Intensive care in hospital emergency services: challenges for nurses

Detalhes bibliográficos
Autor(a) principal: Zandomenighi, Robson Cristiano
Data de Publicação: 2014
Outros Autores: Mouro, Douglas Lima, Oliveira, Carlos Aparecido de, Martins, Eleine Aparecida Penha
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50158
Resumo: OBJECTIVE: To identify the challenges, especially the difficulties, concerning the care provided to critical patients in the emergency room of the University Hospital of Londrina, from the nurses' standpoint, as well as list the problem solution strategies suggested by the nurses. METHODOLOGY: This work was a cross-sectional, exploratory study, together with a descriptive analysis of the data. After having received approval from the Research Ethics Committee of the University Hospital of Londrina, logged under protocol number 239/09, an open question questionnaire, based on structural self-reported references, was applied to all of the hospital emergency room nurses, concerning the nursing care provided to critical patients. RESULTS: The main reported difficulties concerned the scarcity of material, human, and physical resources due to the overwhelming demand of critical patients. Other difficulties included the maintenance of the patient's privacy and the handling of specific equipment, such as mechanical ventilators. The main interference in this sector's daily routine with patients in critical conditions was related to staff dimensioning. The main suggested strategies included: increase the number of ICU hospital beds, hire more employees, conduct more trainings with staff, and group critical patients together. CONCLUSION: In light of these results, this study confirmed the hypothesis of the extreme difficulty in providing nursing care to critical patients in the hospital emergency room. Therefore, the suggestions made by this hospital's nurses must be considered, especially those dealing with the governability of professionals.
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spelling Intensive care in hospital emergency services: challenges for nursesCuidados intensivos en servicios de urgencia hospitalaria: retos para los enfermerosCuidados intensivos em um serviço hospitalar de emergência: desafios para os enfermeirosCuidados IntensivosAtención de EnfermeríaCondiciones de TrabajoAtención HospitalariaCuidados IntensivosCuidados de EnfermagemCondições de TrabalhoAssistência HospitalarIntensive CareNursing CareWorking ConditionsHospital CareOBJECTIVE: To identify the challenges, especially the difficulties, concerning the care provided to critical patients in the emergency room of the University Hospital of Londrina, from the nurses' standpoint, as well as list the problem solution strategies suggested by the nurses. METHODOLOGY: This work was a cross-sectional, exploratory study, together with a descriptive analysis of the data. After having received approval from the Research Ethics Committee of the University Hospital of Londrina, logged under protocol number 239/09, an open question questionnaire, based on structural self-reported references, was applied to all of the hospital emergency room nurses, concerning the nursing care provided to critical patients. RESULTS: The main reported difficulties concerned the scarcity of material, human, and physical resources due to the overwhelming demand of critical patients. Other difficulties included the maintenance of the patient's privacy and the handling of specific equipment, such as mechanical ventilators. The main interference in this sector's daily routine with patients in critical conditions was related to staff dimensioning. The main suggested strategies included: increase the number of ICU hospital beds, hire more employees, conduct more trainings with staff, and group critical patients together. CONCLUSION: In light of these results, this study confirmed the hypothesis of the extreme difficulty in providing nursing care to critical patients in the hospital emergency room. Therefore, the suggestions made by this hospital's nurses must be considered, especially those dealing with the governability of professionals.OBJETIVO: Identificar los retos, principalmente las dificultades, en la atención de pacientes graves en los servicios de urgencia de un hospital universitario de Londrina desde el punto de vista de los enfermeros y, asimismo, señalar las estrategias de solución sugeridas por ellos. METODOLOGÍA: estudio exploratorio, de naturaleza transversal y análisis descriptivo de datos. Se aplicó un cuestionario basado en el marco estructural de auto-informe con cuestiones abiertas para todos los enfermeros de los servicios de urgencia del hospital, referente a la atención de enfermería al paciente crítico, tras aprobación por el Comité de Ética en Investigación del Hospital Universitario de Londrina, bajo el parecer n. 239/09. RESULTADOS: las principales dificultades relatadas fueron en relación al déficit de recursos materiales, humanos y físicos frente a la gran demanda de pacientes graves. También es difícil mantener la privacidad del paciente y hay problemas en el mantenimiento de equipos tales como el ventilador mecânico. La principal interferência em la rutina del sector com la presencia del paciente crítico relatada fue en relación al dimensionamento de personal. Las principales estratégias sugeridas fueron: aumentar los lechos de UTI, contratar más funcionários, realizar más entrenamientos con el equipo y agrupar a los pacientes graves. CONCLUSIÓN: ante los resultados, se confirma la hipótesis de que hay uma gran dificultad en la asistencia de enfermería a los pacientes graves que permanecem en el servicio de urgencia del hospital, por tanto deben considerarse las sugerencias de los enfermeros, principalmente, aquéllas dónde hay gobernabilidad profesional.OBJETIVO: identificar os desafios, principalmente as dificuldades, do cuidado prestado aos pacientes graves no serviço de emergência de um hospital de ensino público sob o ponto de vista dos enfermeiros e, ainda, listar estratégias de solução do problema sugeridas pelos mesmos. METODOLOGIA: estudo exploratório, de natureza transversal e análise descritiva dos dados. Aplicou-se um questionário baseado na referencial do autorrelato estrutural com questões abertas para todos os enfermeiros do serviço hospitalar de emergência, referente à assistência de enfermagem ao paciente crítico, após aprovação pelo Comitê de Ética em Pesquisa do Hospital Universitário de Londrina, sob o parecer nº 239/09. RESULTADOS: as principais dificuldades relatadas foram em relação ao déficit de recursos materiais, humanos e físicos frente à grande demanda de pacientes graves, havendo dificuldade na manutenção da privacidade do paciente e na manipulação de equipamentos como ventilador mecânico. A principal interferência na rotina do setor com a presença do paciente crítico foi em relação ao dimensionamento de pessoal. As principais estratégias sugeridas foram: aumentar os leitos de UTI, contratar mais funcionários, realizar mais treinamentos com a equipe e agrupar os pacientes graves. CONCLUSÃO: diante dos resultados, confirma-se a hipótese de que há grande dificuldade na assistência de enfermagem aos pacientes graves que permanecem no serviço hospitalar de emergência, portanto, devem-se considerar as sugestões feitas pelos enfermeiros, principalmente, em relação àquelas em que há governabilidade do profissional.Universidade Federal de Minas Gerais2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5015810.5935/1415-2762.20140031REME-Revista Mineira de Enfermagem; Vol. 18 No. 2 (2014)REME-Revista Mineira de Enfermagem; Vol. 18 Núm. 2 (2014)REME-Revista Mineira de Enfermagem; v. 18 n. 2 (2014)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50158/41388https://periodicos.ufmg.br/index.php/reme/article/view/50158/41389https://periodicos.ufmg.br/index.php/reme/article/view/50158/41390Copyright (c) 2014 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessZandomenighi, Robson CristianoMouro, Douglas LimaOliveira, Carlos Aparecido deMartins, Eleine Aparecida Penha2024-01-24T13:01:19Zoai:periodicos.ufmg.br:article/50158Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T13:01:19Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Intensive care in hospital emergency services: challenges for nurses
Cuidados intensivos en servicios de urgencia hospitalaria: retos para los enfermeros
Cuidados intensivos em um serviço hospitalar de emergência: desafios para os enfermeiros
title Intensive care in hospital emergency services: challenges for nurses
spellingShingle Intensive care in hospital emergency services: challenges for nurses
Zandomenighi, Robson Cristiano
Cuidados Intensivos
Atención de Enfermería
Condiciones de Trabajo
Atención Hospitalaria
Cuidados Intensivos
Cuidados de Enfermagem
Condições de Trabalho
Assistência Hospitalar
Intensive Care
Nursing Care
Working Conditions
Hospital Care
title_short Intensive care in hospital emergency services: challenges for nurses
title_full Intensive care in hospital emergency services: challenges for nurses
title_fullStr Intensive care in hospital emergency services: challenges for nurses
title_full_unstemmed Intensive care in hospital emergency services: challenges for nurses
title_sort Intensive care in hospital emergency services: challenges for nurses
author Zandomenighi, Robson Cristiano
author_facet Zandomenighi, Robson Cristiano
Mouro, Douglas Lima
Oliveira, Carlos Aparecido de
Martins, Eleine Aparecida Penha
author_role author
author2 Mouro, Douglas Lima
Oliveira, Carlos Aparecido de
Martins, Eleine Aparecida Penha
author2_role author
author
author
dc.contributor.author.fl_str_mv Zandomenighi, Robson Cristiano
Mouro, Douglas Lima
Oliveira, Carlos Aparecido de
Martins, Eleine Aparecida Penha
dc.subject.por.fl_str_mv Cuidados Intensivos
Atención de Enfermería
Condiciones de Trabajo
Atención Hospitalaria
Cuidados Intensivos
Cuidados de Enfermagem
Condições de Trabalho
Assistência Hospitalar
Intensive Care
Nursing Care
Working Conditions
Hospital Care
topic Cuidados Intensivos
Atención de Enfermería
Condiciones de Trabajo
Atención Hospitalaria
Cuidados Intensivos
Cuidados de Enfermagem
Condições de Trabalho
Assistência Hospitalar
Intensive Care
Nursing Care
Working Conditions
Hospital Care
description OBJECTIVE: To identify the challenges, especially the difficulties, concerning the care provided to critical patients in the emergency room of the University Hospital of Londrina, from the nurses' standpoint, as well as list the problem solution strategies suggested by the nurses. METHODOLOGY: This work was a cross-sectional, exploratory study, together with a descriptive analysis of the data. After having received approval from the Research Ethics Committee of the University Hospital of Londrina, logged under protocol number 239/09, an open question questionnaire, based on structural self-reported references, was applied to all of the hospital emergency room nurses, concerning the nursing care provided to critical patients. RESULTS: The main reported difficulties concerned the scarcity of material, human, and physical resources due to the overwhelming demand of critical patients. Other difficulties included the maintenance of the patient's privacy and the handling of specific equipment, such as mechanical ventilators. The main interference in this sector's daily routine with patients in critical conditions was related to staff dimensioning. The main suggested strategies included: increase the number of ICU hospital beds, hire more employees, conduct more trainings with staff, and group critical patients together. CONCLUSION: In light of these results, this study confirmed the hypothesis of the extreme difficulty in providing nursing care to critical patients in the hospital emergency room. Therefore, the suggestions made by this hospital's nurses must be considered, especially those dealing with the governability of professionals.
publishDate 2014
dc.date.none.fl_str_mv 2014-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50158
10.5935/1415-2762.20140031
url https://periodicos.ufmg.br/index.php/reme/article/view/50158
identifier_str_mv 10.5935/1415-2762.20140031
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50158/41388
https://periodicos.ufmg.br/index.php/reme/article/view/50158/41389
https://periodicos.ufmg.br/index.php/reme/article/view/50158/41390
dc.rights.driver.fl_str_mv Copyright (c) 2014 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2014 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 18 No. 2 (2014)
REME-Revista Mineira de Enfermagem; Vol. 18 Núm. 2 (2014)
REME-Revista Mineira de Enfermagem; v. 18 n. 2 (2014)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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