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Br J Nurs ; 28(22): 1468-1476, 2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31835948


Addressing the rising incidence of self-harm and the demand this places on emergency departments (EDs) are UK Government healthcare priorities. A history of self-harm is linked with suicide risk, so self-harm is a public health issue. The ED is the first point of contact for many people who self-harm so it plays a pivotal role in access to services. Research has highlighted difficulties around triage and assessment in EDs of patients who self-harm, especially frequent attenders. The evidence base on patient experience related to addressing negative staff attitudes is lacking, despite their potent nature and impact on care. Limited knowledge of self-harm aetiology and clinical inexperience have been found to be fundamental to nurses' negative attitudes when dealing with patients who self-harm. This has been linked to negative patient outcomes, including a reluctance to engage with services. This article acknowledges positive changes that have been made and highlights the importance of the triage stage, which is a potential service improvement area, where it would be possible to start and drive positive change in the care of people who self-harm. To address knowledge gaps in education and management, clinical understanding of the aetiology of self-harm should be improved with the aid of education on self-harm cycles. Nurses should also be made aware of common myths surrounding self-harm, as these are barriers to care. Recommendations for practice include partnership working and the urgent need for formal education on this topic for all health professionals working in EDs.

Atitude do Pessoal de Saúde , Enfermagem em Emergência , Recursos Humanos de Enfermagem no Hospital/psicologia , Comportamento Autodestrutivo/enfermagem , Triagem , Humanos , Comportamento Autodestrutivo/psicologia , Reino Unido
J Forensic Nurs ; 15(4): 206-213, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31764524


The emergency department is a frequent entry point into the healthcare system for victims of violence. Currently, a knowledge deficit and clinical practice gap exists among emergency nurses regarding their consistent ability to implement a trauma-informed approach in their interactions with forensic clients. Emergency nurses at all levels of professional development, senior undergraduate nursing students, new graduate nurses, and experienced nurses should be well informed regarding the prevalence of violence, basic clinical forensic nursing practice, and the principles of trauma-informed care. A comprehensive approach is required to both identify and address the trauma associated with violence. Through reflecting on Benner's Novice to Expert framework, strategies are proposed for the implementation of a comprehensive plan. An inclusive approach to the implementation of the principles of trauma-informed care into emergency nursing may ultimately lead to a transformation in culture in which nurses ask, "What has happened to you?" instead of "What is wrong with you?"

Vítimas de Crime , Enfermagem em Emergência , Trauma Psicológico/enfermagem , Serviço Hospitalar de Emergência , Humanos , Teoria de Enfermagem
Afr Health Sci ; 19(2): 1849-1857, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31656467


Background: Emergency nurses' understanding and interpretation of intimate partner violence influence the care they provide to women exposed to intimate partner violence. Objectives: The aim of this study was to uncover discourses that may help understand emergency nurses' responses towards women exposed to intimate partner violence. Materials and methods: This study used a qualitative design to explore emergency nurses' discourses. Purposive sampling was used to select 15 participants working at an emergency unit in a public hospital in South Africa. Data were collected through three focus group discussions comprised of five emergency nurses each. Foucauldian discourse analysis was used to analyse the transcribed data. Results: Four themes emerged from the focus group discussions: (1) strong women subject themselves to societal expectations and endure intimate partner violence, (2) women are vulnerable and powerless against intimate partner violence, (3) intimate partner violence is a private and secret phenomenon, and (4) emergency nurses have limited scope to intervene when they encounter women exposed to intimate partner violence. Conclusion: Emergency nurses are in a position to intervene in intimate partner violence through portraying a non-judgmental approach that lay the foundation for disclosure, supporting women to change their intimate partner violence (IPV) situations, documentation, referral and safety planning.

Enfermagem em Emergência , Violência por Parceiro Íntimo , Papel do Profissional de Enfermagem/psicologia , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/psicologia , Adulto , Serviço Hospitalar de Emergência , Emoções , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Percepção , Pesquisa Qualitativa , África do Sul
Rev Lat Am Enfermagem ; 27: e3175, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596410


OBJECTIVE: to assess compassion fatigue levels among nurses and its variation according socio-demographic and professional characteristics. METHOD: quantitative, descriptive and cross-sectional study, with 87 nurses from an emergency and urgent care unit for adults from a university hospital. A socio-demographic and professional questionnaire, along with the Professional Quality of Life Scale 5 were used. Data analysis was performed using descriptive and inferential statistics. RESULTS: compassion satisfaction presents the highest means, followed by burnout and secondary traumatic stress. Among the participants, 51% presented a high level of compassion satisfaction, 54% a high level of burnout, and 59% a high level of secondary traumatic stress. Older participants presented higher score of compassion satisfaction, and younger nurses, women, nurses having less job experience and nurses without leisure activities showed higher means of secondary traumatic stress. CONCLUSION: we found compassion fatigue, expressed in the large percentage of nurses with high levels of burnout and secondary traumatic stress. Fatigue is related to individual factors such as age, gender, job experience and leisure activities. Doing research and understanding this phenomenon allow the development of health promotion strategies at work.

Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Qualidade de Vida/psicologia , Adulto , Estudos Transversais , Demografia , Enfermagem em Emergência , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários
Gerokomos (Madr., Ed. impr.) ; 30(3): 108-112, sept. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-185315


Objetivo: Explorar la práctica clínica y farmacológica de la enfermera de urgencias a domicilio ante problemas de salud crónicos. Método: Estudio transversal, con pacientes del Distrito Málaga atendidos por una enfermera de urgencias domiciliarias, junto a un médico vía telefónica, en turno rotatorio de enero de 2012 a marzo de 2016. Las variables principales fueron: motivo de asistencia según la Clasificación Internacional de Enfermedades versión 9, necesidad de cuidados basadas en diagnósticos enfermeros (NANDA), medicamentos, tipo de problema crónico de salud y derivación, entre otros. Se hizo un análisis descriptivo con tablas de frecuencia y resúmenes numéricos, e inferencial con pruebas de la χ2 y de la t de Student, además de regresión logística multivariante. Resultados: fueron atendidos 2.253 sujetos, de los que 957 (42,5%) fueron avisos por problemas crónicos de salud, los cuales pueden clasificarse en: 46,4% desajustes y 35,5% problemas con dispositivos sanitarios, entre otros. Entre los motivos de asistencia destacaron: hiper/hipotensión arterial (14,94%), patología no urgente (13,79%), problemas urinarios (12,53%) y dolor oncológico/paciente terminal (10,44%). La resolución in situ de la enfermera fue del 93,5%. El 53,7% de los pacientes necesitó medicación. Las necesidades de cuidados más frecuentes fueron: conocimientos deficientes, el dolor y la ansiedad/ temor; y las intervenciones fueron monitorización de constantes vitales, derivación a atención primaria y asesoramiento. El manejo inefectivo de dispositivos sanitarios fue la necesidad de cuidados que más se asoció con los motivos de asistencia. Conclusiones: La enfermera de cuidados avanzados presenta una alta resolución y eficiencia ante las urgencias domiciliarias derivadas de problemas de salud crónicos

Objetives: To explore the emergency nursing clinical and pharmacological practice at home on patients with chronic health problems. Methods: Cross-sectional study, including patients from Malaga District attended by an emergency nurse from January 2012 to March 2016. Main variables were: cause of assistance according to the International Diseases Classification version 9, care needs according to NANDA diagnosis, medication, type of chronic health problem and referrals. Statistical analysis included descriptive data analysis, Chi-squared and t de Student tests and multivariate logistic regression. Results: 2,253 patients were attended. 957 (42.5%) patients were attended because of chronic health problems, highlighting a 46.4% because of imbalances and 35.5% sanitary devices problems, among them. The most frequent causes were: high/ low blood pressure (14.94%), no urgent pathology (13.79%), urinary problems (12.53%) and oncologic pain/terminal patient (10.44%). In situ resolution of the emergency nurse at home was 93.5%. The amount of patients who needed medication was 53.7%. The most frequent care needs were: Knowledge deficit, pain and anxiety/fear; and interventions were: Vital signs monitoring, referral to primary care and counselling. Ineffective management of sanitary devices was the care need most frequently associated to assistance causes. Conclusions: Advanced practice nurses are highly resolutives and efficient to deal with home emergencies about chronic health problems

Humanos , Enfermagem em Emergência , Doença Crônica , Enfermagem Prática , Assistência Pré-Hospitalar , Enfermagem Domiciliar , Estudos Transversais , Modelos Logísticos , Diagnóstico de Enfermagem
Rech Soins Infirm ; 137(2): 62-76, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453674


Context : Since 2006, all students in healthcare, including student nurses, follow an emergency care curriculum. This curriculum uses simulation, which can be psychologically harmful to students. Objective : this study explores tutors' strategies to establish and maintain students' psychological safety during the emergency care simulations. Method : A qualitative study was conducted within an exploratory framework. Qualitative data were collected by semi-structured interviews. The sample subjects were emergency care tutors. Results : The tutors identified risk factors affecting the students' psychological wellbeing during simulations. Having assessed these risks, tutors deploy prevention strategies. When a student is in psychological distress, they implement several remedial tools. These strategies intervene at the three stages of the simulation : the briefing, the scenario, and the debriefing. Discussion : The importance of psychological risks for students must be taken into consideration by the tutors in simulation. Those risks must be anticipated from the design to the execution of simulation sessions. Conclusion : The management of students in psychological distress should be better addressed in the tutors' own training.

Enfermagem em Emergência/educação , Estresse Psicológico/prevenção & controle , Estudantes de Enfermagem/psicologia , Currículo , Humanos , Pesquisa Qualitativa
Prehosp Disaster Med ; 34(4): 463, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31389331


INTRODUCTION: When hydrological disasters occur in local rural communities, the demand for health services increases, especially in primary healthcare.1 Health services are essential in the response to a disaster where nurses all over the world play a significant role. AIM: To identify nurses' competencies when responding to disasters caused by floods in the rural area. METHODS: A descriptive, exploratory, and qualitative study was developed. The Critical Incidents Technique was adopted. Twenty public health nurses who worked during the flood season in the years of 2014 and 2015 in a rural area in Southern Brazil were interviewed. Critical incidents and requirements identified in the empirical data gave rise to the development of the competencies. RESULTS: Thirty competencies were identified and classified in the following domains: leadership and management, teamwork, health care, community-oriented, communication, psychological support, health surveillance, and education. DISCUSSION: Although the competencies could be related to the established international competencies for the nurse in disasters, some were described only in this study. They can contribute to the education and practice of nurses in primary health care, strengthening its capacity to face disaster situations by flood in the rural area.

Planejamento em Desastres/organização & administração , Enfermagem em Emergência/organização & administração , Inundações , Competência Profissional , Brasil , Congressos como Assunto , Medicina de Emergência/educação , Feminino , Humanos , Masculino , Pesquisa Qualitativa , População Rural
Nursing (Säo Paulo) ; 22(255): 3088-3094, ago.2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1025964


A hipertensão arterial sistêmica é uma doença crônica não transmissível, considerada um grande problema de saúde pública. Este estudo teve como objetivo caracterizar os hipertensos não controlados atendidos em uma unidade de pronto atendimento. Tratase de um estudo descritivo, transversal e quantitativo. Participaram 122 hipertensos com pressão arterial ≥140x90mmHg, durante junho e julho de 2017. Os resultados mostram a predominância de idosos 56,6% com média de 61,25 (±14,48) anos, sexo feminino 65,6%, brancos 59%, casados 49,2%, aposentados 45,1%, baixa renda 1,1 (0,92) e baixa escolaridade 6,35 (±5,41). Os sujeitos apresentaram nível médio pressórico sistólico 169,3 (±20,24) mmHg e diastólico 97,53 (±16,49) mmHg. Apresentaram Diabetes Mellitus associado, sedentarismo e cefaleia como queixa principal. Estes resultados contribuem para o fomento de outras pesquisas, planejamento, execução e avaliação de medidas de promoção e educação em saúde a fim de garantir o fortalecimento da adesão ao tratamento farmacológico e controle da pressão arterial.(AU)

Systemic arterial hypertension is a non-communicable chronic disease considered a major public health problem. The objective of this study was to characterize the uncontrolled hypertensive patients treated in a care unit. It is a descriptive, cross-sectional and quantitative study. A total of 122 hypertensive individuals with blood pressure ≥140x90mmHg were observed during June and July 2017. The results show a predominance of 56.6% with a mean of 61.25 (± 14.48) years, female 65.6%, white 59 %, married 49.2%, retired 45.1%, low income 1.1 (0.92) and low education 6.35 (± 5.41). The subjects had mean systolic blood pressure level 169.3 (± 20.24) mmHg and diastolic blood pressure 97.53 (± 16.49) mmHg. They presented associated Diabetes Mellitus, sedentary lifestyle and headache as the main complaint. These results contribute to the promotion of further research, planning, implementation and evaluation of health promotion and education measures in order to strengthen the adherence to pharmacological treatment and blood pressure control.(AU)

La hipertensión arterial sistémica es una enfermedad crónica no transmisible, considerada un gran problema de salud pública. Este estudio tuvo como objetivo caracterizar los hipertensos no controlados atendidos en una unidad de pronta atención. Se trata de un estudio descriptivo, transversal y cuantitativo. Los resultados mostraron la predominancia de los ancianos 56,6% con una media de 61,25 (± 14,48) años, sexo femenino 65,6%, blancos 59,6%, blancos 59,6%, con una presión arterial ≥140x90mmHg, durante junio y julio de 2017. %, casados 49,2%, jubilados 45,1%, baja renta 1,1 (0,92) y baja escolaridad 6,35 (± 5,41). Los sujetos presentaron nivel medio presórico sistólico 169,3 (± 20,24) mmHg y diastólica 97,53 (± 16,49) mmHg. Presentaron la diabetes Mellitus asociada, sedentarismo y cefalea como queja principal. Estos resultados contribuyen al fomento de otras investigaciones, planificación, ejecución y evaluación de medidas de promoción y educación en salud a fin de garantizar el fortalecimiento de la adhesión al tratamiento farmacológico y control de la presión arterial.(AU)

Humanos , Masculino , Feminino , Fatores de Risco , Enfermagem em Emergência , Serviços Médicos de Emergência , Assistência Ambulatorial , Hipertensão , Fatores Socioeconômicos
Prehosp Disaster Med ; 34(4): 438-441, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31337462


Education in disaster nursing and risk management is important, and developing the human resources of medical staff who participate in disaster response is also necessary. However, a practical educational model for risk management and disaster nursing has not yet been established in Japan. In the present study, a model of disaster medical education for practical risk management and disaster nursing was proposed. Seventeen expert nurses with experience in practical international disaster response (IDR) participated in this study. They were recruited from among past members of Japan disaster response medical teams. They were asked an open-ended question through a questionnaire survey: "What kind of nursing education is necessary for risk management and practical activities in disaster response?" The responses were analyzed qualitatively and an educational model was developed.Sixty-five codes were obtained from the answers to the open-ended question, and they were categorized into 19 sub-categories and three categories. Subsequently, the "SINCHI education model" was proposed for practical disaster nursing education; it comprises six elements: (1) Simulation exercise and small-group work; (2) International nursing knowledge; (3) Nursing skills and knowledge, including disaster nursing; (4) Communication ability promotion; (5) Humanity, responsibility, and flexibility; and (6) Infection prevention and control. A sample of this education exercise model is the following: (1) preparing the list of medical staff members (2) information-gathering simulation (3) preparing the list of medical instruments, and (4) developing the plan for risk management and operation, including infection prevention and control. Disaster nursing education could be made more instructive and practical by including simulation exercises.

Competência Clínica , Planejamento em Desastres/organização & administração , Educação em Enfermagem/organização & administração , Enfermagem em Emergência/educação , Equipe de Enfermagem/organização & administração , Desastres/estatística & dados numéricos , Feminino , Humanos , Japão , Masculino , Modelos Educacionais , Gestão de Riscos
J Korean Med Sci ; 34(28): e189, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31327176


BACKGROUND: All emergency centers in Korea use the Korean Triage and Acuity Scale (KTAS) as their initial triage tool. However, KTAS has been used without verification of its reliability. In this study, we assess the interrater agreement of KTAS by two independent nurses in real-time and analyse the factors which have an effect on the disagreement of KTAS levels. METHODS: This study was a prospective observational study conducted with patients who visited an emergency department (ED). Two teams, each composed of two nurses, triaged patients and recorded KTAS level and the main complaint from the list of 167 KTAS complaints, as well as modifiers. Interrater reliability between the two nurses in each team was assessed by weighted-kappa. Pearson's χ² test was conducted to determine if there were differences between each nurse's KTAS levels, depending on whether they chose the same complaints and the same modifiers or not. RESULTS: The two teams triaged a total of 1,998 patients who visited the ED. Weighted-kappa value was 0.772 (95% confidence interval [CI], 0.750-0.794). Patients triaged by different chosen complaints showed (38.0%) higher inconsistency rate in KTAS levels than those triaged by the same complaint (10.9%, P < 0.001). When nurses chose the same complaint and different modifiers, the ratio of different levels (50.5%) was higher than that of the same complaint and same modifier (8.1%, P < 0.001). CONCLUSION: This study showed that KTAS is a reliable tool. Selected complaints and modifiers are confirmed as important factors for reliability; therefore, selecting them properly should be emphasized during KTAS training courses.

Enfermagem em Emergência , Triagem , Competência Clínica , Serviço Hospitalar de Emergência , Humanos , Estudos Prospectivos , Reprodutibilidade dos Testes , República da Coreia
Int J Nurs Pract ; 25(5): e12760, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31297927


BACKGROUND: Although pain is a common complaint among patients presenting to emergency departments (EDs), there is a dearth of nursing literature about barriers to pain management. PURPOSE: The study aimed to uncover and understand barriers to pain management in the ED from the registered nurse (RN) perspective. METHODS: Semistructured interviews were conducted with 12 ED nurses in a Jordanian hospital. Data were collected throughout August 2016. RESULTS: Two broad categories with subcategories emerged. The first category describes the idea of types of patient, which included three particular groups. These were patients who are violent, patients with relatives who are, and patients with expectations of care that nurses view as unrealistic. The second category describes the taxing ED environment, with two subcategories of staff shortages and physician dominance of pain management. Nurses reported feeling as if they are the victims of external factors and perceived that barriers affected teamwork and led to distress which impairs pain management. CONCLUSIONS: The role of ED nurses in pain management is multifaceted. Therefore, implementing policies to overcome barriers such as violence among ED attenders and the perceived hostility of the ED environment through mandatory security systems, and continuing nursing education including for violence prevention may be beneficial.

Enfermagem em Emergência , Recursos Humanos de Enfermagem no Hospital , Manejo da Dor/enfermagem , Adulto , Serviço Hospitalar de Emergência , Feminino , Humanos , Entrevistas como Assunto , Jordânia , Masculino , Recursos Humanos de Enfermagem no Hospital/provisão & distribução , Violência
Prehosp Disaster Med ; 34(4): 376-384, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31258107


BACKGROUND: Within out-of-hospital emergencies, primary health care (PHC) nurses must face life-threatening emergencies (LTEs), which are defined as "a situation associated with an imminent life risk that entails the start-up of resources and special means to resolve the situation." OBJECTIVES: The objectives of this study were to know the training received for out-of-hospital LTEs by PHC nurses of Asturias, Spain and the perception they have about their theoretical knowledge and practical skills in a series of emergency procedures or techniques used in LTE emergencies; as well as to analyze the differences according to the geographical area of their work. DESIGN: Cross-sectional, descriptive, and observational study was conducted in 2018 of a sample of PHC service nurses of Asturias, Spain. METHODS: A total of 236 nurses from PHC service centers of Asturias, Spain, from among the total of 730 nurses who make up the staff of nurses of the PHC service of Asturias, between April and May 2018, were surveyed. The survey was designed ad hoc using the Doctrinal Body of Emergency Nursing (DBEN) proposed by the Spanish Society of Emergency Medicine (SEMES; Madrid, Spain), which indicates the theoretical and practical procedures that must be acquired by the PHC nurses. It is composed of 37 procedures or techniques employed in LTEs using an 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero ("Minimum") to ten ("Maximum"). RESULTS: There were significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work. CONCLUSIONS: All PHC nurses must be perfectly trained to provide initial quality assistance to the LTE, with both theoretical and practical knowledge of the different techniques, so that it can continue to be attended by the corresponding Emergency Service.

Competência Clínica , Enfermagem em Emergência/métodos , Tratamento de Emergência/enfermagem , Atenção Primária à Saúde/métodos , Autoimagem , Inquéritos e Questionários , Adulto , Estudos Transversais , Serviços Médicos de Emergência/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Espanha
Rev. enferm. UFSM ; 9: [19], jul. 15, 2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1024463


Objetivo: descrever a semiologia das expressões corporais e as tipologias de cuidados realizados pelos enfermeiros em emergência. Método: estudo qualitativo e exploratório, oriundo da coleta de dados por meio de imagens fílmicas, realizado com oito enfermeiros na emergência de um Hospital Universitário durante 24 dias. Resultados: identificou-se que os cuidados de Enfermagem na emergência apresentam uma natureza própria, discutida em 23 maneiras de cuidar: alerta; guerra; dinâmico; contínuo; contingencial; expressivo; multifaces; anônimo; admissional; registrado; conexões; diurno; noturno; passagem de plantão; corpo transformado; eletrônico; microespaço, à margem social, da população de rua, mural, perto/distante, corpo (semi)morto, dos profissionais do cuidado. Considerações finais: o estudo em tela permitiu identificar, por meio das imagens, a natureza dos cuidados de Enfermagem na emergência.

Aim: to describe the semiology of body expressions and the typologies of care performed by emergency nurses. Method: qualitative and exploratory study arising from data collection by means of recorded images, performed with eight nurses in the emergency unit of a University Hospital, during 24 days. Results: it was identified that Nursing care in emergency units has a nature of its own, discussed in 23 ways of caring: alert; war; dynamic; continuous; contingency; expressive; multifaceted; anonymous; admission; registered; connections; daily, nightly; shift change; transformed body; electronic; micro-space; socially aside; of street population; mural; near/far; (half-)dead body; of care professionals. Final considerations: the present study allowed the identification, through the images, of the nature of Nursing care in the emergency room.

Objetivo: describir la semiología de las expresiones corporales y las tipologías de cuidados realizados por enfermeros en emergencia. Método: estudio cualitativo y exploratorio, realizado a partir de la recolección de datos por medio de imágenes grabadas, con ocho enfermeros en la emergencia de un Hospital Universitario, durante 24 días. Resultados: se identificó que los cuidados de Enfermería en la emergencia presentan una naturaleza propia, discutida en 23 maneras de cuidar: alerta; guerra; dinámico; continuo, de contingencia; expresivo; multifocal; anónimo, de lo que está al margen social; de población desasistida; mural; cercano/lejano; del cuerpo (semi)muerto; de los profesionales; de admisión; registrado; de conexiones; diurno; nocturno; en cambio de turno; del cuerpo transformado; electrónico; del microespacio. Consideraciones finales: el estudio en pantalla ha permitido identificar, por medio de las ha permitido identificar, por medio de las imágenes, la naturaleza de la atención de enfermería en urgencias.

Humanos , Enfermagem em Emergência , Comunicação não Verbal , Cuidados de Enfermagem
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 925-930, jul.-set. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005741


Objetivo: Descrever conforto para pacientes em serviço de emergência e implicações no cuidado de enfermagem. Método: Estudo exploratório descritivo qualitativo, realizado em hospital do Norte do Ceará referência para 55 municípios, com amostra de 85 pacientes, internados de 12 a 24 horas no Serviço de Emergência, investigados por meio de formulário, entre novembro de 2014 a fevereiro de 2015, com dados tratados segundo análise temática de Minayo. CEP 793.626 e CAAE 30640114.7.0000.5053. Resultados: No aspecto físico, a dor é o principal desconforto; no contexto psicoespiritual e sociocultural, a espera por atendimento; nos aspectos ambientais, os leitos. Conclusão: Os profissionais da enfermagem foram citados como os que mais contribuem para amenizar o desconforto dos pacientes

Objective: To describe comfort for patients in emergency service and implications in nursing care. Method: Exploratory qualitative descriptive study, carried out in a hospital in the North of Ceará, a reference to 55 municipalities, with a sample of 85 patients, hospitalized from 12 to 24 hours in the Emergency Department, investigated through a form, between November 2014 and February 2015, with data were treated according to Minayo's thematic analysis. CEP 793,626 and CAAE 30640114.7.0000.5053. Results: In the physical aspect, pain is the main discomfort; in the psychospiritcultural context, waiting for care; in environmental aspects, the beds. Conclusion: Nursing professionals were cited as the ones that contribute the most to ease the discomfort of patients

Objetivo: Describir comodidad para pacientes en servicio de emergencia e implicaciones en el cuidado de enfermería. Método: Estudio exploratorio descriptivo cualitativo, realizado en hospital del Norte de Ceará referencia para 55 municipios, con muestra de 85 pacientes, internados de 12 a 24 horas en el Servicio de Emergencia, investigados a través de formulario, entre noviembre de 2014 a febrero de 2015, con datos fueron tratados según análisis temático de Minayo. CEP 793.626 y CAAE 30640114.7.0000.5053. Resultados: En el aspecto físico, el dolor es el principal malestar; en el contexto psicoespiritual e sociocultural, la espera por atención; en los aspectos ambientales, los lechos. Conclusión: Los profesionales de la enfermería fueron citados como los que más contribuyen para amenizar la incomodidad de los pacientes

Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Dor/enfermagem , Conforto do Paciente/estatística & dados numéricos , Cuidados de Enfermagem , Enfermagem em Emergência
Rev Gaucha Enferm ; 40: e20180076, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188984


OBJECTIVE: To analyze the difficulties encountered by nurses when providing care to people with psychiatric comorbidity in the general emergency unit and their suggestions for improving the care of these patients. METHOD: This is a qualitative, descriptive, and exploratory study conducted with twelve nurses at a general hospital in southern Brazil, in 2016. Information was collected during an interview and the results were evaluated using content analysis. RESULTS: Data interpretation led to two categories: Difficulties of nurses when providing care to people with psychiatric comorbidity and Nurses' suggestions to improve care for people with psychiatric comorbidity. The first category is related to the physical structure and material resources of the service, overcrowding, and lack of preparation of the team and professionals who provide psychiatric consultations. In the second category, the workers suggested a care flow chart, psychiatric consultations, and team training. CONCLUSIONS: We must transcend the fragmentation of care from the education years of health professionals, emphasize the need for training, and make greater investments in health education.

Serviço Hospitalar de Emergência , Transtornos Mentais/enfermagem , Recursos Humanos de Enfermagem no Hospital , Adulto , Brasil , Comorbidade , Aglomeração , Enfermagem em Emergência/educação , Feminino , Recursos em Saúde , Humanos , Masculino , Equipe de Assistência ao Paciente/organização & administração , Pesquisa Qualitativa
Rev Gaucha Enferm ; 40: e20180263, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188988


OBJECTIVE: To analyze the evidence of researches carried out on humanization in urgent and emergency care, considering their contributions to nursing care. METHODS: Integrative review of LILACS, CINAHL, SciELO, Web of Science, SCOPUS, and BDENF databases, using the keywords: humanization of care, urgencies, emergencies, emergency medical services, and nursing. RESULTS: The search resulted in a total of 133 publications, of which 17 were included in the scope of this review. The analysis enabled the elaboration of the evidence units: 'Reception with Risk Classification: a device with good results' and 'Barriers and difficulties to use the guidelines of the National Humanization Policy'. CONCLUSION: The Reception with Risk Classification was evidenced as the main device for the effective implementation of the National Humanization Policy and there are barriers to its effectiveness related to the organization of health care networks, structural problems, and multi-professional work.

Serviços Médicos de Emergência/ética , Enfermagem em Emergência/ética , Humanismo , Fidelidade a Diretrizes , Política de Saúde , Humanos , Cuidados de Enfermagem/ética
Int J Qual Stud Health Well-being ; 14(1): 1626179, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31184291


Purpose: Emergency nurses are engaged in the management of epidemic events that unfold along with the evolution of diseases. The goal of this study was to explore the contextual factors that inhibited the ability of emergency nurses to perform their duties in response to an outbreak. Methods: A qualitative descriptive design was used to explore the experiences and perceptions of emergency nurses. Participants were purposively recruited from 12 emergency departments in Hong Kong. Semi-structured face-to-face individual interviews were conducted with 26 emergency nurses. The audio-recorded interviews were transcribed verbatim and interpreted with a thematic analysis approach. Results: Four intertwined themes emerged from the analysis: resource constraints, threats of infection, ubiquitous changes and lingering uncertainties. These themes portrayed the constraints and challenges surrounding the work environment of emergency nurses. Conclusion: This study described the instabilities and vulnerabilities of the circumstances in which the emergency nurses were situated in during epidemic events. The findings shed light on the importance of hospitals and emergency departments in addressing both the technical problems and adaptive challenges that face emergency nurses during epidemic events.

Doenças Transmissíveis Emergentes , Enfermagem em Emergência , Papel do Profissional de Enfermagem , Atitude do Pessoal de Saúde , Hong Kong , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa
J Occup Health ; 61(5): 398-406, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31215754


OBJECTIVES: The objective of this study is to assess quality of nursing work life (QNWL) and related factors among nurses working in emergency room (ER). METHODS: A cross-sectional descriptive design was employed. Data were collected from a convenient sample of nurses working in ER Eligible participants were required to complete a demographic and work related variables sheet, the Brooks Quality of Nursing Work Survey (BQNWLS). RESULTS: A total of (186) nurses participated in the study. Study participants reported a BQNWL mean score of (M = 140.15, SD = 28.34) indicating a moderate BQNWL. Additionally, the participants scored moderate levels on all BQNWL subscales. The mean score of BQNWL was statistically better for nurses who had training courses on emergency department (t = -2.663, P = 0.008). However, no other statistically significant differences were found in BQNWL scores in regarding to demographic and work related variables. CONCLUSION: The results of this study reported a noticeable alteration in QNWL among nurses working in ER. The nurses had a moderate QNWL levels. Also, the results emphasized on the importance of conducting further interventional research studies in the future to establish effective measures to enhance nurse QNWL. Consequently, this may improve the provided nursing care for the patients and their families.

Enfermagem em Emergência , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Qualidade de Vida/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Jordânia , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem