUG: UM ALIADO NA MANUTENÇÃO DIÁRIA DOS CUIDADOS DE ENFERMAGEM AO PACIENTE CRÍTICO

2017 ◽  
Vol 8 (1) ◽  
pp. 57
Author(s):  
Rebeca Ramos Santos ◽  
Danielle De Mendonça Henrique ◽  
Luana Ferreira De Almeida ◽  
Maridalva De Souza Penteado ◽  
Sandra Regina Maciqueira Pereira ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Nursing Care ◽  
Rio De Janeiro ◽  
Descriptive Study ◽  
Care Patient ◽  
University Hospital ◽  
Thrombosis Prophylaxis ◽  
Patient Evaluation ◽  
Quantitative And Qualitative Research ◽  
Terapia Intensiva

Objetivo: compreender se enfermeiros consideram relevante a utilização do Fast Hug (FH) na assistência ao paciente crítico. Metodologia: estudo descritivo, de abordagem quanti-qualitativa, realizado em uma UTI de um Hospital Universitário do Rio de Janeiro. Resultados: das 17 enfermeiras participantes, 11 não conheciam o FH, 10 não haviam trabalhado em instituição que o utilize. O item profilaxia de trombose foi considerado o mais difícil de avaliar por 8 delas; a maioria (15) acreditou ser necessária sua implementação no setor, sendo sugeridas as seguintes estratégias: utilizá-lo na avaliação do paciente, passagem de plantão, checklist e visita multiprofissional. Conclusão: as enfermeiras demonstraram interesse em aplicar o FH, compreendendo sua relevância.Descritores: Terapia Intensiva, Checklist, Cuidados de Enfermagem, Segurança do Paciente.FAST HUG: AN ALLY IN THE DAILY MAINTAIANCE OF NURSING CARE FOR CRITICAL PATIENTSObjective: To understand if nurses consider the use of Fast Hug (FH) in the care of critically ill patients to be relevant. Methodology: a descriptive study, quantitative and qualitative research, carried out in the intensive care unit of a University Hospital of Rio de Janeiro. Results: 11 of the nurses did not know the FH, while 10 never worked in an institution that uses it. Thrombosis prophylaxis was considered the most difficult to assess (08); the majority 15 believe that it is necessary to apply in the sector, the following strategies are suggested: it is used in patient evaluation, shift changes, checklist, multidisciplinary visit. Conclusion: nurses showed interest in applying FH, understanding its relevance.Descriptors: Critical care, Checklist, Nursing care, Patient safety.FAST HUG: UN ALIADO EN EL MANTENIMIENTO DE LOS CUIDADOS DE ENFERMERÍA AL PACIENTE CRÍTICOObjetivo: Para entender si las enfermeiras consideran relevante la utilización Del Fast Hug (FH) em la asistencia a los pacientes en estado crítico. Metodología: Estudio descriptivo, pesquisa cuantitativo-cualitativa, llevado a cabo em la unidad de cuidados intensivos de un Hospital Universitario de Río de Janeiro. Resultados: 11 de las enfermeras no conocía el FH, 10 nunca ha trabajado en una institución que lo utiliza. La profilaxis de latrombosis se considera el más difícil de evaluar (08); 15 cree que es necessária aplicación em el sector, se sugieren lãs siguientes estrategias: se utiliza em La evaluación del paciente, cambios de turno, checklist, visita multidisciplinaria. Conclusión: Las enfermeiras mostraron interes en aplicar el FH, compreendendo supertinencia.Descriptores: Cuidados críticos, Checklist, Atención de Enfermería, Seguridad del paciente.

scholarly journals The use of the Modified Early Obstetric Warning System (MEOWS) in women after pregnancies: a descriptive study

2019 ◽  
Vol 19 (3) ◽  
pp. 545-555
Author(s):  
Luciana Schuler ◽  
Leila Katz ◽  
Brena Carvalho Pinto de Melo ◽  
Isabela C. Coutinho
Keyword(s):  
Nursing Care ◽  
Medical Records ◽  
Vital Signs ◽  
Warning System ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Physiological Parameters ◽  
Medical Evaluation ◽  
Number Of Patients ◽  
Nursing Team

Abstract Objectives: to evaluate the modified early obstetric warning system (MEOWS) in women after pregnancies in a tertiary hospital in Brazil. Methods: a descriptive study was conducted with 705 hospitalized women. Vital signs (systolic and diastolic blood pressure, heart rate, respiratory rate, temperature) and lochia were registered on medical records and transcribed into the MEOWS chart of physiological parameters. On this graphic chart, yellow alerts were used to present moderate abnormalities in vital signs, while severe abnormalities were presented in red. The presence of at least one red alert or two yellow alerts were triggered to indicate the need for medical evaluation. Results: although abnormalities were found in the physiological parameters of 49.8% of the women identified from MEOWS triggers, medical evaluation was only requested for three patients (0.8%). Conclusions: in a retrospective application of the use of MEOWS showed a significant number of patients had triggered in which the nursing team did not recognize 99.2% of cases. This finding could be attributed to the fact that MEOWS has not been yet adopted in this service as part of the nursing care. The application of this tool would result in a better care because critical situations would be recognized and corrected quickly, avoiding unfavorable outcomes.

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