A Look at the Practice of Risk Classification: Integrative Review

Abstract

Introduction: the increase in the number of patients in emergency services / emergency brought the need for screening / risk classification as a way to organize the urgency and emergency care in the health institutions.
 Objectives: know how to develop the risk classification practice in the Brazilian reality using the scientific production, the insertion of nurses in risk classification using the Brazilian scientific production.
 Methods: an integrative review was carried out, the data occurred during September 2015 in the following databases: Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrieval System Online (Medline), and the Latin American and Caribbean System of Information on Health Sciences (LILACS) "GOOGLE SCHOLAR."
 Results: it found 9,874 articles and selected 33 for analysis. The results were organized in 04 categories: Risk classification as assistance qualifier; risk classification’s organization; operation weaknesses of the risk classification and nurse's role in risk classification.
 Conclusion: We conclude that the risk classification qualifies the assistance in emergency services; there are many difficulties for the risk classification’s operation and the nurse has been established as a professional with technical and legal competence to perform the risk classification.

Autoconfiança e conhecimento na liderança em atendimento crítico: simulação com a técnica “olhos vendados”

“…Um grande desafio para o processo de formação do enfermeiro está associado à assistência ao paciente em situações críticas, o que evidencia a necessidade de transformar a educação e a prática em enfermagem através de propostas inovadoras para implementar estratégias educacionais que sejam direcionadas ao ambiente de prática (1) . A dificuldade enfrentada pelas IESs (Instituições de Ensino Superior) em encontrar locais para o desenvolvimento de prática clínica dos estudantes é recorrente, principalmente em campos clínicos que oportunizam os cuidados do paciente em situação crítica, o que também é uma limitação encontrada na abordagem teórica do tema (2) .…”

Self-confidence and knowledge in leadership in critical care: simulation with the “blindfolded” technique

“…Therefore, it is necessary to transform nursing education and practice through innovative proposals for the implementation of educational strategies aimed at the practice environment (1) . The difficulty faced by HEIs (Higher Education Institutions) in finding sites for the development of students' clinical practice is recurrent, especially in medical fields that involve delivery of care to critically ill patients, which is also a limitation found in the theoretical approach to the topic (2) .…”