Luciana Grittem

Pesquisa-ação: uma alternativa metodológica para pesquisa em enfermagem

This study is a reflection upon action-research, carried out through exhaustive literature, graduate thesis, and dissertation review, which point to a new methodological possibility in nursing research. There are some divergences about the applicability of the majority of these studies in practice, due to the researchers detachment from the studied reality. However, in action-research, there is his/her insertion into the data collection field. Action-research can and must be used in health care, especially nursing, in questions in which there is collective interest for problem solving in order to mobilize professionals towards a critical and reflective practice. Among the shortcomings of this kind of research, the prolonged time in obtaining results and maintaining researcher impartiality in developing all the research steps can be cited. The utilization of adequate methodological references for nursing practice is extremely important for the development of this area.Trata-se de uma reflexao sobre pesquisa-acao, realizada a partir de intensa revisao da literatura e banco de dissertacoes e teses as quais apontam para uma nova possibilidade metodologica de pesquisa na enfermagem. Existem divergencias sobre a aplicabilidade da maioria das pesquisas na pratica, devido ao distanciamento do pesquisador da realidade estudada, entretanto na pesquisa-acao ha a insercao do pesquisador no campo de coleta de dados. A pesquisa-acao pode e deve ser utilizada na area de saude, especialmente pela enfermagem, em questoes em que ha interesse coletivo para a resolucao de problemas, para mobilizar os profissionais para uma pratica critica e reflexiva. Entre as limitacoes deste tipo de pesquisa, pode-se citar o tempo prolongado para obtencao de resultados, a manutencao da imparcialidade do pesquisador no desenvolvimento de todas as etapas da pesquisa. A utilizacao de referenciais metodologicos apropriados a pratica de enfermagem e de suma importância para o desenvolvimento da area.

Análise do registro e conteúdo de checklists para cirurgia segura

Objective: To analyze and relate the registration of information and content of checklists with the objectives of the Safe Surgery Saves Lives Program. Methods: Documentary study with 257 checklists from orthopedic surgeries performed between 2011 and 2012 in a Brazilian hospital. The 12,629 items related to surgical safety were entered into an Excel spreadsheet and were analyzed using the Statistical Package for the Social Sciences. Results: 99.8% of the checklist items were checked and the content of the records showed, through documental checks, no guarantee of safety elements relative to the correct surgical site (objective 1), blood loss (objective 4), allergic reaction (objective 5) retention of instruments/compresses (objective 7), identification of surgical specimens (objective 8) and communication (objective 9). Conclusion: The high adherence to completing the checklists allowed potential surgical risks arising from unconfirmed safety actions to be identified, requiring actions seeking to qualify the care.

Action-research: a methodological option for nursing research

This study is a reflection upon action-research, carried out through exhaustive literature, graduate thesis, and dissertation review, which point to a new methodological possibility in nursing research. There are some divergences about the applicability of the majority of these studies in practice, due to the researchers detachment from the studied reality. However, in action-research, there is his/her insertion into the data collection field. Action-research can and must be used in health care, especially nursing, in questions in which there is collective interest for problem solving in order to mobilize professionals towards a critical and reflective practice. Among the shortcomings of this kind of research, the prolonged time in obtaining results and maintaining researcher impartiality in developing all the research steps can be cited. The utilization of adequate methodological references for nursing practice is extremely important for the development of this area.Trata-se de uma reflexao sobre pesquisa-acao, realizada a partir de intensa revisao da literatura e banco de dissertacoes e teses as quais apontam para uma nova possibilidade metodologica de pesquisa na enfermagem. Existem divergencias sobre a aplicabilidade da maioria das pesquisas na pratica, devido ao distanciamento do pesquisador da realidade estudada, entretanto na pesquisa-acao ha a insercao do pesquisador no campo de coleta de dados. A pesquisa-acao pode e deve ser utilizada na area de saude, especialmente pela enfermagem, em questoes em que ha interesse coletivo para a resolucao de problemas, para mobilizar os profissionais para uma pratica critica e reflexiva. Entre as limitacoes deste tipo de pesquisa, pode-se citar o tempo prolongado para obtencao de resultados, a manutencao da imparcialidade do pesquisador no desenvolvimento de todas as etapas da pesquisa. A utilizacao de referenciais metodologicos apropriados a pratica de enfermagem e de suma importância para o desenvolvimento da area.

Análisis del registro y contenido de checklists para una cirugía segura

Objective: To analyze and relate the registration of information and content of checklists with the objectives of the Safe Surgery Saves Lives Program. Methods: Documentary study with 257 checklists from orthopedic surgeries performed between 2011 and 2012 in a Brazilian hospital. The 12,629 items related to surgical safety were entered into an Excel spreadsheet and were analyzed using the Statistical Package for the Social Sciences. Results: 99.8% of the checklist items were checked and the content of the records showed, through documental checks, no guarantee of safety elements relative to the correct surgical site (objective 1), blood loss (objective 4), allergic reaction (objective 5) retention of instruments/compresses (objective 7), identification of surgical specimens (objective 8) and communication (objective 9). Conclusion: The high adherence to completing the checklists allowed potential surgical risks arising from unconfirmed safety actions to be identified, requiring actions seeking to qualify the care.

Analysis of the registration and content of surgical safety checklists

Objective: To analyze and relate the registration of information and content of checklists with the objectives of the Safe Surgery Saves Lives Program. Methods: Documentary study with 257 checklists from orthopedic surgeries performed between 2011 and 2012 in a Brazilian hospital. The 12,629 items related to surgical safety were entered into an Excel spreadsheet and were analyzed using the Statistical Package for the Social Sciences. Results: 99.8% of the checklist items were checked and the content of the records showed, through documental checks, no guarantee of safety elements relative to the correct surgical site (objective 1), blood loss (objective 4), allergic reaction (objective 5) retention of instruments/compresses (objective 7), identification of surgical specimens (objective 8) and communication (objective 9). Conclusion: The high adherence to completing the checklists allowed potential surgical risks arising from unconfirmed safety actions to be identified, requiring actions seeking to qualify the care.

Investigatión-acción: una alternativa metodológica para investigar en enfermería

This study is a reflection upon action-research, carried out through exhaustive literature, graduate thesis, and dissertation review, which point to a new methodological possibility in nursing research. There are some divergences about the applicability of the majority of these studies in practice, due to the researchers detachment from the studied reality. However, in action-research, there is his/her insertion into the data collection field. Action-research can and must be used in health care, especially nursing, in questions in which there is collective interest for problem solving in order to mobilize professionals towards a critical and reflective practice. Among the shortcomings of this kind of research, the prolonged time in obtaining results and maintaining researcher impartiality in developing all the research steps can be cited. The utilization of adequate methodological references for nursing practice is extremely important for the development of this area.Trata-se de uma reflexao sobre pesquisa-acao, realizada a partir de intensa revisao da literatura e banco de dissertacoes e teses as quais apontam para uma nova possibilidade metodologica de pesquisa na enfermagem. Existem divergencias sobre a aplicabilidade da maioria das pesquisas na pratica, devido ao distanciamento do pesquisador da realidade estudada, entretanto na pesquisa-acao ha a insercao do pesquisador no campo de coleta de dados. A pesquisa-acao pode e deve ser utilizada na area de saude, especialmente pela enfermagem, em questoes em que ha interesse coletivo para a resolucao de problemas, para mobilizar os profissionais para uma pratica critica e reflexiva. Entre as limitacoes deste tipo de pesquisa, pode-se citar o tempo prolongado para obtencao de resultados, a manutencao da imparcialidade do pesquisador no desenvolvimento de todas as etapas da pesquisa. A utilizacao de referenciais metodologicos apropriados a pratica de enfermagem e de suma importância para o desenvolvimento da area.