ABSTRACT
BACKGROUND: The 12-month prevalence of musculoskeletal disorders related to work (MDRW) in nurses rests between 71.8% to 84%, so it is urgent to develop preventive intervention programs with the purpose of avoiding negative physical, psychological, socioeconomic, and working aspects. There are several intervention programs aimed at preventing musculoskeletal disorders related to work for nurses, but few have successfully proven results. Despite the evidence pointing to the benefits of multidimensional intervention programs, it is essential to determine which interventions have positive effects on the prevention of this kind of disorder to create an effective intervention plan. AIM: This review intends to identify the different interventions adopted in the prevention of musculoskeletal disorders related to work in nurses and to compare the effectiveness of these interventions, providing the appropriate and scientific basis for building an intervention to prevent musculoskeletal disorders in nurses. METHOD: This Systematic Review was guided by the research question, "What are the effects of musculoskeletal disorders preventive interventions on nursing practice?" and carried out in different databases (MEDLINE, CINAHL, and Cochrane Central Register of Controlled Trials, SCOPUS, and Science Direct). Later, the results were submitted to the eligibility criteria, the appraisal quality of the papers, and the data synthesis was performed. RESULTS: 13 articles were identified for analysis. The interventions implemented to control the risk were: training patient-handling devices; ergonomics education; involving the management chain; handling protocol/algorithms; acquiring ergonomics equipment; and no-manual lifting. CONCLUSIONS: The studies associated two or more interventions, the majority of which (11 studies) were training-handling devices and ergonomics education, therefore emerging as the most effective instruments in the prevention of MDRW. The studies did not associate interventions that cover all risk factors (individual, associated with the nature of the work, organizational, and psychological aspects). This systematic review can help with making recommendations for other studies that should associate organizational measures and prevention policies with physical exercise and other measures aimed at individual and psychosocial risk factors.
ABSTRACT
Nursing information systems, where quality indicators are integrated, focus on the standardization of health records and the consequent visibility of the provided care. Despite the acknowledged importance of the contributions of information systems, their implementation has been characterized by several challenges, so we propose to reflect on them. To identify the evidence available in the literature on these same challenges, a narrative review of the literature was developed, with the analysis of relevant articles and reports on this issue. It is clear in the literature the importance of information systems for obtaining quality indicators that are sensitive to nursing care, with a positive impact on the quality of care, allowing for measurable quality in interventions, as well as facilitating inter and intra-institutional comparability, in real-time or in a retrospective analysis. The challenges encountered and which urgently needs to be resolved in clinical practice are related to the difficulty for professionals to perceive the impact of computer records, the visibility of nursing indicators and the time that is allocated in the context of providing care to carry out these records.
Os sistemas de informação em enfermagem, onde se integram os indicadores de qualidade, têm como foco a uniformização dos registos em saúde e a consequente visibilidade dos cuidados prestados. Apesar da reconhecida importância dos contributos dos sistemas de informação, a sua implementação tem-se pautado por vários desafios pelo que nos propomos assim a refletir sobre estes. Com o objetivo de identificar a evidência disponível na literatura sobre estes mesmos desafios, foi desenvolvida uma revisão narrativa da literatura com análise de artigos e relatórios pertinentes acerca desta questão. Está patente na literatura a importância dos sistemas de informação para a obtenção de indicadores de qualidade sensíveis aos cuidados de enfermagem, existindo efetivamente um impacto positivo na qualidade dos cuidados, permitindo a mensurabilidade da qualidade nas intervenções, bem como facilitando a comparabilidade intra e interinstitucional, em tempo real ou em análise retrospetiva. Os desafios encontrados e que urge resolver na prática clínica, relacionam-se com a dificuldade de os profissionais percecionarem o impacto dos registos informáticos, a visibilidade dos indicadores em enfermagem e o tempo que é alocado em contexto de prestação de cuidados para realizar estes registos.
Subject(s)
Information Systems , Humans , Retrospective StudiesABSTRACT
Resumo Os sistemas de informação em enfermagem, onde se integram os indicadores de qualidade, têm como foco a uniformização dos registos em saúde e a consequente visibilidade dos cuidados prestados. Apesar da reconhecida importância dos contributos dos sistemas de informação, a sua implementação tem-se pautado por vários desafios pelo que nos propomos assim a refletir sobre estes. Com o objetivo de identificar a evidência disponível na literatura sobre estes mesmos desafios, foi desenvolvida uma revisão narrativa da literatura com análise de artigos e relatórios pertinentes acerca desta questão. Está patente na literatura a importância dos sistemas de informação para a obtenção de indicadores de qualidade sensíveis aos cuidados de enfermagem, existindo efetivamente um impacto positivo na qualidade dos cuidados, permitindo a mensurabilidade da qualidade nas intervenções, bem como facilitando a comparabilidade intra e interinstitucional, em tempo real ou em análise retrospetiva. Os desafios encontrados e que urge resolver na prática clínica, relacionam-se com a dificuldade de os profissionais percecionarem o impacto dos registos informáticos, a visibilidade dos indicadores em enfermagem e o tempo que é alocado em contexto de prestação de cuidados para realizar estes registos.
Abstract Nursing information systems, where quality indicators are integrated, focus on the standardization of health records and the consequent visibility of the provided care. Despite the acknowledged importance of the contributions of information systems, their implementation has been characterized by several challenges, so we propose to reflect on them. To identify the evidence available in the literature on these same challenges, a narrative review of the literature was developed, with the analysis of relevant articles and reports on this issue. It is clear in the literature the importance of information systems for obtaining quality indicators that are sensitive to nursing care, with a positive impact on the quality of care, allowing for measurable quality in interventions, as well as facilitating inter and intra-institutional comparability, in real-time or in a retrospective analysis. The challenges encountered and which urgently needs to be resolved in clinical practice are related to the difficulty for professionals to perceive the impact of computer records, the visibility of nursing indicators and the time that is allocated in the context of providing care to carry out these records.
Subject(s)
Humans , Information Systems , Retrospective StudiesABSTRACT
OBJECTIVE: Analyze the posture of students from the master's degree program in Maternal Health and Obstetrical Nursing; understand how intervention during delivery influences posture; and identify strategies for the prevention of work-related musculoskeletal injuries. METHOD: Qualitative descriptive study, which recorded and analyzed videos in a learning situation using high-fidelity simulation practice. RESULTS: Thirteen students participated in the study. The results show the adopted body movement does not take into account coordination of the musculoskeletal system to keep body balance, posture and alignment when changing the delivery position. CONCLUSION: Obstetric nurses have a high prevalence of musculoskeletal injuries, and the specificity of professional activity makes it difficult to assess and prevent risks. Training favors the acquisition of knowledge and reflection of behaviors. Investments should be made in training to students and professionals in work contexts.
Subject(s)
Education, Nursing, Baccalaureate/methods , Obstetric Nursing/education , Posture , Simulation Training , Biomechanical Phenomena , Female , Humans , Musculoskeletal Diseases/etiology , Occupational Diseases/etiology , Video RecordingABSTRACT
Resumo A Simulação de Alta-Fidelidade é um método pedagógico fundamental no processo de ensino-aprendizagem dos estudantes de enfermagem. Realizou-se um estudo exploratório e descritivo, de abordagem qualitativa, com o objetivo de compreender a percepção dos estudantes do curso de Licenciatura em Enfermagem sobre o contributo da Prática Simulada de Alta-Fidelidade para a aprendizagem das suas competências clínicas. Utilizou-se o questionário de autopreenchimento, composto por questões abertas, e a técnica de análise de conteúdo para tratamento do material narrativo segundo Bardin. Com o desenvolvimento do cenário clínico, salienta-se a percepção dos estudantes de enfermagem na aprendizagem de competências profissionais em três domínios, com maior enfoque no da prestação e gestão de cuidados. Concluiu-se que a Simulação de Alta-Fidelidade é um pilar fundamental na formação dos estudantes de enfermagem, o que vem reforçar a prática pedagógica existente. Salientamos a necessidade de reformular os cenários de forma a um maior equilíbrio da aprendizagem nas diferentes dimensões das suas competências profissionais e desenvolver instrumentos de avaliação.
Abstract The High-Fidelity Simulation is a fundamental pedagogical method in the nursing student's teaching-learning process. An exploratory and descriptive study was performed by using a qualitative approach in order to understand the Nursing Degree course students' perception about the contribution of the Simulated High-Fidelity Practice for clinical competence learning. The self-filling questionnaire, composed of open questions and the technique of content analysis for the treatment of narrative material according to Bardin, was used. With the clinical scenario development, we emphasize the nursing students' perception in the learning of professional competences in three domains with greater focus in the field of care delivery and management. It was concluded that the High-fidelity Simulation is a fundamental pillar in the nursing students training, which reinforces the existing pedagogical practice. We stress the need to reformulate the scenarios in order to achieve a better learning balance in the different dimensions of their professional competences and to develop evaluation tools.
Subject(s)
Humans , Male , Female , Young Adult , Students, Nursing/psychology , Competency-Based Education/methods , Education, Nursing/methods , High Fidelity Simulation Training , Surveys and Questionnaires , Clinical Competence , Educational Measurement , LearningABSTRACT
The High-Fidelity Simulation is a fundamental pedagogical method in the nursing student's teaching-learning process. An exploratory and descriptive study was performed by using a qualitative approach in order to understand the Nursing Degree course students' perception about the contribution of the Simulated High-Fidelity Practice for clinical competence learning. The self-filling questionnaire, composed of open questions and the technique of content analysis for the treatment of narrative material according to Bardin, was used. With the clinical scenario development, we emphasize the nursing students' perception in the learning of professional competences in three domains with greater focus in the field of care delivery and management. It was concluded that the High-fidelity Simulation is a fundamental pillar in the nursing students training, which reinforces the existing pedagogical practice. We stress the need to reformulate the scenarios in order to achieve a better learning balance in the different dimensions of their professional competences and to develop evaluation tools.
A Simulação de Alta-Fidelidade é um método pedagógico fundamental no processo de ensino-aprendizagem dos estudantes de enfermagem. Realizou-se um estudo exploratório e descritivo, de abordagem qualitativa, com o objetivo de compreender a percepção dos estudantes do curso de Licenciatura em Enfermagem sobre o contributo da Prática Simulada de Alta-Fidelidade para a aprendizagem das suas competências clínicas. Utilizou-se o questionário de autopreenchimento, composto por questões abertas, e a técnica de análise de conteúdo para tratamento do material narrativo segundo Bardin. Com o desenvolvimento do cenário clínico, salienta-se a percepção dos estudantes de enfermagem na aprendizagem de competências profissionais em três domínios, com maior enfoque no da prestação e gestão de cuidados. Concluiu-se que a Simulação de Alta-Fidelidade é um pilar fundamental na formação dos estudantes de enfermagem, o que vem reforçar a prática pedagógica existente. Salientamos a necessidade de reformular os cenários de forma a um maior equilíbrio da aprendizagem nas diferentes dimensões das suas competências profissionais e desenvolver instrumentos de avaliação.
