Proposta de modificações do protocolo de prevenção de quedas do Hospital Universitário Onofre Lopes a partir de uma abordagem multiprofissional

Abstract

Fall is the third most adverse event notified by the Brazilian Health Regulatory Agency (ANVISA) in the hospital environment, causing disability and dependence in people over 60 years. The purpose of this study was to propose modifications to the Onofre Lopes University Hospital (HUOL) fall prevention protocol from a multiprofessional approach. This is a descriptive exploratory qualitative research, being the population formed by residents of first year residents (R1) of the Multiprofessional Health Residency (RMPS), of the cardiology and intensive care programs for adults, developed in the period from August to December, 2018. For the collection of information, was based on the focal group technique, with 12 participants from the areas of nursing, physiotherapy, pharmacy and nutrition, using a script prepared with five questions open to the discussion, being mediated by a coordinator, a moderator and an observer. The conversations were recorded and transcribed in full; after that, the data were organized by the NVIVO12® software and content analysis based on BARDIN's approach. The methodological pathway was consisted of three stages: the first, the focal group; the second, a distance activity registered in a Virtual Platform for Academic Activities (SIGAA) for the elaboration of modifications of the fall prevention protocol of the HUOL, with a multiprofessional approach; and finally, a general study evaluation form built on Google forms and sent via email to the participants. Regarding the results and discussion it was evidenced the importance of a multiprofessional approach identifying the risk of falls in hospitalized patients; the need for education in health, on an ongoing basis; the integration of services professionals with interprofessional communication; and the periodic review of protocols to promote reduction of falls in HUOL. At the end of the study, the evaluation was conducted with participants, most of the participants reported that they felt satisfied and moderately motivated, and that the research contributed to their professional training. It is hoped that this work may stimulate future research, with the use of similar strategies among other services, to confront the problem of identifying the risk of falls in hospitalized patients.