Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19

Detalhes bibliográficos
Autor(a) principal: Conceição, Silvio Cesar da
Data de Publicação: 2021
Outros Autores: Viana, Ádane Domingues, Ludovico, Andréia da Silva Gomes, Ramos, Danielle Mandacaru, Ribeiro, Elisa Auxiliadora da França, Herrera , Jenny del Carmen Arcentales
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/21919
Resumo: The complexity involved in inter-hospital care imposes a series of ethical issues on nurses, which are related to customer care, the work environment and organizational processes. Additionally, the current state of health emergency, characterized by the COVID-19 pandemic, determines reorganizations in the work process and an increase in the emotional tension of professionals. The aim of this study was to analyze the contributing factors and associated risks in the case of decision-making by a nurse during inter-hospital transport of a patient affected by COVID-19, published in the Brazilian media. Descriptive, theoretical and reflective study, supported on videos and journalistic articles, based on the cause and effect diagram (Ishikawa diagram) and on the risk assessment matrix, developed between February and March 2021. The causes of the decision-making of the professional in the face of a critical situation in inter-hospital care were identified., the main one being the interdiction of the road. The analysis of the risks to which the nurse and the patient were exposed allowed reflection on the importance of adequate support for professionals during inter-hospital care and a detailed planning for this situation, in order to minimize them and ensure safety for everyone involved.
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spelling Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19Factores contribuyentes y riesgos asociados en caso de toma de decisiones por parte de una enfermera durante el traslado interhospitalario de un paciente afectado por COVID-19Fatores contribuintes e riscos associados em caso de tomada de decisão por enfermeira durante o transporte inter-hospitalar de paciente acometido por COVID-19Cuidados de enfermageemTransferência de clientes entre hospitaisSegurança do pacienteTomada de decisão clínica.Atención de enfermeríaTransferencia de pacientesSeguridad del pacienteToma de decisiones clínicas.Nursing carePatient transferPatient safetyClinical decision-making.The complexity involved in inter-hospital care imposes a series of ethical issues on nurses, which are related to customer care, the work environment and organizational processes. Additionally, the current state of health emergency, characterized by the COVID-19 pandemic, determines reorganizations in the work process and an increase in the emotional tension of professionals. The aim of this study was to analyze the contributing factors and associated risks in the case of decision-making by a nurse during inter-hospital transport of a patient affected by COVID-19, published in the Brazilian media. Descriptive, theoretical and reflective study, supported on videos and journalistic articles, based on the cause and effect diagram (Ishikawa diagram) and on the risk assessment matrix, developed between February and March 2021. The causes of the decision-making of the professional in the face of a critical situation in inter-hospital care were identified., the main one being the interdiction of the road. The analysis of the risks to which the nurse and the patient were exposed allowed reflection on the importance of adequate support for professionals during inter-hospital care and a detailed planning for this situation, in order to minimize them and ensure safety for everyone involved.La complejidad de las acciones en el contexto de la atención interhospitalaria impone una serie de cuestiones éticas al enfermero, que se relacionan con la atención al cliente, el entorno laboral y los procesos organizativos. Adicionalmente, el actual estado de emergencia sanitaria, caracterizado por la pandemia COVID-19, condiciona reorganizaciones en el proceso de trabajo y un aumento de la tensión emocional de los profesionales. El objetivo de este estudio fue analizar los factores contribuyentes y riesgos asociados en el caso de la toma de decisiones por parte de una enfermera durante el traslado interhospitalario de un paciente afectado por COVID-19, publicado en los medios brasileños. Estudio descriptivo, teórico y reflexivo, soportado en videos y artículos periodísticos, basado en el diagrama de causa y efecto (diagrama de Ishikawa) y en la matriz de evaluación de riesgos, desarrollado entre febrero y marzo de 2021. Las causas para la toma de decisiones del profesional frente a una situación crítica en la atención interhospitalaria fueron identificadas, siendo la principal la interdicción de la vía. El análisis de los riesgos a los que estuvieron expuestos la enfermera y el paciente permitió reflexionar sobre la importancia de un adecuado acompañamiento a los profesionales durante la atención interhospitalaria y una planificación detallada de esta situación, con el fin de minimizarlos y garantizar la seguridad de todos los involucrados.A complexidade das ações no cenário do atendimento inter-hospitalar impõe uma série de questões éticas às enfermeiras, sendo estas relacionadas à assistência aos clientes, ao ambiente de trabalho e aos processos organizacionais. Adicionalmente, o atual estado de emergência em saúde, caracterizado pela pandemia de COVID-19 determina reorganizações no processo de trabalho e aumento da tensão emocional das profissionais. O objetivo deste estudo foi analisar os fatores contribuintes e os riscos associados no caso de tomada de decisão por uma enfermeira durante transporte inter-hospitalar de paciente acometido por COVID-19, divulgado nos meios de comunicação brasileiros. Estudo descritivo, teórico e reflexivo, a partir da análise de vídeos e matérias jornalísticas, baseado no diagrama de causa e efeito (diagrama de Ishikawa) e na matriz de avaliação de riscos, desenvolvido entre os meses de fevereiro e março de 2021. Foram identificadas as causas para a tomada de decisão da profissional diante de uma situação crítica no atendimento inter-hospitalar, sendo a principal delas a interdição da estrada. A análise dos riscos aos quais a enfermeira e o paciente ficaram expostos permitiu reflexão sobre a importância de um suporte adequado aos profissionais durante o atendimento inter-hospitalar e de um planejamento minucioso para esta situação, de maneira a minimizá-los e garantir a segurança para todos os envolvidos.Research, Society and Development2021-10-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2191910.33448/rsd-v10i14.21919Research, Society and Development; Vol. 10 No. 14; e237101421919Research, Society and Development; Vol. 10 Núm. 14; e237101421919Research, Society and Development; v. 10 n. 14; e2371014219192525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/21919/19537Copyright (c) 2021 Silvio Cesar da Conceição; Ádane Domingues Viana; Andréia da Silva Gomes Ludovico; Danielle Mandacaru Ramos; Elisa Auxiliadora da França Ribeiro; Jenny del Carmen Arcentales Herrera https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessConceição, Silvio Cesar daViana, Ádane DominguesLudovico, Andréia da Silva GomesRamos, Danielle Mandacaru Ribeiro, Elisa Auxiliadora da França Herrera , Jenny del Carmen Arcentales2021-12-04T11:48:39Zoai:ojs.pkp.sfu.ca:article/21919Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:41:13.832815Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
Factores contribuyentes y riesgos asociados en caso de toma de decisiones por parte de una enfermera durante el traslado interhospitalario de un paciente afectado por COVID-19
Fatores contribuintes e riscos associados em caso de tomada de decisão por enfermeira durante o transporte inter-hospitalar de paciente acometido por COVID-19
title Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
spellingShingle Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
Conceição, Silvio Cesar da
Cuidados de enfermageem
Transferência de clientes entre hospitais
Segurança do paciente
Tomada de decisão clínica.
Atención de enfermería
Transferencia de pacientes
Seguridad del paciente
Toma de decisiones clínicas.
Nursing care
Patient transfer
Patient safety
Clinical decision-making.
title_short Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
title_full Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
title_fullStr Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
title_full_unstemmed Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
title_sort Contributing factors and associated risks in case of decision-making by a nurse during the inter-hospital transport of a patient affected by COVID-19
author Conceição, Silvio Cesar da
author_facet Conceição, Silvio Cesar da
Viana, Ádane Domingues
Ludovico, Andréia da Silva Gomes
Ramos, Danielle Mandacaru
Ribeiro, Elisa Auxiliadora da França
Herrera , Jenny del Carmen Arcentales
author_role author
author2 Viana, Ádane Domingues
Ludovico, Andréia da Silva Gomes
Ramos, Danielle Mandacaru
Ribeiro, Elisa Auxiliadora da França
Herrera , Jenny del Carmen Arcentales
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Conceição, Silvio Cesar da
Viana, Ádane Domingues
Ludovico, Andréia da Silva Gomes
Ramos, Danielle Mandacaru
Ribeiro, Elisa Auxiliadora da França
Herrera , Jenny del Carmen Arcentales
dc.subject.por.fl_str_mv Cuidados de enfermageem
Transferência de clientes entre hospitais
Segurança do paciente
Tomada de decisão clínica.
Atención de enfermería
Transferencia de pacientes
Seguridad del paciente
Toma de decisiones clínicas.
Nursing care
Patient transfer
Patient safety
Clinical decision-making.
topic Cuidados de enfermageem
Transferência de clientes entre hospitais
Segurança do paciente
Tomada de decisão clínica.
Atención de enfermería
Transferencia de pacientes
Seguridad del paciente
Toma de decisiones clínicas.
Nursing care
Patient transfer
Patient safety
Clinical decision-making.
description The complexity involved in inter-hospital care imposes a series of ethical issues on nurses, which are related to customer care, the work environment and organizational processes. Additionally, the current state of health emergency, characterized by the COVID-19 pandemic, determines reorganizations in the work process and an increase in the emotional tension of professionals. The aim of this study was to analyze the contributing factors and associated risks in the case of decision-making by a nurse during inter-hospital transport of a patient affected by COVID-19, published in the Brazilian media. Descriptive, theoretical and reflective study, supported on videos and journalistic articles, based on the cause and effect diagram (Ishikawa diagram) and on the risk assessment matrix, developed between February and March 2021. The causes of the decision-making of the professional in the face of a critical situation in inter-hospital care were identified., the main one being the interdiction of the road. The analysis of the risks to which the nurse and the patient were exposed allowed reflection on the importance of adequate support for professionals during inter-hospital care and a detailed planning for this situation, in order to minimize them and ensure safety for everyone involved.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-31
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dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/21919
10.33448/rsd-v10i14.21919
url https://rsdjournal.org/index.php/rsd/article/view/21919
identifier_str_mv 10.33448/rsd-v10i14.21919
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/21919/19537
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 14; e237101421919
Research, Society and Development; Vol. 10 Núm. 14; e237101421919
Research, Society and Development; v. 10 n. 14; e237101421919
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
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