Fatores relacionados com o conhecimento dos enfermeiros do serviço de urgência sobre via verde trauma
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2021-03-23
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Enquadramento: Este relatório surge no âmbito do Mestrado em Enfermagem da Pessoa em Situação Crítica, pretendendo descrever as competências desenvolvidas e apresentar o estudo realizado acerca do conhecimento dos enfermeiros de um serviço de urgência, sobre a Via Verde Trauma. O trauma é uma importante causa de mortalidade e morbilidade em todo o mundo, incluindo Portugal. O conhecimento do enfermeiro assume-se como fundamental, sendo um fator decisivo na determinação do sucesso da abordagem e consequente sobrevida do doente. Objetivos: O principal objetivo deste estudo consiste em explorar os fatores relacionados com o conhecimento dos enfermeiros do serviço de urgência geral de um centro hospitalar da região norte do país sobre Via Verde Trauma (VVT) Métodos: Estudo descritivo-correlacional, transversal e de abordagem quantitativa, com uma amostra de 52 enfermeiros do no serviço de urgência de adultos de um centro hospitalar da região norte. A recolha de dados foi suportada num questionário elaborado para o efeito (ad hoc). O tratamento de dados foi feito com recurso ao Statistical Package for the Social Sciences (SPSS) versão 22.0., com recurso às estatísticas descritiva e inferencial. Resultados: Amostra maioritariamente feminina (67,3%), no grupo etário dos 25-40 anos (65,4%), destacando-se os que se situam no nível de Perito (≥5 anos de serviço) (92,3%). A quase totalidade dos enfermeiros da amostra (98,1%) assinalou que a VVT se encontra implementada no serviço, com prestação de cuidados ao doente no âmbito da VVT em 10 ou mais ativações. A média da pontuação do conhecimento sobre VVT foi de pontos 66,83±13,07. O conhecimento sobre VVT difere significativamente entre os enfermeiros da amostra com diferente categoria profissional, que detinham ou não uma especialidade e com diferente nº de ativações de VVT (t: p< 0,000), com a média mais elevada a ser obtida pelos enfermeiros que possuíam maior categoria, detinham uma especialidade e possuíam mais de 10 ativações na VVT. Conclusão: A realização deste estágio permitiu-nos o desenvolvimento de competências preconizadas para o Enfermeiro Especialista em Enfermagem Médico Cirúrgica na área da Pessoa em Situação crítica. Identificamos como fatores relacionados com o conhecimento dos enfermeiros sobre VVT, a categoria profissional, o tempo de exercício profissional no atual serviço, a detenção pelos enfermeiros de uma especialização na área da enfermagem médicocirúrgica e a experiência dos enfermeiros na ativação da VVT. Concluímos que a experiência profissional, a experiência de ativação da VVT e a formação especializada podem ter contribuído para aumentar o conhecimento sobre VVT destes enfermeiros.
Background: This report appears in the context of the Master’s Degree in Nursing for People in Critical Situation, aiming to describe the skills developed and present the study carried out on the knowledge of nurses in an emergency service, on Via Verde Trauma. Trauma is an important cause of mortality and morbidity worldwide, including Portugal. The knowledge of the nurse is assumed to be fundamental, being a decisive factor in determining the success of the approach and consequent patient survival. Objectives: The main objective of this investigation is to explore the factors related to the knowledge of nurses in the general emergency service of a hospital in the North of the country about Via Verde Trauma (VVT) and its evaluation and treatment algorithms. As specific objectives: Methods: Descriptivecorrelational, cross-sectional study with a quantitative approach, with a sample of 52 nurses from the adult emergency department of a hospital in the northern region. Data collection was supported by a questionnaire designed for this purpose (ad hoc). Data processing was performed using the Statistical Package for the Social Sciences (SPSS) version 22.0., Using descriptive and inferential statistics. Results: Mostly female sample (67.3%), in the 25-40 age group (65.4%), with emphasis on those who are at the Expert level (≥5 years of service) (92.3%). Almost all of the nurses in the sample (98.1%) indicated that VVT is implemented in the service, with the provision of care to the patient under VVT in 10 or more activations. The average score of knowledge about VVT was 66.83 ± 13.07 points. Knowledge about VVT differs significantly among nurses in the sample with a different professional category, who did or did not have a specialty and with a different number of VVT activations (t: p <0.000), with the highest average to be obtained by nurses who had higher category, had a specialty and had more than 10 activations in VVT. Conclusion: The completion of this internship allowed us to develop the competences recommended for the Nurse Specialist in Medical Nursing in the area of People in Critical Situation. We identified as factors related to the nurses' knowledge about VVT, the professional category, the time of professional practice in the current service, the nurses' holding of a specialization in the field of medical-surgical nursing and the nurses' experience in activating the VVT. We conclude that the professional experience, the experience of activating the VVT and specialized training may have contributed to increase the knowledge about VVT of these nurses.
Background: This report appears in the context of the Master’s Degree in Nursing for People in Critical Situation, aiming to describe the skills developed and present the study carried out on the knowledge of nurses in an emergency service, on Via Verde Trauma. Trauma is an important cause of mortality and morbidity worldwide, including Portugal. The knowledge of the nurse is assumed to be fundamental, being a decisive factor in determining the success of the approach and consequent patient survival. Objectives: The main objective of this investigation is to explore the factors related to the knowledge of nurses in the general emergency service of a hospital in the North of the country about Via Verde Trauma (VVT) and its evaluation and treatment algorithms. As specific objectives: Methods: Descriptivecorrelational, cross-sectional study with a quantitative approach, with a sample of 52 nurses from the adult emergency department of a hospital in the northern region. Data collection was supported by a questionnaire designed for this purpose (ad hoc). Data processing was performed using the Statistical Package for the Social Sciences (SPSS) version 22.0., Using descriptive and inferential statistics. Results: Mostly female sample (67.3%), in the 25-40 age group (65.4%), with emphasis on those who are at the Expert level (≥5 years of service) (92.3%). Almost all of the nurses in the sample (98.1%) indicated that VVT is implemented in the service, with the provision of care to the patient under VVT in 10 or more activations. The average score of knowledge about VVT was 66.83 ± 13.07 points. Knowledge about VVT differs significantly among nurses in the sample with a different professional category, who did or did not have a specialty and with a different number of VVT activations (t: p <0.000), with the highest average to be obtained by nurses who had higher category, had a specialty and had more than 10 activations in VVT. Conclusion: The completion of this internship allowed us to develop the competences recommended for the Nurse Specialist in Medical Nursing in the area of People in Critical Situation. We identified as factors related to the nurses' knowledge about VVT, the professional category, the time of professional practice in the current service, the nurses' holding of a specialization in the field of medical-surgical nursing and the nurses' experience in activating the VVT. We conclude that the professional experience, the experience of activating the VVT and specialized training may have contributed to increase the knowledge about VVT of these nurses.
Descrição
Relatório de Estágio apresentado à Universidade de Trás-os-Montes e Alto Douro para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem da Pessoa em Situação Crítica
Palavras-chave
Trauma , Via Verde Trauma