Da ambulância ao helicóptero: tomada de decisão clínica na redefinição do transporte pediátrico inter-hospitalar

Clarissa Coelho Vieira Guimarães; Ana Filipa Domingues Sousa; Cânia Patrícia Martins Basto Torres; Maykon Anderson  Pires de Novais; Maria de Lurdes Lopes de Freitas Lomba

doi:10.1590/SciELOPreprints.17239

##article.authors##

Clarissa Coelho Vieira Guimarães Federal University of São Paulo https://orcid.org/0000-0002-7713-7182
- Conceptualization
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Visualization
- Methodology
- Investigation
Ana Filipa Domingues Sousa University of Coimbra https://orcid.org/0000-0002-6390-5742
- Conceptualization
- Methodology
- Writing – Original Draft Preparation
Cânia Patrícia Martins Basto Torres University of Porto https://orcid.org/0000-0003-1827-9479
- Investigation
- Methodology
- Writing – Original Draft Preparation
- Writing – Review & Editing
Maykon Anderson Pires de Novais Federal University of São Paulo https://orcid.org/0000-0001-8069-4927
- Investigation
- Methodology
- Writing – Original Draft Preparation
- Writing – Review & Editing
Maria de Lurdes Lopes de Freitas Lomba University of Coimbra https://orcid.org/0000-0003-1505-5496
- Conceptualization
- Investigation
- Methodology
- Writing – Review & Editing
- Writing – Original Draft Preparation

DOI:

https://doi.org/10.1590/SciELOPreprints.17239

Keywords:

Decision Making, Pediatric Nursing, Interhospital Transport, Patient Safety, Patient Transfer

Abstract

Objective: To analyze how clinical decision-making is constructed to support the redefinition of strategy during a pediatric interhospital transport mission.

Method: A descriptive and reflective experience report based on the direct observation of a pediatric interhospital transport mission conducted by a specialized transport team during a postdoctoral research fellowship in Portugal.

Results: The integration of continuous clinical assessment, interprofessional communication, coordination among teams, and consideration of time as a clinical variable supported a shared and adaptive clinical decision-making process aimed at selecting the safest transport strategy.

Conclusion: The redefinition of the transport strategy constitutes a dynamic clinical process supported by the continuous reassessment of the child's condition, clinical judgment, and interprofessional coordination, contributing to patient safety and the improvement of nursing practice.

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Author Biographies

Clarissa Coelho Vieira Guimarães, Federal University of São Paulo

Registered Nurse, PhD in Sciences from the Federal University of the State of Rio de Janeiro (UNIRIO), postdoctoral researcher at the Graduate Program in Translational Medicine, Federal University of São Paulo (UNIFESP), and visiting researcher at UICISA:E, Nursing School of Coimbra, Portugal. Her research focuses on specialized pediatric transport, clinical decision-making, patient safety, health technologies, and evidence-based practice.

Ana Filipa Domingues Sousa, University of Coimbra

Registered Nurse and researcher at the University of Coimbra, Portugal. Her research focuses on pediatric nursing, with an emphasis on pediatric care, patient safety, and evidence-based practice.

Cânia Patrícia Martins Basto Torres, University of Porto

Registered Nurse, Coordinating Professor and researcher at the Nursing School of Porto (ESEP), Portugal. Her research focuses on pediatric nursing, pediatric critical care, pediatric interhospital transport, patient safety, and evidence-based practice.

Maykon Anderson Pires de Novais, Federal University of São Paulo

Biologist, affiliated professor and researcher at the Paulista School of Medicine, Federal University of São Paulo (UNIFESP), Brazil. His research focuses on Health Technology Assessment, Health Economics and Management, Translational Medicine, evidence-based practice, and healthcare innovation.

Maria de Lurdes Lopes de Freitas Lomba, University of Coimbra

Registered Nurse, Coordinating Professor and researcher at the Coimbra Nursing School (ESEnfC), Portugal. Her research focuses on pediatric nursing, child health, evidence-based practice, patient safety, and nursing education.