Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, São Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.3%), side-lying (16.0%), other positions (1.7%), oral intake (95.6%); companionship (93.3%); exposure to up to three vaginal examinations (85.4%), shower bathing (84.0%), walking (68.0%), massage (60.1%), exercising with a Swiss ball (51.7%); amniotomy (53.4%), oxytocin use during the first (31.0%) and second stages of labor (25.8%), bath immersion (29.3%) and episiotomy (14.1%). In this birth center, care providers used practices recommended by the WHO, although some practices might have been applied less frequently.

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. Nursing staff sizing in the emergency room of a university hospital Dimensionamento de enfermagem em sala de emergência de um hospital-escola Dimensionamiento de enfermería en servicio de urgencias de un hospital escuela

Objetivo: Identificar as competências gerenciais relacionadas à segurança do paciente. Método: Trata-se de uma revisão integrativa da literatura.A busca foi realizada em 2017, nos idiomas inglês, português e espanhol, na base de dados Public Medline (PubMed). Os textos incluídos deveriamestar disponíveis na íntegra e abordar a temática proposta. Resultados: Foram selecionados 34 artigos e identificadas 11 competências: liderança, culturada segurança, trabalho em equipe, comunicação, advocacia, manejo de risco, competência conceitual, competência funcional, inteligência emocional,tomada de decisão e gestão e planejamento centrado na segurança. A identificação das competências possibilitou defini-las no contexto da gestão, quandoaplicáveis na área cirúrgica, além de verificar as estratégias para o seu desenvolvimento. Conclusão: Embora tenha sido utilizada apenas uma base dedados, recomenda-se que estudos subsequentes apliquem essas estratégias, o que permitirá aos gestores das instituições planejar a implementação dacultura de segurança de uma maneira mais efetiva e concreta.