ADHESION TO HAND HYGIENE BY THE NURSING TEAM

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.

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

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-1188 ◽

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.

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Uso da preparação alcoólica para higienização das mãos

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i2a23095p320-328-2018 ◽

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.

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Nota Técnica da Agência Nacional de Vigilância Sanitária nº 04/2020: oportunidades de aperfeiçoamento e ampliação da proteção para a Enfermagem

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n2.esp.4146 ◽

2020 ◽

Vol 11 (2.ESP) ◽

Author(s):

Marisa Aparecida Amaro Malvestio ◽

Eduardo Fernando De Souza

Keyword(s):

National Health ◽

Communicable Disease ◽

Health Surveillance ◽

Technical Note ◽

Control Measures ◽

Communicable Disease Control ◽

Protection Measures ◽

Technical Documents ◽

Nursing Professionals ◽

And Control

Objetivos: Apresentar e analisar oportunidades de aperfeiçoamento das medidas de proteção previstas na Nota Técnica 004/2020 da Agência Nacional de Vigilância Sanitária do Ministério da Saúde do Brasil, em sua 4ª. atualização, com vistas a promover maior proteção aos profissionais de saúde, em especial, da Enfermagem. Método: Análise argumentativa e propositiva da nota da Anvisa embasada em documentos técnicos nacionais e internacionais. Discussão: São apresentadas 10 sugestões de aperfeiçoamento que envolvem a incorporação e revisão de medidas de prevenção e controle de exposição nos diferentes ambientes de cuidado. Considerações Finais: É necessário aperfeiçoar rapidamente os documentos técnicos. Orientações assertivas e oportunas auxiliam os gestores na composição de um plano de contingência eficaz na prevenção e controle da COVID 19.Descritores: Infecções por Coronavirus; Controle de Doenças Transmissíveis; Equipamento de Proteção Individual. Technical Note from National Health Surveillance Agency in Brazil No. 04/2020: opportunities for improving and expanding protection for NursingObjectives: To present and analyze opportunities for improving the protection measures provided for in the Technical Note 004/2020 of the National Health Surveillance Agency of the Ministry of Health of Brazil, in its 4th. update, with a view to promoting greater protection for nursing professionals. Method: An argumentative and purposeful analysis of the note of National Health Surveillance Agency in Brazil based on national and international technical documents. Discussion: 10 suggestions for improvement are presented that involve the incorporation and review of prevention and exposure control measures in different care environments. Final Considerations: It is necessary to improve technical documents quickly. Assertive and timely guidelines assist managers in composing an effective contingency plan in the prevention and control of COVID 19.Descriptors: Coronavirus infections; Communicable Disease Control; Personal Protective Equipment. Nota Técnica da Agência Nacional de Vigilância Sanitária do Brasil No. 04/2020: oportunidades para mejorar y ampliar la protección de EnfermeríaObjetivos: Presentar y analizar oportunidades para mejorar las medidas de protección previstas en la Nota técnica 004/2020 de la Agencia Nacional de Vigilancia Sanitaria del Ministerio de Salud de Brasil, en su 4to. actualización, con el fin de promover una mayor protección para los profesionales de enfermería. Método: Análisis argumentativo y resuelto de la nota de Agência Nacional de Vigilância Sanitária do Brasil basada en documentos técnicos nacionales e internacionales. Discusión: se presentan 10 sugerencias de mejora que implican la incorporación y revisión de medidas de prevención y control de exposición en diferentes entornos de atención. Consideraciones finales: es necesario mejorar rápidamente los documentos técnicos. Las pautas asertivas y oportunas ayudan a los gerentes a componer un plan de contingencia efectivo en la prevención y control de COVID 19.Descriptores: Infecciones por Coronavirus; Control de Enfermedades Transmisibles; Equipo de Protección Personal.

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CHARACTERIZATION OF PSYCHOSOCIAL ASPECTS AND MENTAL DISORDERS OF THE NURSING TEAM OF A HOSPITAL IN GOIAS

Revista UNINGÁ ◽

10.46311/2318-0579.58.euj3797 ◽

2021 ◽

Vol 58 (1) ◽

pp. eUJ3797

Author(s):

Tatiane Mendes da Silva Vieira ◽

◽

Laís Cardoso do Nascimento ◽

Keyword(s):

Mental Disorders ◽

Work Environment ◽

Public Hospital ◽

Psychosocial Aspects ◽

Hospital Environment ◽

Descriptive Research ◽

Nursing Team ◽

Quantitative Descriptive ◽

Nursing Professionals

This research aimed to verify the mental health status related to occupational factors of nursing professionals in a public hospital in the State of Goiás, Brazil. This quantitative descriptive research characterized the psychosocial aspects and mental disorders developed by the nursing team in a public hospital in Goiás. The questionnaire application occurred during August and September 2020. The study sample was composed of 15 nursing professionals of a participating hospital in Goiás. The occupational health of nurses in a hospital may involve several challenges since their work environment may change according to each company reality. Thus, the professional may work in dangerous, risky, unhealthy, refrigerated, noisy, confined, or shared locations. We then conclude the mental disorders are present in the daily life of professionals who work in a hospital environment, especially nurses, and are related to circumstances experienced within the workplace itself, leading to gradual illness among the professionals.

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

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n2.2643 ◽

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.

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Percepção da Equipe de Enfermagem do Hospital Universitário de São Luís do Maranhão Frente ao Ambiente e Segurança no Trabalho

Ensaios e Ciência C Biológicas Agrárias e da Saúde ◽

10.17921/1415-6938.2020v24n5-esp.p450-454 ◽

2021 ◽

Vol 24 (5-esp.) ◽

pp. 450-454

Author(s):

Helone Eloísa Frazão Guimarães Faray ◽

Rosemary Matias ◽

Everton Ferreira Lemos ◽

Arlindo Faray Vieira ◽

Eduardo de Castro Ferreira

Keyword(s):

Nursing Assistants ◽

University Hospital ◽

Hospital Environment ◽

Work Activities ◽

Daily Work ◽

Occupational Risks ◽

Education And Health ◽

Nursing Team ◽

Nursing Professionals ◽

Tracheal Aspiration

Os profissionais da equipe de enfermagem realizam, em seu cotidiano de trabalho, muitas atividades laborais que conduzem a riscos ocupacionais relacionados aos resíduos biológicos, entre outros, e que precisam ser levados em consideração para que o ambiente de trabalho seja vivenciado com segurança. Destarte, objetivou-se demonstrar a percepção da equipe de enfermagem frente ao ambiente e segurança no trabalho. Trata-se de uma pesquisa de natureza aplicada com abordagem quantitativa e qualitativa de caráter descritivo exploratório, transversal, realizada no Hospital Universitário em São Luís do Maranhão, em que a equipe de enfermagem é composta por enfermeiros, técnicos e auxiliares de enfermagem. Este estudo foi realizado por meio da aplicação de questionários a 98 profissionais de enfermagem, que compõem a unidade de saúde da criança do Hospital Universitário em São Luís do Maranhão, de acordo com o critério de inclusão adotado. Sobre as atividades que as equipes de enfermagem consideram mais perigosas para a sua saúde e para o ambiente hospitalar, o maior percentual está para o descarte de resíduo hospitalar (33,7%), seguido da manipulação dos resíduos dos pacientes (18,4%) e aspiração traqueal (18,4%). A prevenção e habilidades em educação e saúde devem ser assimiladas entre profissionais de enfermagem, sobre o manejo adequado de resíduos e incentivar a implementação de precauções para minimizar a ocorrência de agravos, que comprometem a saúde e atividades laborais desenvolvidas no seu ambiente, bem como orientações sobre as consequências dos acidentes de trabalho. Palavras-chave: Enfermagem. Resíduos Biológicos. Ambiente Hospitalar. Abstract The nursing team professionals carry out many work activities in their daily work that lead to occupational risks related to biological waste, among others, and that need to be taken into account so that the work environment is experienced safely. Thus, the objective was to demonstrate the nursing team perception regarding the environment and safety at work. It is an applied nature research with a quantitative and qualitative approach of an exploratory, transversal descriptive character, carried out at University Hospital in São Luís do Maranhão, where the nursing team is composed of nurses, technicians and nursing assistants This study was carried out by applying questionnaires to 98 nursing professionals who make up the child health unit at university hospital in São Luís do Maranhão, according to the inclusion criterion adopted. Regarding the activities that the nursing teams consider as the most dangerous for their health and for the hospital environment, the highest percentage is for the disposal of hospital waste (33.7%), followed by the handling of patient waste (18.4%) and tracheal aspiration (18.4%). Prevention and skills in education and health must be assimilated among nursing professionals, on the proper waste management and encourage the implementation of precautions to minimize the injuries occurrence that affect the health and work activities carried out in their environment, as well as guidance on the consequences of accidents at work. Keywords: Nursing. Biological Waste. Hospital Environment.

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Characterization of comorbid conditions burdening hidradenitis suppurativa: a multicentric observational study

Giornale Italiano di Dermatologia e Venereologia ◽

10.23736/s0392-0488.18.06165-5 ◽

2020 ◽

Vol 155 (3) ◽

Author(s):

Andrea Chiricozzi ◽

Giulia Giovanardi ◽

Dante R. Caposiena Caro ◽

Michela Iannone ◽

Clara De Simone ◽

...

Keyword(s):

Observational Study ◽

Hidradenitis Suppurativa ◽

Comorbid Conditions

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Bone Pain in Multiple Myeloma (BPMM)—A Protocol for a Prospective, Longitudinal, Observational Study

Cancers ◽

10.3390/cancers13071596 ◽

2021 ◽

Vol 13 (7) ◽

pp. 1596

Author(s):

Marta Diaz-delCastillo ◽

Rebecca E. Andrews ◽

Aritri Mandal ◽

Thomas L. Andersen ◽

Andrew D. Chantry ◽

...

Keyword(s):

Quality Of Life ◽

Multiple Myeloma ◽

Observational Study ◽

Bone Turnover ◽

Bone Pain ◽

Subjective Experience ◽

Prospective Longitudinal ◽

Bone Turnover Biomarkers

Multiple myeloma (MM) is a bone marrow neoplasia that causes bone pain in 70% patients. While preclinical models of MM have suggested that both nerve sprouting and nerve injury may be causative for the pain, there is a lack of clinical data. Thus, the primary aims of this clinical study are: (1) to provide a deep characterization of the subjective experience of pain and quality of life in MM patients; (2) to investigate disturbances in the bone innervation of MM patients. Secondary aims include exploring correlations between pain and serum inflammatory and bone turnover biomarkers. In a prospective, observational study (clinicaltrials.gov: NCT04273425), patients with suspected MM requiring a diagnostic iliac crest biopsy at Sheffield Teaching Hospital (UK) are invited to participate. Consenting patients answer seven standardized questionnaires assessing pain, quality of life and catastrophizing. Bone turnover biomarkers and inflammatory cytokines are measured in fasting serum samples, and bone innervation is evaluated in diagnostic biopsies. MM patients are invited to a follow-up upon completion of first line treatment. This will be the first deep characterization of pain in MM patients and its correlation with disturbances in bone innervation. Understanding how bone turnover and inflammation correlate to pain in MM is crucial to identify novel analgesic targets for this condition.

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