Mestrado Profissional em Enfermagem

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Navegando Mestrado Profissional em Enfermagem por Autor "Almeida, Miriam de Abreu"

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    Guia digital interativo sobre documentação de enfermagem
    (Universidade Federal do Espírito Santo, 2025-07-03) Mattiuzzi, Thaís Duarte Araújo; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; http://lattes.cnpq.br/2275021494677338; https://orcid.org/0009-0009-8455-7909; http://lattes.cnpq.br/2379031754520132; Nunes, Karolini Zuqui; https://orcid.org/0000-0003-3433-4925; http://lattes.cnpq.br/6888896554912256; Almeida, Miriam de Abreu; https://orcid.org/0000-0002-4942-9882; http://lattes.cnpq.br/5814144892283070; Furieri, Lorena Barros; https://orcid.org/0000-0003-3859-2227; http://lattes.cnpq.br/0526203649991750
    Introduction: Nursing documentation is an essential practice to ensure the continuity, quality, and safety of patient care. Despite its importance, challenges related to fragmented records, inconsistencies in the language used, and lack of standardization are still frequent, which compromises the quality of information and, consequently, patient safety. The digital guide is configured as an educational technology that significantly contributes to promoting health education in different care settings. In this context, the following question arises: how to develop an interactive digital guide for nurses and nursing technicians on nursing documentation? Objective: To develop an interactive digital guide on nursing documentation. Methodology: This is a participatory action research study structured in four phases: problem identification, planning, action, and evaluation. The study was conducted between March and June 2025 with a sample of 61 nursing professionals. The inclusion criteria comprised professionals working in direct patient care in all hospital sectors (inpatient units, adult ICU, and neonatal ICU) with at least one year of experience in the role and who agreed to participate after being informed about the study's objectives. For the document and process validation phase, nurses with at least two years of experience in nursing processes and documentation were invited to act as expert judges. In accordance with institutional protocol, the judges were required to hold the position of nursing supervisors. Professionals who were on leave or on vacation during data collection were excluded from the study. Data analysis was conducted using a qualitative approach. The project was approved by the Research Ethics Committee under CAAE nº 76275323.1.0000.5060 and opinion nº 6.712.504, issued on March 20, 2024. Results: The results showed that the majority of participants were female (88.5%), aged between 20 and 30 years. Of these, 68.8% were nursing technicians and 31.2% were nurses, of whom 58% held a specialization. Regarding documentation, 93.4% recognized the potential of the interactive digital guide to facilitate and standardize records. While 72% reported performing continuous documentation, 12.5% did so only occasionally or rarely. The quality of the records was rated as adequate by 62.3%, whereas 36.1% reported inconsistencies, with the main difficulties related to lack of time, lack of knowledge about the standards, errors, and missing information. The professionals highlighted the importance of standardized models, guidelines, practical examples, and interactive educational resources to improve documentation practices. The validation of the digital guide indicated high acceptance, with Content Validity Indexes ranging from 0.85 to 1.00, demonstrating its applicability and relevance to professional practice. Conclusion: The development of the interactive digital guide on nursing documentation proved to be an effective strategy to qualify and standardize nursing records. Its dynamic and accessible structure promoted professional engagement, highlighting its potential to minimize technical-operational weaknesses and contribute to improving care practice