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Advisor(s)
Abstract(s)
Introdução: O enfermeiro do serviço de urgência (SU) é o profissional que mais
tempo passa junto do doente, realizando frequentemente procedimentos forenses para
recolher, documentar, preservar e armazenar vestígios que possam ser usadas como prova
pericial e relevância médico-legal.
Objetivo: Determinar o nível de conhecimentos e de exequibilidade de práticas dos
enfermeiros dos SU de um centro hospitalar da região centro de Portugal, na recolha e
preservação de vestígios forenses.
Métodos: Estudo quantitativo, descritivo-correlacional, em coorte transversal, numa
amostra de 118 enfermeiros de SU. Aplicou-se o questionário com a escala “preservação de
vestígios forenses: conhecimentos e práticas dos enfermeiros em serviços de urgência”
(PVFCPESU).
Resultados: Verificados valores percentuais mais elevados nos níveis razoáveis de
conhecimentos, destacando-se 67,0% nos procedimentos referentes às vítimas de acidente
de viação, seguindo-se as lesões resultantes de violência física e vítimas de arma branca
(54,0%); 51,0% apresentam razoáveis conhecimentos na recolha e preservação de vestígios
forenses, 25,0% fracos conhecimentos e 24,0% bons conhecimentos. Valores percentuais
mais elevados, para a razoável exequibilidade, destacando-se as lesões resultantes de
violência física (55,0%), vítimas de arma branca e de acidentes de viação (54,0%); fraca e
boa exequibilidade de práticas perante as vítimas de asfixia e no total da exequibilidade
(25,0%, respetivamente).
Conclusão: Verificou-se que os enfermeiros dos SU apresentam níveis razoáveis de
conhecimentos e de exequibilidade de práticas na recolha e preservação de vestígios
forenses, sendo o tempo de exercício de enfermagem e desta no SU, variáveis preditoras
dos conhecimentos e da exequibilidade de práticas forenses.
Palavras-chave: Enfermagem médico-cirúrgica; enfermagem forense; vestígios forenses;
serviço de urgência
Abstract Introduction: Nurses working in the emergency rooms (ER) work closer with the patient than any other type of health professional, frequently collecting, documenting, preserving and storing traces that can be used in trial. Objective: To determine the level of knowledge perception and practices of nurses in the (ER) from a hospital in the center of Portugal in collecting and preserving forensic trace materials. Methods: Descriptive, cross-sectional quantitative study with a sample of 118 nurses working in the (ER). A questionnaire was made and applied: “forensic trace preservation: knowledge and practices of nurses in the (ER)”. Results: The highest percentual values within the average knowledge levels stood out with 67% in procedures related to car accident victims, followed over by wounds resulting from physical violence and stab wound victims (54%); 51% presented reasonable knowledge in collecting and preserving forensic traces, 25% had low knowledge and 24% showed high knowledge. High percentual values towards reasonable feasibility, standing out physical trauma (55%), stab wound victims and car accident victims (54%); low and high practice feasibility towards asphyxia victims and in total feasibility (25%, respectively). Conclusions: The questioned nurses reported reasonable knowledge of forensic trace retrieval and preservation. Time working as nurses and time working in the (ER) are variables that change the knowledge and feasibility in collecting and preserving forensic traces. Keywords: Cirurgical nursing; forensic nursing; forensic traces; emergency room.
Abstract Introduction: Nurses working in the emergency rooms (ER) work closer with the patient than any other type of health professional, frequently collecting, documenting, preserving and storing traces that can be used in trial. Objective: To determine the level of knowledge perception and practices of nurses in the (ER) from a hospital in the center of Portugal in collecting and preserving forensic trace materials. Methods: Descriptive, cross-sectional quantitative study with a sample of 118 nurses working in the (ER). A questionnaire was made and applied: “forensic trace preservation: knowledge and practices of nurses in the (ER)”. Results: The highest percentual values within the average knowledge levels stood out with 67% in procedures related to car accident victims, followed over by wounds resulting from physical violence and stab wound victims (54%); 51% presented reasonable knowledge in collecting and preserving forensic traces, 25% had low knowledge and 24% showed high knowledge. High percentual values towards reasonable feasibility, standing out physical trauma (55%), stab wound victims and car accident victims (54%); low and high practice feasibility towards asphyxia victims and in total feasibility (25%, respectively). Conclusions: The questioned nurses reported reasonable knowledge of forensic trace retrieval and preservation. Time working as nurses and time working in the (ER) are variables that change the knowledge and feasibility in collecting and preserving forensic traces. Keywords: Cirurgical nursing; forensic nursing; forensic traces; emergency room.
Description
Keywords
Ciências forenses - métodos Conhecimentos, atitudes e prática em saúde Competência clínica Enfermagem forense Enfermagem médico cirúrgica Manuseamento de amostras Serviço de urgência hospitalar Unidades de cuidados intensivos Clinical competence Emergency service, hospital Forensic nursing Forensic sciences - methods Health knowledge, attitudes, practice Intensive care units Medical surgical nursing Specimen handling