<?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>2184-1578</journal-id>
<journal-title><![CDATA[Revista de Investigação & Inovação em Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[RIIS]]></abbrev-journal-title>
<issn>2184-1578</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Unidade de Investigação e Desenvolvimento]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-15782021000200019</article-id>
<article-id pub-id-type="doi">10.37914/riis.v4i2.147</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Fatores preditivos de descompensação da pessoa em situação crítica no serviço de urgência]]></article-title>
<article-title xml:lang="en"><![CDATA[Predictive factors of person decompensation in the emergency room]]></article-title>
<article-title xml:lang="es"><![CDATA[Factores predictivos de la descompensación del persona en la sala de emergências]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pires]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Filomena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Príncipe]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar do Baixo Vouga  ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escola Superior de Saúde Norte na Cruz Vermelha Portuguesa  ]]></institution>
<addr-line><![CDATA[Oliveira de Azeméis ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>4</volume>
<numero>2</numero>
<fpage>19</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-15782021000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-15782021000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-15782021000200019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  os sinais de deterioração clínica refletem, habitualmente, a falência do sistema respiratório, cardiovascular e/ou neurológico em contexto de urgência. É fundamental que os enfermeiros valorizem diversos sinais e sintomas que podem ser preditivos do agravamento da pessoa admitida no serviço de urgência (SU), de forma a diminuir a sua mortalidade e morbilidade.  Objetivos:  compreender a importância do enfermeiro na identificação/sinalização das pessoas em risco num SU e identificar os fatores preditivos de descompensação, reconhecidos pelos enfermeiros, nas pessoas no SU.  Metodologia:  estudo descritivo e exploratório de natureza qualitativa, através da realização de um Focus Group. Análise de conteúdo de acordo com Bardin (2016).  Resultados:  da análise dos dados evidencia-se a importância do &#8220;observar a pessoa&#8221; e a necessidade da &#8220;valorização dos dados&#8221; relacionados com &#8220;fatores comportamentais&#8221; e &#8220;fatores físicos&#8221;.  Conclusão:  ser enfermeiro no SU requer um elevado nível de competência, perícia e especialização, sendo este essencial na identificação dos sinais e sintomas de deterioração clínica. O Observar e a Valorização dos dados observados têm um enorme impacto na tomada de decisão do enfermeiro, promovem uma intervenção precoce com consequente redução da mortalidade e morbilidade da pessoa em situação crítica no SU.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  the signs of clinical deterioration are relatively similar between them and usually reflect the respiratory, cardiovascular and/or neurological systems collapse. It is essential that the nurses are able to keep in mind the several signs and symptoms that could be predictive of the deterioration of the person admitted at the accident and emergency (A&amp;E) department, in a way that they can reduce their mortality and morbidity.  Objectives:  to understand the A&amp;E nurses role in the identification of the persons at risk and to understand which are the predictive factors of deterioration identified by them.  Methodology:  exploratory-descriptive research gathered from qualitative data, through a Focus Group. Data were analyzed through Bardin´s Content Analysis (2016).  Results:  the analysis of the data shows that it is essential to &#8220;Observe theperson&#8221; and to &#8220;attend data details&#8221; related with &#8220;behavioral and physical factors&#8221;.  Conclusion:  to be an A&amp;E nurse demands a high level of competency, expertise and specialization that should be used to identify the signs and symptoms of clinical deterioration. To look at the person and to value those observed data has a high impact at the Nurse Decision Making skills, promotes an early intervention and, consequently, reduces the A&amp;E Patients mortality and morbidity.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  los signos de deterioro clínico son relativamente similares y generalmente reflejan fallas del sistema respiratorio, cardiovascular y/o neurológico. Es esencial que los enfermeros valoren varios signos y síntomas que pueden predecir el agravamiento de la persona ingresada en el servicio de urgencia (SU), a fin de reducir su mortalidad y morbilidad.  Objetivo:  comprender el papel de los enfermeros en la identificación/señalización de personas en riesgo en un SU y comprender los factores predictivos de descompensación identificados por los enfermeros en una persona en el SU.  Metodología:  investigación descriptiva y exploratoria de naturaleza cualitativa, mediante la realización de un Focus Group. Análisis de Contenido segundo Bardin (2016).  Resultados:  del análisis de los dados se evidencia la importancia de &#8220;observar a la persona&#8221; y la necesidad de &#8220;valorar los datos&#8221; relacionados con los &#8220;factores conductuales y físicos&#8221;.  Conclusión:  ser enfermero en el SU requiere un alto nivel de competencia, experiencia y especialización, que es esencial para identificar los signos y síntomas de deterioro clínico. Observar y valorar los datos observados tiene un gran impacto en la toma de decisiones de los enfermeros, promoviendo una intervención temprana con la consiguiente reducción de la mortalidad y la morbilidad de las personas en situación criticaen el SU.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[avaliação em enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[serviço hospitalar de emergência]]></kwd>
<kwd lng="pt"><![CDATA[sinais e sintomas]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[nursing assessment]]></kwd>
<kwd lng="en"><![CDATA[emergency service hospital]]></kwd>
<kwd lng="en"><![CDATA[signs and symptoms]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[evaluación en enfermería]]></kwd>
<kwd lng="es"><![CDATA[servicio de urgencia en hospital]]></kwd>
<kwd lng="es"><![CDATA[signos e síntomas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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