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ORIGINAL ARTICLE04-14-2023
Validity study of educational technology on gynecological high dose rate (HDR) brachytherapy
- Meiriane Lopes Ximenes
, - Mariana Alves Firmeza ,
- Andrea Bezerra Rodrigues ,
- Maria Isis Freire de Aguiar ,
- Gabriela Lacerda Souza , [ … ],
- Patrícia Peres de Oliveira
Abstract
ORIGINAL ARTICLEValidity study of educational technology on gynecological high dose rate (HDR) brachytherapy
Revista Brasileira de Enfermagem. 2023;76:e20220232
DOI 10.1590/0034-7167-2022-0232
- Meiriane Lopes Ximenes ,
- Mariana Alves Firmeza ,
- Andrea Bezerra Rodrigues ,
- Maria Isis Freire de Aguiar ,
- Gabriela Lacerda Souza ,
- Georgia de Sousa Serpa ,
- Patrícia Peres de Oliveira
Views0See moreABSTRACT
Objective:
to construct and validate an educational booklet on high dose rate gynecological brachytherapy (HDR) for women with gynecologic cancer.
Methods:
a methodological study, with the construction and validity of a booklet based on the Doak, Doak and Root theoretical-methodological framework. Content and appearance validity was guided by the Delphi technique, by 11 judges, selected using Jasper’s criteria. Afterwards, clinical validity was carried out with the target population.
Results:
the booklet, built from evidence from an integrative review, validated with judges, obtained an overall CVI of 0.98. After clinical validity with 27 women, it presents 24 sheets with illustrations produced by a graphic designer, subdivided into topics: gynecological system anatomy and gynecological cancer epidemiology, gynecological brachytherapy definition, therapeutic steps, approach to side effects and management, and two pages for notes.
Conclusions:
the booklet has validity for use in HDR gynecological brachytherapy treatment.
- Meiriane Lopes Ximenes
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EXPERIENCE REPORT04-14-2023
Construction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
Abstract
EXPERIENCE REPORTConstruction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
DOI 10.1590/0034-7167-2022-0414
Views0See moreABSTRACT
Objective:
to report the construction of an educational technology to promote non-violent communication for health professionals.
Methods:
an experience report on the development of an educational technology on non-violent communication for health professionals, prepared by members of a social university extension project. The Plan-Do-Study-Act cycle was used as a process or product management procedure.
Results:
two complete management method cycles were performed. A mini almanac was generated as a final product, which addressed the main elements of non-violent communication, an example of its use in everyday life, hobbies and interspersed activities.
Conclusion:
educational technology construction (mini almanac) by members of a university extension project was facilitated using the Plan-Do-Study-Act cycle, proving to be a resource for disseminating non-violent communication in health work and promoting a culture of peace.
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ORIGINAL ARTICLE04-14-2023
Artificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
- Casandra Genoveva Rosales Martins Ponce de Leon ,
- Leandro Yukio Mano ,
- Danielle da Silva Fernandes ,
- Rayanne Augusta Parente Paula ,
- Guilherme da Costa Brasil , [ … ],
- Laiane Medeiros Ribeiro
Abstract
ORIGINAL ARTICLEArtificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
Revista Brasileira de Enfermagem. 2023;76:e20210909
DOI 10.1590/0034-7167-2021-0909
- Casandra Genoveva Rosales Martins Ponce de Leon ,
- Leandro Yukio Mano ,
- Danielle da Silva Fernandes ,
- Rayanne Augusta Parente Paula ,
- Guilherme da Costa Brasil ,
- Laiane Medeiros Ribeiro
Views0See moreABSTRACT
Objective:
to assess nursing students’ emotions undergoing maternal-child clinical simulation.
Methods:
an observational study, carried out between June and July 2019. The Focus Group technique was used, with 28 nursing students, randomly distributed into three groups, with qualitative (Bardin technique) and quantitative data (Artificial Intelligence) analysis, to analyze emotions through facial expressions, tone of voice and description of speeches.
Results:
we defined two categories: “It was not easy, it was very stressful”; and “Very valuable experience”. In Artificial Intelligence, emotional distribution between face, voice and speech revealed a prevalence of negative valence, medium-high degree of passivity, medium power to control the situation and medium-high degree of obstruction in task accomplishment.
Final considerations:
this study revealed an oscillation between positive and negative emotions, and shows to the importance of recognizing them in the teaching-learning process in mother-child simulation.
- Casandra Genoveva Rosales Martins Ponce de Leon
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ORIGINAL ARTICLE04-07-2023
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
- Lia Leão Ciuffo ,
- Tania Vignuda de Souza ,
- Thais Mello de Freitas ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Keila Cristina Oliveira dos Santos , [ … ],
- Roberta de Oliveira Jaime Ferreira Lima dos Santos
Abstract
ORIGINAL ARTICLEThe use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
- Lia Leão Ciuffo ,
- Tania Vignuda de Souza ,
- Thais Mello de Freitas ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Keila Cristina Oliveira dos Santos ,
- Roberta de Oliveira Jaime Ferreira Lima dos Santos
Views0See moreABSTRACT
Objectives:
to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.
Methods:
qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.
Results:
the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.
Final Considerations:
although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
- Lia Leão Ciuffo
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ORIGINAL ARTICLE04-07-2023
Implications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
Abstract
ORIGINAL ARTICLEImplications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
DOI 10.1590/0034-7167-2022-0245
Views0See moreABSTRACT
Objectives:
to analyze the work of nurses portrayed in the journalistic media and its impact on the construction of professional nursing identity.
Methods:
this is qualitative, retrospective, descriptive and documentary research, with 51 reports from Folha de São Paulo. Time frame from March to December 2020. Thematic Content Analysis carried out from Claude Dubar’s theoretical perspective. Organization and coding of data performed with the help of ATLAS.ti®.
Results:
three categories emerged: Working conditions in the pandemic – a problem that worsened; Impacts of the pandemic on daily work; Feelings generated by the pandemic.
Conclusions:
despite adversities, such as the precariousness of health institutions, inadequate working conditions for nurses, lack of basic items of individual protection, negative feelings and hopelessness, these professionals used their knowledge, skills and innovations in the act of caring, which contributed to reconstructing their professional identity.
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ORIGINAL ARTICLE04-07-2023
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues , [ … ],
- Lisabelle Mariano Rossato
Abstract
ORIGINAL ARTICLESuicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues ,
- Isadora Trinquinato ,
- Lisabelle Mariano Rossato
Views1See moreABSTRACT
Objectives:
to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.
Methods:
an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.
Results:
eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.
Conclusions:
adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.
- Vanessa Dias Fogaça
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ORIGINAL ARTICLE04-07-2023
Spiritual well-being, symptoms and performance of patients under palliative care
- Bárbara Vitória Mendes ,
- Suzana Cristina Teixeira Donato ,
- Thaina Lúcio da Silva ,
- Ramon Moraes Penha ,
- Paula Jaman-Mewes , [ … ],
- Marina de Góes Salvetti
Abstract
ORIGINAL ARTICLESpiritual well-being, symptoms and performance of patients under palliative care
Revista Brasileira de Enfermagem. 2023;76(2):e20220007
DOI 10.1590/0034-7167-2022-0007
- Bárbara Vitória Mendes ,
- Suzana Cristina Teixeira Donato ,
- Thaina Lúcio da Silva ,
- Ramon Moraes Penha ,
- Paula Jaman-Mewes ,
- Marina de Góes Salvetti
Views0See moreABSTRACT
Objectives:
to assess the relationship between spiritual well-being, symptoms and performance of patients under palliative care.
Methods:
this is a descriptive correlational study, conducted with 135 patients seen in palliative care outpatient clinics. Karnofsky Performance Status Scale, Edmonton Symptom Assessment Scale, Spirituality Scale and Hospital Anxiety and Depression Scale were used. Data were submitted to descriptive statistical analysis and Spearman’s correlation.
Results:
among participants, 68.2% were cancer patients. The most prevalent symptoms were changes in well-being (65.2%), anxiety (63.7%), sadness (63%) and fatigue (63%). Sadness, dyspnea, sleepiness, anxiety and depression presented weak to moderate correlation with spiritual well-being. Symptom overload showed weak negative correlation with performance.
Conclusions:
symptom intensification was correlated with worsening in spiritual well-being perception. The reduction in performance was related to increased number of symptoms, especially depression and anxiety.
- Bárbara Vitória Mendes
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REVIEW04-07-2023
Analysis of moral courage and related factors among undergraduate nursing students: a scoping review
- Romario Daniel Jantara ,
- Jamila Geri Tomaschewski Barlem ,
- Adrieli Jantara ,
- Laurelize Pereira Rocha ,
- Sabrina Santos da Rocha , [ … ],
- Danubia Andressa da Silva Stigger
Abstract
REVIEWAnalysis of moral courage and related factors among undergraduate nursing students: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220225
DOI 10.1590/0034-7167-2022-0225
- Romario Daniel Jantara ,
- Jamila Geri Tomaschewski Barlem ,
- Adrieli Jantara ,
- Laurelize Pereira Rocha ,
- Sabrina Santos da Rocha ,
- Danubia Andressa da Silva Stigger
Views0See moreABSTRACT
Objective:
to analyze scientific evidence on moral courage and related factors among nursing undergraduate students.
Method:
the protocol of this scoping review was registered on Open Science Framework. A search was performed in five databases, according to the method provided by Joanna Briggs Institute Reviewers, the mnemonic strategy Population, Concept and Context, and a specific checklist.
Results:
a total of 2,812 results were identified, but only nine studies were eligible and presented three thematic approaches: Moral courage from the perspective of nursing students; Moral courage and related factors; and The teaching of moral courage in the training of nursing students. The factors related to moral courage include moral distress, moral sensitivity, age, and having a previous degree in the health field.
Final Considerations:
few studies were found with a low evidence level. Most were performed in developed countries, indicating some gaps that need to be addressed in the future.
- Romario Daniel Jantara
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02-05-2021
Contents related to nursing professionals during the COVID-19 pandemic on the Youtube™ platform
- Evanilda Souza de Santana Carvalho ,
- Paulo Roberto Lima Falcão doVale ,
- Karina Araújo Pinto ,
- Sílvia Lúcia Ferreira
Abstract
Contents related to nursing professionals during the COVID-19 pandemic on the Youtube™ platform
Revista Brasileira de Enfermagem. 2021;74:e20200581
DOI 10.1590/0034-7167-2020-0581
- Evanilda Souza de Santana Carvalho ,
- Paulo Roberto Lima Falcão doVale ,
- Karina Araújo Pinto ,
- Sílvia Lúcia Ferreira
Views0See moreABSTRACT
Objective:
to characterize the content of Youtube™ videos related to nursing professionals during the COVID-19 pandemic.
Method:
a qualitative study that examined 47 videos on Youtube™ posted between 11/03 and 11/04 2020, which were subjected to thematic analysis.
Results:
four categories emerged: “the role of nurses in care production during the pandemic”, which addresses the management of services and individual care; “Overview of the pandemic from the perspective of nurses in different countries”, presenting experiences and encouraging physical distance; “Tributes and motivation to mobilize the category”, in addition to targeted tributes, calls for nurses to claim their rights; “Criticisms and demands to improve working conditions”, which highlights the insecurity of care provision settings.
Final considerations:
nursing work conditions in different countries, recognition of the importance of professionals during the pandemic, and claims of the category to improve working conditions were the main content found on Youtube™.
- Evanilda Souza de Santana Carvalho
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REVIEW07-13-2020
Prevention and control measures for neonatal COVID-19 infection: a scoping review
- Bruna Hinnah Borges Martins de Freitas ,
- Mayrene Dias de Sousa Moreira Alves ,
- Maria Aparecida Munhoz Gaíva
Abstract
REVIEWPrevention and control measures for neonatal COVID-19 infection: a scoping review
Revista Brasileira de Enfermagem. 2020;73:e20200467
DOI 10.1590/0034-7167-2020-0467
- Bruna Hinnah Borges Martins de Freitas ,
- Mayrene Dias de Sousa Moreira Alves ,
- Maria Aparecida Munhoz Gaíva
Views0See moreABSTRACT
Objective:
to identify with the literature the measures to prevent and control neonatal infection by COVID-19.
Methods:
a scope review carried out by searching for studies in databases and institutional health websites. The final sample was 25 articles.
Results:
among the main measures are the use of masks by suspected or infected people in contact with healthy newborns, hand hygiene before and after each care and feeding as well as the tools used for milking. It is indispensable to use personal protective equipment by health professionals in neonatology services to maintain a private room for infected newborns or to use physical barriers. Early diagnosis and timely case management is essential to reduce virus transmissibility.
Conclusions:
the research contributed to elucidate health and nursing actions in preventing and controlling neonatal infection by COVID-19.
- Bruna Hinnah Borges Martins de Freitas
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REVIEW06-17-2020
Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
- João Marcos Alves Melo ,
- Patrícia Peres de Oliveira ,
- Raíssa Silva Souza ,
- Deborah Franscielle da Fonseca ,
- Thaís Fonseca Gontijo , [ … ],
- Andrea Bezerra Rodrigues
Abstract
REVIEWPrevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
Revista Brasileira de Enfermagem. 2020;73(4):e20190008
DOI 10.1590/0034-7167-2019-0008
- João Marcos Alves Melo ,
- Patrícia Peres de Oliveira ,
- Raíssa Silva Souza ,
- Deborah Franscielle da Fonseca ,
- Thaís Fonseca Gontijo ,
- Andrea Bezerra Rodrigues
Views0See moreABSTRACT
Objectives:
to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses.
Methods:
scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way.
Results:
a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients.
Conclusions:
the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.
- João Marcos Alves Melo
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REFLECTION09-07-2020
Training and work process in Multiprofessional Residency in Health as innovative strategy
- Mariana da Silva Bernardo ,
- Greici Capellari Fabrizzio ,
- Marina Leite Souza ,
- Thiago Oliveira dos Santos ,
- Selma Regina de Andrade
Abstract
REFLECTIONTraining and work process in Multiprofessional Residency in Health as innovative strategy
Revista Brasileira de Enfermagem. 2020;73(6):e20190635
DOI 10.1590/0034-7167-2019-0635
- Mariana da Silva Bernardo ,
- Greici Capellari Fabrizzio ,
- Marina Leite Souza ,
- Thiago Oliveira dos Santos ,
- Selma Regina de Andrade
Views0See moreABSTRACT
Objectives: To
reflect about education in health and work process on three programs of multiprofessional residency in Florianópolis/SC.
Method:
Reflexive study about Multiprofessional Residency Health Programs of Florianópolis.
Results:
Multiprofessional Residency characterizes training health professionals through service education. Developing these professionals’ specialization with assignments that promote professional exercise and magnifies multiprofessional work at the same time, for excellency in unabridged healthcare.
Final Considerations:
Multiprofessional Residency Programs make interdisciplinary education, sharing knowledge between residents and other professionals stimulating development of innovation skills.
- Mariana da Silva Bernardo
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ORIGINAL ARTICLE06-08-2020
Understanding the dramatic therapeutic play session: a contribution to pediatric nursing
Revista Brasileira de Enfermagem. 2020;73(4):e20180812
Abstract
ORIGINAL ARTICLEUnderstanding the dramatic therapeutic play session: a contribution to pediatric nursing
Revista Brasileira de Enfermagem. 2020;73(4):e20180812
DOI 10.1590/0034-7167-2018-0812
Views0See moreABSTRACT
Objectives:
to understand how the dramatic therapeutic play session occurs within the care of hospitalized children.
Methods:
qualitative multiple case study, using theoretical references, such as symbolic interactionism and Vygotsky’s theory of symbolic play. Twenty play sessions performed with six children from 3 to 10 years old were analyzed, each corresponding to one case.
Results:
these sessions demonstrated that a dramatic therapeutic play session is a process of four interdependent and complementary steps: bonding, exploring, dramatizing, and play cessation. They also revealed the imaginary situations externalized by the child, the importance of the exploration step for which they manage the imaginary situation and catharsis, and how her higher psychological faculties are articulated during this process.
Final Considerations:
the results contribute to the understanding of the conduct and analysis of the dramatic therapeutic play session, reinforcing the importance of its use in pediatric nursing care practice.
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ORIGINAL ARTICLE02-10-2020
Motivation and difficulties to reduce or quit smoking
- Maria Odete Pereira ,
- Bianca Cristina Silva de Assis ,
- Natália de Magalhães Ribeiro Gomes ,
- Alisson Rubson Alves ,
- Amanda Márcia dos Santos Reinaldo , [ … ],
- Mark Anthony Beinner
Abstract
ORIGINAL ARTICLEMotivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
DOI 10.1590/0034-7167-2018-0188
- Maria Odete Pereira ,
- Bianca Cristina Silva de Assis ,
- Natália de Magalhães Ribeiro Gomes ,
- Alisson Rubson Alves ,
- Amanda Márcia dos Santos Reinaldo ,
- Mark Anthony Beinner
Views0See moreABSTRACT
Objective:
To understand what factors motivate people to reduce or stop tobacco use and what difficulties they face in this process.
Method:
Qualitative, empirical and interpretative research that used a focal group technique for data collection and Discourse Analysis as a theoretical reference for analysis.
Results:
The responses centered on the following aspects: motivation for reduction or cessation of smoking, family and community support received during treatment, benefits from cessation of tobacco, difficulties encountered and strategies for overcoming triggers.
Final Considerations:
The results showed that the users expressed their desire for cessation of tobacco use and that to achieve this goal, family and group support, professional help and changing habits are key factors for this process.
- Maria Odete Pereira
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ORIGINAL ARTICLE02-10-2020
Common mental disorders in nursing students of the professionalizing cycle
- Elias Barbosa de Oliveira ,
- Regina Célia Gollner Zeitoune ,
- Cristiane Helena Gallasch ,
- Eugenio Fuentez Pérez Júnior ,
- Alexandre Vicente da Silva , [ … ],
- Thiago Carvalho de Souza
Abstract
ORIGINAL ARTICLECommon mental disorders in nursing students of the professionalizing cycle
Revista Brasileira de Enfermagem. 2020;73(1):e20180154
DOI 10.1590/0034-7167-2018-0154
- Elias Barbosa de Oliveira ,
- Regina Célia Gollner Zeitoune ,
- Cristiane Helena Gallasch ,
- Eugenio Fuentez Pérez Júnior ,
- Alexandre Vicente da Silva ,
- Thiago Carvalho de Souza
Views0See moreABSTRACT
Objectives:
to verify the suspicion of common mental disorders in nursing students of the professionalizing cycle and the association with sociodemographic features.
Method:
cross-sectional study with a sample of 85 students from a public university in the state of Rio de Janeiro (RJ) who responded to the Self-Report Questionnaire-20 and sociodemographic questions.
Results:
the suspicion prevalence of common mental disorders (CMD) in the sample was 55.3% and it was identified the association with the consumption of alcohol. Of the most frequent SRQ-20 complaints, 95.3% reported “feeling nervous, tense or worried”, 72.9% “having difficulty making decisions”, 60% “sleeping poorly” and 37.6% “having lost interest by things “.
Conclusion:
high prevalence of CMD in the sample and the association with the consumption of alcohol requires preventive and therapeutic actions among the students that minimize the possibility of severe mental disorders related to the consumption of alcohol and other drugs.
- Elias Barbosa de Oliveira
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ORIGINAL ARTICLE06-27-2019
Insertion of central vascular catheter: adherence to infection prevention bundle
- Eliana Ofelia Llapa-Rodríguez ,
- Júlian Katrin Albuquerque de Oliveira ,
- Fernanda Carneiro Melo ,
- Gilvan Gomes da Silva ,
- Maria Cláudia Tavares de Mattos , [ … ],
- Vinicius Paraíso Macieira Jr
Abstract
ORIGINAL ARTICLEInsertion of central vascular catheter: adherence to infection prevention bundle
Revista Brasileira de Enfermagem. 2019;72(3):774-779
DOI 10.1590/0034-7167-2018-0124
- Eliana Ofelia Llapa-Rodríguez ,
- Júlian Katrin Albuquerque de Oliveira ,
- Fernanda Carneiro Melo ,
- Gilvan Gomes da Silva ,
- Maria Cláudia Tavares de Mattos ,
- Vinicius Paraíso Macieira Jr
Views0See moreABSTRACT
Objective:
To evaluate the compliance of the care process involving insertion of central vascular catheter (CVC) in hemodialysis.
Method:
Cross-sectional quantitative approach developed at the hemodialysis service of a reference hospital in Sergipe, Brazil. Sample consisting of 1,342 actions evaluated, corresponding to 122 forms for monitoring and control of CVC insertion. Data collection was held from July to December 2016.
Results:
The adherence rate to the use of the insertion form was 54.9%. The procedure evaluated achieved 93% overall compliance. Of the 11 specific actions observed, seven (64%) presented 100% compliance. The density of the overall incidence of primary bloodstream infections reduced from 10.6 to 3.1 infections per 1,000 patients/day.
Conclusion:
Although the observed actions reached specific desired conformities, the use of the checklist was lower than expected. Strategies for monitoring, coaching and educational and organizational actions can contribute to safe care.
- Eliana Ofelia Llapa-Rodríguez
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