Abstract
This article aims to demonstrate the evidence that nursing care technologies ensure the safety of patients admitted to Intensive Care Units. Systematic review with search in six databases. Two researchers selected the texts independently in the first stage; and, in the second stage, in a conciliation meeting, the conflicts were analyzed by a third researcher. In order to evaluate the level of agreement, the Kappa coefficient was applied; in order to evaluate the risk of bias and classify the levels of evidence, the Grading of Recommendations, Assessment, Development and Evaluation was adopted. Observational studies were also evaluated with the risk of bias in non-randomized studies of interventions. The 23 included studies were evaluated regarding their quality of evidence, with very low evidence ranking determined for most studies (16/69.6%), moderate evidence for five studies (21.7%), one study with low evidence (4.3%) and one study as high evidence (4.3%). Patient safety is essential, but, despite this commitment, only one study (4.3%), about thermometry assessment, showed high level of evidence that nursing care technologies ensure patient safety in the Intensive Care Unit setting.
Highlights
An increasingly important aspect of nursing care involves the use of technological resources in the health area
Technology is a passive tool used to accomplish intentions (Beedholm, et al, 2015). It is commonly divided into two broad categories: product technology, whose results are identifiable, such as equipment, physical facilities, tools, among others; and process technology, including techniques, methods and procedures (Novaes & Carvalheiro, 2007; Nascimento, et al, 2010; Szczerba & Huesch, 2012)
This review was guided by the following research question: “What is the evidence that nursing care technologies ensure the safety of patients admitted to an Intensive Care Unit?”
Summary
An increasingly important aspect of nursing care involves the use of technological resources in the health area. Nurses are users and producers and evaluators of technologies used in health care (Jeleć, et al, 2016). Technology is a passive tool used to accomplish intentions (Beedholm, et al, 2015). It is commonly divided into two broad categories: product technology, whose results are identifiable, such as equipment, physical facilities, tools, among others; and process technology, including techniques, methods and procedures (Novaes & Carvalheiro, 2007; Nascimento, et al, 2010; Szczerba & Huesch, 2012). Technologies reflect ideological assumptions about the management and application of scientific resources at work, whose purposes, if not exposed, become underlying and unknown to the users of the product (Asurakkody & Shin, 2018)
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