Adverse events: A health risk for patients and Nursing professionals

Section: Revisiones

How to quote

Fernández-García E, Porcel-Gálvez AM, Barrientos-Trigo S, Blanco-Naranjo O, Gil-García E. Eventos adversos: riesgo para la salud de pacientes y profesionales de Enfermería. Metas Enferm dic 2019/ene 2020; 22(10):58-66. DOI: https://doi.org/10.35667/MetasEnf.2019.22.1003081523

Authors

Elena Fernández-García1, Ana Mª Porcel-Gálvez2, Sergio Barrientos-Trigo2, Olga Blanco-Naranjo3, Eugenia Gil-García2

Position

1Doctoranda Programa de Ciencias de la Salud (Universidad de Sevilla). Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla. Grupo de investigación CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud 2Doctor/a. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla. Grupo de investigación CTS1050:Cuidados Complejos, Cronicidad y Resultados en Salud3Graduada en Enfermería. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla

Contact address

Ana Mª Porcel-Gálvez. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla. C/ Avenzoar, 6. 41009 Sevilla.

Contact email: aporcel@us.es

Abstract

Objectives: to analyze the scientific production about the reasons and consequences of the development of adverse events in Nursing practice.
Method: a narrative review on the Pubmed, Scopus, Dialnet and Cinahl databases. The following inclusion criteria were determined: publication in the past five years; English, Spanish and Portuguese languages. Article selection was conducted independently by two researchers. The variables analyzed in the documents selected were: adverse events, occupational setting, reasons and consequences on Nursing professionals, and complications.
Results: the search generated 784 articles, out of which 16 were finally selected. Results were grouped into four categories: adverse events associated with nursing practice, adverse event reporting and incentives for their notification, working conditions with impact on clinical safety, and consequences of the adverse events in Nursing professionals.
Conclusions: inadequate working conditions, such as high work pressure, lead to making rushed decisions, with an increased likelihood of mistakes. These circumstances, together with lack of confidence for reporting and fear of consequences, cause a major physical and emotional impact. In those hospitals where patients are listened to in terms of decision making and there is an adequate communication between all team members, there is a significant reduction in adverse events. An improvement in working settings and an increase in confidence through positive evidence after notification will be essential in order to encourage reporting and, therefore, clinical safety in the institutions.

Keywords:

Adverse events; Nursing practice; hospital service; working conditions; review.

Versión en Español

Título:

Eventos adversos: riesgo para la salud de pacientes y profesionales de Enfermería