Desenvolvimento de instrumento para passagem de plantão de enfermagem em unidade de terapia intensiva pediátrica

Abstract

The shift handover must contain all the essential information for continued care. Failures in this process may harm patient safety, leading to inadequate and potentially dangerous treatment. In that regard, this work aims to develop an instrument to assist the nursing shift handover in a pediatric ICU of a hospital in a city in the state of Maranhão. This is a study with a methodological approach, developed in three stages: a) integrative literature review; b) qualitative research (interview with the nursing team); and c) preparation of the product. In the first stage, a research was carried out based on the literature, in order to provide a basis for theoretical content and understanding about the topic. The following databases were consulted: Nursing Database (BDENF), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Latin American and Caribbean Literature in Health Sciences (LILACS). The following descriptors were used for the research: shift handover and intensive care in pediatric ICU; nursing and shift handover; shift handover and intensive care. The inclusion criteria were: articles in Portuguese and English, a research with a qualitative or quantitative focus of primary studies, and systematic reviews available in their full versions and published between 2018 and 2023. In the second stage, field research was carried out, qualitative and exploratory in nature, with a descriptive approach, and interviews were conducted with pediatric ICU nurses. In the third stage, an instrument was developed to assist in the shift handover, based on the findings of the literature review and information collected from the interviews which took place in the second stage. The research project was submitted to the Research Ethics Committee of the University of Vale do Rio dos Sinos. Its approval was under the Opinion n° 6,432,741. The study made it possible to develop an instrument that qualifies and helps standardize shift handovers. It is expected that this instrument can qualify the shift handover process and promote patient safety.