Challenges faced by nursing in the emergency room for the care of trauma victims: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41504

Keywords:

Orthopedics and traumatology nursing; Emergency nursing; Nursing care.

Abstract

Trauma is one of the main causes of death and disability in Brazil, requiring immediate and adequate care to minimize damage and sequelae. The effective performance of the nursing professional in the emergency room is essential for the recovery of the traumatized patient. The research proposes to analyze the challenges faced by nursing and the role of nurses in the emergency room, based on the scientific literature of the last five years. The qualitative and descriptive approach uses the integrative literature review modality. The nurse's work in the emergency room involves care and management, including team organization, quick decision-making, and a holistic approach to the trauma patient. The Fugulin Scale is an assistance instrument used to measure personnel, but it can be difficult to apply due to demand variability. It is critical to secure additional staff to ensure proper patient care. The emergency room has peculiarities that require technical and managerial skills from professionals, as well as sensitivity and empathy to offer humanized and individualized care, without judgments. Adequate preparation of professionals, a safe work environment and a complete team are essential for quality care. It is crucial to invest in continuing education, better equipped units and integrated teams to optimize care for trauma patients.

Author Biographies

Danielle de Almeida Borges Ferreira, Instituto de Ensino Superior de Foz do Iguaçu

Graduanda em Enfermagem pelo Instituto de Ensino Superior de Foz do Iguaçu (CESUFOZ)

Fatima Regina Cividini, Instituto de Ensino Superior de Foz do Iguaçu

Enfermeira. Doutora em Sociedade, Culturas e Fronteiras pela Universidade Estadual do Oeste do Paraná (UNIOESTE-FOZ). Docente pelo Instituto de Ensino Superior de Foz do Iguaçu (CESUFOZ). Enfermeira no Hospital Municipal Padre Germano Lauck.

References

Araujo, N. R., Araújo, R. A., Moretti, M. A., & Chagas, A. C. P. (2022). Nursing training and retraining on cardiopulmonary resuscitation: a theoretical-practical intervention. Revista da Escola de Enfermagem da USP, 56, e20210521. https://doi.org/10.1590/1980-220X-REEUSP-2021-0521

Bardin, L. (2016). Content Analysis. Editions 70.

Boman, E., Duvaland, E., Gaarde, K., Leary, A., & Fagerström, L. (2020). Implementation of advanced practice nursing for orthopedic patients in the emergency care context – A study protocol for outcome studies. Journal of Advanced Nursing , 76(4), 1069–1076. https://doi.org/10.1111/jan.14299

Brazil. (2020). Epidemiological Bulletins. In Ministry of Health (Vol. 51). Ministry of Health. https://saude.es.gov.br/Media/sesa/DANTS/violência-cultura de paz/CGDANT 2020 (2).pdf

Canzonieri, AM (2011). Qualitative Health Research Methodology (2nd ed.). Voices.

Corrêa, L. de O., Nascimento, E. R. P., Hermida, P. M. V., Lazzari, D. D., & Malfussi, L. B. H. de. (2020). Nursing embracement of the person who is a victim of a motorcycle accident and the accompanying family member. Anna Nery School, 24 (4), 1–7. https://doi.org/10.1590/2177-9465-ean-2019-0367

Costa, F. A. D., Torres, R. S., & Sousa, C. D. P. F. (2022). Manchester Triage: Nurses' perceptions of its contributions and influencing factors. Revista de Enfermagem Reference , 2022 (1), 1–8. https://doi.org/10.12707/RV21028

Dyniewicz, A. M. (2011). Health Research Methodology for Beginners (2nd ed.). Diffusion.

Ferreira, M. T., Fernandes, J. F., Jesus, R. A., & Araújo, I. M. (2020). Emergency room approach: Safe nursing staffing. Journal of Nursing Reference , 2020 (1), 1–8. https://doi.org/10.12707/RIV19086

Galvão, T. F., & Andrade, T. S. (2015). Key Items for Reporting Systematic Reviews and Meta-Analyses: The PRISMA recommendation. Epidemiology and Health Services, 24 (2), 335–342. https://doi.org/10.5123/s1679-49742015000200017

Gomes, A. T. de L., Ferreira Jr, M. A., Salvador, P. T. C. O., Bezerril, M. dos S., Chiavone, F. B. T., & Santos, V. E. P. (2019). Safety of the patient in an emergency situation: perceptions of the nursing team. Revista Brasileira de Enfermagem, 72 (3), 753–759. https://doi.org/10.1590/0034-7167-2018-0544

Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2008). Integrative review: research method for incorporating evidence in health and nursing. Text & Context - Nursing, 17 (4), 758–764. https://doi.org/10.1590/s0104-07072008000400018

Morais Filho, L. A., Martini, J. G., Vargas, M. A. D. O., Reibnitz, K. S., Bitencourt, J. V. D. O. V., & Lazzari, D. (2016). Nurse's Legal Competence in Urgency/Emergency. Nursing In Focus, 7 (1), 18–23. https://doi.org/10.21675/2357-707x.2016.v7.n1.659

Oliveira, N. E. S., Oliveira, L. M. A. C., Lucchese, R., Alvarenga, G. C., & Brasil, V. V. (2013). Humanization in theory and practice: the construction of the actions of a team of nurses. Revista Eletrônica De Enfermagem, 15 (2), 334–43. https://doi.org/10.5216/ree.v15i2.17916

Oliveira, J. L. C., Cucolo, D. F., Magalhães, A. M. M., & Perroca, M. G. (2022). Beyond patient classification: the “hidden” face of nursing workload. Revista da Escola de Enfermagem da USP, 56, 1–7. https://doi.org/10.1590/1980-220x-reeusp-2021-0533pt

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M, Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, n71. https://doi.org/10.1136/bmj.n71

Perboni, J. S., Silva, R. C., & Oliveira, S. G. (2019). The humanization of emergency care from the perspective of nurses: focus on polytrauma patients. Interactions, 959–972. https://doi.org/10.20435/inter.v0i0.1949

Polit, D. F., & Beck, C. T. (2019). Fundamentos da Pesquisa em Enfermagem (9th ed.). Artmed.

Rabelo, S. K., Lima, S. B. S., Santos, J. L. G. D., Costa, V. Z. D., Reisdorfer, E., Santos, T. M. D., & Gracioli, J. C. (2020). Nurses' work process in an emergency hospital servisse. Revista Brasileira de Enfermagem, 73 (5), e20180923. https://doi.org/10.1590/0034-7167-2018-0923

Sampaio, R. A., Rodrigues, A. M., Nunes, F. C., & Naghettini, A. V. (2022). Challenges in welcoming with risk classification from the perspective of nurses. Cogitare Nursing , 27 , 1–12. https://doi.org/10.5380/ce.v27i0.80194

Santos, A. N. dos. (2018). Humanization of care in the trauma room: the excellence of nursing practice in perspective. Facit Business and Technology Journal , 2(3), 18. http://revistas.faculdadefacit.edu.br/index.php/JNT/article/view/372/302

Severino, AJ (2016). Methodology of Scientific Work (24th ed.). Cortez.

Soares, J. R., Martin, A. R., Rabelo, J. F., Barreto, M. da S., & Marcon, S. S. (2016). Family presence during emergency care: Perception of trauma victims. Aquichan, 16 (2), 193–204. https://doi.org/10.5294/aqui.2016.16.2.7

Souza, L. de A., Sousa, E. M. R. de, Machado, Y. A. de F., Moreno, H. J. B., Kapiche, S. da S., Cruz, G. S., Poche, D. W. J., & Santos, J. P. (2022). Nursing process in assisting trauma victims in a hospital in the interior of the State of Rondônia. Brazilian Journal of Development, 8 (5), 42092–42110. https://doi.org/10.34117/bjdv8n5-608

Wolf, L. A., Delao, A. M., Perhats, C., Clark, P. R., Moon, M. D., Zavotsky, K. E., & Martinovich, Z. (2019). Emergency Nurses' Perceptions of Risk for Firearm Injury and its Effect on Assessment Practices: A Mixed Methods Study. Journal of Emergency Nursing, 45(1), 54-66.e2. https://doi.org/10.1016/j.jen.2018.09.010

Downloads

Published

06/05/2023

How to Cite

FERREIRA, D. de A. B. .; CIVIDINI, F. R. Challenges faced by nursing in the emergency room for the care of trauma victims: an integrative literature review. Research, Society and Development, [S. l.], v. 12, n. 5, p. e8512541504, 2023. DOI: 10.33448/rsd-v12i5.41504. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41504. Acesso em: 28 apr. 2024.

Issue

Section

Health Sciences