RESUMEN
Delayed surgical recovery is a phenomenon of global concern that affects the results and costs of postoperative care. The aim of this study was to verify the accuracy of the defining characteristics of the diagnosis of delayed surgical recovery in patients after the fifth day in postoperative care. A cross-sectional observational study was conducted with 72 surgical patients to measure sensitivity, specificity, positive and negative predictive values, positive likelihood ratios and negative odds ratios. Diagnoses and the area under the ROC curve were analysed to investigate the diagnostic accuracy of each defining characteristic. Most patients were male (65.3%) with an average length of education of 17.4 years (SD = 1.88) and a mean age of 57.39 years (SD = 16.04), and 55 (76.4%) had the diagnosis of delayed surgical recovery. The variable time after surgery showed a statistical relationship with the diagnosis of delayed surgical recovery (p = .012). Seven characteristics showed high positive predictive values: postpones resumption of work/employment activities, fatigue, perception of needing more time to recover, requiring help to complete self-care, report of discomfort, evidence of interrupted healing of the surgical area, and difficulty in moving about. The only factor in the study that was associated with the diagnosis was postoperative surgical site infection (p = .028).
Asunto(s)
Competencia Clínica/normas , Pruebas Diagnósticas de Rutina/normas , Enfermería Posanestésica/normas , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/enfermería , Adulto , Anciano , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las PruebasRESUMEN
This is a descriptive study based on the theory of human error, in order to analyze and classify nursing errors during the nursing care of surgical patients at recovery. Twenty-five (25) fault reports were collected through a semi-structured interview. Those reports were submitted to 15 nurse experts to evaluate the risk of seriousness; human, equipment and organizational factors involved; members interaction; information and reversibility of the accident. Faults were directly attributed to psychosocial and organizational aspects, equipment and seriousness. A multidimensional scaling test (MDS) was applied and a graph was obtained. It showed four groups of faults, due to problems related to sensory-motor, procedure, abstraction and supervision control. In conclusion, the faults were caused by non-defined personnel roles, continuing education deficiency, non-systematic observation, inadequate space and equipment.
Asunto(s)
Errores Médicos/estadística & datos numéricos , Enfermería Posanestésica/normas , Cuidados Posoperatorios/enfermería , Humanos , Errores Médicos/clasificaciónRESUMEN
The quality in patient assistance concern has been more constant than the high complexity of patient treatment needed in an anaesthetic recovery room. Thinking that is necessary to have assurance and efficiency in any evaluation, which has to consider all endocrine and metabolic variations resulting from patient surgical trauma, may be suggested the standardization and criterization of evaluation methods to patient assistance, and of course the validation of them.
Asunto(s)
Evaluación en Enfermería/métodos , Enfermería Posanestésica/métodos , Humanos , Evaluación en Enfermería/normas , Investigación en Evaluación de Enfermería , Enfermería Posanestésica/normas , Garantía de la Calidad de Atención de Salud , Sala de Recuperación , Reproducibilidad de los ResultadosRESUMEN
Neste trabalho os autores propöem validar os padröes de assitência de enfermagem em recuperaçäo anestésica para posterior implementaçäo e validaçäo. A proposta de validaçäo dos padröes de assistência de enfermagem significa a continuidade do compromisso de um trabalho iniciado com alunos de curso de especializaçäo, do qual obtivemos a sua elaboraçäo. A elaboraçäo dos padröes de enfermagem em recuperaçäo anestésica constitui-se numa tentativa de encaminhamento de soluçöes para uma área definida de necessidade na Unidade de Centro Cirúrgico. Entendemos que a validaçäo dos padröes já propostos em trabalho anterior seja o passo inicial para o desencadeamento da sua implementaçäo.