Maziero Eliane Cristina Sanches, Cruz Elaine Drehmer de Almeida, Alpendre Francine Taporosky, Brandão Marilise Borges, Teixeira Fabiana Ferreira Rodrigues, Krainski Elias Teixeira
Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brasil.
Universidade Federal do Paraná, Departamento de Enfermagem, Curitiba, PR, Brasil.
Rev Esc Enferm USP. 2020 Oct 19;54:e03623. doi: 10.1590/S1980-220X2019017203623. eCollection 2020.
To investigate the association between intensive nursing staff's work conditions and the occurrence of adverse events in patients.
Evaluative documentary study conducted in six public neonatal and pediatric Intensive Care Units from hospitals in Paraná state, from April 2017 to January 2018. The predictive variables concerning staff sizing and work environment were measured through the instruments Nursing Activities Score and Brazilian Nursing Work Index-Revised. The thirty adverse events corresponded to the outcome variable and were detected using the instruments Pediatric and Neonatal Trigger Tool.
Two-hundred and three professionals participated in this research. The nursing staff sizing was verified to be appropriate. Work conditions were favorable and Cronbach's Alpha was 0.90 (IC= 0.87 - 0.92). The most frequently detected events in patients were infection and skin lesion. The statistical analysis of correlation and adverse event occurrence was not significant.
Despite the lack of evidence on statistical significance between the variables, the results reveal commitment by the public sector and professionals with patient safety and assistance quality.
探讨重症护理人员的工作条件与患者不良事件发生之间的关联。
2017年4月至2018年1月，在巴拉那州各医院的六个公共新生儿和儿科重症监护病房进行评估性文献研究。通过护理活动评分和巴西护理工作指数修订版工具来测量有关人员规模和工作环境的预测变量。30起不良事件作为结果变量，使用儿科和新生儿触发工具进行检测。
203名专业人员参与了本研究。经核实，护理人员规模适当。工作条件良好，克朗巴哈系数为0.90（置信区间=0.87 - 0.92）。在患者中最常检测到的事件是感染和皮肤损伤。相关性与不良事件发生的统计分析无显著意义。
尽管变量之间缺乏统计学显著性的证据，但结果显示了公共部门和专业人员对患者安全和护理质量的承诺。
