Relationship between professional profile of intensive care nurses and missed care in hemodialysis therapy

Abstract

Objective: to verify the relationship between professional profile of intensive care nurses and omitted care in hemodialysis therapy. Method: observational study
conducted between June and September 2016 in intensive care units of two hospitals. The sample consisted of 30 nurses. For data collection, we used an instrument, built
for the research, with data from the professional profile of nurses and checklist with activities of the intervention “hemodialysis therapy”, proposed by Nursing Interventions
Classification. The data were analyzed using descriptive statistics and, for correlation, it was used chi-square and exact Fisher. Results: the items with the most omitted care
were: checking equipment, solutions and extracorporeal circuit (90%); reviewing blood biochemistry (83.3%); checking system monitors (83.3%); and establishing protocols for hypotension (83.3%). And the professional factors that most related to omitted care were Nephrology training (80%), type of employment relationship (73.33%) and specialization in intensive care (66.66%). Conclusions: it was found that the evaluations produced here should support the reflection on care and management practices of intensive nurses in the search for better quality and safety care for patients with acute renal failure in intensive care units. It was also observed that the results are directly
linked to the improvement of personal adequacy and physical and human resources.