Strategies used in practice in emergency nursing: implications ethical and professional

2010 ◽  
Vol 4 (2) ◽  
pp. 708
Author(s):  
Simone Cruz Machado Ferreira ◽  
Enilda Moreira Carvalho Alves ◽  
Geilsa Soraia Cavalcanti Valente
Keyword(s):  
Emergency Room ◽  
Nursing Staff ◽  
Participant Observation ◽  
Nursing Intervention ◽  
Product Line ◽  
University Hospital ◽  
Emergency Nursing ◽  
Working Process ◽  
Everyday Practices ◽  
Product Line Management

ABSTRACTObjectives: to identify the strategies used by members of the nursing staff in the emergency room and analyze the ethical and professional implications of these strategies, as everyday practices that drive. Method: this is about an qualitative study, conducted in the emergency room of University Hospital Antonio Pedro, Universidade Federal Fluminense, approved by the Ethics Committee under n. 0155-07. It was used as a tool for data collection, participant observation, according to the precepts of Resolution 196/96. Results: the working process of the nursing staff of the Emergency Hospital Universitário Antônio Pedro is strongly characterized by improvisation and fragmentation. Thus, the nursing intervention is subject to adjustments in the way of doing, here understood as strategies. The use of strategies in the action has ethical and professional implications involving the provision of safe handling and quality and application of scientifically proven techniques. Conclusion: the practice observed in the nurses' performance is still not systematic in experiments without evaluating the consequences, which are not even perceived as such by staff of the work, making them unaware of the ethical and professional. Descriptors: ethics, nursing; ethics, professional; emergency nursing; professional practice location; product line management; strategies.RESUMOObjetivos: identificar as estratégias utilizadas pelos membros da equipe de enfermagem na emergência hospitalar e analisar as implicações ético-profissionais dessas estratégias, enquanto práticas cotidianas nessa unidade. Método: estudo qualitativo, realizado no setor de emergência do Hospital Universitário Antonio Pedro da Universidade Federal Fluminense, aprovado pelo Comitê de Ética sob n. 0155-07.  Utilizou-se como instrumento de coleta de dados a observação participante, segundo os preceitos da Resolução 196/96. Resultados: o processo de trabalho da equipe de enfermagem da Emergência do Hospital Universitário Antônio Pedro é fortemente caracterizado por improviso e fragmentação. Desta forma, a intervenção de enfermagem está sujeita a adaptações no modo de fazer, aqui compreendidas como estratégias. A utilização de estratégias na atuação possui implicações ético-profissionais que envolvem a prestação de assistência segura e de qualidade e a aplicação de técnicas comprovadas cientificamente. Conclusão: a prática observada na atuação dos enfermeiros ainda se constitui em experiências não sistematizadas e sem avaliação das suas conseqüências, que sequer são percebidas como tal pelos agentes do trabalho, realizando-as sem consciência das implicações éticas e profissionais. Descritores: ética em enfermagem; ética profissional; enfermagem em emergência; área de atuação profissional; administração de linha de produção; estratégias.RESUMENObjetivos: identificar las estrategias utilizadas por los miembros del personal de enfermería en la sala de emergencias y analizar las implicaciones éticas y profesionales de estas estrategias, como las prácticas cotidianas de esa unidad. Método: estudio cualitativo, realizado en la sala de urgencias del Hospital Universitario Antonio Pedro, Universidade Federal Fluminense, aprobado por el Comité de Ética bajo el n. 0155-07. Fue utilizado como una herramienta para la recopilación de datos, la observación participante, de acuerdo a los preceptos de la Resolución 196/96. Resultados: el proceso de trabajo del personal de enfermería de la Emergencia del Hospital Universitario Antônio Pedro está fuertemente caracterizado por la improvisación y la fragmentación. Así pues, la intervención de enfermería está sujeta a ajustes en la forma de hacer, aquí entendida como las estrategias. Las implicaciones del uso de estrategias en la acción ética y profesional que implique la prestación de seguridad en la manipulación y la calidad y la aplicación de técnicas científicamente probadas. Conclusión: la práctica observada en el desempeño de la enfermería no está siendo sistemática en experimentos sin evaluar las consecuencias, que ni siquiera son percibidas como tales por el personal de la obra, haciendo que no tengan conciencia de lo ético y profesional. Descriptores: ética en enfermería; ética profesional; enfermería de urgencia; ubicación de la práctica profesional; administración de línea de producción; estrategias. 

scholarly journals Nursing staff sizing in the emergency room of a university hospital

2015 ◽  
Vol 49 (3) ◽  
pp. 481-487 ◽  
Author(s):  
Taís Couto Rego da Paixão ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista
Keyword(s):  
Emergency Room ◽  
Nursing Staff ◽  
Classification System ◽  
Registered Nurse ◽  
Professional Staff ◽  
Risk Classification ◽  
University Hospital ◽  
Patient Classification ◽  
Patient Classification System

OBJECTIVE To verify the adequacy of the professional nursing staff in the emergency room of a university hospital and to evaluate the association between categories of risk classification triage with the Fugulin Patient Classification System. METHOD The classification of patients admitted into the emergency room was performed for 30 consecutive days through the methodology proposed by Gaidzinski for calculating nursing requirements. RESULTS The calculation determines the need for three registered nurses and four non-registered nursing for each six hour shift. However, only one registered nurse and four non-registered nurse were available per shift. There was no correlation between triage risk classification and classification of care by the Fugulin Patient Classification System. CONCLUSION A deficit in professional staff was identified in the emergency room. The specificity of this unit made it difficult to measure. To find the best strategy to do so, further studies should be performed.

scholarly journals Non-pharmacological methods for relief of discomfort and pain in newborns: a collective nursing construction

2014 ◽  
Vol 23 (1) ◽  
pp. 185-192 ◽  
Author(s):  
Raquel Alves Cordeiro ◽  
Roberta Costa
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pain Management ◽  
Neonatal Intensive Care Unit ◽  
Nursing Staff ◽  
Neonatal Intensive Care ◽  
Participant Observation ◽  
Educational Process ◽  
University Hospital ◽  
Care Protocol

This is a convergent care study with the aim to build, together with the nursing staff, a proposal for care protocol based on non-pharmacological methods for discomfort and pain management in newborns admitted to a neonatal intensive care unit. The study was carried out in a neonatal intensive care unit of a university hospital with 16 nursing staff professionals. Data were collected in two stages: first, a reflective-educational process was performed and, afterwards, a participant observation during the different work shifts of the nursing staff. The care protocol proposal will enable the standardization of care strategies for pain management in newborns using non-pharmacological methods. Furthermore, it will contribute to provide better care in the neonatal unit, reducing pain and discomfort experienced during hospitalization, as well as resulting in fewer consequences and better quality of life for the newborns and their families.

scholarly journals Avaliação de desempenho na opinião da equipe de enfermagem de hospital universitário público/ Performance evaluation under the opinion of the nursing staff from a public university hospital

2016 ◽  
Vol 14 (4) ◽  
pp. 1403 ◽  
Author(s):  
Viviane Massumi Ano ◽  
Marli Terezinha Oliveira Vannuchi ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
Paloma De Souza Cavalcante Pissinati
Keyword(s):  
Performance Evaluation ◽  
Nursing Staff ◽  
Public University ◽  
University Hospital

Objetivou-se conhecer a opinião da equipe de enfermagem de um hospital universitário público sobre o processo de avaliação de desempenho. Trata-se de um estudo transversal com abordagem quantitativa, realizado em hospital universitário do norte do Paraná. A amostra foi composta por 70 participantes, pertencentes às categorias de auxiliares, técnicos de enfermagem e enfermeiros das unidades de internação de adultos e de moléstias infecciosas. Para a coleta de dados utilizou-se um instrumento adaptado. Os dados foram analisados por meio de estatística descritiva. A maioria dos participantes demonstrou satisfação com a avaliação de desempenho, entretanto, alguns indivíduos relataram aspectos negativos, dentre os quais o momento de avaliação entre pares. Concluiu-se que o sucesso da avaliação está relacionado ao significado e à satisfação que o participante atribui a esse processo. Quando utilizada de forma adequada, a avaliação de desempenho proporciona benefícios tanto para a instituição quanto para o desenvolvimento profissional e pessoal dos funcionários. 

scholarly journals Familiares e representações do medo e sofrimento emocional da criança na emergência: reeducação colaborativa no cuidado

2021 ◽  
Vol 2 (6) ◽  
pp. 1530-1549
Author(s):  
Silvia Helena Oliveira Da Cunha ◽  
Eliane Ramos Pereira ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Renata Carla Nencetti Pereira Rocha
Keyword(s):  
Positive Reinforcement ◽  
Emotional Health ◽  
Participant Observation ◽  
Social Representations ◽  
Child Death ◽  
Structured Interview ◽  
Pediatric Emergency ◽  
University Hospital ◽  
The Family ◽  
Culture Of Fear

Problema: Relações entre família e criança hospitalizada no contexto da emergência, reforçam frequentemente a cultura do medo por meio de condutas que a amedrontam demasiadamente, especialmente quando submetidas aos procedimentos dolorosos. Objetivos: analisar representações sociais da família acerca do sofrimento da criança na emergência; identificar a cultura do medo no contexto das representações da família e implicações; elaborar cartilha aos familiares como ferramenta facilitadora na minimização do estresse psicológico da criança. Método: Estudo descritivo, abordagem qualitativa, pautada na Teoria das Representações Sociais, utilizou-se técnicas de evocação livre, entrevista semiestruturada e observação participante. Os dados foram submetidos à análise de Bardin e classificados em cinco categorias: 1) profissionais de saúde; 2) objetos estranhos; 3) evento indesejável; 4) bactéria e infecção hospitalares e 5) medo da morte da criança. O estudo realizado na emergência pediátrica de um hospital universitário no município de Niterói/RJ e cujos sujeitos foram os familiares que acompanharam as crianças hospitalizadas. Conclusão: Percebe-se no cotidiano da emergência, que crianças sofrem dor emocional, antes da dor física, visto que medo excessivo da criança é culturalmente incentivado e aceito pelas famílias. Desconstruí-lo com educação e reforço positivo é eficaz ferramenta estratégica de promoção da saúde emocional ao binômio criança-família.   Problem: Relationships between hospitalized family and child in the emergency context often reinforce the culture of fear through behaviors that frighten her too much, especially when subjected to painful procedures. Objectives: to analyze social representations of the family about the suffering of the child in the emergency; Identify the culture of fear in the context of family representations and implications; To elaborate a booklet for the family as a facilitating tool in minimizing the psychological stress of the child. Method: Descriptive study, qualitative approach, based on Social Representations Theory, we used free evocation techniques, semi-structured interview and participant observation. The data were submitted to the analysis of Bardin and classified into five categories: 1) health professionals; 2) foreign objects; 3) undesirable event; 4) hospital bacterium and infection; and 5) fear of child death. The study carried out in the pediatric emergency of a university hospital in the city of Niterói / RJ and whose subjects were the relatives who accompanied the hospitalized children. Conclusion: It is noticed in the daily emergency that children suffer emotional pain, before physical pain, since excessive fear of the child is culturally encouraged and accepted by families. Deconstructing it with education and positive reinforcement is an effective strategic tool for promoting emotional health to the binomial child-family.

scholarly journals The ordinary, cultures, and management: the organizing processes within the handicraft sector in Piúma (ES), Brazil

2020 ◽  
Vol 27 (95) ◽  
pp. 644-673
Author(s):  
Filipe Cabacine Lopes Machado ◽  
Alfredo Rodrigues Leite da Silva ◽  
Talita Almeida Fernandes
Keyword(s):  
Popular Culture ◽  
Participant Observation ◽  
Alternative View ◽  
Everyday Practices ◽  
External Pressures ◽  
Document Collection ◽  
Narrative Practice ◽  
Cultural Plurality ◽  
Narrative Temporality ◽  
The City

Abstract This article aims to understand the ordinary management of the resistances and forms of survival, organized in everyday practices that are in part product and producers of cultural plurality in the field of handicrafts in the city of Piúma, Brazil. From the perspective of practice-based studies (Feldman & Orlikowski, 2011), we articulate theoretically the approach of ordinary management (Carrieri, Perdigão & Aguiar, 2014) of craft production (Sennett, 2009) and the certeaunian contributions. These contributions are directed towards the recognition of the games of force relations within a cultural plurality. In proposing the focus on this plurality, this article fills a gap, because in previous studies on ordinary management, this cultural plurality has not been specifically addressed. The proposal was supported by a qualitative research, accomplished through document collection, participant observation, and unstructured interviews with five artisans from Piúma. In the analysis of the data, we articulate the narrative practice in De Certeau (1985) and narrative temporality in Ricoeur (1994). As results, we identify different networks of force relations in which artisans are involved in organizing practices of ordinary management. In them, cultures have shown themselves as plural productions, moving away from the view of a popular culture, external to everyday practices or submissive to other external pressures. This article contributes to an alternative view at the Ordinary Management of handicrafts and other organizational actions based on cultural plurality.

scholarly journals Effectiveness of Nursing Intervention Protocol on Nurses’ Performance and Patients’ Self-Care after Cataract Surgery

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Amal S. Taha
Keyword(s):  
Cataract Surgery ◽  
Self Care ◽  
Nursing Intervention ◽  
Structured Interview ◽  
University Hospital ◽  
Outpatient Clinics ◽  
P Value ◽  
Protocol Implementation ◽  
Intervention Protocol ◽  
Inpatient Units

Context: Cataract is the leading cause of poor vision worldwide. Patients who knowledgeable and skillful nurses well prepare are better prepared to engage in appropriate self-care activities post-cataract surgery. Aim: This study aimed to assess the effectiveness of nursing intervention protocol on nurses' performance and patients’ self-care after cataract surgery. Methods: The study followed a quasi-experimental, pretest-posttest design. The study was conducted in ophthalmology surgical inpatient units and the outpatient clinics at Benha University Hospital. The sample consisted of all available nurses (35) working in the ophthalmology surgical inpatient units, and the outpatient clinics who are willing and agreed to participate in the study and a convenient sample consisted of 50 patients of both genders were also included in the current study before implementing nursing intervention protocol. Three tools were used to conduct the study: A structured interview questionnaire, nurses' practice checklist, and patients’ self-care activity checklist. Results: The results showed statistically significant improvements in nurses' performance (knowledge and practice) immediately post and one-month follow-up post-nursing intervention protocol compared with pre-nursing intervention protocol implementation (p<0.001). General improvement in patients’ self-care activities (41.6±11.042) increased significantly to (64.2±13.65) after nursing intervention protocol implementation at p=0.001. However, after one month of implementing the nursing intervention protocol, a slight decline occurred after one month (52.46±10.97) compared to pre intervention level. Highly statistically significant differences were observed at a p-value ≤0.001. Conclusion: Findings of this study conclude that the nursing intervention protocol was effective in improving nurses' performance, which was reflected in improving the practice of patients' self-care activities cared for by nurses exposed to nursing intervention protocol implementation.  It is recommended that further studies are suggested to investigate the outcome of the implementing nursing intervention protocol on decreasing the occurrence of complications post-cataract surgery.

scholarly journals GENITOURINARY MYIASIS CAUSED BY MUSCA DOMESTICA: REGARDING A SINGULAR

2021 ◽  
Vol 9 (10) ◽  
pp. 444-449
Author(s):  
Fz. Lazrak ◽  
◽  
L. Darfaoui ◽  
M. Oujidi ◽  
Y. Islah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Emergency Room ◽  
Post Partum ◽  
University Hospital ◽  
History Of Surgery ◽  
Obstetric Emergency ◽  
Iron Treatment ◽  
History Of ◽  
Parasitological Study

A 27-year-old woman from and resident in ourika(Marrakesh region – Morocco) with a history of anemia under iron treatment, without a history of surgery, has G1 P1. Presented to the Mohamed VI University Hospital on day 21 post partum of a vaginal birth at home, the evolution was marked by the appearance of urinary incontinence treated in the emergency room by placing a catheter urinary on day 6 post partum then send to her home for the COVID 19 context, then the patient consulted again at the gyneco-obstetric emergency room for deterioration of the general condition in a picture of hemodynamic shock. On physical examination, the patient was hemodynamically unstable with blood pressure figures of 70/40 mmhg, heart rate at 50 bpm, temperature at 35 ° and mucosal skin pallor.Examination of the vaginal cavity showed the presence of numerous whitish-looking maggots, a sample was taken by the biology team that collected the maggots for the purpose of a parasitological study to identify the parasite responsible.

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