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- Safety culture in the context of operating room: nurses' perception regarding notification of errors/adverse eventsPublication . Vinagre, Teresa; Marques, RitaThe notification of errors/adverse events is one of the central aspects for the quality of care and patient safety. The purpose of this pilot study is to analyse the safety culture of the operating room in relation to the errors/adverse events and their notification, in the nurses’ perception. It is a quantitative, descriptive-exploratory pilot study. A survey “Nurses’ Perception regarding Notification of Errors/Adverse Events” was applied, consisting of 8 closed questions to an intentional non-probabilistic sample consisting of 43 nurses working in the operating room of a private hospital in Lisbon. The results showed that only 51.2% of the adverse events that caused damage to patients were always notified by the nurses. Of the various adverse events occurred, 60.5% were not reported, justified by “lack of time”. There was also a negative correlation between professional experience and the frequency of error notification (p < .05). The factors referred as those that contributed most to the occurrence of errors were, pressure to work quickly (100.0%), lack of human resources (86.0%), demotivation (86.0%), professional inexperience and hourly overload (83.7%), lack of knowledge (74.4%) and communication failures (65.1%). The perception of Patient Safety was assessed by the majority of participants as “acceptable”. In conclusion, it was evident the reduced notification of adverse events in the operation room so it becomes crucial to focus on the continuous training of health professionals, as well as work on the error, to increase a safety culture with quality.
- EXERCITAR A ESPERANÇA (Volume II) - Um Guia Prático Promotor de Esperança nos Cuidadores de Pessoas com Doença Crónica AvançadaPublication . Marques, Rita; Querido, Ana; Dixe, Maria dos Anjos
- A satisfação dos estudantes de enfermagem com as práticas clínicas simuladasPublication . Marques, Rita; Néné, Manuela; Santos Silva, Isabel; Mendes, Carla Silva; Sales, Leila; Lucas, IsabelEnquadramento: As práticas clínicas simuladas, designadas por experiências clínicas simuladas ou simulação, são um processo formativo dinâmico e desafiador que decorre em ambiente controlado com recurso a cenários que recriam a realidade clínica. Objetivo: Estudar a satisfação dos estudantes de enfermagem com as práticas clínicas simuladas. Metodologia: Estudo descritivo-correlacional de abordagem quantitativa, com uma amostra de 223 estudantes de enfermagem. Aplicada a Escala de Satisfação com as Experiências Clínicas Simuladas (ESECS), constituída pelas dimensões: prática, cognitiva e realismo. Resultados: A satisfação média global com as práticas clínicas simuladas, foi de 7,501 na escala de 1–10. As características sociodemográficas, ano curricular e conteúdos, não foram preditivos da satisfação. Os estudantes apresentam-se em média mais satisfeitos na dimensão cognitiva e menos satisfeitos na dimensão realismo. Conclusão: Os estudantes apresentam-se satisfeitos com as práticas clínicas simuladas percecionando a sua importância para a aprendizagem, na aquisição de competências e maior capacidade de resposta no ensino clínico em contexto real. Tal reforça a pertinência do investimento, teórico, científico e prático, nesta estratégia de ensino.
- Strategies for an effective safety culture and prevent errors in nursing: literature reviewPublication . Vinagre, Teresa; Marques, RitaIntroduction and objective: safety culture is increasingly linked to the quality of care, being crucial for the prevention of errors in health. It is intended to identify which strategies for an effective safety culture and to prevent errors in Nursing. Methodology: Review of the literature. The study includes the analysis of articles found in: CINAHL, MEDLINE, Nursing & Allied Health Collection, Cochrane Database of Systematic Reviews, B-ON e SCIELO. Sample consists of 12 articles. Results: Teamwork and communication were referred in 75% of the studies as key measures; 66.7% reinforce the importance of notification of errors; 58.3% argue that the training/continuous improvement is essential; 33.3% consider the global perception of safety and the importance of trust in leaders as effective methods; 25% alert to the importance of the feedback of errors to health professionals. Conclusion: Teamwork and communication were identified as the most significant strategies, following the notification of errors and training/continuous improvement. In the analyzed articles was identified a direct relationship of the existence of a safety culture with the reduction of adverse events in health care and the need to make the system more secure, instead of trying to change the human condition.
- Delirium: intervenciones de enfermería en el adulto hospitalizado – una revisión bibliográficaPublication . Bento, Marta Sofia Pão-Mole; Marques, Rita; Sousa, Patricia PontíficeEl delirio es un síndrome neuropsiquiátrico, caracterizado por un trastorno agudo de la atención y de la cognición, de etiología multifactorial. Tiene una elevada prevalencia en la población mayor y se trata de un indicador de mal pronóstico. Incita a un impacto negativo, conduciendo a un deterioro de la calidad de vida de la persona.
- EXERCITAR A ESPERANÇA (Volume I) - Um Guia Prático Promotor de Esperança nas Pessoas com Doença Crónica AvançadaPublication . Querido, Ana; Marques, Rita; Dixe, Maria dos Anjos
- Strategies for nursing care of critically ill multicultural patients: A scoping reviewPublication . Mihu, Loredana; Marques, Rita Margarida Dourado; Sousa, Patrícia PontificeBackground: In society, people live in a social reality where multiculturalism is an increasingly relevant and prevalent topic in their contexts. Facing this, caring for multicultural patients in an emergency service or intensive care unit setting requires a high level of cultural competence due to the complexity, vulnerability of the patient, rapid changes in hemodynamic status, involvement of the family, their informational needs. Objective: To map the strategies for nursing care of critically ill multicultural patients. Method: A Scoping Review was conducted following the Joanna Briggs Institute's recommendations, with the research question: What are the strategies for nursing care of critically ill multicultural patients? The study was guided by PRISMA. The research was conducted through the EBSCOHost platform, SciELO, Portugal's Open Access Scientific Repository, the Virtual Health Library and a search in grey literature. This was achieved by combining the descriptors DECS/MESH: cultural competence; critical care; emergency room; intensive care; and natural words: cultural care; nurs* interventions; nurs* strategies; within the time frame from 2012 to 2024. The study screening was performed by three independent reviewers through the reading of titles, abstracts and full texts, applying exclusion criteria. The study results were then subjected to content analysis, from which categories emerged. Results: The selected articles highlight various strategies that contribute to the improvement of nursing care for critically ill multicultural patients, focusing on care practice and cultural diversity training for both nurses and nursing students. Conclusion: Nurses with cultural competence possess more knowledge and strategies to provide tailored care for multicultural critically ill patients, thereby enhancing the quality of care delivered and contributing to the humanization of healthcare. Relevance to Clinical Practice: Nurses need to have knowledge of existing strategies for caring for multicultural critically ill patients. Patient or Public Contribution: No direct patient or public contribution to the review.