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Modeling of adult patient falls and the repercussions to Nursing as a second victim

OBJECTIVE: analyze the falls of adult hospitalized patients and their repercussions on the Nursing worker as the second victim. METHOD: an exploratory, descriptive and qualitative study conducted in two stages - identification of falls with moderate to severe damage and the modeling of falls using t...

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Autores principales: de Quadros, Deise Vacario, de Magalhães, Ana Maria Müller, Wachs, Priscila, Severo, Isis Marques, Tavares, Juliana Petri, Dal Pai, Daiane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9342907/
https://www.ncbi.nlm.nih.gov/pubmed/35920541
http://dx.doi.org/10.1590/1518-8345.5830.3618
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author de Quadros, Deise Vacario
de Magalhães, Ana Maria Müller
Wachs, Priscila
Severo, Isis Marques
Tavares, Juliana Petri
Dal Pai, Daiane
author_facet de Quadros, Deise Vacario
de Magalhães, Ana Maria Müller
Wachs, Priscila
Severo, Isis Marques
Tavares, Juliana Petri
Dal Pai, Daiane
author_sort de Quadros, Deise Vacario
collection PubMed
description OBJECTIVE: analyze the falls of adult hospitalized patients and their repercussions on the Nursing worker as the second victim. METHOD: an exploratory, descriptive and qualitative study conducted in two stages - identification of falls with moderate to severe damage and the modeling of falls using the software Functional Resonance Analysis Method; and analysis of the repercussions on the worker as the second victim by means of semi-structured interviews submitted to Content Analysis, with 21 Nursing workers. RESULTS: a total of 447 falls of adult patients were identified, 12 of which with moderate to severe damage, occurred in the absence of the companion, while using sleep inducing, hypotensive or muscle strength altering medications. The modeling identified 22 functions related to the Standard Operating Procedure, to the fall prevention protocol and to the post-event actions. Of these, eight presented variability in their execution. In the second step, the categories “The complexity of care to prevent falls” and “Feelings of the second victim” emerged. CONCLUSION: falls are complex phenomena and prevention requires involvement of the patient, family and multi-professional team. The professionals involved are second victims and experience feelings of guilt, fear, anguish and helplessness. This study can contribute to the multi-professional spirit and to the early approach to second victims.
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spelling pubmed-93429072022-08-12 Modeling of adult patient falls and the repercussions to Nursing as a second victim de Quadros, Deise Vacario de Magalhães, Ana Maria Müller Wachs, Priscila Severo, Isis Marques Tavares, Juliana Petri Dal Pai, Daiane Rev Lat Am Enfermagem Original Article OBJECTIVE: analyze the falls of adult hospitalized patients and their repercussions on the Nursing worker as the second victim. METHOD: an exploratory, descriptive and qualitative study conducted in two stages - identification of falls with moderate to severe damage and the modeling of falls using the software Functional Resonance Analysis Method; and analysis of the repercussions on the worker as the second victim by means of semi-structured interviews submitted to Content Analysis, with 21 Nursing workers. RESULTS: a total of 447 falls of adult patients were identified, 12 of which with moderate to severe damage, occurred in the absence of the companion, while using sleep inducing, hypotensive or muscle strength altering medications. The modeling identified 22 functions related to the Standard Operating Procedure, to the fall prevention protocol and to the post-event actions. Of these, eight presented variability in their execution. In the second step, the categories “The complexity of care to prevent falls” and “Feelings of the second victim” emerged. CONCLUSION: falls are complex phenomena and prevention requires involvement of the patient, family and multi-professional team. The professionals involved are second victims and experience feelings of guilt, fear, anguish and helplessness. This study can contribute to the multi-professional spirit and to the early approach to second victims. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2022-08-01 /pmc/articles/PMC9342907/ /pubmed/35920541 http://dx.doi.org/10.1590/1518-8345.5830.3618 Text en https://creativecommons.org/licenses/by/4.0/Este é um artigo publicado em acesso aberto sob uma licença Creative Commons
spellingShingle Original Article
de Quadros, Deise Vacario
de Magalhães, Ana Maria Müller
Wachs, Priscila
Severo, Isis Marques
Tavares, Juliana Petri
Dal Pai, Daiane
Modeling of adult patient falls and the repercussions to Nursing as a second victim
title Modeling of adult patient falls and the repercussions to Nursing as a second victim
title_full Modeling of adult patient falls and the repercussions to Nursing as a second victim
title_fullStr Modeling of adult patient falls and the repercussions to Nursing as a second victim
title_full_unstemmed Modeling of adult patient falls and the repercussions to Nursing as a second victim
title_short Modeling of adult patient falls and the repercussions to Nursing as a second victim
title_sort modeling of adult patient falls and the repercussions to nursing as a second victim
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9342907/
https://www.ncbi.nlm.nih.gov/pubmed/35920541
http://dx.doi.org/10.1590/1518-8345.5830.3618
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