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Humanitude in Emergency Nursing Care

Izaquel Lopes — 2025-02-03

Introduction: Humanitude Methodology (MH), as a concept and relational strategy, is essential in the therapeutic relationship and promotion of excellence in care. which is characterized by the inclusion in nursing interventions of its pillars, that is, the word, the look, the touch and verticality.

Objective/s: To understand the perception of nurses regarding the relevance and consistency of application of MH, in care in Emergency Services (ED) in the island context of Cape Verde (CV).

Methods: Quantitative and descriptive study, using data obtained from the application of the Form “Structured Sequence of Humanitude Care Procedures (SEPCH), (Simões, et al., 2012), to a sample of 12 ED nurses.

Results: The sample constituted 34.28% of the professional universe of the CV ED, mostly female (58.3%=7), between 27 and 31 years old, residing in CV. It was found that in terms of relevance, less than half of the sample, 42.15%, marked “Not applicable”, and 2.2% of the sample considered this strategy “unimportant”. Regarding the consistency of MH application, 39.96% indicated “I always carry out”, but there is 1.5% of the sample, which indicated “I never carry out” these interventions.

Conclusion: In the CV island context, less than half of the nurses in the ED admit to recognizing the relevance and applying MH, and they admit to doing so because they believe that it promotes interpersonal relationships with users and empathy. Training on this topic is suggested, in order to promote the quality of care.

O Nurses' Role in Medication Reconciliation in Chronically Ill Patients in Ambulatory Care

Cláudia Silva — 2025-02-03

Introduction: Medication reconciliation being a process that reduces the risk of medication discrepancies, will enable better management of the chronic condition to improve the patient's quality of life and prevent complications.

Objective: To map the existing scientific evidence on the role of nurses in medication reconciliation for chronically ill patients in ambulatory care. This knowledge is essential for a more effective and adequate understanding of this phenomenon and to increase the safety and quality of care provided by nurses using evidence-based practice as a reference.

Methods: The methodology chosen was a scoping review as proposed by the Joanna Briggs Institute (JBI) and considering the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P). To define the eligibility criteria, it was followed the Population, Concept and Context (PCC) reference framework. Based on that, this review will consider studies that address the role of the nurse in medication reconciliation in the chronically ill in ambulatory care. Study selection, data extraction and synthesis will be carried out by two independent reviewers. The review will consider all studies, published and gray literature, without temporal limitations, in any language.

Results: The results will be presented in a descriptive way, using tables, considering the objective and focus of the scoping review.

Conclusion: It is expected that the results obtained will provide an overview of the importance of the nurse's role in medication reconciliation in chronically ill patients in ambulatory care.

Safety in the Preparation and Administration of Medication

Joana Vieira — 2025-02-03

Introduction: Incidents can occur at any stage of the medication circuit. Preparation and administration are critical moments, as the occurrence of an error can lead to serious consequences for the patient. An independent double-check is a complementary safety strategy that involves the verification of medication by two professionals at different times.

Objective/s: Increase safety in the preparation and administration of medication for hospitalized patients. Specific objectives: Identify incidents in medication preparation; Implement strategies that promote the safe use of medication.

Methods: An experience report on the development of a continuous improvement and patient safety project in a Portuguese hospital inpatient unit, focusing on the safety in the preparation and administration of medication. Verification was implemented and carried out by two nurses during the preparation of medication, with near-miss events identified and recorded anonymously and voluntarily by the nurses.

Results: The implementation process of this strategy was developed in three phases. The most frequent near-miss events were related to omission in the dispensing of the unit dose; incorrect dosage (including high-alert medication); incorrect timing, and medication swap.

Conclusion: Double-check of medication allowed for the identification and correction of near-miss events, proving to be a good practice to promote patient safety.

Aspiration of secretions from the non-ventilated person

Beatriz Melo — 2025-02-11

Introduction: Airway obstruction (OVA) is one of the main causes of accidental death. Secretion suction is a method used to remove secretions from the oropharynx, nasopharynx and other regions of the airway by applying negative pressure using a suction probe. This procedure is recommended to ensure airway patency is maintained in order to favour pulmonary gas exchange and adequate oxygenation. However, there is still limited knowledge about the interventions to be implemented to perform secretion suction, such as the clinical indications, the pressure to be used, the caliber of the probe and the time the procedure should take.

Objective/s: To identify and map the scientific evidence available on the suction of secretions on people suffering from airway obstruction, that makes it possible to carry out a descriptive synthesis on the state of the art of this procedure.

Methods: A Scoping Review will be carried out according to the JBI methodology for Scoping Reviews, using the strategy of searching peer-reviewed online databases (CINAHL EBSCO, PubMed, Cochrane Library, JBI Database Systematic Reviews & Implementation Reports) and gray literature (RCAAP and CAPES Thesis Database), from 1996 to 2022. Two researchers will independently analyze and extract the data for an appropriate descriptive and quantitative statistical analysis.