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Adesão dos profissionais de saúde ao “feixe de intervenção” de prevenção de infeção de local cirúrgico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PG_29300 | 1.16 MB | Adobe PDF |
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Abstract(s)
A infeção associada aos cuidados de saúde é um problema crescente nas instituições prestadoras de cuidados de saúde. Nem todas as infeções associadas aos cuidados de saúde são evitáveis, todavia, uma proporção significativa pode ser prevenida se conseguirmos sensibilizar os profissionais de saúde na adoção de boas práticas no contexto da prevenção e controlo de infeção, nomeadamente na adesão aos feixes de intervenção na prevenção da Infeção do Local Cirúrgico.
Não obstante, reconhece-se que ainda permanece como um desafio a identificação de mecanismos promotores da adesão dos profissionais às práticas recomendadas. Com este estudo pretendeu-se estudar: Adesão dos profissionais de saúde ao “Feixe de Intervenção” de Prevenção de Infeção de Local Cirúrgico.
Este estudo tem como objetivo geral, avaliar a conformidade das praticas de prevenção e controlo da infeção pela implementação de um feixe de intervenções. Definiu-se ainda como objetivos específicos, identificar a efetividade do cumprimento das práticas de prevenção e controlo da infeção pela implementação de um feixe de intervenções da ILC, identificar situações de não conformidade das práticas de prevenção e controlo da infeção relacionada com o feixe de intervenções da ILC, identificar as causas de não conformidade das práticas de prevenção e controlo da infeção relacionada com o feixe de intervenções da ILC, calcular a taxa de adesão/conformidade das práticas de prevenção e controlo da infeção relacionada com o feixe de intervenções da ILC.
A presente investigação científica segue os passos do estudo quantitativo do tipo descritivo, transversal. Na colheita de dados recorreu-se à aplicação de um questionário, sendo o público-alvo os enfermeiros do Bloco Operatório Central, do Centro Hospitalar de Vila Nova de Gaia. Posteriormente os dados foram submetidos a analise estatística.
Os resultados obtidos demonstram que relativamente à idade da amostra esta varia entre os 25 e 54 anos, a média é de 41,9 anos. A amostra é constituída essencialmente pelo género feminino, sendo que este corresponde a 66,7%. A maioria dos participantes são casados, constituindo assim, 66,7%. A média em anos de experiencia profissional é de 18,4 anos, sendo a média de experiencia profissional no atual serviço de 12,7 anos. Têm com habilitação literária a licenciatura em Enfermagem, 25 profissionais de saúde (92,6%), a maioria frequentou formação especifica em controlo de Infeção, 19 (70,4%), contudo 8 profissionais (29,6%) não realizou formação especifica na área de controlo da infeção. A adesão dos enfermeiros as boas praticas é de 50% e de não adesão é de 40%.
Conclui-se que a formação e a experiência profissional têm relação preponderante com o controlo e prevenção da infeção do local cirúrgico. Surge daí necessidade de sensibilizar os gestores das unidades hospitalares e os enfermeiros em particular para a contínua formação dos profissionais de saúde no sentido de melhorar a qualidade dos cuidados prestados e a segurança do doente.
Infections associated to health care is a growing problem in institutions which provide health care. Not all infections associated to health care are avoidable, however, a significant proportion can be prevented if we sharpen the awareness of health professionals to the adoption of good practice in the context of the prevention and control of infection, namely in the adhesion to the measures of intervention in the prevention of infection in the surgical site. Nonetheless, the identification of the mechanisms which promote the adhesion of health professionals to recommended practice continues to be a challenge. The aim of this study is: To examine the adhesion of health professionals to “Measures of Intervention” in the Prevention of Infection in the Surgical Site. This study has the general aim of evaluating observance of the practices of prevention and control of infection by the implementation of measures of intervention. Furthermore, as specific objectives, we aim to identify the efficacy of the observance of the practices of prevention and control of infection by the implementation of the measures of intervention of the ILC, identify situations of non-observance of the practices of the prevention and control of infection related to the measures of intervention of the ILC, identify the causes of non-observance of the practices of prevention and control of infection related to the measures of implementation of the ILC, calculate the rate of adhesion to/observance of the practices of prevention and control of infection related to the measures of intervention of the ILC. The present scientific investigation follows the steps of a quantative study of a descriptive cross-sectional type. To gather the data a questionnaire was used, the target group for the study being the nurses from the Central Operating Theatres of the Centro Hospitalar of Vila Nova de Gaia. The data was then subjected to statistical analysis. The results obtained demonstrate a variation according to the age of the sample group, this being between 25 and 54 years of age, the average being 41.9. The sample group is made up mainly of those of the female sex, this corresponding to 66.7%. Most of the participants are married, corresponding to 66.7%. The average in terms of number of years of professional experience is 18.4 years, the average of number of years working in the present place of work being 12.7% years. 25 of the health professionals are nurses with Degree in Nursing being their qualification (92.6%), the majority attended specific training on the control of infection. 19 nurses (70.45). However, 8 professionals (29.6%) had not undertaken specific training in the control of infection (29.6%). The adhesion of the nurses to good practice was 50% and that of non-adherence, 40%. It was concluded that training and professional experience have an overriding relationship to the control and prevention of infection in the surgical site. Based on this, there emerges the need to raise the awareness of hospital managers, and nurses in particular, to continue to train health professionals with the aim of improving the care given and the safety of the patient.
Infections associated to health care is a growing problem in institutions which provide health care. Not all infections associated to health care are avoidable, however, a significant proportion can be prevented if we sharpen the awareness of health professionals to the adoption of good practice in the context of the prevention and control of infection, namely in the adhesion to the measures of intervention in the prevention of infection in the surgical site. Nonetheless, the identification of the mechanisms which promote the adhesion of health professionals to recommended practice continues to be a challenge. The aim of this study is: To examine the adhesion of health professionals to “Measures of Intervention” in the Prevention of Infection in the Surgical Site. This study has the general aim of evaluating observance of the practices of prevention and control of infection by the implementation of measures of intervention. Furthermore, as specific objectives, we aim to identify the efficacy of the observance of the practices of prevention and control of infection by the implementation of the measures of intervention of the ILC, identify situations of non-observance of the practices of the prevention and control of infection related to the measures of intervention of the ILC, identify the causes of non-observance of the practices of prevention and control of infection related to the measures of implementation of the ILC, calculate the rate of adhesion to/observance of the practices of prevention and control of infection related to the measures of intervention of the ILC. The present scientific investigation follows the steps of a quantative study of a descriptive cross-sectional type. To gather the data a questionnaire was used, the target group for the study being the nurses from the Central Operating Theatres of the Centro Hospitalar of Vila Nova de Gaia. The data was then subjected to statistical analysis. The results obtained demonstrate a variation according to the age of the sample group, this being between 25 and 54 years of age, the average being 41.9. The sample group is made up mainly of those of the female sex, this corresponding to 66.7%. Most of the participants are married, corresponding to 66.7%. The average in terms of number of years of professional experience is 18.4 years, the average of number of years working in the present place of work being 12.7% years. 25 of the health professionals are nurses with Degree in Nursing being their qualification (92.6%), the majority attended specific training on the control of infection. 19 nurses (70.45). However, 8 professionals (29.6%) had not undertaken specific training in the control of infection (29.6%). The adhesion of the nurses to good practice was 50% and that of non-adherence, 40%. It was concluded that training and professional experience have an overriding relationship to the control and prevention of infection in the surgical site. Based on this, there emerges the need to raise the awareness of hospital managers, and nurses in particular, to continue to train health professionals with the aim of improving the care given and the safety of the patient.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de licenciado em Enfermagem
Keywords
Adesão Profissionais de saúde Feixe de intervenções Prevenção de infeção de local cirúrgico Adhesion Health professionals Measures of intervention Prevention of infection in the surgical site