Janete de Souza Urbanetto

Eventos adversos relacionados a medicamentos: percepção de técnicos e auxiliares de enfermagem

The process of administering medication is linked to an elevated rate of adverse events and has been the focus of institutional investments. This study aimed at uncovering the perception of nursing aides regarding medication-related adverse events. A qualitative research was carried out with ten nursing aides from a clinical and surgical inpatient unit in a university hospital in Porto Alegre,RS, Brazil. Results show that the factors most commonly involved in medication errors are work overload and incorrect patient/client identification, as well as other associated factors. It was concluded that there is a need for the development of actions that favor cultural change that guarantees patient safety in hospital institutions.

Work ability in nursing: relationship with psychological demands and control over the work

OBJETIVO: avaliar a associacao entre demandas psicologicas, controle sobre o trabalho e a reducao da capacidade para o trabalho em trabalhadores de enfermagem. METODO: estudo transversal, envolvendo 498 trabalhadores de enfermagem de um hospital universitario do Estado do Rio Grande do Sul, Brasil. A coleta de dados foi realizada em 2009, utilizando-se as versoes brasileiras do Indice de Capacidade para o Trabalho e da Job Stress Scale e, para a analise dos dados, modelos de regressao logistica. RESULTADOS: evidenciou-se prevalencias de 43,3% e de 29,7% de reducao da capacidade laboral e de alta exigencia no trabalho (alta demanda psicologica e baixo controle), respectivamente. As chances de os trabalhadores em alta exigencia apresentarem reducao da capacidade para o trabalho foram maiores e significativas quando comparados aos classificados em baixa exigencia, mesmo apos ajustes por possiveis confundidores, exceto idade e sexo. CONCLUSAO: constatou-se elevada prevalencia de reducao da capacidade laboral. A evidencia alerta para a necessidade de investigacao e analise detalhada dos aspectos psicossociais, relacionados ao processo de saude/adoecimento dos trabalhadores de enfermagem.OBJECTIVE to evaluate the association between psychological demands, control over the work and the reduction of work ability of nursing professionals. METHOD this cross-sectional study involved 498 nursing professionals of a university hospital in the State of Rio Grande do Sul, Brazil. Data collection was carried out in 2009 using the Brazilian versions of the Work Ability Index and Job Stress Scale, with logistic regression models used for the data analysis. RESULTS the prevalence of 43.3% for reduced work ability and 29.7% for high-strain in the job (high psychological demand and low control) were observed. The chances for professionals presenting reduced work ability under high-strain were higher and significant when compared to those classified as being under low-strain, even after adjusting for potential confounders, except for age and gender. CONCLUSION a high prevalence of reduced work ability was observed. This evidence indicates the need for investigation and detailed analysis of the psychosocial aspects of the professionals with regard to the health/disease process of nursing professionals.

Intensity of musculoskeletal pain and (in) ability to work in nursing

Articulo parte del project “Recem Doutor” y del trabajo de conclusion de curso “Condicoes de trabalho, dor musculoesqueletica e indice de capacidade para o trabalho da equipe de enfermagem”. Apoyo financiero de la Universidade Federal de Santa Maria, proceso 23081.006225/2009-69 y de la Fundacao de Amparo a Pesquisa do Rio Grande do Sul, proceso no 0903826.OBJECTIVE the aim was to evaluate the association between the intensity of musculoskeletal pain and reduction in work ability among nursing workers. METHOD a cross-sectional study, involving 592 nursing staff in a public university hospital in Rio Grande do Sul, Brazil. The Brazilian version of the Finnish questionnaire for calculating Work Ability Index was used, whose score varies from 7 to 49 points. The score was dichotomized as reduced work ability (7 to 36 points) and good/excellent ability (37 to 49 points). The intensity of musculoskeletal pain over the previous week was evaluated, using a numerical pain scale. RESULT 43.3% of the participants had reduced work ability and 48.8% reported strong to unbearable pain. Even after adjusting for potentially confounding factors (function and length of service in the function), the workers who mentioned strong to unbearable pain were four times more likely to be classified in the group with reduced work ability. CONCLUSION A positive association was determined between intensity of musculoskeletal pain and reduction in work ability. It is necessary to adopt intervention measures in the organizational structure, so as to promote/restore work ability.

Processo de trabalho em enfermagem: gerenciamento das relações interpessoais

This study deals with the problem of interpersonal relationships in the work process of the nurse and, is supported in the referential of the work process and the evolutionary stages of group relationships. To data collection was used a research-action and documental method, at two university hospitals from the South Region. It has been detected some fragilities faced by the controlling nurse in all the stages of the relationship process, with the presence of inefficacious mechanisms of inclusion of these professionals at work, no differential treatment between the controlling position and other functions, relations with an emphasis in the bipersonal contacts and as inefficient as unsatisfactory mechanisms of work process evaluation.This study deals with the problem of interpersonal relationships in the work process of the nurse and, is supported in the referential of the work process and the evolutionary stages of group relationships. To data collection was used a research-action and documental method, at two university hospitals from the South Region. It has been detected some fragilities faced by the controlling nurse in all the stages of the relationship process, with the presence of inefficacious mechanisms of inclusion of these professionals at work, no differential treatment between the controlling position and other functions, relations with an emphasis in the bipersonal contacts and as inefficient as unsatisfactory mechanisms of work process evaluation. Descritores: nursing; organization & administration; interpersonal relations Title: Interpersonal relationships management in the nursery work process

Work-related stress according to the demand-control model and minor psychic disorders in nursing workers

This was a cross-sectional study that aimed to assess the association between work-related stress according to the Demand-Control Model, and the occurrence of Minor Psychic Disorder (MPD) in nursing workers. The participants were 335 professionals, out of which 245 were nursing technicians, aged predominantly between 20 and 40 years. Data were collected using the Job Stress Scale and the Self-Reporting Questionnaire-20. The analysis was performed using descriptive and analytical statistics. The prevalence of suspected MPD was 20.6%. Workers classified in the quadrants active job and high strain of the Demand-Control Model presented higher potential for developing MPD compared with those classified in the quadrant low strain. In conclusion, stress affects the mental health of workers and the aspects related to high psychological demands and high control still require further insight in order to understand their influence on the disease processes of nursing workers.

Morse Fall Scale: tradução e adaptação transcultural para a língua portuguesa

The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.

Grau de dependência de idosos hospitalizados conforme o sistema de classificação de pacientes

The study aimed to evaluate the degree of dependency of elderly inpatients, according to the classification system of patients, and to identify factors related to patient dependency to nursing care. Cross-sectional study with a sample of 161 elderly patients evaluated at the beginning, middle and end of hospitalization, according to the patient classification scale. It was identified a prevalence in the intermediate rating (52.2%); statistically significant association between the ages of 80 to 100 years with the middle and semi-intensive classes; 40% of the elderly classified to the semi-intensive care had death as the outcome. The aging process must determine specific nursing care for this population group, ensuring the quality of care.The study aimed to evaluate the degree of dependency of elderly inpatients, according to the classification system of patients, and to identify factors related to patient dependency to nursing care. Cross-sectional study with a sample of 161 elderly patients evaluated at the beginning, middle and end of hospitalization, according to the patient classification scale. It was identified a prevalence in the intermediate rating (52.2%); statistically significant association between the ages of 80 to 100 years with the middle and semi-intensive classes; 40% of the elderly classified to the semi-intensive care had death as the outcome. The aging process must determine specific nursing care for this population group, ensuring the quality of care.

Morse fall scale: translation and transcultural adaptation for the portuguese language

The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.

Prevalência de flebites em pacientes adultos com cateter venoso periférico

Objective: To determine the prevalence of phlebitis and its association with sociodemographic characteristics and related to the peripheral venous catheter in adults admitted in a university hospital. Method: A cross-sectional study with a sample of 231 patients with peripheral venous access. Results: The prevalence of phlebitis was 24.7%, with higher concentration in grade 2 with 35.1%. Considering the degree, it was found statistically significant (p = 0.006) of Grade 1 phlebitis (92.3%) and 2 (65.0%) with a time of catheter 72 hours and phlebitis grade 3 (63.6 %) and Grade 4 (69.2%) had spent more than 72 hours. Conclusion: High prevalence of phlebitis in patients is worrying. Discussing these references with the nursing staff, establish indicators of the prevalence of phlebitis can be an important strategy for monitoring nursing care/health

Analysis of fall risk factors in adults within the first 48 hours of hospitalization

OBJECTIVE To analyze fall risk factors in the first 48 hours of hospitalization and to associate them with the occurrence of falls. METHOD Cohort study conducted at a hospital in Porto Alegre/RS, Brazil. A sample of 556 patients from an adult in-patient study population were evaluated within the first 48 hours of hospitalization for factors associated with falls, based on the Morse Fall Scale (MFS) and muscle strength, among others. RESULTS Evidence showed that the classification of high-risk according to the MFS and, more specifically, the items history of falls, ambulatory aid, impaired gait and overestimation of walking ability, were associated with falls during hospitalization (p≤0.005). In addition to these risk factors, reduced muscle strength and visual deficit also contributed to the occurrence of this safety incident CONCLUSION The analysis of fall risk factors in patients evaluated within 48 hours of hospitalization may contribute to minimizing these occurrences and preventing injury.