Rodada interdisciplinar em terapia intensiva: a enfermeira e sua visão

La unidad de cuidado intensivo es un servicio especializado de alta complejidad en el cual se hace necesario una interacción constante entre la enfermera y el equipo interdisciplinario de salud. En este contexto las enfermeras identifican a la ronda interdisciplinaria como un mecanismo para comunicarse y establecer planes de cuidados. Objetivo: Presentar la categoría: Ronda interdisciplinaria: acto de mayor interacción entre la enfermera y el equipo de salud. Metodología: Estudio cualitativo con las herramientas analíticas de la Teoría Fundamentada según Corbin y Strauss, realizado con enfermeras de una unidad de cuidado Intensivo adulto a través de entrevista en profundidad. Resultados: La ronda interdisciplinaria es uno de los encuentros de mayor interacción entre la enfermera y el equipo de salud, es un espacio académico alrededor del cuidado en el cual es reconocido el saber y labor de enfermería buscando valorar y tomar decisiones para los pacientes. Conclusiones: Las enfermeras consideran que la ronda interdisciplinaria promueve la comunicación con el equipo de salud. Es una rutina clínica formal y programada en la cual cada disciplina tiene la oportunidad de intervenir desde sus conocimientos y experiencias.The intensive care unit is a specialized service of high complexity, where communication between nurses and interdisciplinary healthcare workers is necessary. In this context, nurses identify the interdisciplinary round as a mechanism to communicate and to stablish care plans. Objective: To present the category Interdisciplinary round: The moment with the most interaction between nurses and healthcare workers.Methodology: A qualitative study, using grounded theory (Corbin and Strauss) analytical tools, carried out with nurses from an adult intensive care unit through in-depth interviews. Results: The interdisciplinary round is one of the meetings with most interaction between nurses and healthcare workers. It is healthcare based academic setting, where both the knowledge and the hard work of nurses are recognized, seeking to evaluate and make decisions to better help the patients. Conclusions: Nurses consider that interdisciplinary rounds promote constant communication with the healthcare team. It is a clinical routine, formal and scheduled, where each discipline has the opportunity to participate from their knowledge and experiences.A unidade de terapia intensiva é um serviço especializado de alta complexidade, na qual é necessária uma interação constante entre o enfermeiro e a equipe interdisciplinar de saúde. Nesse contexto, as enfermeiras identificam a rodada interdisciplinar como um mecanismo de comunicação e estabelecimento de planos de cuidados. Objetivo: Apresentar a categoria: Rodada interdisciplinar: ato de maior interação entre a enfermeira e o equipe de saúde. Metodologia: Estudo qualitativo com as ferramentas analíticas da Teoria Fundamentada segundo Corbin e Strauss, realizado com enfermeiras de uma Unidade de Terapia Intensiva para adultos através da entrevista em profundidade. Resultados: A rodada interdisciplinar é um dos encontros de maior interação entre a enfermeira e a equipe de saúde, é um espaço acadêmico em torno do cuidado no qual é reconhecido o saber e trabalho de enfermagem procurando valorizar e tomar decisões para os pacientes. Conclusões: As enfermeiras consideram que a rodada interdisciplinar promove a comunicação constante com a equipe de saúde. É uma rotina clínica formal e programada na qual cada disciplina tem a oportunidade de intervir desde seus conhecimentos e experiências

Professional profile and work conditions of nurses working in intensive care units: A multicentre study

Aim: To determine the professional profile and the work conditions of nurses working in intensive care units (ICU) in Colombia, Argentina, Peru and Brazil. Background: ICUs require a differentiated professional profile to provide quality care, and appropriate working conditions, leading to a transformation of care and management practices. Design: Descriptive multicentre cross-sectional observational study. Methods: An online survey was applied to identify both the characteristics of the professional profile and the working conditions. 1,427 ICU nursing professionals were included. RStudio statistical software was used for the analysis of the information. Descriptive statistics were used for the presentation of the results. The STROBE checklist for cross-sectional studies was used in this study. Results: Only 33.6% of the professionals had a specialisation degree in intensive care. The skills that were most frequently put into practice were communication (68.5%) and care management (78.5%). The most predominant nurse-to-patient ratios were 1:2, and greater than 1:6. 59.1% of the nurses had an indefinite term contract, 38.8% worked 48 hours per week and 49.8% had rotating shifts. Only 50.4% of them received incentives. The average salary ranged between 348 and 1,500 USD. 64.5% of the participants were satisfied with their job. Conclusion: It is necessary to strengthen nurses’ professional profile by promoting both postgraduate education and the development of troubleshooting and teamwork skills. It is necessary to standardise the nurse-to-patient ratio, improve wages and increase incentives to achieve greater job satisfaction. Relevance to practice: The knowledge and the improvement of both the professional profile and the work conditions of nurses working in intensive care units will improve the quality of the care given to critical patients and, therefore, the quality of health outcomes.Fil: Achury Saldaña, Diana Marcela. Pontificia Universidad Javeriana. Faculty of Nursing; ColombiaFil: Achury Beltrán, Luisa Fernanda. Pontificia Universidad Javeriana. Faculty of Nursing; ColombiaFil: Rodríguez Colmenares, Sandra Mónica. Pontificia Universidad Javeriana. Faculty of Nursing; ColombiaFil: Alvarado Romero, Herly Ruth. Pontificia Universidad Javeriana. Faculty of Nursing; ColombiaFil: Cavallo, Edhit. Universidad Católica de Cordoba; ArgentinaFil: Ulloa, Ana Cristina. Universidad Católica de Cordoba; ArgentinaFil: Merino, Virginia. Hospital Edgardo Rebagliati Martins; PerúFil: da Silva Barreto, Mayckel. Universidade Federal do Mato Grosso do Sul; BrasilFil: Andrade Fonseca, David. B. Braun Avitum; ColombiaFil: Muñoz Acuña, Doraly. Universidad de los Llanos. Faculty of Nursing; ColombiaFil: Betancur Manrique, Yanier. Universidad Católica de Manizales. Faculty of Nursing; ColombiaFil: Rodríguez Marín, Jorge Eliecer. Universidad Católica de Manizales. Faculty of Nursing; ColombiaFil: González Gómez, Ana Angelica. Universidad de Cartagena. Faculty of Nursing; ColombiaFil: Herrera Corpas, Katerine. Universidad de Cartagena. Faculty of Nursing; ColombiaFil: Andrade Méndez, Brayant. Universidad Surcolombiana. Faculty of Nursing; ColombiaFil: Vargas Toloza, Ruby Elizabeth. Universidad Francisco de Paula Santander. Faculty of Nursing; ColombiaFil: Martínez Rojas, Sandra Milena. Universidad Francisco de Paula Santander. Faculty of Nursing; ColombiaFil: De las Salas Martínez, Roxana Patricia. Universidad del Norte. Faculty of Nursing; Colombi