scholarly journals Bundle de prevenção da pneumonia associada à ventilação mecânica: revisão integrativa

2020 ◽  
Vol 10 (29) ◽  
pp. 48-57
Author(s):  
Eliana Brugin Serra ◽  
Isaura Leticia Tavares Palmeira Rolim ◽  
Aline Sharlon Maciel Batista Ramos ◽  
Rafael Mondego Fontenele
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Health Sciences ◽  
Integrative Review ◽  
Ventilator Associated Pneumonia ◽  
Terapia Intensiva ◽  
Multidisciplinary Staff ◽  
The Impact

Trata-se de uma revisão integrativa que tem como objetivo destacar o impacto do bundle na prevenção de pneumonia associada à ventilação mecânica (PAVM) em unidades de terapia intensiva, utilizando descritores em ciências da saúde (DeSC): Pneumonia, Protocolos e Unidades de Terapia Intensiva. A busca pelos artigos foi efetuada nas bases de dados SciELO, e BVS (LILACS e BDENF). Obtiveram-se 179 estudos, sendo selecionados 7 artigos para análise nesta revisão. As medidas mais comuns na constituição dos bundles encontradas foram: higiene oral com clorexidina, elevação da cabeceira e verificação da pressão do cuff, sendo que uma maior adesão às bundles resulta numa diminuição da taxa de pneumonia associada à ventilação. Os bundles de prevenção de PAVM têm sido recomendados para substituir as medidas isoladas de prevenção, mas requer adesão e treinamento periódico da equipe multidisciplinar para que possam ser considerados indicadores de qualidade.Descritores: Pneumonia, Protocolos, Unidades de Terapia Intensiva. Bundle to prevent ventilator-associated pneumonia: an integrative reviewAbstract: This work is an integrative review wich the main objective is highlighting the impact of bundle in the prevention of pneumonia associated to the mechanical ventilation (PAVM) in intesive care units using descriptors in health sciences (DeSC): Pneumonia, Protocols and Intensive Care Units. This search for articles was based on SciELO and BVS (LILACS and BDENF). Through one hundred seventy-nine (179) studies, seven (7) articles were selected to be analyzed in this review. The most common arregement found in the constitution of bundles were: oral cleanliness with Clorexidina, headboard elevation and pressure verification of cuff, considering that a greater adhesion to the bundles results in a decrease of pneumonia tax associated to ventilation. The prevention bundles of PAVM have been recomended to replace the isolated arrangements of prevention, but it is necessary periodical adhesion and practice by the multidisciplinary staff to be considered quality indicators.Descriptors: Pneumonia, Protocols, Intensive Care Units. Bundle de prevención de neumonía asociada a ventilación mecánica: revisión integrativaResumen: Se trata de una revisión integrativa que tiene como objetivo resaltar el impacto del bundles en la prevención de la neumonía asociada a la ventilación mecánica (VAP) en la unidad de cuidados intensivos utilizando descriptores de ciencias de la salud (DeSC): Neumonía, Protocolos y unidades de Cuidados Intensivos. La búsqueda de artículos se realizó en las bases de datos SciELO y BVS (LILACS y BDENF). Se obtuvieron 179 estudios y se seleccionaron 7 artículos para análisis en esta revisión. Las medidas más comunes en la constitución de bundles encontradas en los estudios fueron: higiene oral de clorhexidina, elevación de la cabeza y verificación de la presión del cuff, y una mayor adherencia a los bundles resulta en una disminución en la tasa de neumonía asociada al ventilador. Se han recomendado bundles de prevención de VAP para reemplazar las medidas de prevención aisladas, pero requieren adherencia y capacitación periódica del equipo multidisciplinario para ser considerados indicadores de calidad.Descriptores: Neumonía, Protocolos, Unidades de Cuidados Intensivos.

scholarly journals Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

2019 ◽  
Vol 9 (10) ◽  
pp. 15
Author(s):  
Safaa Abdel Fattah Abou Zed ◽  
Amira Adel Mohammed
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Ventilator Associated Pneumonia ◽  
And Performance ◽  
Nursing Guidelines ◽  
The Impact ◽  
Nurses Knowledge

Background: Ventilator Associated Pneumonia (VAP) is a common syndrome in pediatrics primarily in infants and early childhood. Mechanical ventilation is one of the leading supportive modalities of management in the intensive care unit, but it conveys a lot of threats and complications. This study aimed to assess the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates through the following: 1) Assessment of nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. 2) Designing, implementing and evaluating the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Methods: Research design: A quasi-experimental design was utilized to conduct this study.  Settings: The study was convoyed at Maternity & Gynecological and Children’s Hospitals affiliated to Ain shams University Hospitals from neonatal intensive care units. Sample: A convenient sample method of forty three (43) nurses, and fifty (50) neonates’ infants on mechanical ventilation was included in the study as a single study group. Tools: The questionnaire format, the observation checklist and implementation of nursing guidelines was assessed the nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. The implementation of nursing guidelines was premeditated as reference guidelines for nurses.Results: There were statistically significant differences between mean scores of the pre and post test as regards nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Conclusions: Application of the nursing guidelines has a positive outcome on improving nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Recommendations: The current study recommended that directing a written protocol for prevention of ventilator associated pneumonia in neonates to support satisfactory knowledge, and competent practices are actually required at neonatal intensive care units.

scholarly journals Assessment of risk for pressure ulcers in intensive care units: an integrative review

2014 ◽  
Vol 6 (2) ◽  
pp. 793-804
Author(s):  
Ana Glecia Pimentel Alves ◽  
José Wicto Pereira Borges ◽  
Mychelangela de Assis Brito
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Pressure Ulcers ◽  
Integrative Review ◽  
Terapia Intensiva

Objetivo: Analisar na produção científica a utilização de escalas de avaliação de risco para Úlcera por Pressão (UPP) em Unidade de Terapia Intensiva. Métodos: Realizou-se uma revisão integrativa nas bases de dados LILACS, MEDLINE e SciELO com seleção de 18 artigos. Resultados: Constataram-se vários fatores de risco como a divergência na predominância da UPP em relação aos sexos, o índice de massa corporal e a dificuldade de mobilidade no leito, a percepção sensorial alterada comprometendo a verbalização de desconforto, e o uso da Sonda Vesical de Demora prevendo o surgimento das lesões. As pontuações das escalas mantiveram-se em risco elevado e a utilização da escala de coma de Glasgow ajudou na prevenção do risco para UPP quando associada à de bradem. Conclusão: são necessárias novas pesquisas que avaliem os riscos para UPP bem a fim de proporcionar conhecimento que possa modificar essa realidade.

scholarly journals Selection of an instrument to evaluate the organizational environment of nurses working in intensive care: an integrative review

2014 ◽  
Vol 3 (6) ◽  
pp. 143
Author(s):  
Brett Abbenbroek ◽  
Christine Duffield ◽  
Doug Elliott
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Outcome Measures ◽  
Organizational Structures ◽  
Survey Instrument ◽  
Integrative Review ◽  
Organizational Environment ◽  
Intensive Care Nurses ◽  
Survey Instruments ◽  
The Impact

Objective: To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses. Background: Internationally the demand for intensive care is increasing. Solely increasing bed capacity is not sustainable. Large capacity multi-specialty Intensive Care Units are emerging as the preferred organizational model with benefits resulting from optimizing operational synergies and economies of scale. The impact of this organizational transition on intensive care nurses is not well understood. An appropriate survey instrument for intensive care nurses is required. Design: Integrative literature review. Data Sources: CINAHL, PubMed, EMBASE and OVID Nursing databases searched for studies published between 2005 and 2013. Review methods: An integrative review and quality assessment of the studies was undertaken to select nurse outcome measures associated with organizational structures across a range of acute and critical care settings. Congruence between nurse outcome measures and nurse survey instruments tested in the literature was assessed to select instruments for further psychometric evaluation. Results: Thirty-one cross sectional quantitative studies, from fourteen countries, were reviewed. Twenty one nurse outcome measures associated with organizational factors were identified and a total of twenty five survey instruments used in the studies reviewed. Assessment of congruence and psychometric properties determined that a combination of two instruments is required to comprehensively assess the organizational environment of nurses working in intensive care units. Conclusion: The environment of nurses working in intensive care is effectively evaluated with an instrument that combines subscales from the Practice Environment Scale-Nurse Work Index and Maslach’s Burnout Inventory. 

scholarly journals Interações medicamentosas em unidades de terapia intensiva do Brasil: Revisão integrativa/ Drug interactions in intensive care units in Brazil: Integrative review

2021 ◽  
Vol 4 (2) ◽  
pp. 7782-7796
Author(s):  
Lucas Henrique de Souza Teixeira ◽  
Michele de Paula Maximo ◽  
André Roberto Machado Vieira ◽  
Laryssa Nathany Ferreira Souza ◽  
Aline Desidério Batista ◽  
...  
Keyword(s):  
Intensive Care ◽  
Drug Interactions ◽  
Intensive Care Units ◽  
Integrative Review ◽  
Terapia Intensiva

scholarly journals Modifiable risk factors of ventilator-associated pneumonia in non-intensive care unit versus intensive care unit

2021 ◽  
Vol 15 (10) ◽  
pp. 1471-1480
Author(s):  
Patpong Udompat ◽  
Daravan Rongmuang ◽  
Ronald Craig Hershow
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Risk Factor ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Proton Pump ◽  
Multidrug Resistant ◽  
Surgical Intensive Care Unit ◽  
Ventilator Associated Pneumonia ◽  
Neurosurgical Patients

Introduction: Ventilator-associated pneumonia patients are treated in non-intensive care units because of a shortage of intensive care unit beds in Thailand. Our objective was to assess whether the type of unit and medications prescribed to the patient were associated with ventilator‑associated pneumonia and multidrug resistant ventilator‑associated pneumonia. Methodology: A matched case-control study nested in a prospective cohort of mechanical ventilation adult patients in a medical-surgical intensive care unit and five non-intensive care units from March 1 through October 31, 2013. The controls were randomly selected 1:1 with cases and matched based on duration and start date of mechanical ventilation. Results: 248 ventilator-associated pneumonia and control patients were analyzed. The most common bacteria were multidrug resistant Acinetobacter baumannii (82.4%). Compared with patients in the intensive care unit, those in the neurosurgical/surgical non-intensive care units were at higher risk (p = 0.278). Proton pump inhibitor was a risk factor (p = 0.011), but antibiotic was a protective factor (p = 0.054). Broad spectrum antibiotic was a risk factor (p < 0.001) for multidrug resistant ventilator-associated pneumonia. Conclusions: Post-surgical and neurosurgical patients treated in non-intensive care unit settings were at the highest risk of ventilator-associated pneumonia. Our findings suggest that alternative using proton pump inhibitors should be considered based on the risk-benefit of using this medication. In addition, careful stewardship of antibiotic use should be warranted to prevent multidrug resistant ventilator-associated pneumonia.

scholarly journals Segurança do paciente em unidade de terapia intensiva neonatal: revisão integrativa/Patient safety in a neonatal intensive care units: integrative review

2020 ◽  
Vol 19 ◽  
Author(s):  
Vanessa Acosta Alves ◽  
Viviane Marten Milbrath ◽  
Nara Jací da Silva Nunes ◽  
Ruth Irmgard Bartschi Gabatz
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Integrative Review ◽  
Neonatal Intensive Care Units ◽  
Terapia Intensiva

Objetivo: identificar a produção científica, publicada de janeiro de 2008 a julho de 2019, sobre a segurança do paciente em Unidade de Terapia Intensiva Neonatal. Método: revisão integrativa, na qual se selecionou 24 artigos que atendiam ao objetivo e aos critérios de inclusão e exclusão com o auxílio do software End Note®. Nesses artigos, analisaram-se os dados referentes à autoria, objetivos, ano de publicação, método, resultados e nível de evidência. Resultados: elaboraram-se cinco categorias para apresentar os resultados: O profissional e a segurança do paciente; Comunicação e segurança do paciente; Gestão de qualidade e segurança do paciente; Cultura de segurança; e A família e a segurança do paciente. Conclusão: o processo de construção e incentivo à segurança do paciente se dá de forma similar nos cenários nacional e internacional. Os estudos apontam esforços emergentes para a construção da cultura de segurança, arquitetados sob estratégias de gestão de qualidade e segurança, melhoria das condições de trabalho e fatores profissionais, bem como a inserção da família como fator qualificador da assistência. Palavras-chave: Segurança do paciente. Neonato. Unidade de Terapia Intensiva Neonatal. Enfermagem.

scholarly journals ASSISTÊNCIA DE ENFERMAGEM À RECÉM-NASCIDOS COM DOR EM UNIDADE DE TERAPIA INTENSIVA NEONATAL: UMA REVISÃO INTEGRATIVA / NURSING ASSISTANCE TO NEWBORN WITH PAIN IN INTENSIVE CARE UNITS NEONATAL: AN INTEGRATIVE REVIEW

2020 ◽  
Vol 6 (12) ◽  
pp. 99108-99116
Author(s):  
Regilane Cordeiro dos Santos ◽  
Amanda Paiva Bernardes Alves ◽  
Antoninho Barros Milhomem ◽  
Fabiana Larissa Barbosa da Silva ◽  
Mônica Santos Amaral
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Integrative Review ◽  
Terapia Intensiva
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