THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.29073/jim.v4i1.754 |
Resumo: | Introduction: Emerging surgical interventions correspond to unpredictable situations that require immediate attention, as they are life threatening. Patients in intensive care units (ICU) sometimes have to undergo urgent/emergent surgery due to complications and/or worsening of their condition. Due to the inherent complexity of the perioperative period and the critical condition of patients, they are more vulnerable to the occurrence of adverse events (AE). Objective: To contribute to the prevention of AE in the perioperative period of the person in a critical situation in an ICU in need of urgent/emergent surgery. Material and Method: Diagnostic and intervention study on the perioperative preparation of the person hospitalized in an ICU of a Level III Hospital. Data were collected through a questionnaire. We ensure voluntary participation, the right to refuse and guarantee privacy and confidentiality. The intervention consisted of training and the design of an Algorithm proposal for nurses to act in a critical situation requiring urgent/emergent surgery. Result: We obtained 40 responses to the questionnaire. All nurses had already witnessed an AE during the perioperative period, with life-threatening severity, most of which were preventable. The urgent/emerging scenario was considered the factor that most contributed to the occurrence of AE, as well as communication failures and the absence of an organization method. Conclusion: We showed that patient safety is a duty of all health professionals, in which the nurse has a key role in preventing the occurrence of AE, planning and implementing personalized and individualized nursing care in the perioperative period. |
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THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTSA PESSOA SUBMETIDA A CIRURGIA URGENTE/EMERGENTE NO CONTEXTO DE UMA UNIDADE DE CUIDADOS INTENSIVOS: A PREVENÇÃO DE EVENTOS ADVERSOSCirurgia EmergenteCuidados PerioperatóriosEventos AdversosPessoa em Situação CríticaEnfermagemEmergent SurgeryPerioperative CareAdverse EventsPerson in Critical SituationNursingIntroduction: Emerging surgical interventions correspond to unpredictable situations that require immediate attention, as they are life threatening. Patients in intensive care units (ICU) sometimes have to undergo urgent/emergent surgery due to complications and/or worsening of their condition. Due to the inherent complexity of the perioperative period and the critical condition of patients, they are more vulnerable to the occurrence of adverse events (AE). Objective: To contribute to the prevention of AE in the perioperative period of the person in a critical situation in an ICU in need of urgent/emergent surgery. Material and Method: Diagnostic and intervention study on the perioperative preparation of the person hospitalized in an ICU of a Level III Hospital. Data were collected through a questionnaire. We ensure voluntary participation, the right to refuse and guarantee privacy and confidentiality. The intervention consisted of training and the design of an Algorithm proposal for nurses to act in a critical situation requiring urgent/emergent surgery. Result: We obtained 40 responses to the questionnaire. All nurses had already witnessed an AE during the perioperative period, with life-threatening severity, most of which were preventable. The urgent/emerging scenario was considered the factor that most contributed to the occurrence of AE, as well as communication failures and the absence of an organization method. Conclusion: We showed that patient safety is a duty of all health professionals, in which the nurse has a key role in preventing the occurrence of AE, planning and implementing personalized and individualized nursing care in the perioperative period.Introdução: As intervenções cirúrgicas emergentes correspondem a situações imprevisíveis que requerem atenção imediata, pois ameaçam a vida. Os doentes em unidades de cuidados intensivos (UCI), por vezes têm de ser submetidos a cirurgia urgente/emergente, devido a complicações e/ou agravamento do seu estado. Pela complexidade inerente ao período perioperatório e a condição crítica dos doentes, estão mais vulneráveis para a ocorrência de eventos adversos (EA). Objetivo: Contribuir para a prevenção de EA no período perioperatório da pessoa em situação crítica numa UCI com necessidade de cirurgia urgente/emergente. Material e Método: Estudo diagnóstico e intervenção sobre a preparação perioperatória da pessoa internada numa UCI de um Hospital de nível III. Os dados foram colhidos através de um questionário. Assegurámos, a participação voluntária, o direito à recusa e garantimos a privacidade e a confidencialidade. A intervenção consistiu numa formação e a conceção de uma proposta de Algoritmo de atuação dos enfermeiros perante uma situação crítica com necessidade de cirurgia urgente/emergente. Resultado: Obtivemos 40 respostas ao questionário. Todos os enfermeiros já haviam presenciado um EA durante o perioperatório, com gravidade ameaçadora de vida, sendo a maioria evitável. O cenário urgente/emergente foi considerado o fator que mais contribuiu para a ocorrência de EA, assim como as falhas de comunicação e a ausência de um método de organização. Conclusão: Evidenciámos, que a segurança do doente é um dever de todos os profissionais de saúde, em que o enfermeiro possui um papel primordial na prevenção da ocorrência dos EA, planeando e implementando cuidados de enfermagem personalizados e individualizados no perioperatório.Ponteditora2023-06-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdftext/xmlhttps://doi.org/10.29073/jim.v4i1.754https://doi.org/10.29073/jim.v4i1.754JIM – Journal of Medical Research; Vol. 4 No. 1 (2023): JIM - Jornal de Investigação Médica; 39-48JIM - Jornal de Investigação Médica ; Vol. 4 N.º 1 (2023): JIM - Jornal de Investigação Médica; 39-482184-750910.29073/jim.v4i1reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ponteditora.org/index.php/jim/article/view/754https://revistas.ponteditora.org/index.php/jim/article/view/754/708https://revistas.ponteditora.org/index.php/jim/article/view/754/709Direitos de Autor (c) 2023 JIM - Jornal de Investigação Médicainfo:eu-repo/semantics/openAccessJesus, RubinaMaria Luísa Vieira Andrade SantosAbel de Mendonça ViveirosLuís Filipe Jardim GomesCláudia Patrícia Mendonça GouveiaLara Mónica Rodrigues da Fonseca FernandesNoélia Cristina Rodrigues Pimenta Gomes2023-07-01T05:45:15Zoai:revistas.ponteditora.org:article/754Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:02:05.913882Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS A PESSOA SUBMETIDA A CIRURGIA URGENTE/EMERGENTE NO CONTEXTO DE UMA UNIDADE DE CUIDADOS INTENSIVOS: A PREVENÇÃO DE EVENTOS ADVERSOS |
title |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS |
spellingShingle |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS Jesus, Rubina Cirurgia Emergente Cuidados Perioperatórios Eventos Adversos Pessoa em Situação Crítica Enfermagem Emergent Surgery Perioperative Care Adverse Events Person in Critical Situation Nursing |
title_short |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS |
title_full |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS |
title_fullStr |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS |
title_full_unstemmed |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS |
title_sort |
THE PERSON UNDERGOING URGENT/EMERGENT SURGERY IN THE CONTEXT OF AN INTENSIVE CARE UNIT: THE PREVENTION OF ADVERSE EVENTS |
author |
Jesus, Rubina |
author_facet |
Jesus, Rubina Maria Luísa Vieira Andrade Santos Abel de Mendonça Viveiros Luís Filipe Jardim Gomes Cláudia Patrícia Mendonça Gouveia Lara Mónica Rodrigues da Fonseca Fernandes Noélia Cristina Rodrigues Pimenta Gomes |
author_role |
author |
author2 |
Maria Luísa Vieira Andrade Santos Abel de Mendonça Viveiros Luís Filipe Jardim Gomes Cláudia Patrícia Mendonça Gouveia Lara Mónica Rodrigues da Fonseca Fernandes Noélia Cristina Rodrigues Pimenta Gomes |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Jesus, Rubina Maria Luísa Vieira Andrade Santos Abel de Mendonça Viveiros Luís Filipe Jardim Gomes Cláudia Patrícia Mendonça Gouveia Lara Mónica Rodrigues da Fonseca Fernandes Noélia Cristina Rodrigues Pimenta Gomes |
dc.subject.por.fl_str_mv |
Cirurgia Emergente Cuidados Perioperatórios Eventos Adversos Pessoa em Situação Crítica Enfermagem Emergent Surgery Perioperative Care Adverse Events Person in Critical Situation Nursing |
topic |
Cirurgia Emergente Cuidados Perioperatórios Eventos Adversos Pessoa em Situação Crítica Enfermagem Emergent Surgery Perioperative Care Adverse Events Person in Critical Situation Nursing |
description |
Introduction: Emerging surgical interventions correspond to unpredictable situations that require immediate attention, as they are life threatening. Patients in intensive care units (ICU) sometimes have to undergo urgent/emergent surgery due to complications and/or worsening of their condition. Due to the inherent complexity of the perioperative period and the critical condition of patients, they are more vulnerable to the occurrence of adverse events (AE). Objective: To contribute to the prevention of AE in the perioperative period of the person in a critical situation in an ICU in need of urgent/emergent surgery. Material and Method: Diagnostic and intervention study on the perioperative preparation of the person hospitalized in an ICU of a Level III Hospital. Data were collected through a questionnaire. We ensure voluntary participation, the right to refuse and guarantee privacy and confidentiality. The intervention consisted of training and the design of an Algorithm proposal for nurses to act in a critical situation requiring urgent/emergent surgery. Result: We obtained 40 responses to the questionnaire. All nurses had already witnessed an AE during the perioperative period, with life-threatening severity, most of which were preventable. The urgent/emerging scenario was considered the factor that most contributed to the occurrence of AE, as well as communication failures and the absence of an organization method. Conclusion: We showed that patient safety is a duty of all health professionals, in which the nurse has a key role in preventing the occurrence of AE, planning and implementing personalized and individualized nursing care in the perioperative period. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.29073/jim.v4i1.754 https://doi.org/10.29073/jim.v4i1.754 |
url |
https://doi.org/10.29073/jim.v4i1.754 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.ponteditora.org/index.php/jim/article/view/754 https://revistas.ponteditora.org/index.php/jim/article/view/754/708 https://revistas.ponteditora.org/index.php/jim/article/view/754/709 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 JIM - Jornal de Investigação Médica info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 JIM - Jornal de Investigação Médica |
eu_rights_str_mv |
openAccess |
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application/pdf text/xml |
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Ponteditora |
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Ponteditora |
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JIM – Journal of Medical Research; Vol. 4 No. 1 (2023): JIM - Jornal de Investigação Médica; 39-48 JIM - Jornal de Investigação Médica ; Vol. 4 N.º 1 (2023): JIM - Jornal de Investigação Médica; 39-48 2184-7509 10.29073/jim.v4i1 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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