Segurança do paciente e o uso da escala de Morse: verdades

Abstract

Introduction: Health professionals in their daily lives seek to ensure the best health care, however, failures and accidents can occur. In Brazil, by recommendations given by the WHO, the Mystery of Health (MS) created the National Patient Safety Program (PNSP), with its objective, of adequate health care, through the implementation of goals guided by the safety of the patient. patient. Among these events, we highlight the risk of falling. The evaluation of the patient and the assimilation of characteristics that can increase the possibility of falling, becomes essential for the design of effective prevention strategies, the Morse scale being one of them. Objective: To evaluate the agreement between nurses and nursing interns, regarding the content and application of the Morse scale. Methodology: this is a quantitative / qualitative research. It was carried out in a reference teaching hospital, located in the city of Uberlândia MG, the study participants were nurses and interns from the sectors where the Morse scale was applied. Infectious Diseases, Oncology, Internal Medicine, Kidney Transplant, Surgical I and Hemodialysis wards were included. Result: The sample consisted of 34 participants, of whom there was a predominance of females (71.43%), with an average age of 24 years. years for interns and 39 years for nurses. The nurses' professional time was 14 years. The trainees considered the mental aspect and secondary diagnosis as important factors for the risk of falling, while the nurses considered walking followed by mental status. The nurses' history of falls and ambulation was considered only by the nurses. Conclusion: There was a disagreement between the groups studied, suggesting a need for permanent education, to standardize the application and understanding of the items that are part of the Morse scale. The nursing team, being closer to the patient, is an important collaborator in preventing falls. The early recognition of risk situations, favors the elaboration of actions by the nurse, aiming at a multidisciplinary work, to reduce these occurrences of damages and to improve patient safety.