Omissão dos cuidados de enfermagem em unidade de terapia intensiva

Ana Paula Moro Bertoni; Glaucia Fagundes; Bruno de Souza Luchtenberg; Vitoria Rosa Amaral; Josemar Batista

doi:10.36517/2175-6783.20252695197

Autores/as

Ana Paula Moro Bertoni Centro Universitário Santa Cruz de Curitiba https://orcid.org/0000-0002-7987-1962
Glaucia Fagundes Centro Universitário Santa Cruz de Curitiba https://orcid.org/0009-0007-4573-0057
Bruno de Souza Luchtenberg Centro Universitário Santa Cruz de Curitiba https://orcid.org/0009-0005-9004-2304
Vitoria Rosa Amaral Centro Universitário Santa Cruz de Curitiba https://orcid.org/0009-0000-3547-7667
Josemar Batista Centro Universitário Santa Cruz de Curitiba https://orcid.org/0000-0001-9838-1232

DOI:

https://doi.org/10.36517/2175-6783.20252695197

Palabras clave:

Cuidados de Enfermagem; Unidades de Terapia Intensiva; Gestão de Riscos; Segurança do Paciente; Qualidade da Assistência à Saúde.

Resumen

Objetivo: analisar a prevalência da omissão dos cuidados de enfermagem em unidade de terapia intensiva, segundo a categoria profissional e os turnos de trabalho. Métodos: estudo transversal, realizado em uma unidade crítica de um hospital de ensino, com aplicação do instrumento Missed Nursing Care Survey–Brasil, à 38 trabalhadores da enfermagem. Os dados foram analisados por estatística descritiva e inferencial; p≤0,05 indicou significância. Resultados: o cuidado mais omitido foi a deambulação do paciente três vezes ao dia ou conforme prescrito. Recursos laborais e materiais foram as principais razões para a omissão, sem diferença estatística entre categorias profissionais e turnos de trabalho. A participação em discussões com a equipe interdisciplinar apresentou diferença entre enfermeiros e técnicos de enfermagem (p=0,027). Constatou-se menor omissão da equipe de enfermagem do período diurno em quatro cuidados (p≤0,05). Conclusão: evidenciou-se elevada prevalência de omissão de cuidados de enfermagem, com diferenças nos itens omitidos entre enfermeiros e técnicos e entre os turnos de trabalho. Contribuições para a prática: os achados colaboram para planejar ações prioritárias que devem ser incorporadas na construção do plano de segurança do paciente e na necessidade de expandir pesquisas sobre o efeito das horas trabalhadas por turno na omissão da assistência de enfermagem.

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