scholarly journals Processo de trabalho na Central de Esterilização de Materiais em uma clínica escola

2021 ◽  
Vol 21 (83) ◽  
Author(s):  
Maria Eduarda Marques Fregulia ◽  
Valdemira Santina Dagostin ◽  
Mágada Tessmann ◽  
Maria Madalena Santiago ◽  
Neiva Junkes Hoepers ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Physical Method ◽  
Physical Structure ◽  
Steam Sterilization ◽  
Work Process ◽  
Support Unit ◽  
Nursing Team ◽  
Qualitative Descriptive ◽  
Nursing Professionals ◽  
And Storage

A Central de Material e Esterilização (CME) é uma unidade funcional de apoio dentro do estabelecimento de saúde, garantindo a eficiência na esterilização dos materiais visando a segurança do paciente. O objetivo foi discorrer sobre o processo de trabalho na CME, em uma Clínica escola, a partir da legislação vigente, em uma universidade. Trata-se de um estudo qualitativo, do tipo descritivo, observacional, onde a coleta de dados foi realizada no próprio local de trabalho, com os profissionais de enfermagem, através de questionários semiestruturados, a análise e interpretação dos dados qualitativos foram realizadas através das informações coletadas nos questionários aplicados. A clínica escola possui uma área total de aproximadamente 3.278 m2, é um espaço que abriga todos os oito cursos da saúde, medicina, enfermagem, nutrição, fisioterapia, biomedicina, psicologia e odontologia. CME possui equipe de enfermagem composta de uma enfermeira e três técnicas em enfermagem atuantes na profissão. Quanto ao método de esterilização utilizado, ficou evidenciado o método físico, vapor saturado sob pressão, possui ainda a esterilização a vapor em ciclo flash, sendo esta utilizada no decorrer dos atendimentos realizados. Ficou evidenciado que com relação a estrutura física da CME da clínica escola, percebe-se que a mesma se encontra dentro das dimensões exigidas, assim como, responde também aos quesitos de estruturação em cada área: higienização, esterilização e armazenamento. Entretanto ainda requer adequações a fim de viabilizar ainda mais o processo de trabalho. Palavras-chave: Central de Material e Esterilização, Enfermagem, Esterilização. Work process at Material and Sterilization Center in a school clinicABSTRACTThe Material and Sterilization Center (MSC) is a functional support unit within the health establishment, ensuring efficiency in the sterilization of materials aimed at patient safety. The objective was to discuss the work process at CME, in a school clinic, based on current legislation, at a university. This is a qualitative, descriptive, observational study, where data collection was carried out at the workplace, with nursing professionals, through semi-structured questionnaires, the analysis and interpretation of qualitative data were carried out through information collected in the applied questionnaires. The school clinic has a total area of approximately 3,278 m2, is a space that houses all eight courses in health, medicine, nursing, nutrition, physiotherapy, biomedicine, psychology and dentistry. CME has a nursing team composed of a nurse and three nursing technicians working in the profession. As for the sterilization method used, the physical method was evidenced, steam saturated under pressure, it also has steam sterilization in a flash cycle, which is used in the course of the consultations carried out. It was evidenced that in relation to the physical structure of the CME of the school clinic, it is perceived that it is within the required dimensions, as well as it also responds to the structuring requirements in each area: hygiene, sterilization and storage. However, it still requires adjustments in order to further facilitate the work process.Keywords: Material and Sterilization Center, Nursing, Sterilization.

scholarly journals A condição da espiritualidade na assistência de enfermagem oncológica

2018 ◽  
Vol 12 (11) ◽  
pp. 3024
Author(s):  
Fellipe Cássio Silva ◽  
Ana Maria Sá Barreto Maciel ◽  
Ana Carla Silva Alexandre ◽  
Danielma Maria Barros Ferreira
Keyword(s):  
Palliative Care ◽  
Qualitative Data ◽  
Medical Oncology ◽  
Descriptive Study ◽  
System Method ◽  
Analysis Technique ◽  
Nursing Team ◽  
Qualitative Descriptive ◽  
Nursing Professionals ◽  
Oncology Center

RESUMO Objetivo: analisar aspectos referentes à espiritualidade em profissionais de Enfermagem que prestam assistência a pacientes em regime de cuidados paliativos. Método: trata-se de um estudo qualiquantitativo, do tipo descritivo, com seis profissionais da equipe de Enfermagem de um centro de oncologia. Utilizou-se um formulário semiestruturado para a coleta dos dados. Analisaram-se os dados qualitativos pela técnica de Análise de Conteúdo e os dados quantitativos com o auxílio do programa Epi Info,TM versão 2011. Resultados: revela-se que 83% afirmam desenvolver a espiritualidade durante a assistência prestada e 67% acreditam na interferência da espiritualidade na assistência por eles prestada, além de considerarem importante o diálogo sobre esta com os pacientes. Conclusão: constatou-se a crença em conseguir desenvolver a espiritualidade durante a assistência prestada e a existência de interferência da espiritualidade durante essa assistência prestada pela equipe de Enfermagem. Buscam-se, por meio de estudos dessa natureza, reflexões a respeito do processo de trabalho da Enfermagem no cuidado ao paciente oncológico a fim de subsidiar mecanismos que possam favorecer as habilidades no contexto da espiritualidade. Descritores: Espiritualidade; Religião; Cuidados Paliativos; Oncologia; Morte; Cuidados de Enfermagem.  ABSTRACT Objective: to analyze aspects related to spirituality in nursing professionals who provide care to patients in the palliative care system. Method: this is a qualitative, descriptive study with six professionals from the Nursing team of an oncology center. A semi-structured form was used to collect the data. Qualitative data was analyzed using the Content Analysis technique and the quantitative data with the help of the Epi Info, TM version 2011 program. Results: 83% reported developing spirituality during the care provided and 67% believed in interference of the spirituality in the assistance they provide, and also consider it important to dialogue with the patients. Conclusion: the belief in being able to develop spirituality during the care provided and the existence of spirituality interference during this care provided by the Nursing team was verified. Through studies of this nature, it is sought to reflect on the Nursing work process in the care of cancer patients, in order to subsidize mechanisms that may favor skills in the context of spirituality. Descriptors: Spirituality; Religion; Palliative Care; Medical Oncology; Death; Nursing Care.RESUMEN Objetivo: analizar aspectos referentes a la espiritualidad en profesionales de Enfermería que prestan asistencia a pacientes en régimen de cuidados paliativos. Método: se trata de un estudio cuali-cuantitativo, del tipo descriptivo, con seis profesionales del equipo de Enfermería de un centro de oncología. Se utilizó un formulario semiestructurado para la recolección de los datos. Se analizaron los datos cualitativos por la técnica de Análisis de Contenido y los datos cuantitativos con la ayuda del programa Epi Info, TM versión 2011. Resultados: se revela que el 83% afirma desarrollar la espiritualidad durante la asistencia prestada y el 67% cree en la interferencia de la espiritualidad en la asistencia por ellos prestada, además de considerar importante el diálogo sobre ésta con los pacientes. Conclusión: se constató la creencia en lograr desarrollar la espiritualidad durante la asistencia prestada y la existencia de interferencia de la espiritualidad durante esa asistencia prestada por el equipo de Enfermería. Se buscan, por medio de estudios de esa naturaleza, reflexiones acerca del proceso de trabajo de la Enfermería en el cuidado al paciente oncológico a fin de subsidiar mecanismos que puedan favorecer las habilidades en el contexto de la espiritualidad. Descriptores: Espiritualidad; Religión; uidados Paliativos; Oncología Médica; Muerte; Atención de Enfermería.

scholarly journals Delineamento da violência sofrida pela equipe de enfermagem na emergência hospitalar [Outline of violence suffered by the hospital emergency department nursing team] [Diseño de la violencia sufrida por el equipo de enfermería en las urgencias hospitalarias]

2018 ◽  
Vol 26 ◽  
pp. e26877
Author(s):  
Ana Paula Da Fonseca da Costa Fernandes ◽  
Joanir Pereira Passos
Keyword(s):  
Emergency Department ◽  
Rio De Janeiro ◽  
Physical Violence ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
System Method ◽  
Analysis Technique ◽  
Nursing Team ◽  
Qualitative Descriptive ◽  
Nursing Professionals

Objetivo: caracterizar, na visão do profissional de enfermagem, a violência sofrida a partir da sua relação com o usuário ou acompanhante/visita do sistema público de saúde em um serviço de emergência hospitalar. Método: trata-se de recorte de estudo qualitativo, descritivo, utilizando a técnica de análise de conteúdo, por meio de entrevista com 24 profissionais de enfermagem que trabalhavam na emergência de um hospital público de grande porte no Rio de Janeiro, em 2012. Projeto aprovado por Comitê de Ética em Pesquisa. Resultados: emergiram quatro categorias, nas quais foram identificadas violência verbal e física, verificando também seu caráter multifatorial. Conclusão: foram encontrados problemas relacionados à gestão hospitalar como fator desencadeador da violência, tendo o manejo do profissional de enfermagem para esta situação o seu principal atenuante/agravante. Devido à subnotificação, estudos na área auxiliam a tomada de medidas de promoção e proteção da saúde do profissional de enfermagem.ABSTRACTObjective: from the nursing team’s viewpoint, to characterize the violence suffered in their relationship with users or companions/visitors in a hospital emergency department of the public health system. Method: this is a portion of a qualitative, descriptive study using content analysis technique, by interview of 24 nursing professionals working in the emergency department of a public hospital in Rio de Janeiro in 2012. The study was approved by the research ethics committee. Results: verbal and physical violence were identified in the four categories that emerged, which were also found to be multifactorial. Conclusion: problems were found relating to hospital management as a factor in triggering violence, the main mitigating/aggravating factor being management of the nursing team for this situation. Because of underreporting, studies in this area are helpful when taking measures to promote and protect nurses’ health.RESUMENObjetivo: caracterizar, desde el punto de vista del profesional de enfermería, la violencia sufrida desde su relación con el usuario o acompañante/visitante del sistema público de salud en un servicio de urgencias hospitalarias. Método: se trata de recorte de un estudio cualitativo, descriptivo, utilizando la técnica de análisis de contenido, a través de entrevistas con 24 profesionales de enfermería que trabajan en el servicio de urgencias de un hospital público en Rio de Janeiro, en 2012. Proyecto aprobado por el Comité de Ética en Investigación. Resultados: emergieron cuatro categorías, donde fueron identificados violencia verbal y física, verificando su carácter multifactorial. Conclusión: se han encontrado problemas relacionados con la gestión hospitalaria como factor desencadenante de violencia, el manejo del profesional de enfermería para esta situación siendo su principal atenuante/agravante. Debido a la subnotificación, estudios en el área ayudan a tomar medidas de promoción y protección de la salud de los profesionales de enfermería.

O preparo de medicamentos realizado por um time de medicação: estudo descritivo

2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Viviane Saraiva de Almeida ◽  
Marilda Andrade ◽  
Danielle Lemos Querido ◽  
Marialda Moreira Christoffel ◽  
Jorge Leandro do Souto Monteiro ◽  
...  
Keyword(s):  
Data Collection ◽  
Research Method ◽  
Work Group ◽  
Descriptive Study ◽  
Work Relationships ◽  
Neonatal Unit ◽  
Work Process ◽  
Document Search ◽  
Nursing Team ◽  
Qualitative Descriptive

The medication team is a work group formed by nurses who dedicate themselves to the stages of the medication system, with certain uniformity in the accomplishment of the activities; however, no standardization of their work process was developed. Aim: describe the preparation of enteral medications and parenteral solutions by the medication team in the neonatal unit. Method: this is a qualitative, descriptive study that uses the action research method. The subjects were the nurses of the medication team of the neonatal unit. Data collection consisted of: document search; observation of medication preparation; and collection of problems at the medication team meeting. Results: updating of the theme and attributions of the nursing team of the neonatal unit; construction of flowcharts related to the preparation of medicines. Conclusion: the study allowed implementing interventions in the preparation of medicines carried out by the study subjects, standardizing the steps and defining the work relationships of the nursing team.

scholarly journals THE WORK PROCESS IN RADIOLOGICAL NURSING: INVISIBILITY OFIONIZING RADIATION

2015 ◽  
Vol 24 (3) ◽  
pp. 801-808 ◽  
Author(s):  
Juliana Almeida Coelho de Melo ◽  
Francine Lima Gelbcke ◽  
Andrea Huhn ◽  
Mara Ambrosina de Oliveira Vargas
Keyword(s):  
Ionizing Radiation ◽  
Teaching Hospital ◽  
Educational Program ◽  
Radiological Protection ◽  
Exploratory Research ◽  
Work Process ◽  
Qualitative Descriptive ◽  
Nursing Professionals ◽  
Surgery Center ◽  
Lack Of Knowledge

ABSTRACT Qualitative descriptive and exploratory research, performed with 20 nursing professionals working in a general radiology unit and surgery center with the "C-arm" equipment, and the hemodynamics unit of a southern Brazilian teaching hospital. Aim was to analyze the dimensions of the work process for radiological technology nurse professionals. This paper made clear that radiological technologies are outside nursing, which leads to the invisibility of ionizing radiation, leading to inappropriate attitudes about radiological protection, which can be related to harm in professionals, caused by lack of knowledge about this issue. Among radiological nursing work process dimensions, the care dimension emerged. The necessity of implementing a continuous educational program in services which utilize radiological technologies was emphasized, thereby promoting, for patients and for nursing professionals, safer environments and integral care.

scholarly journals Neoliberalist influences on nursing hospital work process and organization

2017 ◽  
Vol 70 (5) ◽  
pp. 912-919 ◽  
Author(s):  
Norma Valéria Dantas de Oliveira Souza ◽  
Francisco Gleidson de Azevedo Gonçalves ◽  
Ariane da Silva Pires ◽  
Helena Maria Scherlowski Leal David
Keyword(s):  
Working Conditions ◽  
Structured Interview ◽  
Physical Structure ◽  
University Hospital ◽  
Treatment Technique ◽  
Work Process ◽  
Descriptive Research ◽  
Hospital Work ◽  
Qualitative Descriptive ◽  
Political Model

ABSTRACT Objectives: To describe and analyze the influence of the neoliberal economic and political model on the nursing hospital work process and organization. Method: Qualitative descriptive research, having as its scenery a university hospital. The subjects were 34 nursing workers. The data collection took place from March to July 2013, through semi-structured interview. The data treatment technique used was content analysis, which brought up the following category: working conditions precariousness and its consequences to the hospital work process and organization in the neoliberal context. Results: The consequences of neoliberalism on hospital work process and organization were highlighted, being observed physical structure, human resources and material inadequacies that harms the assistance quality. In addition to wage decrease that cause the need of second jobs and work overload. Final considerations: There is a significant influence of the neoliberal model on hospital work, resulting on working conditions precariousness.

scholarly journals Enfermagem e clientes hospitalizados: a comunicação em uma unidade militar

2020 ◽  
Vol 14 ◽  
Author(s):  
Vinicius Rodrigues De Souza ◽  
Bruna Rodrigues Braga ◽  
Amanda Maurício Miranda De Lima ◽  
Vera Lúcia Freitas ◽  
Andreia Jorge Da Costa
Keyword(s):  
Content Analysis ◽  
Communication Process ◽  
Military Hospital ◽  
Structured Interviews ◽  
Hospital Data ◽  
Analysis Technique ◽  
Nursing Team ◽  
Qualitative Descriptive ◽  
Nursing Professionals

Objetivo: analisar o processo de comunicação entre a equipe de enfermagem e o cliente hospitalizado. Método: trata-se de um estudo qualitativo, descritivo, com 21 profissionais de enfermagem e 20 clientes hospitalizados em uma clínica médica e cirúrgica de um hospital militar. Obtiveram-se os dados por meio de entrevistas semiestruturada, analisando-as pela técnica de Análise de Conteúdo na modalidade Análise de Conteúdo Temática. Resultados: evidencia-se, apesar de alguns ruídos encontrados no processo de comunicação, que existe, por parte da equipe de enfermagem, a tentativa de compreender e de responder às necessidades quando surgem, assim tornando-se empática para com os clientes e familiares. Conclusão: torna--se claro que o processo de comunicação não é tarefa fácil, pelo contrário, exige bastante esforço entre os envolvidos. Precisa-se a comunicação, visando à qualidade em saúde e às metas de segurança do paciente, ser clara, eficiente e concisa para que não falte nenhuma informação ou que para que não sejam passadas informações equivocadas, dessa forma, evitando erros que podem levar a eventos adversos e, consequentemente, diminuir a qualidade do serviço. Descritores: Comunicação; Hospitalização; Cuidados de Enfermagem; Equipe de Enfermagem; Pacientes Internados; Hospitais Militares.AbstractObjective: to analyze the communication process between the nursing team and the user hospitalized. Method: this is a qualitative, descriptive study, with 21 nursing professionals and 20 users hospitalized in a medical and surgical clinic of a military hospital. Data was obtained through semi-structured interviews, analyzing them using the Content Analysis technique in the Thematic Content Analysis modality. Results: it is evident, despite some noises found in the communication process, that there is, on the part of the nursing team, an attempt to understand and respond to needs when they arise, thus becoming empathetic towards users and family members. Conclusion: it becomes clear that the communication process is not an easy task; on the contrary, it requires a lot of effort among those involved. Communication, with a view to quality in health and patient safety goals, needs to be clear, efficient and concise so that no information is missing or that incorrect information is not passed on, thus avoiding errors that can lead to adverse events and, consequently, decrease the quality of service. Descriptors: Communication; Hospitalization; Nursing Care; Nursing, Team; Inpatients; Hospitals, Military.ResumenObjetivo: analizar el proceso de comunicación entre el equipo de enfermería y el cliente hospitalizado. Método: este es un estudio cualitativo, descriptivo, con 21 profesionales de enfermería y 20 clientes hospitalizados en una clínica médica y quirúrgica de un hospital militar. Los datos se obtuvieron a través de entrevistas semiestructuradas, analizándolas a través de la técnica de Análisis de Contenido en la modalidad de Análisis de Contenido Temático. Resultados: es evidente, a pesar de algunos ruidos encontrados en el proceso de comunicación, que existe, por parte del equipo de enfermería, un intento de comprender y responder a las necesidades cuando surgen, lo que genera empatía hacia los clientes y los miembros de la familia. Conclusión: queda claro que el proceso de comunicación no es una tarea fácil, por el contrario, requiere mucho esfuerzo entre los involucrados. La comunicación es necesaria, apuntando a la calidad de la salud y a los objetivos de seguridad del paciente, debe ser clara, eficiente y concisa para que no falte información o que no se transmita información incorrecta, evitando así errores que puedan conducir a eventos adversos y, en consecuencia, disminuyen la calidad del servicio. Descriptores: Comunicación; Hospitalización; Atención de Enfermería; Grupo de Enfermería; Pacientes Internos; Hospitales Militares.

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.

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