<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832022000100217</article-id>
<article-id pub-id-type="doi">10.12707/rv21089</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Iatrogenias na prestação de cuidados de enfermagem: A perspetiva dos enfermeiros da área médico-cirúrgica]]></article-title>
<article-title xml:lang="en"><![CDATA[Iatrogenic events in nursing care: The medical-surgical nurses&#8217; perspectives]]></article-title>
<article-title xml:lang="es"><![CDATA[Iatrogenia en los cuidados de enfermería: La perspectiva de los enfermeros del área médico-quirúrgica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerreiro]]></surname>
<given-names><![CDATA[Andreia Cristina Pimparel Maia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Carlos Pires]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mata]]></surname>
<given-names><![CDATA[Maria Augusta Pereira da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Hospitalar de Bragança Unidade Local de Saúde do Nordeste ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Bragança Campus de Santa Apolónia ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escola Superior de Enfermagem de Coimbra Unidade de Investigação em Ciências da Saúde: Enfermagem ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>serVI</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832022000100217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832022000100217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832022000100217&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A prestação de cuidados de saúde aos utentes, deve contemplar como premissas, a qualidade e segurança. No seu desrespeito enquadra-se o evento adverso, entendido como doença ou dano.  Objetivo:  identificar a perceção dos enfermeiros acerca das iatrogenias na prestação de cuidados de enfermagem na área médico-cirúrgica.  Metodologia:  Estudo qualitativo, por entrevista semiestruturada a um grupo focal de enfermeiros.  Resultados:  Os enfermeiros associam ao conceito de iatrogenia em enfermagem o dano que o doente sofre, decorrente das atividades sob sua responsabilidade. Como ocorrências iatrogénicas em enfermagem mais comuns relataram: as quedas/fraturas, os efeitos adversos à administração de terapêutica medicamentosa, o inadequado manuseamento de dispositivos médicos. Como fatores potenciadores emergiram as condições de trabalho inadequadas. Enumeraram-se como estratégias para a minimização destes eventos: a formação contínua, a boa comunicação e liderança, implementação e cumprimento de protocolos.  Conclusão:  Na perceção da amostra as iatrogenias são uma realidade, cujos fatores potenciadores vão ao encontro aos descritos na literatura científica. A formação contínua nesta área é reconhecida como um pilar para a sua prevenção.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Healthcare delivered to users must be based on the premises of quality and safety. Failure to comply leads to adverse events understood as illness or harm.  Objective:  To identify nurses&#8217; perspectives on iatrogenic events in medical-surgical nursing care.  Methodology:  Qualitative study, using semi-structured interviews with a focus group of nurses.  Results:  Nurses associate iatrogenic events in nursing with patient harm resulting from nursing activities carried out under their responsibility. The most common nursing iatrogenic events reported were falls and fractures, drug therapy-related adverse effects, and inappropriate use of medical devices. Poor working conditions were pointed out as a potentiating factor. The following strategies were listed to minimize iatrogenic events: continuing education, good communication and leadership, implementation and protocols adherence.  Conclusion:  According to the sample&#8217;s perspective, iatrogenic events are a reality whose potentiating factors are in line with those described in the literature. Continuing education in this area is recognized as essential for prevention.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  La prestación de cuidados sanitarios a los usuarios debe contemplar la calidad y la seguridad como premisas. El acontecimiento adverso, entendido como enfermedad o daño, se enmarca en su falta de respeto.  Objetivo:  Identificar la percepción de los enfermeros sobre la iatrogenia en la prestación de cuidados de enfermería en el área médico-quirúrgica.  Metodología:  Estudio cualitativo, mediante entrevista semiestructurada, a un grupo focal de enfermeros.  Resultados:  Los enfermeros asocian el concepto de iatrogenia en enfermería con el daño que sufre el paciente como consecuencia de las actividades de las que son responsables. Los casos de iatrogenia más comunes notificados en enfermería fueron las caídas/fracturas, los acontecimientos adversos a la administración terapéutica medicamentosa y la manipulación inadecuada de dispositivos médicos. Las condiciones de trabajo inadecuadas surgieron como factores potenciadores. Entre las estrategias para minimizar estos acontecimientos, se incluyen: formación continua, buena comunicación y liderazgo, implementación y cumplimiento de los protocolos.  Conclusión:  En la percepción de la muestra, la iatrogenia es una realidad cuyos factores potenciales coinciden con los descritos en la literatura científica. La formación continua en este ámbito se reconoce como un pilar para su prevención.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[cuidados de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[enfermeiras e enfermeiros]]></kwd>
<kwd lng="pt"><![CDATA[evento adverso]]></kwd>
<kwd lng="pt"><![CDATA[fatores de risco]]></kwd>
<kwd lng="en"><![CDATA[nursing care]]></kwd>
<kwd lng="en"><![CDATA[nurses]]></kwd>
<kwd lng="en"><![CDATA[adverse advent]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="es"><![CDATA[atención de enfermería]]></kwd>
<kwd lng="es"><![CDATA[enfermeras y enfermeros]]></kwd>
<kwd lng="es"><![CDATA[evento adverso]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bloor]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Frankland]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Robson]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<source><![CDATA[Focus groups in social research]]></source>
<year>2001</year>
<publisher-name><![CDATA[SAGE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Despacho n.º 9390/21 do Gabinete do Secretário de Estado Adjunto e da Saúde]]></article-title>
<source><![CDATA[Diário da Republica]]></source>
<year>2021</year>
<numero>187</numero>
<issue>187</issue>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<collab>Direção-Geral da Saúde</collab>
<source><![CDATA[Estrutura conceptual da classificação internacional sobre a segurança do doente: Relatório técnico final]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="">
<collab>Direcção-Geral da Saúde</collab>
<source><![CDATA[Sistema nacional de notificação de incidentes e eventos adversos]]></source>
<year>2013</year>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="">
<collab>Direcção-Geral da Saúde</collab>
<source><![CDATA[Sistema Nacional de Notificação de Incidentes - NOTIFICA]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Figueiredo]]></surname>
<given-names><![CDATA[B. Q.]]></given-names>
</name>
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[A. C. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Caixeta]]></surname>
<given-names><![CDATA[F. A. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Jesus]]></surname>
<given-names><![CDATA[G. T.]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[J. L. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[L. C. S]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[N. M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Iatrogenias em Terapia Intensiva: uma Revisa&#771;o de Literatura]]></article-title>
<source><![CDATA[Brazilian Journal of Health Review]]></source>
<year>2021</year>
<volume>4</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>15518-33</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krueger]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Casey]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Focus groups: A practical guide for applied research]]></source>
<year>2015</year>
<edition>5</edition>
<publisher-name><![CDATA[SAGE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lobão]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Menezes]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atitude dos enfermeiros e predisposição da ocorrência de eventos adversos em unidades de terapia intensiva]]></article-title>
<source><![CDATA[Revista de Enfermagem Universidade Federal de Pernambuco]]></source>
<year>2017</year>
<volume>11</volume>
<numero>^s5</numero>
<issue>^s5</issue>
<supplement>5</supplement>
<page-range>1971-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Madalosso]]></surname>
<given-names><![CDATA[A. R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Iatrogenia do cuidado de enfermagem: Dialogando com o perigo no quotidiano profissional]]></article-title>
<source><![CDATA[Revista Latino-Americana de Enfermagem]]></source>
<year>2000</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mansoa]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[O erro nos cuidados de enfermagem a indivíduos internados numa unidade de cuidados intensivos: Estudo de caso sobre as representações dos actores de uma unidade po&#769;s ciru&#769;rgica de um Hospital Portugue&#770;s]]></source>
<year>2010</year>
<publisher-name><![CDATA[Universidade Nova de Lisboa, Instituto de Higiene e Medicina Tropical]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Adesão à notificação de eventos pelos enfermeiros dos serviços de internamento e unidades de cuidados intensivos de um hospital central]]></source>
<year>2017</year>
<publisher-name><![CDATA[Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mascarello]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Massaroli]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Pitilin]]></surname>
<given-names><![CDATA[E. B.]]></given-names>
</name>
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[J. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[M. E.]]></given-names>
</name>
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[J. B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidents and adverse events notified at hospital level]]></article-title>
<source><![CDATA[Revista Rene]]></source>
<year>2021</year>
<numero>22</numero>
<issue>22</issue>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Maia]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Erro e eventos adversos na unidade de cuidados intensivos]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Enfermagem em cuidados intensivos]]></source>
<year>2020</year>
<page-range>33-41</page-range><publisher-name><![CDATA[Lidel]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Padilha]]></surname>
<given-names><![CDATA[K. G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Considerações sobre as ocorrências iatrogénicas na assistência à saúde: Dificuldades inerentes ao estudo do tema]]></article-title>
<source><![CDATA[Revista Escola Enfermagem da USP]]></source>
<year>2001</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>287-90</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Regulamento n.º 429/2018 da Ordem dos Enfermeiros Portugueses]]></article-title>
<source><![CDATA[Diário da República]]></source>
<year></year>
<numero>135</numero>
<issue>135</issue>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ripardo]]></surname>
<given-names><![CDATA[N. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[M. C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Iatrogenias em idosos hospitalizados: Estudo exploratório-descritivo]]></article-title>
<source><![CDATA[Revista Bioética]]></source>
<year>2019</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>98-104</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santana]]></surname>
<given-names><![CDATA[J. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[F. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[L. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Foureaux]]></surname>
<given-names><![CDATA[P. V.]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[S. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[C. C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Iatrogenias na assistência em uma unidade de terapia intensiva: Percepção da equipa de enfermagem]]></article-title>
<source><![CDATA[Revista Enfermagem]]></source>
<year>2015</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>3-17</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[I. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Veloso]]></surname>
<given-names><![CDATA[A. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Keating]]></surname>
<given-names><![CDATA[J. B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Focus group: Considerações teóricas e metodológicas]]></article-title>
<source><![CDATA[Revista Lusófona de Educação]]></source>
<year>2014</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>175-90</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siman]]></surname>
<given-names><![CDATA[A. G.]]></given-names>
</name>
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[S. G.]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[M. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A prática de notificação de eventos adversos em um hospital de ensino]]></article-title>
<source><![CDATA[Revista da Escola de Enfermagem]]></source>
<year>2017</year>
<volume>51</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilelas]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Investigação: O processo de construção do conhecimento]]></source>
<year>2020</year>
<edition>3</edition>
<publisher-name><![CDATA[Edições Sílabo]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
