Competências do enfermeiro de terapia intensiva com foco na segurança do paciente: revisão de escopo
DOI:
https://doi.org/10.5902/2179769285618Palavras-chave:
Competência Clínica, Competência Profissional, Segurança do Paciente, Unidades de Terapia Intensiva, Enfermagem de Cuidados CríticosResumo
Objetivo: identificar competências que permitam avaliar o enfermeiro de unidade de terapia intensiva adulto, com foco na segurança do paciente. Método: revisão de escopo em que foram incluídos artigos sem limitação temporal e de idiomas com a temática competência do enfermeiro em terapia intensiva e segurança do paciente. Dois revisores realizaram a leitura dos estudos na íntegra, de forma independente. Resultados: foram incluídos 34 estudos e identificados os seguintes grupos de competências: Competências gerais, Observação e julgamento clínico, Pensamento crítico, Gerenciamento de Recursos, Segurança do paciente, Gerenciamento do cuidado, Habilidades de trabalho em equipe, e Conhecimentos teóricos. Conclusão: avaliação criteriosa dos pacientes, uso de evidências científicas, tomada de decisão, cuidado centrado no paciente, habilidades técnicas e não técnicas, comunicação, liderança, e planejamento do cuidado foram citados como competências essenciais ao enfermeiro de terapia intensiva com foco na segurança do paciente.
Downloads
Referências
Zaitoun RA, Said NB, Tantillo L. Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nurs. 2023;22(1):173. doi: 10.1186/s12912-023-01305-w. DOI: https://doi.org/10.1186/s12912-023-01305-w
Habibi Soola A, Ajri-Khameslou M, Mirzaei A, Bahari Z. Predictors of patient safety competency among emergency nurses in Iran: a cross-sectional correlational study. BMC Health Serv Res. 2022;22(1):547. doi: 10.1186/s12913-022-07962-y. DOI: https://doi.org/10.1186/s12913-022-07962-y
Hafezi A, Babaii A, Aghaie B, Abbasinia M. The relationship between patient safety culture and patient safety competency with adverse events: a multicenter cross-sectional study. BMC Nurs. 2022;21(1):292. doi: 10.1186/s12912-022-01076-w. DOI: https://doi.org/10.1186/s12912-022-01076-w
Willman A, Bjuresater K, Nilsson J. Newly graduated nurses' clinical competencies and need for further training in acute care hospitals. J Clin Nurs. 2020;29(13-14):2209-20. doi: 10.1111/jocn.15207. DOI: https://doi.org/10.1111/jocn.15207
Baid H, Hargreaves J. Quality and safety: reflection on the implications for critical care nursing education. Nurs Crit Care. 2015;20(4):174-82. doi: 10.1111/nicc.12182. DOI: https://doi.org/10.1111/nicc.12182
Correio RAPPV, Vargas MAO, Carmagnani MIS, Ferreira ML, Luz KR. Desvelando competências do enfermeiro de terapia intensiva. Enferm Foco. 2015;6(1/4):46-50. doi: 10.21675/2357-707X.2015.v6.n1/4.576. DOI: https://doi.org/10.21675/2357-707X.2015.v6.n1/4.576
Goldsworthy S, Kleinpell R, Williams G. International Best practices in critical care nursing 2nd edition [Internet]. Sydney (AU): World Federation of Critical Care Nurse; 2023 [cited 2024 Jan 01]. Available from: https://wfccn.org/ebook/
Nabizadeh-Gharghozar Z, Alavi NM, AjorpazJ NM. Clinical competence in nursing: a hybrid concept analysis. Nurse Educ Today. 2021;97:104728. doi: 10.1016/j.nedt.2020.104728. DOI: https://doi.org/10.1016/j.nedt.2020.104728
Pursio K, Kankkunen P, Sanner-Stiehr E, Kvist T. Professional autonomy in nursing: an integrative review. J Nurs Manag. 2021;29:1565-77. doi: 10.1111/jonm.13282. DOI: https://doi.org/10.1111/jonm.13282
Chen F, Liu Y, Wang X, Dong H. Transition shock, preceptor support and nursing competency among newly graduated registered nurses: a cross-sectional study. Nurse Educ Today. 2021;102:104891. doi: 10.1016/j.nedt.2021.104891. DOI: https://doi.org/10.1016/j.nedt.2021.104891
Henriques SH, Soares MI, Leal LA. Avaliação da aplicabilidade da versão portuguesa de um questionário de competências para enfermeiros hospitalares. Texto Contexto Enferm. 2018;27(3):e2140017. doi: 10.1590/0104-070720180002140017 DOI: https://doi.org/10.1590/0104-070720180002140017
Okumura M, Ishigaki T, Mori K, Fujiwara Y. Personality traits affect critical care nursing competence: a multicentre cross-sectional study. Intensive Crit Care Nurs. 2022;68:103128. doi: 10.1016/j.iccn.2021.103128. DOI: https://doi.org/10.1016/j.iccn.2021.103128
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020. doi: 10.46658/JBIMES-20-01.
Peters MDJ, Godfrey C, Mclnerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. In: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for evidence synthesis. JBI; 2020. Chapter 10; p. 408-46. doi: 10.46658/JBIMES-20-01. DOI: https://doi.org/10.46658/JBIMES-20-01
Alastalo M, Salminen L, Jeon Y, Vahlberg T, Leino-Kilpi H. Critical care nurses’ self‐assessed patient observation skills: a cross‐sectional survey study. Nurs Crit Care. 2019;24(5):268-75. doi: 10.1111/nicc.12412. DOI: https://doi.org/10.1111/nicc.12412
Alastalo M, Salminen L, Vahlberg T, Leino-Kilpi H. Knowledge of patient observation among critical care nurses. Nurs Crit Care. 2021;26:341-51. doi: 10.1111/nicc.12573. DOI: https://doi.org/10.1111/nicc.12573
Ali-Abadi T, Babamohamadi H, Nobahar M. Critical thinking skills in intensive care and medical-surgical nurses and their explaining factors. Nurse Educ Pract. 2020;45:102783. doi: 10.1016/j.nepr.2020.102783. DOI: https://doi.org/10.1016/j.nepr.2020.102783
Ballangrud R, Persenius M, Hedelin B, Hall-Lord ML. Exploring intensive care nurses’ team performance in a simulation-based emergency situation, - expert raters’ assessments versus self-assessments: an explorative study. BMC Nurs. 2014;13(47). doi: 10.1186/s12912-014-0047-5. DOI: https://doi.org/10.1186/s12912-014-0047-5
Hwang J. What are hospital nurses’ strengths and weaknesses in patient safety competence? Findings from three Korean hospitals. Int J Qual Health Care. 2015;27(3):232-8. doi: 10.1093/intqhc/mzv027. DOI: https://doi.org/10.1093/intqhc/mzv027
Okumura M, Ishigaki T, Mori K, Fujiwara Y. Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: a cross-sectional study. PLoS One. 2019;14(11):e0225668. doi: 10.1371/journal.pone.0225668. DOI: https://doi.org/10.1371/journal.pone.0225668
Shinnick MA, Woo MA. Validation of time to task performance assessment method in simulation: a comparative design study. Nurse Educ Today. 2018;64:108-14. doi: 10.1016/j.nedt.2018.02.011. DOI: https://doi.org/10.1016/j.nedt.2018.02.011
Shouryabi AA, Ghahrisarabi A, Anboohi SZ, Nasiri M, Rassouli M. Psychometric properties of the Persian version of the Intensive and Critical Care Nursing Competence Scale version-1 (ICCN-CS-1). Electron Physician. 2017;9(11):5785-92. doi: 10.19082/5785. DOI: https://doi.org/10.19082/5785
Wei W, Niu Y, Ge X. Core competencies for nurses in Chinese intensive care units: a cross-sectional study. Nurs Crit Care. 2019;24(5):276-82. doi: 10.1111/nicc.12398. DOI: https://doi.org/10.1111/nicc.12398
Armstrong GE, Dietrich M, Norman L, Barnsteiner J, Mion L. Nursesʼ perceived skills and attitudes about updated safety concepts. J Nurs Care Qual. 2017;32(3):226-33. doi: 10.1097/NCQ.0000000000000226. DOI: https://doi.org/10.1097/NCQ.0000000000000226
Zuriguel-Pérez E, Falcó-Pegueroles A, Roldán-Merino J, Agustino-Rodriguez S, Gómez-Martín MC, Lluch-Canut MT. Development and psychometric properties of the nursing critical thinking in clinical practice questionnaire. Worldviews Evid Based Nurs. 2017;14(4):257-64. doi: 10.1111/wvn.12220. DOI: https://doi.org/10.1111/wvn.12220
Lakanmaa RL, Suominen T, Perttilä J, Ritmala-Castrén M, Vahlberg T, Leino-Kilpi H. Basic competence in intensive and critical care nursing: development and psychometric testing of a competence scale. J Clin Nurs. 2014;23(5-6):799-810. doi: 10.1111/jocn.12057. DOI: https://doi.org/10.1111/jocn.12057
Fisher MJ, Marshall AP, Kendrick TS. Competency standards for critical care nurses: do they measure up? Aust J Adv Nurs. 2005 Jun-Aug;22(4):32-9. DOI: https://doi.org/10.37464/2005.224.1964
Hadjibalassi M, Papastavrou E, Lambrinou E, Tsangari H, Athini E, Georgiou E, et al. Development of an instrument to determine competencies of postgraduate ICU nurses in Cyprus. Nurs Crit Care. 2012;17(5)255-64. doi: 10.1111/j.1478-5153.2012.00503.x. DOI: https://doi.org/10.1111/j.1478-5153.2012.00503.x
Sharafi RA, Ghahramanian A, Sheikhalipour Z, Ghafourifard M, Ghasempour M. Improving the safety and quality of the intra‐hospital transport of critically ill patients. Nurs Crit Care. 2020;26(4):244-52. doi: 10.1111/nicc.12527. DOI: https://doi.org/10.1111/nicc.12527
Bergman L, Pettersson M, Chaboyer W, Carlström E, Ringdal M. Improving quality and safety during intrahospital transport of critically ill patients: a critical incident study. Aust Crit Care. 2020 Jan;33(1):12-9. doi: 10.1016/j.aucc.2018.12.003. DOI: https://doi.org/10.1016/j.aucc.2018.12.003
Bray K, Wren I, Baldwin A, St Ledger U, Gibson V, Goodman S, et al. Standards for nurse staffing in critical care units determined by: The British Association of Critical Care Nurses, The Critical Care Networks National Nurse Leads, Royal College of Nursing Critical Care and In-flight Forum. Nurs Crit Care. 2010;15(3):109-11. doi: 10.1111/j.1478-5153.2010.00392.x. DOI: https://doi.org/10.1111/j.1478-5153.2010.00392.x
Häggström M, Bergsman AC, Månsson U, Holmström MR. Learning to manage vasoactive drugs - a qualitative interview study with critical care nurses. Intensive Crit Care Nurs. 2017;39:1-8. doi: 10.1016/j.iccn.2016.09.002. DOI: https://doi.org/10.1016/j.iccn.2016.09.002
Hazlehurst B, Mcmullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76(1):S129-35. doi: 10.1016/j.ijmedinf.2006.06.005. DOI: https://doi.org/10.1016/j.ijmedinf.2006.06.005
Henriksen KF, Hansen BS, Wøien H, Tønnessen S. The core qualities and competencies of the intensive and critical care nurse, a meta-ethnography. J Adv Nurs. 2021;77(12):4693-710. doi: 10.1111/jan.15044. DOI: https://doi.org/10.1111/jan.15044
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in Intensive Care Units. Am J Crit Care. 2009;18(2):106-13. doi: 10.4037/ajcc2009487. DOI: https://doi.org/10.4037/ajcc2009487
Kleinpell R. Evidence-based review and discussion points. Am J Crit Care. 2009;18(2):115-6. doi: 10.4037/ajcc2009271. DOI: https://doi.org/10.4037/ajcc2009271
Lee SY, Chang CY. Nursing management of the critical thinking and care quality of ICU nurses: a cross-sectional study. J Nurs Manag. 2022;30(7):2889-96. doi: 10.1111/jonm.13591. DOI: https://doi.org/10.1111/jonm.13591
Leonardsen AC, Gulbrandsen T, Wasenius C, Fossen LT. Nursing perspectives and strategies in patients with respiratory insufficiency. Nurs Crit Care. 2022;27(1):27-35. doi: 10.1111/nicc.12555. DOI: https://doi.org/10.1111/nicc.12555
Zolnierek CD, Steckel CM. Negotiating safety when staffing falls short. Crit Care Nurs Clin North Am. 2010;22(2):261-9. doi: 10.1016/j.ccell.2010.03.014. DOI: https://doi.org/10.1016/j.ccell.2010.03.014
Galley J, O'Riordan B; Royal College of Nursing. Guidance for nurse staffing in critical care. Intensive Crit Care Nurs. 2003;19(5):257-9. doi: 10.1016/s0964-3397(03)00077-6. DOI: https://doi.org/10.1016/S0964-3397(03)00077-6
Zuriguel-Pérez E, Falcó-Pegueroles A, Agustino-Rodríguez S, Gómez-Martín MC, Roldán-Merino J, Lluch-Canut MT. Clinical nurses's critical thinking level according to sociodemographic and professional variables (Phase II): a correlational study. Nurse Educ Pract. 2019;41:102649. doi: 10.1016/j.nepr.2019.102649. DOI: https://doi.org/10.1016/j.nepr.2019.102649
Lakanmaa RL, Suominen T, Perttilä J, Puukka P, Leino-Kilpi H. Competence requirements in intensive and critical care nursing - still in need of definition? A Delphi study. Intensive Crit Care Nurs. 2012;28(6):329-36. doi: 10.1016/j.iccn.2012.03.002. DOI: https://doi.org/10.1016/j.iccn.2012.03.002
Dunn SV, Lawson D, Robertson S, Underwood M, Clark R, Valentine T, et al. The development of competency standards for specialist critical care nurses. J Adv Nurs. 2000;31(2):339-46. doi: 10.1046/j.1365-2648.2000.01292. DOI: https://doi.org/10.1046/j.1365-2648.2000.01292.x
Scholes J, Endacott R. The practice competency gap: challenges that impede the introduction of national core competencies. Nurs Crit Care. 2003;8(2):68-77. doi: 10.1046/j.1478-5153.2003.00008.x. DOI: https://doi.org/10.1046/j.1478-5153.2003.00008.x
Deacon KS, Baldwin A, Donnelly KA, Freeman P, Himsworth AP, Kinoulty SM, et al. The national competency framework for registered nurses in adult critical care: an overview. J Intensive Care Soc. 2017;18(2):149-56. doi: 10.1177/1751143717691985. DOI: https://doi.org/10.1177/1751143717691985
Alastalo M, Salminen L, Lakanmaa RL, Leino-Kilpi H. Seeing beyond monitors-Critical care nurses' multiple skills in patient observation: descriptive qualitative study. Intensive Crit Care Nurs. 2017;42:80-7. doi: 10.1016/j.iccn.2017.03.004. DOI: https://doi.org/10.1016/j.iccn.2017.03.004
Bench S, Crowe D, Day T, Jones M, Wilebore S. Developing a competency framework for critical care to match patient need. Intensive Crit Care Nurs. 2003;19(3):136-42. doi: 10.1016/S0964-3397(03)00030-2. DOI: https://doi.org/10.1016/S0964-3397(03)00030-2
Ääri RL, Tarja S, Helena LK. Competence in intensive and critical care nursing: a literature review. Intensive Crit Care Nurs. 2008;24(2):78-89. doi: 10.1016/j.iccn.2007.11.006. DOI: https://doi.org/10.1016/j.iccn.2007.11.006
Almeida FM, Azevedo RCS, Reiners AAO, Alexandre RMS. The clinical judgment of nurses in fall risk assessment. Geriatr Gerontol Aging. 2018;12(4):189-95. doi: 10.5327/Z2447-211520181800046. DOI: https://doi.org/10.5327/Z2447-211520181800046
Morais SCRV, Nunes JGP, Lasater K, Barros ALBL, Carvalho EC. Confiabilidade e validade da Lasater Clinical Judgment Rubric - Brazilian Version. Acta Paul Enferm. 2018;31(3). doi: 10.1590/1982-0194201800038. DOI: https://doi.org/10.1590/1982-0194201800038
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Revista de Enfermagem da UFSM

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Este trabalho está licenciado sob uma Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.