Health professional safety front to the patient in psychomotor agitation

Detalhes bibliográficos
Autor(a) principal: Fernandes, Geovanna Rosada
Data de Publicação: 2022
Outros Autores: Machado, Heloize Schultz, Barros, Mariana de Souza, Bahls, Laura Rocha Campos, Costa, Gabriela Fernandes, Ribeiro, Elaine Rossi
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
Texto Completo: https://revistardp.org.br/revista/article/view/382
Resumo: Patients in psychomotor agitation represent risks for health professionals, others present and for themselves. Thus, this article aims to acknowledge the protocols related to the promotion of safety, specifically, of health professionals in relation to patients in psychomotor agitation. As for the method, it is an integrative review in PubMED, SciELO, Science Direct and BVS databases. After applying the criteria, 15 articles were selected from which four main categories were identified and analyzed: safety actions and protocols for aggressive patients (behavioral, environmental, organizational, pharmacological and physical management); causes, predictive factors and identification of the unstable patient; training of health professionals and reporting of incidents. After analyzing these factors, an early and rapid assessment of the patient's condition is of great importance so that there is an appropriate management, taking into account their individuality. Furthermore, it is necessary that professionals have solid knowledge about the different measures, that there is efficient organization of the team and protocols established in the places of health promotion. For this, professional training must be implemented and maintained in The form of continuing education, addressing the different managements and their moments of use, valuing the constant improvement of methods for these patients, for all health professionals. Furthermore, the notification of cases by professionals should be encouraged, after all, the underreporting of cases presents itself as a problem for the collection of estimates about aggressions resulting from psychomotor agitation. Therefore, clear guidelines and standard operating procedure should be encouraged, seeking to keep professional environments safe for all.
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spelling Health professional safety front to the patient in psychomotor agitationSeguridad de professional de la salud frente al paciente em agitación psicomotoraSegurança do profissional de saúde frente ao paciente em agitação psicomotoraagitação psicomotoracomportamento agressivosegurança no trabalhopsychomotor agitationaggressive behaviorjob securityAgitación PsicomotoraAgresiónSalud LaboralPatients in psychomotor agitation represent risks for health professionals, others present and for themselves. Thus, this article aims to acknowledge the protocols related to the promotion of safety, specifically, of health professionals in relation to patients in psychomotor agitation. As for the method, it is an integrative review in PubMED, SciELO, Science Direct and BVS databases. After applying the criteria, 15 articles were selected from which four main categories were identified and analyzed: safety actions and protocols for aggressive patients (behavioral, environmental, organizational, pharmacological and physical management); causes, predictive factors and identification of the unstable patient; training of health professionals and reporting of incidents. After analyzing these factors, an early and rapid assessment of the patient's condition is of great importance so that there is an appropriate management, taking into account their individuality. Furthermore, it is necessary that professionals have solid knowledge about the different measures, that there is efficient organization of the team and protocols established in the places of health promotion. For this, professional training must be implemented and maintained in The form of continuing education, addressing the different managements and their moments of use, valuing the constant improvement of methods for these patients, for all health professionals. Furthermore, the notification of cases by professionals should be encouraged, after all, the underreporting of cases presents itself as a problem for the collection of estimates about aggressions resulting from psychomotor agitation. Therefore, clear guidelines and standard operating procedure should be encouraged, seeking to keep professional environments safe for all.Los pacientes en agitación psicomotora representan riesgos para los profesionales de la salud, para los demás presentes y para ellos mismos. Así, este artículo tiene como objetivo reconocer los protocolos relacionados con la promoción de la seguridad, específicamente, de los profesionales de la salud en relación con los pacientes en agitación psicomotora. En cuanto al método, se trata de una revisión integradora en las bases de datos PubMED, SciELO, Science Direct y BVS. Después de aplicar los criterios, se seleccionaron 15 artículos de los cuales se identificaron y analizaron cuatro categorías principales: acciones y protocolos de seguridad para pacientes agresivos (manejo conductual, ambiental, organizacional, farmacológico y físico); causas, factores predictivos e identificación del paciente inestable; formación de profesionales sanitarios y notificación de incidencias. Después de analizar estos factores, una evaluación temprana y rápida del estado del paciente es de gran importancia para que exista un manejo adecuado, teniendo en cuenta su individualidad. Además, es necesario que los profesionales tengan sólidos conocimientos sobre las diferentes medidas, que exista una organización eficiente del equipo y protocolos establecidos en los lugares de promoción de la salud. Para ello, la formación profesional debe implementarse y mantenerse como educación continua, abordando los diferentes manejos y sus momentos de uso, valorando la mejora constante de los métodos para estos pacientes, para todos los profesionales de la salud. Sumado a esto, se debe incentivar la notificación de los casos por parte de los profesionales, pues el subregistro de casos se presenta como un problema para la recolección de estimaciones sobre agresiones resultantes de la agitación psicomotora. Por lo tanto, se deben fomentar pautas claras y un procedimiento operativo estándar, buscando mantener los entornos profesionales seguros para todos.Pacientes em agitação psicomotora representam riscos para profissionais da saúde, demais presente e para si próprios. Assim, o presente artigo tem como objetivo reconhecer os protocolos relativos à promoção de segurança, especificamente, dos profissionais da saúde perante pacientes em agitação psicomotora. Quanto ao método, trata-se de revisão integrativa nas bases de dados PubMED, SciELO, Science Direct  e BVS. Após aplicação dos critérios foram selecionados 15 artigos a partir dos quais foram identificadas e analisadas quatro principais categorias: ações e protocolos de segurança perante paciente agressivo (manejo comportamental, ambiental, organizacional, farmacológico e físico); causas, fatores preditivos e identificação do paciente instável; capacitação dos profissionais da saúde e notificação dos incidentes. Após análise desses fatores, é de grande importância a avaliação precoce e rápida do estado do paciente para que haja apropriado manejo, levando em consideração sua individualidade. Outrossim, é necessário que os profissionais tenham conhecimento sólido sobre as diferentes medidas, que haja eficiente organização da equipe e protocolos estabelecidos nos locais de promoção à saúde. Para isso, a capacitação profissional deve ser implementada e mantida como educação continuada, abordando os diferentes manejos e seus momentos de utilização, valorizando o aprimoramento constante dos métodos sobre esses pacientes, para todos os profissionais da saúde. Somado a isso, deve-se incentivar a notificação dos casos pelos profissionais, afinal, a subnotificação dos casos apresenta-se como um problema para o levantamento de estimativas acerca de agressões decorrentes da agitação psicomotora. Portanto, diretrizes claras e procedimento operacional padrão devem ser incentivados, procurando manter ambientes profissionais seguros a todos.Associação Brasileira de Psiquiatria2022-12-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/38210.25118/2763-9037.2022.v12.382Debates in Psychiatry; Vol. 12 (2022); 1-21Debates em Psiquiatria; Vol. 12 (2022); 1-21Debates em Psiquiatria; v. 12 (2022); 1-212763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/382/368Copyright (c) 2022 Geovanna Rosada Fernandes, Heloize Schultz Machado, Mariana de Souza Barros, Laura Rocha Campos Bahls, Gabriela Fernandes Costa, Elaine Rossi Ribeirohttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessFernandes, Geovanna RosadaMachado, Heloize SchultzBarros, Mariana de SouzaBahls, Laura Rocha CamposCosta, Gabriela FernandesRibeiro, Elaine Rossi2024-01-04T23:42:10Zoai:ojs.emnuvens.com.br:article/382Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2024-01-04T23:42:10Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Health professional safety front to the patient in psychomotor agitation
Seguridad de professional de la salud frente al paciente em agitación psicomotora
Segurança do profissional de saúde frente ao paciente em agitação psicomotora
title Health professional safety front to the patient in psychomotor agitation
spellingShingle Health professional safety front to the patient in psychomotor agitation
Fernandes, Geovanna Rosada
agitação psicomotora
comportamento agressivo
segurança no trabalho
psychomotor agitation
aggressive behavior
job security
Agitación Psicomotora
Agresión
Salud Laboral
title_short Health professional safety front to the patient in psychomotor agitation
title_full Health professional safety front to the patient in psychomotor agitation
title_fullStr Health professional safety front to the patient in psychomotor agitation
title_full_unstemmed Health professional safety front to the patient in psychomotor agitation
title_sort Health professional safety front to the patient in psychomotor agitation
author Fernandes, Geovanna Rosada
author_facet Fernandes, Geovanna Rosada
Machado, Heloize Schultz
Barros, Mariana de Souza
Bahls, Laura Rocha Campos
Costa, Gabriela Fernandes
Ribeiro, Elaine Rossi
author_role author
author2 Machado, Heloize Schultz
Barros, Mariana de Souza
Bahls, Laura Rocha Campos
Costa, Gabriela Fernandes
Ribeiro, Elaine Rossi
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Fernandes, Geovanna Rosada
Machado, Heloize Schultz
Barros, Mariana de Souza
Bahls, Laura Rocha Campos
Costa, Gabriela Fernandes
Ribeiro, Elaine Rossi
dc.subject.por.fl_str_mv agitação psicomotora
comportamento agressivo
segurança no trabalho
psychomotor agitation
aggressive behavior
job security
Agitación Psicomotora
Agresión
Salud Laboral
topic agitação psicomotora
comportamento agressivo
segurança no trabalho
psychomotor agitation
aggressive behavior
job security
Agitación Psicomotora
Agresión
Salud Laboral
description Patients in psychomotor agitation represent risks for health professionals, others present and for themselves. Thus, this article aims to acknowledge the protocols related to the promotion of safety, specifically, of health professionals in relation to patients in psychomotor agitation. As for the method, it is an integrative review in PubMED, SciELO, Science Direct and BVS databases. After applying the criteria, 15 articles were selected from which four main categories were identified and analyzed: safety actions and protocols for aggressive patients (behavioral, environmental, organizational, pharmacological and physical management); causes, predictive factors and identification of the unstable patient; training of health professionals and reporting of incidents. After analyzing these factors, an early and rapid assessment of the patient's condition is of great importance so that there is an appropriate management, taking into account their individuality. Furthermore, it is necessary that professionals have solid knowledge about the different measures, that there is efficient organization of the team and protocols established in the places of health promotion. For this, professional training must be implemented and maintained in The form of continuing education, addressing the different managements and their moments of use, valuing the constant improvement of methods for these patients, for all health professionals. Furthermore, the notification of cases by professionals should be encouraged, after all, the underreporting of cases presents itself as a problem for the collection of estimates about aggressions resulting from psychomotor agitation. Therefore, clear guidelines and standard operating procedure should be encouraged, seeking to keep professional environments safe for all.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Reviewed
Revisado por Pares
Avaliado Pelos Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/382
10.25118/2763-9037.2022.v12.382
url https://revistardp.org.br/revista/article/view/382
identifier_str_mv 10.25118/2763-9037.2022.v12.382
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/382/368
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Debates in Psychiatry; Vol. 12 (2022); 1-21
Debates em Psiquiatria; Vol. 12 (2022); 1-21
Debates em Psiquiatria; v. 12 (2022); 1-21
2763-9037
2236-918X
reponame:Debates em Psiquiatria (Online)
instname:Associação Brasileira de Psiquiatria (ABP)
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reponame_str Debates em Psiquiatria (Online)
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repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv rdp@abp.org.br
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