Aging and fall prevention: overview of the nursing team of a Transition Hospital

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8566

Keywords:

Accidental Falls; Nursing; Aging; Patient Safety; Hospital Care.

Abstract

Objective: to describe a view of the nursing staff of a transitional hospital on the prevention and occurrence of falls in the elderly. Method: This is a qualitative, descriptive study carried out in a transitional hospital located in the city of Niterói - RJ, Brazil. Thirty-three nursing professionals participated in the study, of which there are seven nurses and twenty-six nursing technicians through semi-structured audio taped interviews that, after transcription, were submitted to Bardin's thematic analysis. Results: after analysis, three categories emerged: the experience of professionals with falls; the specific knowledge of professionals about falls and the performance of professionals after the falls incident. Conclusion: It was identified that the professionals know preventive measures for falls but expressed the need for educational actions on protocols and scales for assessing the risk of falls in the elderly.

Author Biographies

Emanoele Amaral Machado, Universidade Federal Fluminense

Graduated in Nursing from Centro Universitário Plínio Leite (2011). Specialist in high complexity UGF (2012) and Gerontological Nursing UFF (2019). Master student PACCS. He is currently a member of the interdisciplinary research group teaching and technology and innovation in health (GIPETIS / cnpq) at Universidade Federal Fluminense. She worked as a nurse at Hospital Placi extensive care. They have experience in the field of Nursing, with an emphasis on Gerontology, working mainly on the following topics: patient safety and patient-centered care. Consultant in the area of ​​patient safety and currently an audit nurse at Orizon.

Fátima Helena do Espírito Santo, Universidade Federal Fluminense

Nurse. Graduated from Universidade Federal Fluminense. Master and Doctorate in Nursing from UFRJ; Post Doctorate by UERJ, Residency in Medical Surgical Nursing at UERJ, Specialist in Education in the Health Area by NUTES / UFRJ. Permanent Professor of the Professional Master's Degree in Nursing Assistance, Permanent Professor of the Health Care Sciences Program.

Maria de Nazaré de Souza Ribeiro, Universidade Federal do Amazonas

Nurse graduated from UFAM; Specialist in Hospital Administration; Public Health Specialist; Specialist in Gerontology and Health of the Elderly; Specialist in Nursing in Intensive Care and High Complexity; Master in Food Sciences at UFAM; PhD in Sciences (Human Geography) from USP. She is currently an emergency nurse at the Health Superintendence of Amazonas; Adjunct Professor at the School of Health Sciences at the State University of Amazonas; Vice coordinator and Professor of the Professional Master's Program in Public Health Nursing; Coordinator of the Specialization Course in Cardiovascular Nursing.

Zenith Rosa Silvino, Universidade Federal Fluminense

Nurse. PhD in Nursing. Full Professor, Department of Fundamentals of Nursing and Administration, Aurora de Afonso School of Nursing Costa / UFF. Coordinator of the Professional Master in Nursing Care. Niterói - RJ. Brazil.

Rachel da Silva Serejo Cardoso, Universidade Federal Fluminense

Nurse. PhD student and Master in Health Care Sciences (PACCS / UFF), Specialist in Neonatal Nursing (UGF) and Family Health (UFF). She is currently Professor of Undergraduate Nursing in Universidade Estácio de Sá (UNESA), Nursing Instructor in the National Service of Commercial Learning (SENAC / RJ).

Eric Gustavo Ramos Almeida, Universidade Estácio de Sá

Nurse. Specialist in CCIH (UGF). MBA Quality Management (UNESA). Director Previse consulting and services.

Joelinton dos Santos Aranha, Universidade Federal Fluminense

Nurse. Specialist in dermatological nursing. Nursing coordinator at Hospital Placi - costly care. Niterói, RJ.

References

Agência Nacional de Vigilância Sanitária (BR). (2013). Gerência de Vigilância e Monitoramento em Serviços de Saúde. Gerência Geral de Tecnologia em Serviços de Saúde. Assistência segura: uma reflexão teórica aplicada à prática. Brasília: Anvisa; 2013. Recuperado de: de: http://www20.anvisa.gov.br/segurancadopaciente/images/documentos/ livros/ Livro1-Assistencia_Segura.pdf.

Araújo, M. A. N., Filho, W. D. L., Silveira, R. S., Souza, J. C., Barlem, E. L. D., & Teixeira, N. S. (2017). Segurança do Paciente na visão de enfermeiros: uma questão multiprofissional. Enferm. Foco, 8(1), 52-56. Recuperado de: file:///C:/Users/WINDOWS/Downloads/984-3159-1-PB.PDF

Bardin, L. (2016). Análise de Conteúdo. São Paulo: Edições 70.

Brasil. Agência Nacional de Vigilância Sanitária. (2013b). Protocolo para prevenção de quedas. Brasília. Recuperado de: file:///C:/Users/WINDOWS/AppData/Local/Packages/ Microsoft.MicrosoftEdge_8wekyb3d8bbwe/TempState/Downloads/protoc_prevencaoQuedas.pdf.

Brasil. Ministério da Saúde. (2013a). Portaria n. 529, 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Diário Oficial da União. 2013. Recuperado de: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html

Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. (2019). Relatório nacional de incidentes relacionados à assistência à saúde Boletim Segurança do Paciente e Qualidade em Serviços de Saúde. Brasília. Recuperado de: https://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/category/relatorios

Cabral, J. V. B., Silva, C. M. S., Bisbo, D. J. S., & Silva, E. M. (2016). Fatores de Risco para quedas em idosos hospitalizados. Holos, (l)3, 328-337. doi: https://doi.org/10.15628/holos.2016.2668.

Dias, J. D., Mekaro, K. S., Tibes, C. M. S., & Zem-Mascarenhas. (2014). Compreensão de enfermeiros sobre segurança do paciente e erros de medicação. Rev Min Enferm. 18(4), 866-873. doi. 10.5935/1415-2762.20140064

Falcão, R. M. M., Costa, K. N. F. M., Fernandes, M. G. M., Pontes, M. L. F., Vasconcelos, J.M.B., & Oliveira, J.S. (2019). Risco de quedas em pessoas idosas hospitalizadas. Rev Gaúcha Enferm. 40(esp), 2018-266. doi: https://doi.org/10.1590/1983- 1447.2019.20180266

GIL, A. C. (2017). Como elaborar projetos de pesquisa. 6 ed. - São Paulo: Atlas.

Magalhães, F. H. L., Pereira, I. C. A., Luiz, R. B., Barbosa, M. H., & Ferreira, M. B. G. (2019). Clima de segurança do paciente em um hospital de ensino. Rev Gaúcha Enferm, 40(esp), -272. Recuperado de: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472019000200406&lng=pt.

Mendes, I. C., Santos, S. M. S., Junior, J. C. L., Santos, M. M. S., Barreto, J. A. P., & Silva, K. T., et al. (2020). Índice de quedas em idosos assistidos por uma Estratégia Saúde da Família de Juazeiro do Norte/Ceará. Research, Society and Development, (9) 8, e537986038. doi: http://dx.doi.org/10.33448/rsd-v9i8.6038.

Paixão D P S, Batista J, Maziero E C S, Alpendre F T, Amaya M R, & Cruz E D A. (2018). Adesão aos protocolos de segurança do paciente em unidades de pronto atendimento. Rev Bras Enferm. 71(supl1), 622-9. doi. 10.1590/0034-7167-2017-0504

Rafter N, Hickey A, Conroy R M, Condell S, Connor P, Vaughan D, Walsh G, & Williams D J. (2016). The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study. BMJ Who Saf. doi:10.1136/bmjqs-2015-00446.

Sagawa R, Silva A L B C, Lima J C, Bezerra A L, Costa N N, Sousa R G, & Gimenes F R. (2019). Análise de circunstâncias notificáveis: incidentes que podem comprometer a segurança do paciente. Cogitare enferm, 24: e61984. doi: 10.5380/ce.v24i0.61984

Sainsbury P, & Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. (2007). Int J Qual Health Care. Dec 19 (6):239-57. Retirado de: https://www.equator-network.org/reporting-guidelines/coreq/

Yu-Chun Wang , Ming-Yueh Chou, Chih-Kuang Liang, Li-Ning Peng, Liang-Kung Chen, & Ching-Hui Loh. (2019). Post-Acute Care as a Key Component in a Healthcare System for Older Adults. AGMR.; 23 (2). doi: doi.org/10.4235/agmr.19.0009

Published

26/09/2020

How to Cite

MACHADO, E. A. .; SANTO, F. H. do E. .; RIBEIRO, M. de N. de S. .; SILVINO, Z. R. .; CARDOSO, R. da S. S. .; ALMEIDA, E. G. R. .; ARANHA, J. dos S. . Aging and fall prevention: overview of the nursing team of a Transition Hospital. Research, Society and Development, [S. l.], v. 9, n. 10, p. e2749108566, 2020. DOI: 10.33448/rsd-v9i10.8566. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/8566. Acesso em: 25 jun. 2022.

Issue

Section

Health Sciences