Patient safety in chemotherapeutic treatment: nurses' report on care for prevention of iatrogenics associated with antineoplastic
DOI:
https://doi.org/10.33448/rsd-v11i1.25189Keywords:
Nursing Care; Chemotherapy; Adverse Events; Patient safety.Abstract
Adverse events are defined as an unexpected effect on the client's health, arising from the assistance of health professionals, which may occur due to malpractice or negligence. The challenges for improving patient safety and the quality of oncology services are linked together, as a strategy to reduce these adverse events, especially in the administration of antineoplastic agents. Therefore, the objective of this study was to investigate, based on the reports of nursing professionals, which care is taken to ensure the patient is undergoing chemotherapy. For this, a field study, with a qualitative approach, was carried out with 8 clinical nurses who work in an oncology service providing care to patients using chemotherapy. Data were collected in April and May 2021, through a questionnaire provided by google form and the data were analyzed according to the content analysis technique. The analysis of the material resulted in the proposition of two categories, category 1 discusses nursing care before, during and after the infusion of anticancer drugs and category 2 addresses the most recurrent adverse events in anticancer chemotherapy services and care adopted by Nursing team. It concluded that it is necessary to provide continuing education for working professionals, the development of specific care protocols and the dissemination of knowledge about the National Patient Safety Policy, so that they are essential tools for the reduction of adverse events.
References
Brasil (2013). Portaria nº 529, de 1º de abril de 2013, institui o Programa Nacional de Segurança do Paciente (PNPS). ANVISA. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html
Bardin, L. (1977). L’Analyse de contenu. Editora: Presses Universitaires de France. Ánálise de conteúdo. Edições 70, 2011.
Bonassa, E.M.A. & Gatto, M.I.R. (2013). Terapêutica oncológica para enfermeiros e farmacêuticos. (4a ed.), Atheneu.
Costa, A.G. et al. (2019). Conhecimento dos Profissionais de Enfermagem sobre Segurança do Paciente Oncológico em Quimioterapia. Revista Brasileira de Cancerologia; 65(1): e-04274. https://rbc.inca.gov.br/revista/index.php/revista/article/view/274
Duarte, S. C. M.., Stipp, M.A.C., Silva, M. M., Oliveira, F. T. (2015). Eventos adversos e segurança na assistência de enfermagem. Revista brasileira de enfermagem, 68(1), 144-154. https://www.scielo.br/j/reben/a/mBxyRmzXxjVYbDQZfg7phyj/abstract/?lang=pt
Fassini, P., & Hahn, G. V. (2012). Riscos à segurança do paciente em unidade de internação hospitalar: concepções da equipe de enfermagem. Rev. Enferm. UFSM. 2(2):290-9. http:// cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/.
Fidalgo, J. A. P., Fabregat, L. G., Cervantes, A., Margulies, A. et al. (2012). Management of chemotherapy extravasation: ESMO-E-ONS Clinical Practice Guidelines. Annals of Oncology ;7(23). https://www.esmo.org/Guide-lines/Supportive-and-Palliative-Care/Management-of-Che-motherapy-Extravasation
Gozzo, T. O., Panobianco., M. S., Clapis, M. J., & Almeida., A. M. (2010). Toxicidade dermatológica em mulheres com câncer de mama submetidas à quimioterapia. Revista Latino-Americana de Enfermagem; 18(4). http://www.scielo.br/pdf/rlae/v18n4/pt_04
Lopes, M. J. M.., & Leal., S. M. C. (2005). A feminização persistente na qualificação profissional da enfermagem brasileira. Cadernos pagu, 24(1), 105-125. https://www.scielo.br/j/cpa/a/W4mKrfz7znsdGBdJxMHsGPG/abstract/?lang=pt
Marconi, Lakatos, M. A., & EVA MARIA. (2001). Metodologia do trabalho científico. (6a ed.), Atlas.
Minayo, M. C. S. (2017). Cientificidade, generalização e divulgação de estudos qualitativos. Ciência & Saúde Coletiva. 22(1), 16. 17. https://www.scielo.br/j/csc/a/y43fVcvWNcgytyVNB6gKqzG/?lang=pt
Oliveira, P. P. (2017). Desafios da segurança do paciente e a qualidade em serviços de oncologia. Revista de Enfermagem do Centro-Oeste Mineiro. http://seer.ufsj.edu.br/index.php/recom/article/view/2692
Organização Mundial Da Saúde (OMS). Conferência Sanitária Pan-Americana, 26. Sessão do Comitê Regional, 54. Qualidade da assistência: segurança do paciente. Organização Pan-Americana da Saúde: 11-12, 23-27, https://www.scielo.br/j/sdeb/a/cydBTwCPSdrtHLC4rmwJKvJ/?lang=pt
Ribeiro, T.S., & Santos, V.O. (2015). Segurança do Paciente na Administração de Quimioterapia Antineoplásica: uma Revisão Integrativa. Revista Brasileira de Cancerologia; 61(2): 145-153. https://rbc.inca.gov.br/revista/index.php/revista/article/view/554
Silva, Menezes, & Estera, M. (2001). Metodologia da pesquisa e elaboração de dissertação. (3a ed.) Laboratório de Ensino a Distância da UFSC.
Silva., O., & C. R. (2004). Metodologia e organização do projeto de pesquisa: guia prático. Fortaleza, CE: Editora da UFC.
Silva, M. A. A., & Fontes, A. L. C. (2000). Planejamento da assistência de enfermagem. In: Ayoub AC, Fontes ALC, Silva MAA, Alves NRC, Gigliotte P, Silva YB. Planejando o cuidar na enfermagem oncológica. Lemar. 13-4. https://www.scielo.br/j/reben/a/Sf7JxHGVCBdGPVfXZPyrYxb/?form at=pdf&lang=pt
Zangari, M., & Bergara, J. (2010). O Enfermeiro (a) da Pós-modernidade. Saber académico. 10, file:///C:/Users/DELL/Downloads/4264-Texto%20do%20artigo-15091-2-10-20170810%20(1).pdf
Silva, A. T., Alves, M.G., Sanches, R. S., Terra, F. S., Resck, Z. M. R. (2016). Assistência de enfermagem e o enfoque da segurança do paciente no cenário brasileiro. Saúde em Debate, 40(111), 292–301. https://www.scielo.br/j/sdeb/a/cydBTwCPSdrtHLC4rmwJKvJ/?format=pdf&lang=pt
Souza, D., Tovar, C. B., Rodrigues, J, et al. (2015). Antineoplásicos e os riscos ocupacionais para os enfermeiros: uma revisão integrativa. Enfermería Global; 311–25. https://sapientia.ualg.pt/bitstream/10400.1/15376/1/Exposi%2B%C2%BA%2B%C3%BAo%20ocupacional%20a%20medicamentos%20cito t%2B%C2%A6xicos%20consequ%2B%C2%ACncias%20a%20longo%20prazo%20_20201217115301124.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Pedro Leite de Melo Filho; Ana Claudia Gomes Viana
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.