Browsing by Author "Fassarella, Cintia Silva"
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- Ano internacional da enfermagem: dos 200 anos de Florence Nightingale à pandemia por COVID-19Publication . Ribeiro, Olga; Fassarella, Cintia Silva; Trindade, Letícia De Lima; Luna, Aline Affonso; Ventura da Silva, João Miguel AlmeidaObjetivo: refletir sobre o 200º aniversário do nascimento de Florence Nightingale e a pandemia pela COVID-19, no Ano Internacional da Enfermagem. Método: estudo teórico-reflexivo, elaborado, em abril de 2020, a partir da literatura e experiência dos autores. Resultados: naquele que foi instituído como o Ano Internacional da Enfermagem, a Humanidade depara-se com a pandemia relacionada à infecção por coronavírus, cuja prevenção e tratamento impõem o resgate aos principais pressupostos de Florence Nightingale. O ano 2020 é, sem dúvida, o ano dos profissionais de enfermagem que, na linha da frente, têm dado uma contribuição vital para combater a COVID-19. E a verdade é que, perante essa calamidade, os profissionais de enfermagem têm mostrado ao mundo o que fazem, dando evidência aos governos de que as suas repetidas reivindicações eram e são, mais que justas. Considerações finais: o ano de homenagem a Florence Nightingale mostrou ao mundo que, além do desenvolvimento tecnológico e técnico-científico, é crucial investir nas condições de trabalho dos profissionais de saúde, em especial dos profissionais de enfermagem, que no dia a dia, bem como frente às pandemias, de que é exemplo atual a COVID-19, priorizam seu exercício profissional em prol da recuperação dos doentes e da promoção da saúde global.
- Avaliação da cultura de segurança do paciente: estudo comparativo em hospitais universitáriosPublication . Barbieri-Figueiredo, MC; Fassarella, Cintia Silva; Camerini, Flávia Giron; Henrique, Danielle de Mendonça; Almeida, Luana FerreiraObjective: To conduct a benchmarking comparison of the composites of patient safety culture based on the evaluation of Brazilian and Portuguese nurses working in university hospitals. Method: Quantitative, cross-sectional, comparative survey. Data collected between April and December 2014, in two teaching hospitals, applying the instrument Hospital Survey on Patient Safety Culture, in the versions translated and adapted to the countries. Results: 762 nurses distributed in four services participated in the study, 195 Brazilians and 567 Portuguese. Seven of the 12 composites of safety culture showed significant differences between hospitals. The highlights were those related to: “management support for patient safety” (±17); “handoffs and transitions” (±15); “teamwork across units” (±14); and “overall perceptions of patient safety” (±10). Conclusion: The dimension that had the highest significant difference between the studied institutions was “management support for patient safety”. These data may support the managers of the study hospitals, enabling continuous improvements and advancements.
- Cancelamento cirúrgico ambulatorial: uma revisão integrativa [Cancellation of outpatient surgery: an integrative review] [Cancelación quirúrgica ambulatoria: una revisión integradora]Publication . Pinheiro, Liliane Duarte Pereira Silva; Fassarella, Cintia Silva; Camerini, Flávia Giron; Henrique, Danielle De Mendonça; Ribeiro, Olga; Romero, Lílian BurguezObjetivo: discutir as evidências científicas sobre as causas de cancelamento em cirurgia ambulatorial. Método: trata-se de uma revisão integrativa com busca nas bases de dados eletrônicas Medline, Embase, Lilacs, Cinahl, Web of Science e Scopus, a partir dos termos controlados Ambulatory Surgical Procedures, Ambulatory Surgery, Suspension e termos livres sinônimos. Resultados: selecionaram-se 13 estudos. O país com menor taxa de cancelamento cirúrgico ambulatorial foi os Estados Unidos com 0,5%, e o maior, a Nigéria com 25,40%. Foram encontradas 53 causas de cancelamento em cirurgia ambulatorial, das quais agrupou-se em três categorias: fatores do paciente, clínicos e institucionais. Conclusão: Evidencia-se que as causas de cancelamento cirúrgico ambulatorial foram diversas e comuns nas instituições, sendo o absenteísmo do paciente no dia do procedimento agendado a causa mais frequente, demonstrando que estratégias assistenciais e de gestão precisam ser realizadas
- Doutorado em enfermagem em regime de cotutela internacional: Uma possibilidade a ser experimentadaPublication . Fassarella, Cintia Silva; Silva, Lolita Dopico; Barbieri-Figueiredo, MCO presente artigo tem por objetivo apresentar uma reflexão atualizada acerca da oportunidade de realização do doutorado em regime de cotutela internacional e descrever os pontos fundamentais do processo de planejamento e desenvolvimento desta cooperação. A descrição da experiência ocorreu de setembro/2012 a julho/2013 pela doutoranda e orientadores envolvidos na execução desta modalidade ímpar de formação acadêmica entre a Universidade do Porto, Portugal, e a Universidade do Estado do Rio de Janeiro, Brasil. É de extrema relevância a cooperação internacional entre as partes. Para tanto, deve ser organizada e planejada a promover o desenvolvimento individual e profissional do estudante, além de favorecer a cooperação internacional do programa de pós-graduação brasileiro e português. Esta modalidade de intercâmbio educacional internacional na enfermagem trará uma experiência pessoal e profissional de extremo valor para a doutoranda, além de favorecer a relação entre os programas de pós-graduação stricto sensu envolvidos.
- Nurse safety culture in the services of a university hospitalPublication . Fassarella, Cintia Silva; Silva, Lolita Dopico da; Camerini, Flavia Giron; Barbieri-Figueiredo, MCTo evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services.
- Safety climate in the operating room in the pre-pandemic and pandemic period of COVID-19: A mixed method studyPublication . Ferreira, Rosilene Alves; Fassarella, Cintia Silva; Ribeiro, Olga Maria Pimenta Lopes; Cardoso, Rosane Barreto; Henrique, Danielle de Mendonça; Camerini, Flávia Giron; Souza, Rogério Marques de; Meneses, Ricardo de OliveiraIntroduction: To verify whether the COVID-19 pandemic has had an impact on the safety climate based on the perception of the multiprofessional team in the operating room and to analyze the domains of the safety climate during the pre-pandemic and pandemic period of COVID-19, demonstrating the intersections of quantitative and qualitative approaches. Methods: Mixed-method research using a convergent approach strategy, carried out in the operating room of a university hospital, located in Rio de Janeiro, Brazil. The nature of the quantitative phase was cross-sectional, and the nature of the qualitative phase was descriptive. We used the Pillar Integration Process to integrate the data. This research considered the pre-pandemic period was defined as before March 2020 and for the pandemic period, the 2nd and 3rd global waves. Research was approved by the institution's board management and ethics committee. Results: 145 health professionals participated in the quantitative approach, and 20 in the qualitative approach. The impact of the COVID-19 pandemic was highlighted in the domains 'Perceived stress' (p-value = 0.017); 'Working conditions' (p-value = 0.040). Six categories emerged from the qualitative analysis, namely: Stress and professional performance due to COVID-19; Patient safety protocols in the operating room; Responsibility for patient safety, lack of effective communication and performance feedback; Biosafety of the professional staff in the operating room; Security culture maturity; Fair culture, organizational learning, and reporting mistakes. As a result of the data integration, 6 pillars were identified: Perception of communication in the operating room; Evolution of safety culture; Overview of protocol management and implementation; Fair organizational culture; Perception of stress due to COVID-19; Perception of professional performance due to COVID-19. Conclusions: The impact that COVID-19 had on the safety climate in the operating room is evident. It underlines the need to implement strategies that support the solidification of attitudes aimed at patient safety, even in emergencies.
- The impact of nursing practice environments on patient safety culture in primary health care: a scoping review protocolPublication . Pereira, Soraia Cristina de Abreu; Ribeiro, Olga; Fassarella, Cintia Silva; Santos, Eduardo José FerreiraBackground: Patient safety is a key priority for healthcare organisations. It impacts directly on patient health and wellbeing. The increasing complexity of current healthcare settings, which are associated with high work demands and increasingly stressful professional practice environments, contributes to an increased likelihood of errors and adverse events. Primary health care, given its comprehensiveness of care, makes up a large proportion of the care delivered to the population. Aim: To map the knowledge about the impact that nursing practice environments have on safety culture in the primary healthcare setting. This knowledge is essential for a more effective and appropriate understanding of this phenomenon and to enable the definition of strategies that can promote the provision of safer care to the population. Design & setting: A scoping review will be conducted based on the method proposed by the JBI, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will be used. Method: Study selection, data extraction, and synthesis will be performed by two independent reviewers. Based on the Population (or participants), Concept, and Context (PCC) framework, this scoping review will consider studies that address nurses' practice environment and patient safety culture in primary health care. The review will consider all studies, published or unpublished, from 2002 to the present. Conclusion: The results from this scoping review are expected to provide an overview of the importance of the nursing practice environments on patient safety culture, which will be crucial to define an appropriate range of strategies to promote the delivery of the safest health care to the population.