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Advisor(s)
Abstract(s)
Introdução: No seu quotidiano profissional, os enfermeiros depararam-se com a necessidade
de realizar o transporte inter-hospitalar da pessoa em situação crítica, estes têm de estar
preparados para certificar a segurança do doente durante todas as fases do transporte e
prestar-lhe cuidados de qualidade.
Objetivo: Verificar quais as estratégias para a operacionalização das transferências interhospitalares
urgentes da pessoa em situação crítica no setor público empresarial com
assistência de enfermeiro.
Métodos: Estudo quantitativo, descritivo-correlacional, com foco transversal. Numa amostra
constituída por 421 enfermeiros. Aplicado como instrumento de recolha de dados um
questionário ad hoc.
Resultados: Os resultados revelam que, na sua prática profissional, nos últimos doze meses,
69,1% dos enfermeiros efetuou transferências inter-hospitalares urgentes, 58,1% referiram
que nem todos os enfermeiros da equipa realizam as transferências; 56,1% enfermeiros
indicaram que a equipa ficou sempre com o número de enfermeiros mínimo a assegurar a
prestação dos cuidados, enquanto 43,9% referiram que nem sempre; 39,9% dos enfermeiros
utilizaram muito frequentemente, o score de avaliação de risco para as transferências interhospitalares
urgentes, com 23,5% a relatarem que nunca foi realizada esta avaliação.
Segundo 25,4% enfermeiros, na transição de cuidados, nunca foi utilizada a técnica de
comunicação ISBAR; para 80,0% as transferências inter-hospitalares não são
operacionalizadas por uma equipa do Hospital/Centro Hospitalar constituída exclusivamente
para esse efeito; 76,7% sentem necessidade de formação especializada na área das
transferências inter-hospitalares da pessoa em situação crítica.
Conclusão: Ficou demonstrado que não existe uma uniformidade para operacionalizar as
transferências inter-hospitalares.
Palavras-chave: Transferências inter-hospitalares urgentes; Enfermeiro; Pessoa em situação
crítica.
Abstract Introduction: In their daily professional practice, nurses are faced with the need to perform the inter-hospital transport of critically ill patients, they must be prepared to ensure the patient's safety during all phases of the transport and provide quality care. Objective: To verify which are the strategies for the operationalization of urgent inter-hospital transfers in the public business sector with nurse assistance. Methods: Quantitative, descriptive-correlational study with a cross-sectional focus. In a sample composed of 421 nurses. An ad hoc questionnaire was applied as data collection instrument. Results: The results reveal that, in their professional practice, in the last twelve months, 69.1% of the nurses performed urgent inter-hospital transfers, 58.1% reported that not all nurses of the team perform the transfers; 56.1% of the nurses, in the last twelve months, indicated that the team always had the minimum number of nurses to ensure the provision of care, while 43.9% reported that was not; 39.9% of the nurses used very often, the risk assessment score for urgent inter-hospital transfers, with 23.5% reporting that this assessment was never performed. According to 25.4% of the nurses, the ISBAR communication technique was never used; for 80.0% inter-hospital transfers are not carried out by a hospital/hospital center team set up exclusively for this purpose; 76.7% feel the need for specialized training in the area of inter-hospital transfers of critically ill patients. Conclusion: It was shown that there is no uniformity in the operationalization of inter-hospital transfers. Keywords: Urgent inter-hospital transfers; Nurse; Critically ill patients.
Abstract Introduction: In their daily professional practice, nurses are faced with the need to perform the inter-hospital transport of critically ill patients, they must be prepared to ensure the patient's safety during all phases of the transport and provide quality care. Objective: To verify which are the strategies for the operationalization of urgent inter-hospital transfers in the public business sector with nurse assistance. Methods: Quantitative, descriptive-correlational study with a cross-sectional focus. In a sample composed of 421 nurses. An ad hoc questionnaire was applied as data collection instrument. Results: The results reveal that, in their professional practice, in the last twelve months, 69.1% of the nurses performed urgent inter-hospital transfers, 58.1% reported that not all nurses of the team perform the transfers; 56.1% of the nurses, in the last twelve months, indicated that the team always had the minimum number of nurses to ensure the provision of care, while 43.9% reported that was not; 39.9% of the nurses used very often, the risk assessment score for urgent inter-hospital transfers, with 23.5% reporting that this assessment was never performed. According to 25.4% of the nurses, the ISBAR communication technique was never used; for 80.0% inter-hospital transfers are not carried out by a hospital/hospital center team set up exclusively for this purpose; 76.7% feel the need for specialized training in the area of inter-hospital transfers of critically ill patients. Conclusion: It was shown that there is no uniformity in the operationalization of inter-hospital transfers. Keywords: Urgent inter-hospital transfers; Nurse; Critically ill patients.
Description
Keywords
Competência profissional Cuidados críticos Doença crítica Enfermagem médico cirúrgica Enfermeiros Transferência de doentes Urgências Critical care Critical illness Emergencies Medical surgical nursing Nurses Patient transfer Professional competence