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Advisor(s)
Abstract(s)
Introdução: Este Relatório Final foi realizado no âmbito da unidade curricular Estágio
com Relatório Final em contexto de Urgência e em contexto de Cuidados Intensivos, integrada
no 7º Curso de Mestrado em Enfermagem Médico-Cirúrgica (CMEMC), da Escola Superior de
Saúde de Viseu (ESSV), do Instituto Politécnico de Viseu (IPV).
Objetivos: Fazer uma reflexão crítica aos estágios desenvolvidos, e mapear a ocorrência
de subtriagem e sobretriagem nos serviços de urgência de adultos com aplicação do Sistema de
Triagem de Manchester através da elaboração de uma revisão scoping.
Métodos: Para o desenvolvimento deste relatório foi utilizada a metodologia descritiva
e a revisão scoping foi realizada tendo por base o método proposto pela Joanna Bringgs
Institute e escrita de acordo com o Prefered Reporting Items for Systematic reviews and Meta Analyses Extension for Scoping Reviews (PRISMA – ScR).
Resultados: Foram várias as áreas de interesse que surgiram ao longo destes estágios,
nomeadamente a área da gestão, controlo de infeção e prevenção de quedas. Para a revisão
scoping foram incluídos 6 artigos, sendo que todos descrevem a ocorrência de sobretriagem ou
subtriagem.
Conclusões: Com a realização destes estágios foi possível o desenvolvimento de
conhecimentos, competências e habilidades nas áreas da gestão, gestão de cuidados,
investigação, gestão da qualidade e controlo de infeção. Com a revisão Scoping foi possível
comprovar a existência de subtriagem e sobretriagem e que estes fenómenos comprometem a
segurança do doente que recorre ao serviço de urgência e foi submetido a triagem pelo STM.
Palavras – chave: Serviço de Urgência; Unidade de Cuidados Intensivos; Gestão;
Sobretriagem; Subtriagem; Sistema de triagem de Manchester.
ABSTRACT Introduction: This Final Report was made as part of the curricular unit called Internship with Final Report in the context of Emergency and Intensive Care, integrated in the 7th Master's Course of Medical-Surgical Nursing (CMEMC), of the Escola Superior de Saúde de Viseu (ESSV), of the Instituto Politécnico de Viseu (IPV). Aim: To reflect on the projects developed, and to map the existence of under-triage and over-triage in adult emergency services with the application of the Manchester Triage System. Methods: For the development of this report, a descriptive methodology was used and the scoping review was performed based on the method suggested by Joanna Bringgs Institute and written according to the Prefered Reporting Items for Systematic reviews and Meta Analyses Extension for Scoping Reviews (PRISMA – ScR). Results: Several areas of interest have emerged throughout these internships, namely management, infection control, fall prevention, and Manchester Triage System. Six articles for review were included, all of which describe the occurrence of over-triage/or under-triage. Conclusions: With these internships it was possible to develop knowledge, skills and abilities in the areas of management, care management, investigation, management and infection control. It was possible to prove the existence of under-triage and over-triage that these phenomena affect the safety of the patient resorting to the emergency service and undergoing MTS. Keywords: Emergency Service; Intensive Care Unit; Management; Over - triage; Under - triage; Manchester Triage System.
ABSTRACT Introduction: This Final Report was made as part of the curricular unit called Internship with Final Report in the context of Emergency and Intensive Care, integrated in the 7th Master's Course of Medical-Surgical Nursing (CMEMC), of the Escola Superior de Saúde de Viseu (ESSV), of the Instituto Politécnico de Viseu (IPV). Aim: To reflect on the projects developed, and to map the existence of under-triage and over-triage in adult emergency services with the application of the Manchester Triage System. Methods: For the development of this report, a descriptive methodology was used and the scoping review was performed based on the method suggested by Joanna Bringgs Institute and written according to the Prefered Reporting Items for Systematic reviews and Meta Analyses Extension for Scoping Reviews (PRISMA – ScR). Results: Several areas of interest have emerged throughout these internships, namely management, infection control, fall prevention, and Manchester Triage System. Six articles for review were included, all of which describe the occurrence of over-triage/or under-triage. Conclusions: With these internships it was possible to develop knowledge, skills and abilities in the areas of management, care management, investigation, management and infection control. It was possible to prove the existence of under-triage and over-triage that these phenomena affect the safety of the patient resorting to the emergency service and undergoing MTS. Keywords: Emergency Service; Intensive Care Unit; Management; Over - triage; Under - triage; Manchester Triage System.
Description
Keywords
Acidentes por quedas Avaliação de risco Infeção cruzada - prevenção e controle Revisão Serviço de urgência hospitalar Triagem Unidades de cuidados intensivos Accidental falls Cross infection - prevention and control Emergency service, hospital Intensive care units Review Risk assessment Triagem