Nursing team’s perceptions of preparation and administration of medicines in pediatrics <b>
Abstract
Objective: to analyze the nursing team’s perceptions of preparation and administration of medicines in pediatrics. Method: qualitative study conducted in the pediatric clinic of a public hospital. Twenty nursing professionals were interviewed by using guiding questions about the medication administration process in their workplace and factors that contribute to medication errors. The interviews were recorded and later transcribed. The results were categorized according to content analysis and the theoretical framework was patient safety. Results: the categories that have been identified are medication-related work process; poor health work conditions; medication system: medical prescription; and medication-related protocols. Medical prescription has been pointed out as one of the factors that lead to medication errors, in addition to interruption during the preparation and administration of medicines and the absence of a protocol on specific care in pediatrics. Situations such as professional overload, conflicts, lack of materials, and poor physical structure have been noticed in the medication process in pediatrics. Conclusion: the nursing team’s perceptions have shown the need for spaces of dialogue within the multiprofessional team and greater management commitment and involvement in the search for safe patient care.
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References
Brasil. Ministério da saúde. Documento de referência para o Programa Nacional de Segurança do Paciente. 2014 [citado em 2019 Mai]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf.
Institute of medicine. To err is human: Building a safer health system. 2000 [citado em 2019 Jan ]. Disponível em: http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf.
Valle MMF, Cruz EDA, Santos T. Medication incidents in an outpatient emergency service: documental analysis. Rev. esc. enferm. USP. 2017; 51: 03271. doi: https://doi.org/10.1590/s1980-220x2016033303271.
Organização Pan-americana da Saúde. OMS lança esforço global para reduzir pela metade os erros relacionados à medicação em cinco anos. 2017 [citado em 2019 Mai]. Disponível :<https://www.paho.org/bra/index.php?option=com_content&view=article&id=5384:oms-lanca-esforco-global-para-reduzir-pela-metade-os-erros-relacionados-a-medicacao-em-cinco-anos&Itemid=838.
Marra VN, Sette ML (coord.). Guia Curricular de Segurança do Paciente da Organização Mundial da Saúde: edição multiprofissional. 2016 [citado em 2019 Mai ]. Rio de Janeiro: Autografia. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/44641/9788555268502por.pdf;jsessionid=084BD6CB1695415FF47CB311D47B5FE8?sequence=32.
Baraki Z, Abay M, Tsegay L, Gerensea H, Kebede A, Teklay H. Medication administration error and contributing factors among pediatric inpatient in public hospitals of Tigray, northern Ethiopia. BMC Pediatr. 2018; 18(1):321. doi: https://doi.org/10.1186/s12887-018-1294-5.
Alomaria A, Wilson V, Solman A, Bajorek B, Tinsley P. Pediatric nurses’ perceptions of medication safety and medication error: a mixed methods study. Compr. Child Adolesc. Nurs. 2018; 41(2):94-110. doi: https://doi.org/10.1080/24694193.2017.1323977.
Magalhães AMM, Moura GMSS, Pasin SS, Funcke LB, Pardal BM, Kreling A. The medication process, workload and patient safety in inpatient units. Rev. Esc. Enferm. USP. 2015; 49(Esp):43-50. doi: https://doi.org/10.1590/S0080-623420150000700007.
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
Ribeiro AC, Silva KJMM, Ribeiro LS, Andrade RKI, Rocha RPS, Lima YN. Dimensioning of nursing personnel for intensive therapy: contradictions between the regulated and what is done. Cienc. Cuid. Saude. 2017; 16(4):1-8. doi: https://doi.org/10.4025/cienccuidsaude.v%vi%i.37880.
Machado MH (coord.). Perfil da enfermagem no Brasil. [on-line] 2017 [citado em 2019 Mai]. Rio de Janeiro: NERHUS: DAPS:ENSP/Fiocruz. Disponível em: http://www.cofen.gov.br/perfilenfermagem/pdfs/relatoriofinal.pdf.
Mororó DDS, Enders BC, Lira ALBC, Silva CMB, Menezes RMP. Concept analysis of nursing care management in the hospital context. Acta Paul. Enferm. 2017; 30(3):323-332. doi: https://doi.org/10.1590/1982-0194201700043.
Alves DFS, Guirardello EB. Nursing work environment, patient safety and quality of care in pediatric hospital. Rev. Gaúcha Enferm. 2016; 37(2): e58817. doi: https://doi.org/10.1590/1983-1447.2016.02.58817.
Chaves CMP, Lima FET, Fernandes AFC, Matias EO, Araújo PR. Assessment of the preparation and administration of oral medications to institutionalized children. Rev. Bras. Enferm. 2018; 71(Suppl 3):1388-1394. doi: https://doi.org/10.1590/0034-7167-2017-0197.
Souza TLV, Mota RO, Brito EAWS, Farias LMVC, Matias EO, Lima FET. Patient safety in the administration of intramuscular. medication in pediatrics: assessment of the nursing practice. Rev. Gaúcha Enferm. 2018 ; 39: e2017-0002. doi: https://doi.org/10.1590/1983-1447.2018.2017-0002.
Rodrigues CCFM, Santos VEP, Sousa P. Patient safety and nursing: interface with stress and Burnout Syndrome. Rev. Bras. Enferm. 2017; 70(5):1083-1088. doi: https://doi.org/10.1590/0034-7167-2016-0194.
Padilha KG, Barbosa RL, Andolhe R, Oliveira EM, Ducci AJ, Bregalda RS, et al. Nursing workload, stress/burnout, satisfaction and incidents in a trauma intensive care units. Texto contexto - enferm. 2017; 26(3):e1720016. doi: http://dx.doi.org/10.1590/0104-07072017001720016.
Costa DB, Ramos D, Gabriel CS, Bernardes A. Patient safety culture: evaluation by nursing professional. Texto contexto - enferm. 2018; 27(3):e2670016. doi: https://doi.org/10.1590/0104-070720180002670016.
Carollo JB, Andolhe R, Magnago TSBS, Dalmolin GL, Kolankiewicz ACB. Medication related incidents in a chemotherapy outpatients unit. Acta paul. enferm. 2017 ; 30(4):428-434. doi: https://doi.org/10.1590/1982-0194201700063.
Alghamdi AA, Keers RN, Sutherland A, Ashcroft DM. Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. Drug Saf. 2019; 42(12):1423-1436. doi: https://doi.org/ 10.1007/s40264-019-00856-9.
Santos PS, Bernardes A, Vasconcelos RMA, Santos RS. Relação entre médicos e enfermeiros do hospital regional de Cáceres Dr. Antônio Fontes: a perspectiva do enfermeiro. Revista Ciência e Estudos Acadêmicos de Medicina. 2015; 4:10-28. Disponível em: https://periodicos.unemat.br/index.php/revistamedicina/article/view/911/895
Brasil. Ministério da Saúde. Entendendo a incorporação de tecnologias em saúde no SUS. 2016 [citado em 2019 Mai]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/entendendo_incorporacao_tecnologias_sus_envolver.pdf.
Brasil. Portaria N° 529 de 1° de abril de 2013. Institui o Programa Nacional de Segurança do Paciente. 2013 [citado em 2016 Ago]. Dísponivel em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html.
Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distractions and interruptions in a surgical room: perception of nursing staff. Esc. Anna Nery. 2018; 22(4): e20180042. doi: http://dx.doi.org/10.1590/2177-9465-ean-2018-0042.
Gaiva MAM, Souza JS. Medication administration errors in neonatal intensive care units. Cienc. Cuid Saude. 2015; 14(3): 1330-1338. doi: https://doi.org/10.4025/cienccuidsaude.v14i3.25445
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