Avaliação do método Situation-Background-Assessment-Recommendation na transferência de pacientes da unidade de terapia intensiva

Dávila Rodrigues de Lima; Dayane dos Reis Araújo Rocha Holanda; Herbert Kauan Alves Martins; Camilo Reuber de Sousa Soares; Cristina Poliana Rolim Saraiva dos Santos; Viviane Martins da Silva

doi:10.36517/2175-6783.20252695479

Autores

Dávila Rodrigues de Lima Universidade Federal do Ceará https://orcid.org/0000-0002-5534-2249
Dayane dos Reis Araújo Rocha Holanda Universidade Federal do Ceará https://orcid.org/0000-0002-1902-5019
Herbert Kauan Alves Martins Secretaria de Saúde do Estado do Ceará https://orcid.org/0000-0003-1952-2960
Camilo Reuber de Sousa Soares Universidade Estadual do Ceará https://orcid.org/0000-0003-1183-2489
Cristina Poliana Rolim Saraiva dos Santos Universidade Federal do Ceará https://orcid.org/0000-0001-9643-0264
Viviane Martins da Silva Universidade Federal do Ceará https://orcid.org/0000-0002-8033-8831

DOI:

https://doi.org/10.36517/2175-6783.20252695479

Palavras-chave:

Equipe de Enfermagem; Cuidados Críticos; Transferência de Pacientes; Sistemas de Comunicação no Hospital; Segurança do Paciente.

Resumo

Objetivo: avaliar o preenchimento da ferramenta Situation-Background-Assessment-Recommendation na transferência de pacientes da unidade de terapia intensiva para enfermarias. Métodos: estudo de corte transversal. Foram analisados prontuários de pacientes transferidos da unidade de terapia intensiva para as enfermarias. Para a análise de dados, foram mensuradas as frequências absolutas e percentuais, média e desvio-padrão. Foram aplicados o teste exato de Fisher e o teste de Wilcoxon. Resultados: foram incluídos 60 prontuários. Observou-se que informações importantes, como sinais vitais, presença de dispositivos invasivos e avaliação clínica, frequentemente não eram registradas. A maioria dos pacientes transferidos apresentava condições complexas como sepse e múltiplas comorbidades, o que esteve relacionado a pendências na alta. Conclusão: revelou-se que o preenchimento da ferramenta Situation-Background-Assessment-Recommendation durante a transferência de pacientes da Unidade de Terapia Intensiva para as enfermarias apresenta lacunas, principalmente nos campos relacionados aos sinais vitais, dispositivos invasivos e pendências assistenciais. Esses campos foram os que apresentaram maior frequência de registros incompletos ou ausentes nas avaliações realizadas. Contribuições para a prática: os achados contribuem para a prática clínica ao sinalizar pontos específicos que precisam de atenção, possibilitando que as equipes de enfermagem identifiquem e corrijam falhas nos processos de comunicação.

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