Development of a mobile application for emergency shift handovers using the National Early Warning Score

OBJECTIVE

To develop and validate a prototype of a mobile application shift handover between nurses in the emergency room using a severity scale.

METHOD

This is a technological tool carried out at the Universidade Estadual de Maringá using design thinking, divided into four phases: discovering, defining, developing, and delivering. To structure the information, a checklist was used based on the Situation Background Assessment Recommendation, and to categorize patients in terms of severity, the National Early Warning Score was used. The validation of the sample was carried out by 10 nurses, specialized in the field of urgency and emergency, using the System Usability Scale questionnaire to assess usability. The content validity coefficient was used for analysis.

RESULTS

The application scored 75.75 in usability and had a content validity coefficient of 0.8.

CONCLUSION

The prototype obtained an excellent evaluation of usability and agreement between evaluators. Future studies are needed for implementation in practice, evaluating the practicality, applicability, efficiency and time savings in shift information transfer.

TECNOLOGIAS MÓVEIS PARA PASSAGEM DE PLANTÃO DE ENFERMAGEM

Objetivo: Identificar os recursos tecnológicos para passagem de plantão de enfermagem hospitalar disponível na literatura. Métodos: revisão integrativa cujos critérios de elegibilidade foram: corresponder aos descritores “aplicativos móveis”; “passagem de plantão; “cuidados de enfermagem”, “enfermagem” e “hospitalização”; nos idiomas português, inglês e espanhol; disponível eletronicamente nas bases de dados: EMBASE; PubMed; BVS; CINAHL; Scopus e Web of Science, não houve recorte temporal. Resultados: foram encontradas seis publicações, sendo as tecnologias mais utilizadas durante a passagem de plantão:  Smartphone, Tablet e Personal Development Analysis. As potencialidades do uso das tecnologias incluíram a facilidade de comunicação entre profissionais, melhora no registro de informações do paciente e dados administrativos e gerenciais. Como fragilidades, foram apontadas familiaridade com as tecnologias e o suporte institucional durante o processo de adaptação. Conclusão:  Espera-se que a temática possa ser explorada em estudos futuros para contribuir com a qualidade da assistência e para o desenvolvimento gerencial em enfermagem.

Prevalence of burnout syndrome among nursing professionals in an emergency room and in an intensive care unit

ABSTRACT Objective: To identify the presence of burnout syndrome among nursing professionals in the emergency room and intensive care unit for adults of the University Hospital of Maringá. Methods: This is an exploratory and descriptive research study with a quantitative approach. It was developed by applying a questionnaire containing 22 questions from the Maslach Burnout Inventory instrument, which identifies the symptomatology dimensions of the burnout syndrome. Data analysis of the Maslach Burnout Inventory instrument was performed by adding up each dimension (Emotional Exhaustion, Depersonalization and Professional Fulfillment) of each questionnaire separately, according to the nursing professional's answers to each question. The values obtained were compared to the reference values of the Nucleus for Advanced Studies on Burnout Syndrome. Results: It was found that 31.36% of the nursing professionals at the University Hospital of Maringá emergency room had high Emotional Exhaustion, 30.92% had low Professional Fulfillment, and 39.25% had high Depersonalization. Regarding the nursing professionals in the Intensive Care Unit for Adults, 36.36% had high Emotional Exhaustion, 36.36% had low Professional Fulfillment, and 22.73% had high Depersonalization. Conclusion: The findings suggest that the Intensive Care Unit for Adults in the morning shift is the highest stressor and with a greater probability of the professionals developing burnout syndrome.

Dialogic educational practices in the context of child intoxication: an approach based on Paulo Freire

OBJECTIVE

To analyze the knowledge and practices of education of Family Health Strategy professionals regarding child intoxication for the autonomy and empowering of the families.

METHODS

Qualitative research, carried out through semistructured interviews with 50 professionals from the Family Health Strategy of a city in the Northwest of Paraná. Data was problematized using Paulo Freire's sociocultural approach and its concepts of dialogism and autonomy.

RESULTS

The statements showed the many ways in which the care for child intoxication is perceived and their relations with educational action, but these were traditional educational practices, with elements focused on the dissemination of information about health-disease, probably because the dialogic approach is still abstract and has no interface with the concrete practices.

FINAL CONSIDERATIONS

The education knowledge and practices of the professionals for the autonomy and empowering of families suggested that there is a transition stage between the biomedical model, focused on a cure, and the dialogical one.