INTERNATIONAL ARCHIVES OF MEDICINE
SECTION: TRAUMATOLOGY & ORTHOPEDICS
ISSN: 1755-7682
International
Medical Society
http://imedicalsociety.org
1
2016
Vol. 9 No. 261
doi: 10.3823/2132
© Under License of Creative Commons Attribution 3.0 License This article is available at: www.intarchmed.com and www.medbrary.com
Multiple Trauma Patient Safety in the Emergency
Care: Scoping Review
REVIEW
Andréa Tayse de Lima Gomes
1
, Flávia Barreto Tavares Chiavone
2
,
Manacés dos Santos Bezerril
3
, Larissa de Lima Ferreira
2
, Micheline da Fonseca Silva
1
,
Alcides Viana de Lima Neto
4
, Viviane Euzébia Pereira Santos
5
1 Nurse, Master degree student by the
Graduate Program in Nursing of the
Federal University of Rio Grande do
Norte. Scholarship CAPES/DS. Natal,
Rio Grande do Norte, Brazil.
2 Nursing Student at the Federal
University of Rio Grande do Norte.
Scholarship CNPq. Natal, Rio Grande
do Norte, Brazil.
3 Nursing Student at the Federal
University of Rio Grande do Norte.
Natal, Rio Grande do Norte, Brazil.
4 Nurse, Master degree student by the
Graduate Program of the Federal
University of Rio Grande do Norte.
Natal, Rio Grande do Norte, Brazil.
5 Nurse. Ph.D. in Nursing. Graduate and
Post-Graduate Professor in Nursing at
the Federal University of Rio Grande
do Norte. Scholarship of Research
Productivity CNPq (PQ2 2016-2019).
Natal, Rio Grande do Norte, Brazil.
Contact information:
Andréa Tayse de Lima Gomes.
Address: 76 Severino Soares St., Dix-
Sept Rosado, Natal, Rio Grande do Norte,
Brazil. ZIP CODE: 59.052-450.
andrea.tlgomes@gmail.com
Keywords
Multiple Trauma; Nursing; Patient Safety; Emergencies.
Abstract
Background: To summarize the scientifc evidence on the infuence
of safe nursing care to multiple trauma patients in the emergency
care.
Methods: Scoping review using the strategy P (Population) C (Con-
cept) C (Context) and performed in the online databases: PubMed,
Cumulative Index to Nursing and Allied Health Literature, Scopus and
Web of Science, in June 2016.
Results: The sample was composed of 43 articles, with most of
them being descriptive (n=35; 81.4%), quantitative approach (n=32;
74.4%), level of evidence 4 (n=35; 81.4%) and recommendation
grade A (n=40; 93.0%). The structure pointed to the availability of
equipment for performing imaging and laboratory functioning (n=18;
41.9%). The process highlighted the completion of the screening in
the emergency department (n=20; 46.5%). The result showed the
great waiting time of patients to treatment (n=4; 9.3%) and dissatis-
faction of professionals regarding the care provided and the working
conditions (n=4; 9.3%).
Conclusions: The triad structure-process-result of the emergency
services have problems able to compromise the security of critically
ill patients.