Consulta de enfermagem pré-operatória: segurança dos pacientes e dos profissionais da saúde que atuam em centros cirúrgicos

Abstract

Introduction: The preoperative nursing consultation is an essential step in surgical patient care. Among other goals, it promotes safety, reduces risks, and plans appropriate care. Failure to perform a preoperative nursing consultation can lead to the risk of surgical complications, procedure cancellation, postoperative difficulties, and legal and ethical issues for the professionals involved. Objective: To develop a preoperative nursing consultation instrument for use in elective surgery outpatient clinics. Methodology: Two articles were produced: the first, entitled "Instrument for Preoperative Nursing Consultation with Elective Surgery Patients: Development and Peer Review," in which the instrument, built based on the Theory of Basic Human Needs, underwent both face and content evaluation by five experts. The second article, "Preoperative Nursing Consultation: Safety of Patients and Healthcare Professionals Working in Surgical Centers," is a work in progress. In this study, the instrument, evaluated and reformulated based on the judges' assessment, was presented to the nursing team working directly with surgical patient care. A questionnaire was administered to connect nursing staff perceptions with the topics of surgical patient safety and worker safety. Results: The sociodemographic characteristics of the panel of judges showed a predominance of males (60%), 80% of the professionals had more than 10 years of experience with surgical patients and 60% had more than 20 years. 70% worked in public institutions, and 60% held doctorates with teaching experience. Regarding the judges' agreement on the instrument's face and content, 11 of the instrument's 14 requirements achieved greater than 80% consensus. Regarding the categorization of research participants: the Preoperative Nursing Consultation form was presented to 134 nursing professionals, 86.6% of whom were female, with a mean age of 40.7 years. The nursing professionals' perception of the important aspects of the Preoperative Nursing Consultation instrument for a safer workplace showed agreement rates above 90% for all items. Conclusion: After construction and evaluation, the instrument became applicable for future validation in clinical practice, thus demonstrating that worker safety is related to patient safety.