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Nursing care based on risk assessment and classification: agreement between nurses and the institutional protocol
Gabriella Novelli Oliveira1, Cássia Regina Vancini-Campanharo, Meiry Fernanda Pinto Okuno
1Hospital Universitário, Universidade de São Paulo, São Paulo, SP, Brazil.
Revista Latino-Americana De Enfermagem
|June 26, 2013
Summary
Baccalaureate nurses showed moderate agreement with institutional protocols for prioritizing patient care. However, agreement among nurses themselves was low, indicating a need for improved training and tools to ensure patient safety.
Area of Science:
- Nursing
- Healthcare Management
- Patient Safety
Background:
- Effective risk assessment and classification are crucial for prioritizing patient care.
- Institutional protocols serve as a gold standard for guiding clinical decision-making.
- Variability in nurse prioritization can impact patient outcomes and safety.
Purpose of the Study:
- To assess the agreement between baccalaureate nurses' prioritization of care and institutional protocols.
- To evaluate the level of agreement among nurses regarding patient risk classification.
- To identify potential gaps in the application of risk assessment protocols.
Main Methods:
- A descriptive study design was employed.
- A questionnaire with 30 fictitious clinical cases was administered to 20 baccalaureate nurses.
- The institutional protocol was used as the gold standard for comparison.
Main Results:
- Moderate agreement was observed between nurses and the institutional protocol in prioritizing severity levels (Kappa Coefficient).
- Low agreement was found among nurses when evaluating peer prioritization (colorimetric density in light gray).
- Findings suggest inconsistencies in applying risk assessment protocols.
Conclusions:
- Development of specific institutional protocols requires tools to assess professional accuracy.
- Ensuring competent professionals in risk assessment is vital for patient safety.
- Standardized training and consistent protocol application are necessary in Brazilian healthcare institutions.
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