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 ◽  
...  

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.

2019 ◽  
Author(s):  
Marília Duarte Valim ◽  
Thaissa Blanco Bezerra ◽  
Alvaro Francisco Lopes Sousa ◽  
Denise de Andrade ◽  
Adriano Menis Ferreira ◽  
...  

Abstract Background: We aimed to monitor hand hygiene (HH) of health professionals in three critical sectors of a university hospital, to verify the physical structure of these units for HH, gloves use and perception of professionals regarding the patient's safety climate Methods: An observational, correlational study, conducted in critical sectors of a hospital. The study population consisted of nurses, nursing technicians, physicians, resident physicians and physiotherapists. The data were collected through four questionnaires to evaluate HH, factors related to adherence to it and sociodemographic characteristics. Results: A total of 148 professionals and 3.025 opportunities for HH were observed. Adherence to HH was higher among nurses when compared to nursing professionals (p <0.05), and there was a difference between different sectors (p <0.05). Professionals who previously participated in training had greater adherence (47.79% CI95% 45.38-50.20) to HH than professionals who did not participate (44.62% CI95% 41.95-47.29). There was a statistical difference between the perception of the security climate and the type of employment bond of the professional, as well as the sector in which it operates. Conclusion: Adherence to HH was affected and / or influenced by the physical structure, use of procedure gloves, work regimen and perceived patient safety climate. Keywords: Hand hygiene; Cross Infection; Patient Safety; Safety culture


2021 ◽  
Vol 21 (2) ◽  
pp. 226-233
Author(s):  
Janitha Plackal Ayyappan ◽  
Virgina Varghese ◽  
Galal Mohammed Ismail

Safe Hand hygiene practice is considered the most essential component of patient safety. Especially when it comes to health professionals; students are exposed to their clinical practice in the first years of their education. This accelerates the chances of getting infection via cross-transmission of hands through the healthcare worker to the patient is the most common quantitative cross-sectional, questionnaire-based survey was carried out to investigate the level of knowledge, practices, and attitude of Hand hygiene among university nursing and optometry undergraduate students in their final year of training. A total of one hundred and forty-three subjects took part in the survey of which 73 nursing students and 70 optometry students. Fisher’s exact test was applied to test the level of Knowledge on practice and attitude. And the correlation coefficient r=-1 to +1   with P>0.05 was obtained. To add, using an observational checklist will be the ideal way to assess the hand hygiene practice in the clinical area. Moreover, add a mandatory component as patient safety into the curricula of the undergraduate students of allied health will enhance patient safety more effectively.


2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Ires Lopes Custódio ◽  
Francisca Elisângela Teixeira Lima ◽  
Lívia Maia Pascoal ◽  
Lorena Pinheiro Barbosa ◽  
Patricia Neyva da Costa Pinheiro ◽  
...  

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.


2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Juliana Mendes Marques ◽  
Luiz Henrique Pereira Alves ◽  
Norival Santolin de Oliveira ◽  
Cristiano Bertolossi Marta ◽  
Roberto Carlos Lyra da Silva

O tema segurança, vem sendo abordado nas diferentes áreas de prestação de serviços à sociedade. São objetivos desteestudo, caracterizar o processo de comunicação da equipe de enfermagem em um hospital filantrópico localizado noLeste de Minas Gerais, e identificar os aspectos relacionados. Trata-se de um estudo descritivo e exploratório com abordagem quantitativa do tipo estudo de caso. 80 profissionais da enfermagem participaram da pesquisa. Em um ambientehospitalar, erros, enganos e/ou falhas na assistência são situações que podem ocorrer. Tendo isto como fato, é preciso quecoordenadores e gestores não apontem os erros como falhas individuais, mas sim como falhas do sistema. Ao expor-se,o profissional também ordena suas ideias, a oportunidade de expressar-se oralmente leva a pessoa a reflexões que, semeste estímulo, ela não faria. Conclui-se que a comunicação entre as equipes de saúde é um fator chave para a segurançado paciente. Um processo comunicativo ineficaz contribui diretamente para que ocorra a possibilidade de erros, levandoassim, a possíveis danos ao paciente, que em muitas vezes, podem ser irreversíveis.Palavras-chave: Segurança do paciente; Comunicação; Erros Médicos. ABSTRACTThe security theme has been approached in the different contexts of service provision to society. The objectives of thisstudy are to characterize the nursing team communication process in a philanthropic hospital, located in the East of MinasGerais, and identify the related aspects. This is a descriptive and exploratory study, a case study type, with a quantitativeapproach. 80 nursing professionals participated in the research. Having this as a fact, coordinators and managers neednot point to errors as individual failures but rather as failures of the system. When exposing himself, the professionalalso orders his ideas, the opportunity to express himself orally leads the person to reflections that, without this stimulus,he would not do. It concludes that communication between health teams is a key factor for patient safety. An ineffectivecommunicative process directly contributes to the possibility of errors occurring thus leading to possible damages to thepatient, which in many cases may be irreversible.Keywords: Patient Safety ; Communication; Error.


2019 ◽  
Vol 81 (19) ◽  
Author(s):  
Karina Costa de Medeiros ◽  
Isabelle Campos de Azevedo ◽  
Giovanna Karinny Pereira Cruz ◽  
Diana Paula de Souza Rego Pinto Carvalho ◽  
Fabiane Rocha Botarelli ◽  
...  

Objetiva-se descrever a frequência, os materiais disponíveis e utilizados e a execução padronizada da técnicade higienização das mãos entre os profi ssionais de enfermagem circulantes que atuam em sala operatória emum hospital público do nordeste brasileiro. Estudo de abordagem quantitativa, de corte transversal, descritivo eobservacional, realizado no Centro Cirúrgico de um hospital público em Natal, Rio Grande do Norte, Brasil. Verifi couse que a frequência de higienização das mãos foi baixa, principalmente quando relacionada a procedimentos nãotécnicos na unidade, como após o uso de sanitário e depois de refeições. Nenhum profi ssional seguiu de modosatisfatório o passo a passo técnico. Concluíse que os achados deste estudo são alarmantes, uma vez que não houveum mínimo de acerto em termos de frequência e execução técnica de higienização das mãos, com necessidadede atenção por parte desse grupo profi ssional para adesão prática e implementação de educação permanente emserviço.Palavras-chave: Infecção Hospitalar; Higiene das Mãos; Enfermagem; Salas Cirúrgicas; Centros Cirúrgicos. ABsTRAcTThe aim is to describe the frequency, the available and used materials and the standardized execution of thehand hygiene technique among the circulating nursing professionals who work in an operating room in a publichospital in the Brazilian Northeast. Study with a quantitative approach and a cross-sectional, descriptive, andobservational design conducted at the surgical center of a public hospital in Natal, Rio Grande do Norte, Brazil. Itwas found that the frequency of hand washing was poor, especially when related to non-technical procedures atthe facility, such as after using the bathroom and after eating snacks. No professional has satisfactorily compliedwith the technique. It concludes that the fi ndings of this study are important, since there was not a minimum ofadequacy in terms of frequency and technical execution of hand washing, something which requires attention bythis professional group to the practical application and deployment of ongoing in-service education.Keywords: Cross Infection; Hand Hygiene; Nursing; Operating Rooms; Surgical Centers.


Author(s):  
Ivonizete Pires Ribeiro ◽  
Jéssica Patricia de Abreu Melo ◽  
Francisca Cecília Viana Rocha ◽  
Saraí De Brito Cardoso ◽  
Herica Emilia Félix de Carvalho

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.


2019 ◽  
Vol 72 (3) ◽  
pp. 715-720 ◽  
Author(s):  
Nayana Maria Gomes de Souza ◽  
Viviane Martins da Silva ◽  
Marcos Venícios de Oliveira Lopes ◽  
Camila Maciel Diniz ◽  
Gabriele de Lima Ferreira

ABSTRACT Objective: To analyze the opinion of nursing professionals on the design, practicality of use and the usefulness of color-coded drug labeling in a pediatric intensive care unit. Methods: A cross-sectional study with 42 nursing professionals. A structured questionnaire was used based on a five-level Likert scale. To assess the proportions, a binomial test was used. Results: Concordance ratio >0.8 for all propositions related to design, practicality and most of the propositions related to error prevention. Conclusion: According to the opinion of the nursing team, the implemented technology has an adequate design, as well as being practical and useful in the prevention of medication errors in the population at the ICU.


2009 ◽  
Vol 41 (4) ◽  
pp. 391-398 ◽  
Author(s):  
Dr. Alessandro Stievano ◽  
Máximo González Jurado ◽  
Gennaro Rocco ◽  
Loredana Sasso

2019 ◽  
Vol 72 (3) ◽  
pp. 753-759
Author(s):  
Andréa Tayse de Lima Gomes ◽  
Marcos Antônio Ferreira Jr ◽  
Pétala Tuani Candido Oliveira Salvador ◽  
Manacés dos Santos Bezerril ◽  
Flávia Barreto Tavares Chiavone ◽  
...  

ABSTRACT Objective: To know the perception of nursing professionals about the essential aspects to provide safe care to polytraumatized patients in emergency services. Method: Descriptive and mixed study, performed with a focus group and projective techniques. The sample was made of seven nursing professionals. Data analysis took place through the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires and SPSS 22.0 softwares. Results: Based on the analysis of participants’ speeches, three content partitions emerged in the Descending Hierarchical Classification. 1) Structure: need for changes; 2) The process: safe actions by the nursing team; and 3) Care free from damage as the sought result. Conclusion: Patient safety in emergency situations must rely on a proper environment and an organized sector, good conditions to transport patients, use of routines and protocols, identification and organization of the beds.


2021 ◽  
Author(s):  
Jiwen Sun ◽  
Yihan Li ◽  
Nanping Shen

The activities/interventions performed by the nursing team and the time required for their performance have become a widely discussed topic due to their impact on the quality of patient safety and staff working conditions. Nursing Interventions Classification (NIC) was used as a more accurate indicator as it identified activities/interventions. This study analyzed the workload distribution of nursing team in a pediatric oncology center.


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