Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Sassaki, Renata Longhi; Perroca, Márcia Galan

doi:10.1590/1983-1447.2017.02.67284

Cited by 14 publications

(11 citation statements)

References 17 publications

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“…As with other effects cited, the patient's longer waiting time for care and concern about imprecise instructions. 19,23 Patients are perceived to be disrespectful and vulnerable due to exposure of their health problems to the switch. 23,25 It is understood that patients may feel devalued when there are frequent interruptions during the delivery of their care, according to a US study.…”

Section: Level IVmentioning

confidence: 99%

“…19,23 Patients are perceived to be disrespectful and vulnerable due to exposure of their health problems to the switch. 23,25 It is understood that patients may feel devalued when there are frequent interruptions during the delivery of their care, according to a US study. 32 The analysis of the results of the studies, in which consistent support for the negative relation of the interruptions is not found, although they are more frequent, despite their implications in the nurse's work routine and patient safety, is denoted.…”

Section: Level IVmentioning

confidence: 99%

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Interrupções no trabalho do enfermeiro e na segurança do paciente

Paiva

Oliveira²,

Silva

et al. 2019

Rev enferm UFPE on line.

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Objetivo: identificar os efeitos das interrupções na rotina de trabalho do enfermeiro e na segurança do paciente. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, com a coleta de dados nas bases de dados MEDLINE, CINAHL, Web of Science e LILACS, em artigos indexados de 2013 a 2017, analisando-os de forma descritva, após a apresentação em figuras. Resultados: encontraram-se 17 artigos e se percebeu que revelaram aspectos negativos em relação à interrupção na rotina de trabalho do enfermeiro e na segurança do paciente e 76,5% mostraram, também, pontos positivos. Salienta-se que os resultados analisados não apoiaram consistentemente a relação negativa entre as interrupções e as suas implicações na rotina de trabalho do enfermeiro e na segurança do paciente. Conclusão: evidenciaram-se aspectos que favorecem a ocorrência de interrupções na prática do enfermeiro, entretanto, há poucos estudos que descrevem o impacto das interrupções na prática e na segurança do paciente. Faz-se necessária uma ampla compreensão dos fatores que ocasionam as interrupções e colocam em risco a segurança do paciente. Descritores: Enfermagem; Segurança do Paciente; Interrupção; Fluxo de Trabalho; Cuidados de Enfermagem; Gerenciamento do Tempo.ABSTRACTObjective: to identify the effects of disruptions on the nurse's work routine and patient safety. Method: this is a bibliographical, descriptive, type-integrative review of literature, with the collection of data in the MEDLINE, CINAHL, Web of Science and LILACS databases, in indexed articles from 2013 to 2017, analyzing them in a descriptive way, after the presentation in figures. Results: 17 articles were found and it was noticed that they revealed negative aspects regarding interruption in the nurse's work routine and patient safety, and 76.5% also showed positive points. It should be noted that the results analyzed did not consistently support the negative relationship between the interruptions and their implications in the nurse's work routine and patient safety. Conclusion: aspects that favor the occurrence of interruptions in nurses' practice were evidenced, however, there are few studies that describe the impact of interruptions on the practice and safety of the patient. There is a need for a broad understanding of the factors that cause disruption and jeopardize patient safety. Descriptors: Nursing; Patient Safety; Interruption; Workflow; Nursing Care; Time Management.RESUMENObjetivo: identificar los efectos de las interrupciones en la rutina de trabajo del enfermero y en la seguridad del paciente. Método: se trata de un estudio bibliográfico, descriptivo, tipo revisión integradora de literatura, con la recolección de datos en las bases de datos MEDLINE, CINAHL, Web of Science y LILACS, en artículos indexados de 2013 a 2017, analizándolos de manera descriptiva, después de la presentación en figuras. Resultados: se encontraron 17 artículos y se observó que revelaron aspectos negativos relacionados con la interrupción en la rutina de trabajo del enfermero y en la seguridad del paciente, y el 76.5% mostraron también puntos positivos. Cabe señalar que los resultados analizados no apoyaron de manera consistente la relación negativa entre las interrupciones y sus implicaciones en la rutina de trabajo del enfermero y en la seguridad del paciente. Conclusión: se evidenciaron aspectos que favorecen la ocurrencia de interrupciones en la práctica del enfermero, sin embargo, existen pocos estudios que describan el impacto de las interrupciones en la práctica y en la seguridad del paciente. Se hace necesaria una amplia comprensión de los factores que causan las interrupciones y ponen en riesgo la seguridad del paciente. Descriptores: Enfermería; Seguridad del Paciente; Interrupción; Flujo de Trabajo; Atención de Enfermería; Administración del Tiempo.

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Section: Level IVmentioning

confidence: 99%

Section: Level IVmentioning

confidence: 99%

Interrupções no trabalho do enfermeiro e na segurança do paciente

Paiva

Oliveira²,

Silva

et al. 2019

Rev enferm UFPE on line.

View full text Add to dashboard Cite

show abstract

“…However, international data indicate that 71% of catheters are inserted by nurses (3) , and this data is unknown in Brazil, which leads to the hypothesis that such intervention is generally performed by nursing technicians, since nurses are responsible for multiple managerial and administrative activities in your clinical practice (13) .…”

Section: Introductionmentioning

confidence: 99%

Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians

et al. 2022

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Objectives: to evaluate the care practice adopted by nursing technicians before, during and after peripheral intravenous catheterization performed in hospitalized children. Methods: cross-sectional and descriptive research, carried out in a pediatric hospital in Bahia through non-participatory observation of peripheral intravenous catheterizations performed in children by nursing technicians. Data was collected through an instrument containing care related to the moments before, during and after insertion of the catheter, calculating absolute and relative frequencies, measures of central tendency and dispersion. Results: there were 31 nursing technicians, who performed care mainly before intravenous catheterization. Nonconformities were identified regarding hand hygiene, use of a disposable mask, selection of the catheter insertion site, antisepsis, stabilization and catheter coverage. Conclusions: most of the precautions observed regarding peripheral intravenous catheterization are not in accordance with the standards of practice recommended by the national and international literature.

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“…With the rapid development of medical technology, the expansion of nursing functions, and the high risk of nursing, disruptions to nurses' work are increasing, accompanied by unpredictable risks. [14][15][16] Nursing disruption events seriously reduce nurses' work efficiency and may cause medical errors and threaten patient safety. [17][18][19] Therefore, effectively managing these events is the core issue of this project.…”

Section: Introductionmentioning

confidence: 99%

A Study on the Improvement of Nursing Interruption Risk by a Closed-Loop Management Model

Zhang¹,

Liu²,

Yang³

et al. 2021

RMHP

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Objective: This study aimed to evaluate the effect of closed-loop management on nursing disruption risk. Methods: Using a quasi-experimental research method, convenient sampling was used to extract 20 nurses working at our hospital as the research objects. The control group members were selected from January to March 2018 via the traditional method, and the experimental group members were selected from April to June 2018 via the closed-loop management method. At three months before and after the implementation of the management model, a self-designed quantitative test form and satisfaction questionnaire were used to analyze the frequency of nursing disruption events, the accuracy rate of doctors' advice, the average drug delivery time of the static distribution center, the implementation rate of personal digital assistant (PDA) code scanning, and the report rate of risk-outcome nursing disruption events. Results: After the implementation of the management model, the frequency of nursing disruptions and average drug delivery time of the static distribution center were significantly lower than before, and the differences were statistically significant (p < 0.05). Moreover, the accuracy rate of doctors' advice, the implementation rate of PDA code scanning, and the reporting rate of risk-outcome nursing disruption events were significantly higher than before, and these differences were statistically significant as well (p < 0.05). Conclusion:The application of a closed-loop management model could significantly reduce the occurrence and optimize the outcomes of nursing disruption events and improve the work processes of medical care.

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Interrupções e seus efeitos sobre a dinâmica de trabalho do enfermeiro

Cited by 14 publications

References 17 publications

Interrupções no trabalho do enfermeiro e na segurança do paciente

Interrupções no trabalho do enfermeiro e na segurança do paciente

Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians

A Study on the Improvement of Nursing Interruption Risk by a Closed-Loop Management Model

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