Micheline da Fonseca Silva

Patient Safety Culture In Health Organizations: Scoping Review

Objective: identify and map the forms to evaluate the patient safety culture in health organizations. Method: scoping review, developed based on the method proposed by the Joanna Briggs Institute. Data collection occurred in June 2016 in 15 international databases. Descriptive statistics was used for data analysis. Results: the sample consisted of 75 publications. Among the eleven instruments identified to evaluate the safety culture, the Hospital Survey on Patient Safety Culture questionnaire and the Safety Attitudes Questionnaire had the greatest international repercussion, since they were adapted, validated and used in different continents and contexts. Conclusion: The synthesis of the instruments enabled clarifying their characteristics, and how they can be important tools to support and accompany changes in the safety culture over time. Descriptors: Patient’s safety; Organizational culture; Nursing;

[Harnessing of corneas captured and processed for transplantation in an ocular tissue bank of North-eastern Brazil].

The aim of this study was to describe the harnessing of corneas captured and processed for transplantation in an ocular tissue bank in north-eastern Brazil.This was a transverse and retrospective study, with a sample group of 612 individuals whose corneas were do- nated and captured between January/2007 and July/2012. This study was approved by the Research Ethics Committee under number 007.0.294.000-10, and research was based on an instrument consisting of social, demographic and clinical data of the donors. Of the 1209 corneas captured, 868 were used and 341 were discarded. Of the 612 donors, the corneas of 597 (97.5%) were captured from both eyes, being that 423 (70.9%) of these corneas were used. Further studies are required on the reasons for discarding corneas and clarifications as to the conduct of professionals when processing corneas, considering the increase in the quantity of donors and the elevated number of discarded ocular tissue.

A segurança do paciente nos caminhos percorridos pela enfermagem brasileira

Objective: summarize the dissertations and theses produced by nurses available in the Catalog of Theses and Dissertations of the Brazilian Nursing Association, from volume XIX to XXXII, that address patient safety. Method: this is a documentary study. After data collection, the following variables were analyzed: academic level, educational institutions, year, place, type of service, study object, study method, subjects, priority protocol of patient safety, implications and final recommendations. Results: 8,720 abstracts were found, 53 (0.61%) of which were analyzed. There was a predominance of dissertations (n=19; 35.85%) regarding the reduction of risks for fall and pressure ulcer (n=24; 45.28%), of descriptive type (n=21; 39.62%), quantitative type (n=16; 30.19%), in hospital environments (n=16; 30.19%), using scales and protocols (n=6; 11.32%). Conclusion: there is a tendency towards the development of studies related to patient safety in hospital environments, with an emphasis on the reduction of risk for pressure ulcer.Objetivo: sumarizar as dissertacoes e teses produzidas por enfermeiros disponiveis no Catalogo de Teses e Dissertacoes da Associacao Brasileira de Enfermagem, do volume XIX ao XXXII, que abordam a seguranca do paciente. Metodo: pesquisa documental. Apos coleta de dados, analisaram-se as seguintes variaveis: nivel academico, instituicao de ensino, ano, local, tipo de servico, objeto de estudo, desenho metodologico, sujeitos, protocolo prioritario de seguranca do paciente, implicacoes e recomendacoes finais. Resultados: encontrados 8.720 resumos, dos quais 53 (0,61%) foram analisados. Houve predominio de dissertacoes (n=19; 35,85%) relacionadas a reducao do risco de quedas e ulcera por pressao (n=24; 45,28%), do tipo descritivo (n=21; 39,62%), quantitativo (n=16; 30,19%), no cenario hospitalar (n=16; 30,19%), utilizando escalas e protocolos (n=6; 11,32%). Conclusao: observou-se tendencia para desenvolvimento de estudos relacionados a seguranca do paciente no cenario hospitalar, com enfase na reducao do risco de ulcera por pressao.

Seguridad del paciente en los caminos transitados por la enfermería brasileña

Objective: summarize the dissertations and theses produced by nurses available in the Catalog of Theses and Dissertations of the Brazilian Nursing Association, from volume XIX to XXXII, that address patient safety. Method: this is a documentary study. After data collection, the following variables were analyzed: academic level, educational institutions, year, place, type of service, study object, study method, subjects, priority protocol of patient safety, implications and final recommendations. Results: 8,720 abstracts were found, 53 (0.61%) of which were analyzed. There was a predominance of dissertations (n=19; 35.85%) regarding the reduction of risks for fall and pressure ulcer (n=24; 45.28%), of descriptive type (n=21; 39.62%), quantitative type (n=16; 30.19%), in hospital environments (n=16; 30.19%), using scales and protocols (n=6; 11.32%). Conclusion: there is a tendency towards the development of studies related to patient safety in hospital environments, with an emphasis on the reduction of risk for pressure ulcer.Objetivo: sumarizar as dissertacoes e teses produzidas por enfermeiros disponiveis no Catalogo de Teses e Dissertacoes da Associacao Brasileira de Enfermagem, do volume XIX ao XXXII, que abordam a seguranca do paciente. Metodo: pesquisa documental. Apos coleta de dados, analisaram-se as seguintes variaveis: nivel academico, instituicao de ensino, ano, local, tipo de servico, objeto de estudo, desenho metodologico, sujeitos, protocolo prioritario de seguranca do paciente, implicacoes e recomendacoes finais. Resultados: encontrados 8.720 resumos, dos quais 53 (0,61%) foram analisados. Houve predominio de dissertacoes (n=19; 35,85%) relacionadas a reducao do risco de quedas e ulcera por pressao (n=24; 45,28%), do tipo descritivo (n=21; 39,62%), quantitativo (n=16; 30,19%), no cenario hospitalar (n=16; 30,19%), utilizando escalas e protocolos (n=6; 11,32%). Conclusao: observou-se tendencia para desenvolvimento de estudos relacionados a seguranca do paciente no cenario hospitalar, com enfase na reducao do risco de ulcera por pressao.

Patient safety in nursing paths in Brazil

Objective: summarize the dissertations and theses produced by nurses available in the Catalog of Theses and Dissertations of the Brazilian Nursing Association, from volume XIX to XXXII, that address patient safety. Method: this is a documentary study. After data collection, the following variables were analyzed: academic level, educational institutions, year, place, type of service, study object, study method, subjects, priority protocol of patient safety, implications and final recommendations. Results: 8,720 abstracts were found, 53 (0.61%) of which were analyzed. There was a predominance of dissertations (n=19; 35.85%) regarding the reduction of risks for fall and pressure ulcer (n=24; 45.28%), of descriptive type (n=21; 39.62%), quantitative type (n=16; 30.19%), in hospital environments (n=16; 30.19%), using scales and protocols (n=6; 11.32%). Conclusion: there is a tendency towards the development of studies related to patient safety in hospital environments, with an emphasis on the reduction of risk for pressure ulcer.Objetivo: sumarizar as dissertacoes e teses produzidas por enfermeiros disponiveis no Catalogo de Teses e Dissertacoes da Associacao Brasileira de Enfermagem, do volume XIX ao XXXII, que abordam a seguranca do paciente. Metodo: pesquisa documental. Apos coleta de dados, analisaram-se as seguintes variaveis: nivel academico, instituicao de ensino, ano, local, tipo de servico, objeto de estudo, desenho metodologico, sujeitos, protocolo prioritario de seguranca do paciente, implicacoes e recomendacoes finais. Resultados: encontrados 8.720 resumos, dos quais 53 (0,61%) foram analisados. Houve predominio de dissertacoes (n=19; 35,85%) relacionadas a reducao do risco de quedas e ulcera por pressao (n=24; 45,28%), do tipo descritivo (n=21; 39,62%), quantitativo (n=16; 30,19%), no cenario hospitalar (n=16; 30,19%), utilizando escalas e protocolos (n=6; 11,32%). Conclusao: observou-se tendencia para desenvolvimento de estudos relacionados a seguranca do paciente no cenario hospitalar, com enfase na reducao do risco de ulcera por pressao.

Perfil epidemiológico de las emergencias traumáticas asistidas por un servicio prehospitalario móvil de urgencia

Objective: To describe the epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service in Northeastern Brazil. Methods: Documentary and quantitative study, performed from the patients’ records of the emergencies between January and June 2014, consisting the sample of 1,960 records. A structured questionnaire to collect data was used, and the analysis was by descriptive statistics.

Epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service

Objective: To describe the epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service in Northeastern Brazil. Methods: Documentary and quantitative study, performed from the patients’ records of the emergencies between January and June 2014, consisting the sample of 1,960 records. A structured questionnaire to collect data was used, and the analysis was by descriptive statistics.

Estresse no cotidiano dos profissionais de enfermagem: reflexos da rotina laboral hospitalar

Aim: to assess the way members of the nursing staff of the University Hospital of Northeast Brazil experience stress in daily life of their work activities. Method: a descriptive study of qualitative approach. Data collection was carried out in June 2015, through semi-structured interview. Twenty-three professionals of the nursing staff, who compose the units that provide specific care to adult inpatients, participated. The data were analyzed according to Bardins content analysis technique. Results: the following categories emerged: Stressors in daily work - with the sub-categories: routine care experienced by staff; the difficulty in solving problems of surplus and experienced work overload - and family caregivers and nursing staff: implications for care. Conclusions: the stressor agents may interfere directly on the health of professionals that participated in the study, as well as on the development of quality nursing care.

Multiple Trauma Patient Safety in the Emergency Care: Scoping Review

Background: To summarize the scientific evidence on the influence of safe nursing care to multiple trauma patients in the emergency care. Methods: Scoping review using the strategy P (Population) C (Concept) C (Context) and performed in PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus and Web of Science in June 2016. Results: The sample was composed of 43 articles, with most of them being descriptive (n=35; 81.4%), quantitative approach (n=32; 74.4%), level of evidence 4 (n=35; 81.4%) and recommendation grade A (n=40; 93.0%). The structure pointed to the availability of equipment for performing imaging and laboratory functioning (n=18; 41.9%). The process highlighted the completion of the screening in the emergency department (n=20; 46.5%). The result showed the great waiting time of patients to treatment (n=4; 9.3%) and dissatisfaction of professionals regarding the care provided and the working conditions (n=4; 9.3%). Conclusions: The triad structure-process-result of the emergency services have problems able to compromise the security of critically ill patients.

Perfil epidemiológico das emergências traumáticas assistidas por um serviço pré-hospitalar móvel de urgencia

Objective: To describe the epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service in Northeastern Brazil. Methods: Documentary and quantitative study, performed from the patients’ records of the emergencies between January and June 2014, consisting the sample of 1,960 records. A structured questionnaire to collect data was used, and the analysis was by descriptive statistics.