Nursing technologies for patient safety in intensive care: a systematic review

Abstract

This article aims to demonstrate the evidence that nursing care technologies ensure the safety of patients admitted to Intensive Care Units. Systematic review with search in six databases. Two researchers selected the texts independently in the first stage; and, in the second stage, in a conciliation meeting, the conflicts were analyzed by a third researcher. In order to evaluate the level of agreement, the Kappa coefficient was applied; in order to evaluate the risk of bias and classify the levels of evidence, the Grading of Recommendations, Assessment, Development and Evaluation was adopted. Observational studies were also evaluated with the risk of bias in non-randomized studies of interventions. The 23 included studies were evaluated regarding their quality of evidence, with very low evidence ranking determined for most studies (16/69.6%), moderate evidence for five studies (21.7%), one study with low evidence (4.3%) and one study as high evidence (4.3%). Patient safety is essential, but, despite this commitment, only one study (4.3%), about thermometry assessment, showed high level of evidence that nursing care technologies ensure patient safety in the Intensive Care Unit setting.

Software Nursing Sizing para dimensionamento de Enfermeiros na Assistência Obstétrica Hospitalar

“…TIC contribuem para o exercício dos profissionais de enfermagem e aos serviços de saúde, visto o compromisso que os gestores dos serviços devem assumir com o cuidado qualificado (Barbosa et al, 2022;Fernandes Figueira et al, 2019;Melo et al, 2019;Sperandio & Evora, 2005). Para tanto, devem avaliar a carga de trabalho e a real necessidade do quadro de pessoal, em razão da demanda assistencial com qualidade e segurança no atendimento obstétrico hospitalar (ANS, 2016;Aiken et al, 2017;Brasil, 2022;OMS, 2017).…”

“…A informática é um suporte no cotidiano dos enfermeiros, fazendo com que os profissionais se familiarizem com esta, adequando-se à nova realidade (Barbosa et al, 2022). Torna-se, assim, importante o desenvolvimento de aplicativos, sistemas de mHealth, dentre outros, de modo que as boas práticas sejam aplicadas nos Centros Obstétricos (Calvetti et al, 2019;Ferreira et al, 2019;Fraga et al, 2018;Rezende et al, 2016;Vieira et al, 2019).…”