A Segurança No Transporte Do Paciente Crítico Em Ambiente Intra-Hospitalar: Uma Revisão Integrativa

Santos, Bruna Silva; Bueno, Camille Karine Scharneski; Bizinelli, Tayciele Schenkel Quintana; Ribeiro, Elaine Rossi

doi:10.22421/15177130-2019v20n2p90

Cited by 6 publications

(5 citation statements)

References 5 publications

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“…In essence, the experience and qualification of the team will stand in as a safety net while providing professionals with security and tranquility to act under pressure, to some extent making immediate splitsecond decisions in adverse situations during air ambulance services (Alfes, Steiner and Rutherford-Hemming, 2016;Ericsson, Frenckner and Broman, 2017). To mitigate risks in the air environment, there is a need for an experienced medical team onboard, which is consistent with the results of previous studies (Miller et al, 2016;Santos et al, 2019). In other words, having ample practical experience and teamwork enables professionals to adeptly navigate the limited information available to them.…”

Section: Discussionsupporting

confidence: 77%

Experiences of nurses involved in air ambulance service: A qualitative study

Wang,

Hu,

et al. 2024

J. Ners

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Introduction: Nurses undertaking air ambulance service encounter environmental, equipment, and personnel limitations during their work. Moreover, they must cope with various types of injuries and illnesses, as well as changes in patient conditions. These factors pose a significant pressure on nurses. Currently, there is a lack of qualitative research on the experiences of nurses performing air ambulance tasks. The purpose of this study is to explore the experiences of nurses undertaking air ambulance service, with a focus on capturing their personal perceptions regarding this field of work. Methods: Twelve nurses were selected using purposive sampling, and semi-structured interviews were conducted to collect data. Content analysis was used to analyze the data. Results: The analysis identified three major themes: "Ambiguous and risky emergency missions," "Challenges during air transfer," and "Nurses’ personal limitations.” Eight categories were formulated within these themes, including "Mission uncertainty," “Urgency of medical conditions," “Hazards at high altitude," "Cabin environment limitations," "Inadequate equipment," "Incomprehensive operating mechanisms," "Physical discomfort," and "Recognition of professional shortcomings." Conclusions: Improving the performance and well-being of nurses engaged in air ambulance services necessitates the implementation of a psychological adaptation program. This includes the utilization of psychological stress assessment tools or engaging in role-playing activities. Successful patient rescues demand the establishment of comprehensive standard operating procedures, involving an interprofessional team. Supporting nurses in adeptly managing challenges during air ambulance services requires an expanded scope of education and training, facilitated through initiatives like situational simulation and similar approaches.

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Section: Discussionsupporting

confidence: 77%

Experiences of nurses involved in air ambulance service: A qualitative study

Wang,

Hu,

et al. 2024

J. Ners

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“…Os fatores dificultadores do processo de transferência interhospitalar percecionados pelos enfermeiros centram-se na falta de planeamento e de organização do transporte, bem como na instabilidade do doente (Mata, 2014). Outros demonstram que as intercorrências clínicas mais frequentes se centram na instabilidade hemodinâmica, agitação psicomotora e insuficiência respiratória (Santos et al, 2019). Por outro lado, a falha de comunicação entre equipas é considerada um dos eventos não clínicos mais comumente descritos (Santos et al, 2019;Sousa, Teles & Oliveira, 2020).…”

Section: Introductionunclassified

“…Outros demonstram que as intercorrências clínicas mais frequentes se centram na instabilidade hemodinâmica, agitação psicomotora e insuficiência respiratória (Santos et al, 2019). Por outro lado, a falha de comunicação entre equipas é considerada um dos eventos não clínicos mais comumente descritos (Santos et al, 2019;Sousa, Teles & Oliveira, 2020). Surge, assim, como pergunta de investigação: "Qual a perspetiva dos enfermeiros sobre as dificuldades experienciadas no transporte inter-hospitalar em ambulâncias de suporte imediato de vida?"…”

Section: Introductionunclassified

Nurses' difficulties in inter-hospital transport in immediate life support ambulances

Mota¹,

Martins²

2022

New Trends in Qualitative Research

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Introduction: Inter-hospital transport is one of the most challenging nursing care contexts where difficulties arise frequently, assuming, however, as a priority for professional development. Goals: Explore and describe the nurse’s perspective on inter-hospital transport in ambulances of immediate life support. Methods: Qualitative and exploratory-descriptive study. A semi-structured interview was applied to eight nurses, who perform functions in an ambulance of immediate life support in an hospital of the north zone of Portugal. Results: Nurses experience difficulties related to the three phases of inter-hospital transport: i) difficulties related to the decision-making process of transport itself; ii) difficulties related to transport planning; and iii) difficulties related to carrying out the transport. Conclusions: Numerous difficulties linked to decision-making, planning and carrying out transport were highlighted. The need to train the professional team is a fundamental condition to guarantee a safe and successful inter-hospital transport of the person in critical situation. Continuous improvement in the quality of care can only be possible through an efficient and thorough process of identifying the determining factors in transport. Improving communication, adapting the equipment used, identifying and solving intercurrences, minimizing errors and increasing safety, are ways to improve the quality of transport. Promoting and updating protocols and recommendations for inter-hospital transport can contribute to the creation of specific teams and ambulances for this type of transport.

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“…4 Nevertheless, roughly 90,000 patients die due to medical errors annually, 5 and about one in ten suffers some type of adverse event in hospitals. 6 Given this scenario, it is essential to prioritize patient safety by implementing a cross-cutting and multiprofessional safety culture in care settings. 7,8 This conceptualization is incorporated into the domains of critical patient care and based on diagnosis with surveillance, monitoring, and clinical error prevention and management.…”

Section: Introductionmentioning

confidence: 99%

Multiprofessional team interventions in transporting critically ill patients: a systematic mixed-methods review

Matias

Sá

2022

Esc. Anna Nery

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Aim To analyze how interventions of a multidisciplinary team promote the safe transportation of critically ill patients. Method A systematic mixed-methods review was developed using an integrated convergent approach according to the Joanna Briggs Institute. This study was conducted using MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials electronic databases, which generated 107 references. After removing duplicates and applying inclusion and exclusion criteria, 17 articles were evaluated for methodological quality, resulting in 15 articles as the final sample. Data extraction was performed using a tool in the form of a table and synthesized through thematic analysis. Results Thoughtful decision, planning, problem-solving action and action for improvement are interventions that the multiprofessional team promotes the safe transportation of critically ill patients. Conclusion and implications for practice The standardization of transport (institutional protocols, a checklist, and equipment adequacy), continuing education, and skills training in the capacitation of teams foster a culture of safety that prevents harm to the patient. Further research is suggested on the subjective dimension and with the family in transportation.

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A Segurança No Transporte Do Paciente Crítico Em Ambiente Intra-Hospitalar: Uma Revisão Integrativa

Cited by 6 publications

References 5 publications

Experiences of nurses involved in air ambulance service: A qualitative study

Experiences of nurses involved in air ambulance service: A qualitative study

Nurses' difficulties in inter-hospital transport in immediate life support ambulances

Multiprofessional team interventions in transporting critically ill patients: a systematic mixed-methods review

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