scholarly journals Nursing training on the administration of medication in pediatrics: an assessment of observed and self-reported behavior

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Ires Lopes Custódio ◽  
Francisca Elisângela Teixeira Lima ◽  
Lívia Maia Pascoal ◽  
Lorena Pinheiro Barbosa ◽  
Patricia Neyva da Costa Pinheiro ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Training Program ◽  
Pediatric Patients ◽  
Evaluation Study ◽  
Intravenous Drugs ◽  
Nursing Team ◽  
Nursing Professionals ◽  
Nursing Training ◽  
Three Phases ◽  
Observed Behavior

ABSTRACT Objectives: to evaluate the effect of a training program on the administration of intravenous drugs in pediatric patients on the observed and self-reported behavior of the nursing team. Methods: evaluation study carried out with 38 professionals during three phases: Assessment of the behavior observed in the actions performed before training; Training implementation; and Assessment of observed and self-reported behaviors (immediately and six months after training). Results: in the observed behavior, there was an improvement in six (6/12) hand hygiene actions; five (5/14) pertaining to environment Organization, selection, and preparation of materials; and in seven (7/10) referring to the Orientation of the procedure, administration and monitoring of the patient’s reactions. In self-reported behavior, there was an improvement in two (2/8) actions. Conclusions: the training resulted in an improvement in the actions of nursing professionals related to the administration of intravenous medications, both in observed and in self-reported behavior.

scholarly journals O desafio de implantar protocolos de enfemagem na pandemia do novo coronavírus: relato de experiência

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Larissa Coelho Barbosa ◽  
Catiuscia Santos do Nascimento ◽  
Jacilene Santiago do Nascimento Trindade dos Santos
Keyword(s):  
Multidisciplinary Team ◽  
Family Members ◽  
Experience Report ◽  
Private Institution ◽  
Multiprofessional Team ◽  
Nursing Team ◽  
Nursing Professionals ◽  
The City ◽  
Three Phases

Resumo: Introdução: Na pandemia do Novo Coronavírus, observou-se a importância de preparar a equipe de enfermagem para essa nova realidade. Objetivo: descrever o desafio de implantar protocolos de enfermagem na pandemia de coronavírus. Metodologia: Relato de experiência sobre o desafio de implantar protocolos de enfermagem na pandemia de COVID – 19, a fim de mostrar os benefícios para a assistência segura. O cenário foi uma instituição particular de grande porte na cidade do Salvador – Bahia. O processo ocorreu nos meses de fevereiro, março e abril de 2020. Resultados: A implantação dos protocolos de enfermagem durante a pandemia ocorreu em 3 fases: Primeiro houve uma reunião e formação de um Comitê de Crise para definição dos fluxos e protocolos de enfermagem. Depois, a equipe multiprofissional foi treinada de acordo com as determinações do Comitê de Crise. Por fim, os profissionais de enfermagem se tornaram agentes multiplicadores de informações a respeito dos protocolos do Novo Coronavirus. Considerações Finais: Portanto, ao implantar protocolos de enfermagem durante a pandemia de coronavírus a equipe multiprofissional, os pacientes e os familiares relataram sentimento de gratidão e de segurança em relação aos protocolos implantados.Descritores: Protocolos; Equipe de Enfermagem; Pandemias; Coronavírus; Hospitalização.THE CHALLENGE TO IMPLEMENT PROTOCOLS FOR NURSING IN THE NEW CORONAVIRUS PANDEMIC: AN EXPERIENCE REPORTIntroduction: In the new coronavirus pandemic, there has been observed the importance of preparing the nursing team for this new reality. Objective: To describe the challenge to implement protocols for nursing in the coronavirus pandemic. Methodology: This is an experience report on the challenge to implement protocols for nursing in the COVID - 19 pandemic, in order to show the benefits for the safe assistance. The scenario was a large-sized private institution in the city of Salvador - Bahia. The process occurred during February, March and April 2020. Results: The implementation of the nursing protocols during the pandemic occurred in three phases: the first was the meeting and creation of a Crisis Committee to define nursing flows and protocols. Then, the multiprofessional team was trained in accordance with the determinations of the Crisis Committee. Finally, the nursing professionals become multipliers of information about the protocols of the new coronavirus. Final Considerations: Therefore, when implementing nursing protocols during the coronavirus pandemic, the multidisciplinary team, patients and family members reported feelings of gratitude and security in relation to the implanted protocols.Descriptors: Protocols; Nursing, Team; Pandemics; Coronavirus; Hospitalization. EL DESAFÍO DE IMPLEMENTAR PROTOCOLOS DE ENFERMERÍA EN LA PANDEMIA DEL NUEVO CORONAVIRUS: UN RELATO DE EXPERIENCIAIntroducción: En la pandemia del nuevo coronavirus, ha se observado la importancia de preparar el equipo de enfermería para esta nueva realidad. Objetivo: describir el desafío de implementar protocolos de enfermería en la pandemia del coronavirus.Metodología: Informe de experiencia sobre el desafío de implementar protocolos de enfermería en la pandemia del COVID - 19, con el fin de demostrar los beneficios para la manipulación segura. El escenario fue una institución particular de grande porte en la ciudad de Salvador, Bahia. El proceso se produjo durante los meses de febrero, marzo y abril de 2020. Resultados: La aplicación de los protocolos de enfermería durante la pandemia ocurrió en tres fases: en primer, hubo una reunión y la formación de un Comité de Crisis para la definición de flujos y protocolos de enfermería. Entonces, el equipo multiprofesional fue entrenado de acuerdo con las determinaciones del Comité de Crisis. Por último, los profesionales de enfermería se convierten en multiplicadores de la información acerca de los protocolos del nuevo coronavirus. Consideraciones Finales: Por lo tanto, al implementar protocolos de enfermería durante la pandemia de coronavirus, el equipo multidisciplinario, los pacientes y los familiares informaron un sentimiento de gratitud y seguridad en relación con los protocolos implantados.Descriptores: Protocolos; Grupo de Enfermería; Pandemias; Coronavirus; Hospitalización.

scholarly journals Uso da preparação alcoólica para higienização das mãos

2018 ◽  
Vol 12 (2) ◽  
pp. 320
Author(s):  
Flávia Maria Derhun ◽  
Verusca Soares De Souza ◽  
Maria Antônia Ramos Costa ◽  
Liliana Yukie Hayakawa ◽  
Kelly Cristina Inoue ◽  
...  
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Health Personnel ◽  
Cross Infection ◽  
Nursing Team ◽  
Enhance Patient Safety ◽  
Level Of Knowledge ◽  
Time Required ◽  
Nursing Professionals ◽  
Structured Questionnaire

RESUMOObjetivo: verificar o conhecimento de profissionais de enfermagem sobre a fricção antisséptica das mãos com preparação alcoólica. Método: estudo quantitativo, descritivo e exploratório realizado com 27 profissionais de enfermagem de um hospital de operadora de plano privado de saúde, que preencheram um questionário semiestruturado. O nível de conhecimento foi analisado com base no Índice de Positividade e considerado satisfatório quando os acertos foram ≥80%. Os resultados foram apresentados em tabelas. Resultados: para as questões sobre a cobertura das mãos com o produto e necessidade de secagem após fricção, o conhecimento foi satisfatório (92,6% e 85.2%, respectivamente); mas, para o tempo mínimo do procedimento e necessidade das mãos estarem previamente secas foi insatisfatório (18.5% e 59.3%, respectivamente). Conclusão: o conhecimento da equipe de enfermagem foi insuficiente. Este estudo chama a atenção para a necessidade de ações de educação permanente sobre higienização das mãos com a preparação alcoólica a fim de fortalecer a cultura de segurança do paciente. Descritores: Segurança do Paciente; Infecção Hospitalar; Controle de Infecções; Pessoal de Saúde; Equipe de Enfermagem; Higiene das Mãos.ABSTRACTObjective: to determine nursing professionals’ knowledge about alcohol-based hand rub for hand hygiene. Method: descriptive, exploratory and quantitative study conducted with 27 nursing professionals of a hospital belonging to a private health plan provider, who completed a semi-structured questionnaire. The level of knowledge was assessed based on the index of positivity. Correct answers ≥80% were considered satisfactory. The results are presented in tables. Results: for questions addressing the full coverage of hands with the product and the need of drying the hands after rubbing, the knowledge was satisfactory (92.6% and 85.2%, respectively); however, for the minimal time required by the procedure and need of having the hands dried prior to the procedure, the answers were unsatisfactory (18.5% and 59.3%, respectively). Conclusion: nursing professionals’ level of knowledge was insufficient. This study draws attention to the need for continuing education on hand hygiene using alcoholic preparations in order to enhance patient safety. Descriptors: Patient Safety; Cross Infection; Infection Control; Health Personnel; Nursing Team; Hand Hygiene.RESUMENObjetivo: verificar el conocimiento de los profesionales de enfermería acerca del lavado de manos con preparación alcohólica. Método: estudio descriptivo, exploratorio y cuantitativo llevado a cabo con 27 profesionales de enfermería de un hospital perteneciente a una compañía privada de plan de salud, quienes respondieron un cuestionario semiestructurado. Se analizó el nivel de conocimiento basado en el índice de positividad y considerando satisfactorio ≥80% de respuestas correctas. Los resultados se presentan en tablas. Resultados: para preguntas acerca de la cobertura completa de las manos con el producto y la necesidad de secado de ellas después del lavado, el conocimiento fue satisfactorio (92.6% y 85,2%, respectivamente); pero, sobre el tiempo mínimo de realización del procedimiento y la necesidad de que las manos estuviesen previamente secas fue insatisfactorio (18.5% y 59,3%, respectivamente). Conclusión: el conocimiento del personal de enfermería fue insuficiente. Este estudio llama la atención sobre la necesidad de educación permanente sobre la higiene de las manos con una preparación alcohólica con el fin de fortalecer la seguridad del paciente. Seguridad del Paciente; Infeccion Hospitalaria; Control de Infecciones; Personal de Salud; Grupo de Enfermería; Higiene de las Manos.

scholarly journals ADHESION TO HAND HYGIENE BY THE NURSING TEAM

2019 ◽  
Vol 5 ◽  
Author(s):  
Ivonizete Pires Ribeiro ◽  
Jéssica Patricia de Abreu Melo ◽  
Francisca Cecília Viana Rocha ◽  
Saraí De Brito Cardoso ◽  
Herica Emilia Félix de Carvalho
Keyword(s):  
Observational Study ◽  
Hand Hygiene ◽  
National Health ◽  
Health Surveillance ◽  
Nursing Assistants ◽  
Liquid Soap ◽  
Full Compliance ◽  
Nursing Team ◽  
Nursing Professionals

Objective: To analyze the adherence to hand hygiene by the nursing team. Methods: Observational study developed with 85 nursing professionals in the months of September and October of 2018. A script recommended by the National Health Surveillance Agency (ANVISA) and a validated checklist was used. Results: Regarding the characterization of the technique and hand hygiene situation, it was observed that 100% of the nursing assistants presented short nails, performed the nail cleaning, the tips of the fingers and the wrists, but no auxiliary carried out the hygiene of the hands when entering the unit. All the evaluated professionals used the liquid soap to hygienize the hands. The time spent for hygiene was 10-20 seconds between all the categories studied. Conclusion: No category obtained 100% correct hand hygiene as recommended by ANVISA. Interventions are necessary to obtain full compliance by nursing professionals.

scholarly journals Administração de medicamento endovenoso em pacientes de hospital de doenças infectocontagiosas: atuação da enfermagem

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Deyse Maria Alves Rocha ◽  
Eva Anny Welly de Sousa Brito ◽  
Thais Lima Vieira de Souza ◽  
Rafaela De Oliveira Mota ◽  
Maira De Ciero Miranda ◽  
...  
Keyword(s):  
Patient Safety ◽  
Observational Study ◽  
Infectious Diseases ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Medical Prescription ◽  
Contagious Diseases ◽  
Intravenous Drugs ◽  
Nursing Team ◽  
Nursing Professionals

Objetivo: Avaliar a prática da administração de medicamento endovenosa em pacientes adultos internados em hospital de doenças infectocontagiosas. Metodologia: Estudo descritivo, observacional, desenvolvido em hospital de referência em doenças infectocontagiosas de Fortaleza-CE. Foram realizadas 111 observações de profissionais de enfermagem procedendo à administração de medicamentos endovenosos em pacientes com idade > 18 anos. Resultados: As ações mais realizadas foram: lê a prescrição médica (100%), consegue entender a grafia médica (97,2%) e confere o medicamento relacionado à prescrição (90,6%). Entretanto, as menos executadas foram: acalmar o paciente (21,6%), realizar limpeza da bancada (13,5%), usar equipamento de proteção individual (18,9%), desinfetar ampola ou frasco ampola (11,7%). Conclusão: O estudo mostrou diagnóstico situacional da equipe de enfermagem na atuação do preparo e da administração de medicamentos, caracterizando segurança de pacientes no nível sofrível, segundo o índice de positividade. Descritores: Infusões intravenosas; Segurança do Paciente; Enfermagem.Objective: To evaluate the practice of intravenous drug administration in adult patients hospitalized for infectious-contagious diseases. Methodology: Descriptive, observational study, developed at a referral hospital in infectious diseases of Fortaleza-CE. A total of 111 observations were made by nursing professionals on the administration of intravenous drugs in patients> 18 years of age. Results: The most accomplished actions were: read the medical prescription (100%), can understand the medical script (97.2%) and check the medication related to the prescription (90, 6%). However, the least performed were: calming the patient (21.6%), cleaning the workbench (13.5%), using personal protective equipment (18.9%), disinfect ampoule or ampoule vial (11.7%). Conclusion: The study showed a situational diagnosis of the nursing team in the preparation and administration of medications, characterizing patient safety at the level of suffering, according to the positivity index.Descriptors: Infusions; Intravenous; Patient Safety; Nursing.Objetivo: Evaluar la práctica de la administración de medicamentos endovenosa en pacientes adultos internados en el hospital de enfermedades infectocontagiosas. Metodología: Estudio descriptivo, observacional, desarrollado en un hospital de referencia en enfermedades infectocontagiosas de Fortaleza-CE. Fueron realizadas 111 observaciones de profesionales de enfermería procediendo a la administración de medicamentos endovenosos en pacientes con edad> 18 años. Resultados: Las acciones más realizadas fueron: lee la prescripción médica (100%), consigue entender la caligrafía médica (97,2%) y confirma el medicamento relacionado a la prescripción (90,6%). Sin embargo, las menos ejecutadas fueron: calmar al paciente (21,6%), realizar limpieza de la mesa de trabajo (13,5%), usar equipo de protección individual (18,9 %), desinfectar la ampolla o frasco ampolla (11,7%). Conclusión: El estudio mostró diagnóstico situacional del equipo de enfermería en la actuación de la preparación y de la administración de medicamentos, caracterizando seguridad de pacientes en el nivel sufrible, según el índice de positividad.Descriptores: Infusiones Intravenosas; Seguridad del Paciente; Enfermería. 

scholarly journals Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

2015 ◽  
Vol 23 (5) ◽  
pp. 781-788 ◽  
Author(s):  
João Francisco Possari ◽  
Raquel Rapone Gaidzinski ◽  
Antônio Fernandes Costa Lima ◽  
Fernanda Maria Togeiro Fugulin ◽  
Tracy Heather Herdman
Keyword(s):  
Surgical Care ◽  
Work Load ◽  
Nursing Intervention ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Staffing Levels ◽  
Nursing Team ◽  
Nursing Staffing ◽  
Nursing Professionals

Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68%) and Health System (22.12%), while the most frequent interventions were Surgical Care (30.62%) and Documentation (11.47%), respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

scholarly journals Prevention of newborn skin lesions: knowledge of the nursing team

2015 ◽  
Vol 24 (3) ◽  
pp. 731-739 ◽  
Author(s):  
Simone Vidal Santos ◽  
Roberta Costa
Keyword(s):  
Skin Lesions ◽  
Transepidermal Water Loss ◽  
Skin Protection ◽  
Southern Brazil ◽  
Invasive Procedures ◽  
Structured Interviews ◽  
Nursing Team ◽  
Care Approach ◽  
Free Care ◽  
Nursing Professionals

ABSTRACTA qualitative study was conducted using a convergent care approach, whose aim was to identify the knowledge of the neonatal nursing team about the prevention of skin lesions in hospitalized newborns. This study was conducted in the neonatal unit of a hospital in southern Brazil with 14 nursing professionals. Data were obtained through semi-structured interviews performed in November and December 2012. Data analysis was through apprehension, synthesis, theorization and a recontextualization processes. The results show nursing professionals are aware of newborn skin particularities, recognizing the need for skin protection, body temperature regulation, transepidermal water loss, and proper hygiene. The team also recognized the need for hydration and proper handling, as well as the need for precautions in invasive procedures, prevention of pressure and puncture lesions, care in device fixation and use of antiseptics. The results of this study demonstrated the need for providing sensitive and risk-free care, thus promoting comfort and safety for these patients.

scholarly journals Cohort study to evaluate nursing team performance in a theoretical test after training in cardiopulmonary arrest

2009 ◽  
Vol 17 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Renata da Costa Brião ◽  
Emiliane Nogueira de Souza ◽  
Raquel Azevedo de Castro ◽  
Eneida Rejane Rabelo
Keyword(s):  
Cohort Study ◽  
Team Performance ◽  
Cardiopulmonary Arrest ◽  
Theoretical Knowledge ◽  
Rio Grande Do Sul ◽  
Specific Training ◽  
Porto Alegre ◽  
Nursing Team ◽  
Theoretical Test ◽  
Nursing Professionals

OBJECTIVES: To evaluate nursing professionals' theoretical knowledge of cardiopulmonary arrest (CPA) treatment before specific training, immediately after, and six months later. METHODS: Cohort study, performed in a cardiology hospital in Porto Alegre, Rio Grande do Sul (November/2005 to May/2006), Brazil. Nurses, nursing technicians and assistants were included. A questionnaire was administered in the three periods, and 75% of correct answers was considered a satisfactory result. RESULTS: Thirty-five nurses participated in the pre-test, and 34 in the immediate and 6-month tests. Among technicians and assistants, 232, 227, and 104 participated in the pre-test, immediate, and 6-months tests, respectively. Among nurses, 62.9% achieved an adequate percentage of correct answers in the pre-test, 94.1% in the immediate, and 64.7% in the 6-months test; for nursing technicians and assistants, these values were 36.2%, 79.3%, and 62.5%, respectively. CONCLUSION: Training in CPA improved the nursing professionals' knowledge immediately after its administration, with a reduction in the rate of correct answers after 6 months.

Locus of Control of Participants in a Drug Education Program: An Evaluation

1978 ◽  
Vol 8 (3) ◽  
pp. 181-187
Author(s):  
Vance Stansell ◽  
Stephen D. Carella ◽  
George A. Letchworth
Keyword(s):  
Drug Abuse ◽  
Locus Of Control ◽  
Training Program ◽  
Education Program ◽  
Evaluation Study ◽  
Dependent Measure ◽  
Drug Education ◽  
Perceived Locus Of Control

An evaluation study was done to assess changes in perceived locus of control of adults who work in the drug abuse field and participated in a drug abuse training program. Two separate programs were examined with differing results. These outcomes are discussed with regard to composition of the groups and scores on the dependent measure.

scholarly journals GAMBARAN PENGGUNAAN TERAPI GEA (GASTROENTERITIS ) PADA PASIEN ANAK DI RSUD BATARA SIANG PANGKEP SULSEL

2021 ◽  
Vol 3 (3) ◽  
pp. 189-198
Author(s):  
Dwi Fitrah Wahyuni ◽  
Riska Riska
Keyword(s):  
Experimental Study ◽  
Medical Records ◽  
Pediatric Patients ◽  
Diarrheal Disease ◽  
Evaluation Study ◽  
Initial Therapy ◽  
Regional Hospital ◽  
Inclusion Criteria ◽  
South Sulawesi ◽  
Appropriate Therapy

GEA (Gastroenteritis) or diarrhea is a disease caused by digestive tract disorders that are infected by bacteria. Treatment of early diarrhea, especially the choice of initial therapy, greatly affects the success of providing appropriate and appropriate therapy. This study aims to determine the rationality of therapy in pediatric patients at Batara Siang Pangkep Regional Hospital, South Sulawesi City. This study is a non-experimental study with a retrospective descriptive evaluation study using patient medical records. The samples that met the inclusion criteria were 65 patients. Acute diarrhea was mostly found in men as many as 38 patients (58%) while for women as many as 27 patients (42%). Characteristics of age 1-3 years (82%). The result showed that there are 3 therapeutic regimen in pediatric patient namely cotrimoxazole,electrolit, and zinc. So from these data meet the standards of management of diarrheal disease in children.

scholarly journals Nursing professionals’ biosafety in confronting COVID-19

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Mônica Alice Santos da Silva ◽  
Morgana Cristina Leôncio de Lima ◽  
Cynthia Angélica Ramos de Oliveira Dourado ◽  
Clarissa Mourão Pinho ◽  
Maria Sandra Andrade
Keyword(s):  
Data Analysis ◽  
Personal Protective Equipment ◽  
Sample Selection ◽  
Internal Flow ◽  
Protective Equipment ◽  
Descriptive Data ◽  
Equipment Availability ◽  
Nursing Team ◽  
Internal Flux ◽  
Nursing Professionals

ABSTRACT Objective: To investigate the nursing professionals’ biosecurity in confronting COVID-19. Methods: This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted. Results: considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases. Conclusion: Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.

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