scholarly journals Biological risk in the activity of the nurse auditor.

2018 ◽  
Vol 18 (70) ◽  
Author(s):  
Lucieno De Moura Santos ◽  
James Anthony Falk

ABSTRACTThe hospital work environment is considered unhealthy for grouping patients with different infectious diseases and providing many procedures which may lead to accident risks and diseases for health workers. Employees who are potentially exposed to risks have to be informed and trained to avoid health problems. This study aimed to identify if the nurse auditor is exposed to biological risks in the development of their activities. It is a descriptive, exploratory, cross-sectional study with quantitative analysis. It was held in a private, medium-sized hospital in the city of Recife, Brazil, which has clinical and cardiological emergency services; hospitalization; diagnostic aid; surgical unit and intensive care unit. The sample consisted of 31 internal and external nurses, in relation to the characterization of the sample or study revealed that the interviewees are mostly women aged 27 to 38 years, with 4 to 6 years of professional experience and who sporadically attend courses of improvement. 94% of the interviewees answered that there was presence of blood or secretion in the audited medical records, and 84% of them reported that this happened sporadically. 65% are in contact with the patient (on-site) and 85% do not receive the additional unhealthy. The evaluation for the payment of hazard pay is qualitative, what can help to ensure that each employer adopt the way you believe to be the most convenient for the implementation or not of this payment. Key words: biological risk, nursing, auditory. RESUMOO ambiente de trabalho hospitalar é considerado insalubre por agrupar pacientes portadores de diversas enfermidades infectocontagiosas e viabilizar muitos procedimentos que oferecem riscos de acidentes e doenças para os trabalhadores da saúde. Os funcionários potencialmente expostos aos riscos precisam estar informados e treinados para evitar problemas de saúde. Este estudo teve por objetivo identificar se o enfermeiro auditor está exposto a riscos biológicos no desenvolvimento de suas atividades. Trata-se de um estudo descritivo, exploratório, transversal com análise quantitativa. Foi realizado em um hospital privado, de médio porte, na cidade de Recife-PE, Brasil, que possui os serviços de emergência clínica e cardiológica; internação; auxílio ao diagnóstico; bloco cirúrgico e unidade de terapia intensiva. A amostra foi composta por 31 enfermeiros auditores internos e externos, em relação a caracterização da amostra o estudo revelou que os entrevistados em sua maioria são mulheres com idade de 27 a 38 anos, com 4 a 6 anos de experiência profissional e que esporadicamente frequentam cursos de aperfeiçoamento, 94% dos entrevistados responderam que havia presença de sangue ou secreção nos prontuários auditados sendo que 84% destes, relataram que este fato ocorria de maneira esporádica, 65% atuam em contato com o paciente (in loco) e 85% não recebem o adicional de insalubridade. A avaliação para o pagamento da insalubridade é qualitativa, o que pode contribuir para que cada empregador adote a maneira que acredita ser a mais conveniente para a efetivação ou não desse pagamento. Palavras-chave: risco biológico, enfermagem, auditoria.

Author(s):  
Camila Llima Ribeiro ◽  
Islene Victor Barbosa ◽  
Renata Saraiva Martins da Silva ◽  
Virna Ribeiro Feitosa Cestari ◽  
Kiarelle Lourenço Penaforte ◽  
...  

RESUMOObjetivo: Descrever as características clínicas de pacientes sob ventilação mecânica internados em Unidade de Terapia Intensiva (UTI). Métodos: Estudo transversal e quantitativo, com amostra de 90 pacientes internados em um hospital referência em atendimento de doenças cardiopulmonares, situado na cidade de Fortaleza/Ceará. Coleta de dados realizada em outubro de 2016 através de um instrumento estruturado. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Intituição sob o protocolo CAAE- 53956816.2.0000.5052. Resultados: Observou-se que 56,7% eram do sexo feminino, na faixa etária de 50 a 59 anos (59%). Os principais motivos de internação foram as doenças cardiovasculares (53,3%); 88,9% utilizaram antibioticoterapia; 34,4% apresentaram pneumonia associada à ventilação mecânica; 80% utilizaram drogas vasoativas e apenas 25,6% realizaram traqueostomia após a internação 36,7%. Conclusão: O paciente crítico possui peculiaridades que exige do enfermeiro um planejamento das ações de cuidados que vise à redução de possíveis complicações graves e letais. Descritores: Ventilação Mecânica,Unidades de Terapia Intensiva, Enfermagem.ABSTRACTObjective: Lo describe the clinical characteristics of patients under mechanical ventilation admitted to the Intensive Care Unit (ICU). Methods: A cross - sectional and quantitative study with a sample of 90 patients admitted to a referral hospital for cardiopulmonary diseases, located in the city of Fortaleza / Ceará. Data collection conducted in October 2016 through a structured instrument. The study was approved by the Institutional Research Ethics Committee under protocol CAAE-53956816.2.0000.5052. Results: It was observed that 56.7% were female, in the age group of 50 to 59 years (59%). The main reasons for hospitalization were cardiovascular diseases (53.3%); 88.9% used antibiotic therapy; 34.4% presented pneumonia associated with mechanical ventilation; 80% used vasoactive drugs and only 25.6% performed tracheostomy after hospitalization 36.7%. Conclusion: The critical patient has peculiarities that require the nurse to plan care actions aimed at reducing possible serious and lethal complications.Descriptors: Respiration  Artificial,Intensive Care Units, Nursing. RESUMENObjetivo: Describir las características clínicas de los pacientes con ventilación mecánica hospitalizado en la Unidad de Cuidados Intensivos (UCI). Métodos: Estudio transversal y cuantitativo con una muestra de 90 pacientes ingresados en un hospital de referencia para las enfermedades cardiopulmonares de atención, ubicados en Fortaleza / Ceará. La recolección de datos en octubre el año 2016 a través de un instrumento estructurado. El estudio fue aprobado por el Comité de Ética de Investigación de Intituição bajo CAAE- 53956816.2.0000.5052 protocolo. Resultados: Se observó que el 56,7% eran mujeres, de 50-59 años (59%). Las principales razones de hospitalización fueron las enfermedades cardiovasculares (53,3%); 88,9% utiliza antibióticos; 34,4% había una neumonía asociada a la ventilación mecánica; 80% usa drogas vasoactivas y solamente el 25,6% fue sometido a traqueotomía después de la hospitalización del 36,7%. Conclusión: El paciente crítico tiene peculiaridades que requieren enfermeras planificación de las acciones de atención dirigidas a reducir las posibles complicaciones graves y letales.Descriptores: Respiración Artificial, Unidades de Cuidados Intensivos, Enfermería.


2020 ◽  
Vol 6 (2) ◽  
pp. 359-365
Author(s):  
Ashees Kumar Saha ◽  
Jabin Akhter ◽  
China Rani Mittra ◽  
Hasan Mahfuz Reza ◽  
Mst Ronju Ara Khatun

Workload and job satisfaction are interrelated and have an impact on health care. A cross sectional study was conducted to assess the workload and job satisfaction among nurses in a tertiary level hospital, Rajshahi. Three hundred and eighty four Nurses were selected and interviewed with semi-structured questionnaire. Collected data were checked and transferred in to SPSS version 25 for analysis. Frequency, Percentage, Mean, SD and other statistics were calculated. In the study, 63.8 % of the respondents ages were within 21-30 years and majority (94.2%) was female. More than half 57.03% of the respondents had expressed low job satisfaction, 40.62% expressed moderate satisfaction and only 2.34% of nurses were highly satisfied with their job. About 25% respondent’s opinion regarding workload in surgical wards and 18% in medicine ward. In this study, nurse patient’s ratio in- pediatric medical unit was- 16:1, surgical unit- 15:1, medicine unit-14:1. About 96.9% got support from colleague, 88.5% respondents realize shortage of staff in that hospital. In this study near half of the nurses had not enough time to provide emotional support to the patient and almost 90% stated on shortage of staff nurses in the hospital. Fifty percent of the nurses expressed on excess workload and more than half of the nurses satisfied regarding nursing care given to the patients. Among the nurses 30% dissatisfied with the hospital work environment and overall job security. In this study, 88.5% respondent’s opined regarding shortage of staff nurses in that hospital. Health facilities requires increase of nursing personnel. Asian J. Med. Biol. Res. June 2020, 6(2): 359-365


2021 ◽  
Author(s):  
Cecile Djuikoue ◽  
Alex Ndjip Ndjock ◽  
Irene Wandji ◽  
Willy Yamdeu Tchoukouha ◽  
Frank Nounkeu Kouteu ◽  
...  

Abstract Background: Tuberculosis (TB) remains a major health problem in Africa and more particularly in sub-Saharan countries such as Cameroon due to its impact on mortality, morbidity and socio-economic repercussions on the population in general, in this case in big cities like Douala. In 2018, the Littoral region in Cameroon recorded more than 5,000 cases of tuberculosis representing a quarter of the total number of TB patients in in the country. The application of measures to control TB infection and the regular surveillance of tuberculosis disease among health workers and at all levels of the health system constitute a public health priority, not only for health and administrative workers, but also for all users. This study assessed the adherence to preventive measures against TB by health workers of the diagnostic and treatment centers in the city of Douala. Methodology: This is a descriptive cross-sectional study carried out among health workers from 12 TB screening and treatment centers in the city of Douala. It took place from July 20, 2020 to August 15, 2020. The data were collected using an observation grid designed on the basis of the technical guidelines for health professionals 4th Edition set up by the WHO and contextualized in Cameroon through the technical guidelines for health professionals in Cameroon 2020. The data collected was analyzed using the statistical software Epi Info 7.2.3.1. Results: The implementation of preventive measures (administrative, environmental and individual) against TB by health workers in the diagnostic and treatment centers in the city of Douala was insufficient with the respective adherence average of 79.16% for management measures, 71.80% for environmental measures and 54.76% for individual protection measures. Conclusion: The poor implementation of infection control measures in the TB diagnostic and treatment centers in the city of Douala can promote exposure of health workers to Mycobacterium tuberculosis. An institutional effort required to resolve this issue and strengthen TB prevention activities.


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Lara Tereza Sekeff Santos Simão ◽  
Luana Pinheiro Lages ◽  
Miguel Henrique Pereira De Paiva ◽  
Natasha Louise Silva Ribeiro ◽  
Eronice Ribeiro de Morais Araújo ◽  
...  

Objetivo: caracterizar o perfil dos idosos com Doenças Crônicas Não Transmissíveis (DCNTs) internados em Unidades de Terapia Intensiva (UTIs). Metodologia: estudo transversal, retrospectivo, quantitativo, desenvolvido em um hospital do município de Teresina – Piauí, com 115 idosos internados nas UTIs no ano de 2014, utilizando questionário com perguntas fechadas. Os dados foram coletados entre junho e julho de 2016. Resultados: a idade-média dos idosos foi 73,9 anos (dp=9,4), 51,3% eram homens, casados (53,5%), analfabetos (40,8%), de cor amarela (45,2%) e aposentados (57,3%). A maioria dos idosos procedia do centro cirúrgico (55,6%), tinha poucas reinternações (15,7%), média de dias de internações 5,4 (dp=7,2); o desfecho foi a transferência para outro setor do hospital (62,6%). Das DCNTs, a doença cerebrovascular predominou (68,7%), sendo que 52,2% dos indivíduos possuía pelo menos uma DCNT. Conclusão: o conhecimento do perfil de idoso hospitalizado na UTI, suas condições clínicas e evolução contribuem para o planejamento de ações que melhorem a qualidade da assistência.Descritores: Idoso; Unidade de Terapia Intensiva; Doenças crônicas.PROFILE OF ELDERLY PEOPLE WITH NON-TRANSMISSIBLE CHRONIC DISEASES HOSPITALIZED IN AN INTENSIVE CARE UNITObjective: To characterize the profile of the elderly with chronic noncommunicable diseases (DCNT) hospitalized in Intensive Care Units (ICU). Methodology: a retrospective, quantitative, cross - sectional study, developed in a hospital in the city of Teresina - Piauí, with 115 elderly patients admitted to the ICUs in 2014, use a questionnaire with closed questions. Data were collected between June and July 2016. Results: the mean age of the elderly was 73.9 years (SD = 9.4), 51.3% were men, married (53.5%), illiterate (40, 8%), yellow (45.2%) and retirees (57.3%). The majority of the elderly came from the surgical center (55.6%), readmissions of a few (15.7%), average days of hospitalizations 5,4 (SD = 7.2), the outcome of a transfer to another sector Of the Hospital (62.6%). Of the CNCD, cerebrovascular disease predominated (68.7%), and 52.2% of the patients had CNCD. Conclusion: the knowledge of the profile of hospitalized elderly in the ICU, their clinical conditions and evolution to the planning of actions that improve the quality of care.Descriptors: Elder; Intensive Care Unit; Chronic diseases.PERFIL DE ANCIANOS CON ENFERMEDADES CRÓNICAS NO TRANSMISIBLES HOSPITALIZADOS EN UNA UNIDAD DE CUIDADOS INTENSIVOSObjetivo: caracterizar el perfil de los ancianos con Enfermedades Crónicas no Transmisibles (DCNT) internados en Unidades de Terapia Intensiva (UTI). Metodología: estudio transversal, retrospectivo, cuantitativo, desarrollado en un hospital del municipio de Teresina - Piauí, con 115 ancianos internados en las UTIs en el año 2014, use cuestionario con preguntas cerradas. Los datos fueron recolectados entre junio y julio de 2016. Resultados: la edad media de los ancianos para 73,9 años (dp = 9,4), el 51,3% fueron hombres, casados (53,5%), analfabetos (40, 8%), de color amarillo (45,2%) y jubilados (57,3%). La mayoría de los ancianos procedentes del centro quirúrgico (55,6%), de las reinternaciones de pocas (15,7%), promedio de días de internaciones 5,4 (dp = 7,2), el resultado de una transferencia a otro sector Del Hospital (62,6%). De las DCNT, la enfermedad cerebrovascular predominó (68,7%), siendo que el 52,2% de los pacientes poseen una DCNT. Conclusión: el conocimiento del perfil de anciano hospitalizado en la UTI, sus condiciones clínicas y evolución para la planificación de acciones que mejoran la calidad de la asistencia.Descriptores: Anciano; Unidad de Cuidados Intensivos; Enfermedades crónicas.


2018 ◽  
Vol 59 (1) ◽  
Author(s):  
Isabella Lince-Rivera ◽  
Gabriel Eduardo Camacho Flórez ◽  
Alexa Kunzel Gallo

<p><strong>Introduction</strong>: Refractive errors can have important repercussions in the performance of an individual, especially in the pediatric community. <strong>Objective</strong>: To determine the prevalence of refractive errors within a sample of 112 children between the ages of 2 and 14 from the Colegio La Candelaria in the city of Bogotá. <strong>Methods</strong>: Cross-sectional study that evaluated through visual acuity, ocular motility, ophthalmoscopy, retinoscopy, and subjective exam, the visual capacity of the children in question. <strong>Results</strong>: We found a prevalence of refractive errors of 18.8% where 13.4% represented astigmatism, 3.6% hypermetropia and 1.8% myopia. <strong>Discussion</strong>: These results were compared with those exposed on a thesis performed in 1973 by which patients with similar conditions were tested. In this study, the refractive errors were of 30.48%, a difference that can be explained by variations in population characteristics. Lastly, it arises the need of screening in other communities.</p>


2021 ◽  
Vol 1 (1) ◽  
pp. 109-114
Author(s):  
Dwiki Hastomo Putra ◽  
Fauzan Firdaus ◽  
Muhammad Dzikri Mustofa ◽  
Muhammad Uweis Al-Qorny Virdinant

Hospital is a health service institution that provides complete individual health services that provide inpatient, outpatient, and emergency services. Indeed, a health service provider can provide maximum service by the expectations and desires of patients. This research is in the form of qualitative and uses a Cross-Sectional study to see the relationship between the quality of services provided to patient satisfaction at Islamic Hospital X in 2021. The data collection procedure was carried out by observation, interviews, and literature studies that took place from May to July 2021. The results showed that based on the dimensions of Reliability, Responsiveness, Assurances, It can be seen from the alertness indicators of health workers, the availability of adequate and modern medical devices, communication skills of health workers, the appearance of health workers, in general, showing good results and leading to patient satisfaction with the services received at Islamic Hospital X in 2021.


2020 ◽  
pp. 18-24
Author(s):  
Thaís de Souza Rosa ◽  
Raissa Carvalho Marinho ◽  
Wemerson Davi de Miranda ◽  
Brisa Gomes Cangussú ◽  
Laís Tonello ◽  
...  

Introduction: Mental disorders are changes in psychological, mental or cognitive functioning, in which there is impairment, or suffering that impairs life habits, family, social interaction, among others. Objective: To trace the epidemiological profile of psychiatry patients of Gurupi polyclinic -TO. Materials and Methods: Descriptive cross-sectional study with a quantitative approach, performed from the analysis of 104 medical records of patients in the psychiatric specialty attended at Gurupi-TO polyclinic. Data were collected on gender, age, the city of origin, the profession, marital status and medical diagnosis. The data were analyzed from descriptive statistics, in absolute and relative values. Results: It was observed that people aged 6 to 84 years were observed, most of them female (63.5%). In addition, it is noticed that polyclinic users are mostly single (70%), residents of Gurupi city (84%). Regarding the profession, a high percentage of medical records do not contain these responses (58%), of the others are mostly from home (15%). The most prevalent disorders are bipolar affective disorder (34.2%) and depression (27.9%). Conclusion: It is possible to realize that psychiatric disorders are predominantly affecting female patients, aged between 30 and 49 years, single, as a profession of "home", with fixed residence in the city of Gurupi and diagnosed predominantly with mental pathologies related to bipolar affective disorder and depression.


MedPharmRes ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 34-39
Author(s):  
Thi-Hai-Yen Nguyen ◽  
Truong Van Dat ◽  
Phuong-Thao Huynh ◽  
Chi-Thuong Tang ◽  
Vinh-Chau Van Nguyen ◽  
...  

Vietnam has one of the highest multi drug resistance in Asia. Although, despite many efforts to implement the Antimicrobial Stewardship Programs (the ASP) since 2016, studies that on the implementation policy are very lacking of this program are limited. For that reason, we conducted this cross-sectional study to analyze the viewpoint of health workers (HWs) on the implementation of the ASP at some hospitals in Ho Chi Minh City (HCMC). An assessment of 234 HWs showed that the implementation of the ASP in HCMC hospitals was above average (62.7/100.0). A barrier to the implementation consisted of the deficiency in finances, guidelines for diagnosis, and specific interventions for some common infections, such as distributing current antibiogram and monitoring rate of Clostridioides difficile infections. These were the widely recognized problems in initially implementing the ASP. Although most HWs are aware of the importance of implementing the ASP (79.1%), the specific assessment has not been recorded clearly due to the numerous neutral responses. Despite the support of the leadership, the implementation still faces many difficulties and limitations, especially in 3rd and 4th class hospitals. Besides, there was a lack of wide dissemination of information on the ASP at each unit. To generalize the status of the ASP implementation, researchers should conduct qualitative and quantitative studies with a larger scale.


2020 ◽  
Author(s):  
Christophe Rodriguez ◽  
Nicolas de Prost ◽  
Slim Fourati ◽  
Claudie Lamoureux ◽  
Guillaume Gricourt ◽  
...  

2020 ◽  
Vol 20 (2) ◽  
pp. 167-174
Author(s):  
Ilo Dicko ◽  
Yaya Ibrahim Coulibaly ◽  
Modibo Sangaré ◽  
Bismark Sarfo ◽  
Priscillia Awo Nortey

Background: Lymphatic filariasis (LF) is a parasitic disease that has been targeted for elimination through the Mass Drug Administration (MDA.) Although the MDA started in the Ankobra community in Ghana in 2000, LF prevalence as reported in 2014 was relatively high (4.5%). Non-compliance to the MDA has been associated with the persistent LF prevalence in endemic regions. Objective: This study determined the factors associated with the non-compliance to the MDA among patients living in the Ankobra community, Ghana. Methods: A cross-sectional study using a one-stage cluster sampling method was used to collect data between June and July, 2017 in Ankobra. Questionnaires were used to collect data from health workers, the MDA drug distributors and study participants in Ankobra. Data analysis was performed using STATA 14. Logistic regression was used to measure the degree of association between the dependent (non-compliance) and independent variables. Non-compliance rate was defined as the percentage of individuals who self-reported that they did not actually swallow the drugs provided during the MDA. Results: The MDA coverage and non-compliance rates were 73.5% (147/200) and 33.33% (49/147) respectively. The main reason for non-compliance was fear of drug adverse events (75.51%, 37/49). Thought of “not being susceptible to LF” was significantly associated with the non-compliance (aOR= 2.83, [CI= 1.15, 6.98]). Conclusion: Health education about the susceptibility of residents getting LF disease in endemic community must be intensified to improve compliance to MDA medication ingestion and thus meet the Global Elimination of Lymphatic Filariasis by 2020.


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