Objective: to develop and validate an educational digital video on changing the dressing of short-term, non-cuffed, non-tunneled central venous catheters in hospitalized adult patients. Method: this is a descriptive, methodological study based on Paulo Freire's assumptions. The development of the script and video storyboard were based on scientific evidence, on the researchers' experience, and that of nurse experts, as well as on a virtual learning environment. Results: the items related to the script were approved by 97.2% of the nurses and the video was approved by 96.1%. Conclusion: the educational instrument was considered to be appropriate and we believe it will contribute to professional training in the nursing field, the updating of human resources, focusing on the educational process, including distance education. We believe it will consequently improve the quality of care provided to patients with central venous catheters.
Objective:to evaluate the use of peripheral venous catheters based on microbiological analysis of devices (dressing and three-way stopcocks) and thus contribute to the prevention and infection control. Methods:this was a prospective study of microbiological analysis of 30 three-way stopcocks (external surfaces and lumens) and 30 dressing used in maintaining the peripheral venous catheters of hospitalized adult patients. Results:all external surfaces, 40% of lumens, and 86.7% of dressing presented bacterial growth. The main species isolated in the lumen were 50% coagulase-negative Staphylococcus, 14.3% Staphylococcus aureus, and 14.3% Pseudomonas aeruginosa. Fifty nine percent of multidrug-resistant bacteria were isolated of the three-way stopcocks, 42% of the lumens, and 44% of the dressing with a predominance of coagulase-negative Staphylococcus resistant to methicillin. Besides, 18% gram-negative bacteria with resistance to carbapenems were identified from multidrug-resistant bacteria on the external surfaces of the three-way stopcocks. Conclusion:it is important to emphasize the isolation of coagulase-negative Staphylococcus and gram-negative bacteria resistant to methicillin and carbapenems in samples of devices, respectively, which reinforces the importance of nursing care in the maintenance of the biologically safe environment as well as prevention and infection control practices.
Ao meu marido ROGERIO em especial, que sempre está ao meu lado em todos os momentos, dizendo sempre que posso tudo que realmente quero e sou capaz de fazer tudo aquilo que desejo, pois acredita na minha capacidade. Aos meus filhos, PAULO EDUARDO e FELIPE, razões da minha vida, que com amor e alegria, me dão forças para lutar sempre. A minha amada MÃE (in memória) presença marcante em minha vida, eterna incentivadora dos meus estudos. Ao meu PAI pelo imenso amor, responsável pela minha formação sempre acreditando na minha capacidade. Enfim, a todos os familiares e amigos queridos, cujas presenças, palavras e silêncios rascunharam seus nomes em minha vida. AGRADECIMENTOS À Deus pela vida e por ter dado forças para a realização de mais um objetivo. À minha orientadora Profa. Dra. Clarice Aparecida Ferraz pela sabedoria, dedicação, paciência, confiança, apoio e credibilidade que sempre me deu, a quem devoto a mais sincera admiração. À Profa. Dra. Maria Luiza Anselmi pelo direcionamento, sabedoria e sugestões fundamentais para o aperfeiçoamento deste trabalho. À Profa. Dra. Miyeko Hayashida pelas sugestões e colaboração no decorrer deste trabalho.
Objectives: to analyze the scientific production of nurses on hospital infection, to evaluate the impact of the ordinance MS-196/83 to quantify the production in different decades and list the main measures of prevention and control. Methodology: literature review study was carried out manually from 1980 to 2006, in Brazilian nursing journals of the acquis of the Central Library of the University of São Paulo. Results: 33 publications totaled up nursing on hospital infection, from 2000 to 2006 concentrates the largest number of jobs in this area. Showing participation of 65% of teachers in scientific production. We noticed the high number of publications in order to study law, ethics and CCIH 13 (40%) which emphasize the role of nurses in the context of nosocomial infection and the importance of the role of the Committee for Hospital Infection Control, and the high percentage of studies descriptive / exploratory, seeking to change behavior and control of hospital infection. Conclusion: the fight against hospital infections presents itself today as a complex problem. We recognize that although the theme hospital infection is very common and widely disseminated in the national nursing is still poorly addressed. Descriptors: nosocomial infection; nursing; cientific production.
Objective: to characterize the demographic profile of admissions to the specialty clinic of a public hospital and to identify adverse events related to nosocomial infection (NI) second topographies of the urinary tract, respiratory tract (pneumonia) and blood stream in order to manage Hospital quality. Methodology: this is an exploratory, retrospective focusing on secondary data analysis. Results: the mean age of patients was 53 years with a predominance of female track and the Association of diagnosis was 2 to 4 more representative. The average age of patients with nosocomial infections ranged from 48 to 69 years, with the predominance of female track and the Association of diagnosis ranged from 3 to 19. The bloodstream infections in the past two years show a significant increase of 8.3% in 2003 to 36.4% in 2005, and a history of urinary infections alternating occurrences reaching maximum values of 41.6% in 2003 and declining to 18.2% in 2005. Conclusion: the IH is presented as a bill of great epidemiological significance in the context of hospital care, we believe that knowledge of the demographic profile of the population served by the health team creates reality necessary for structuring the management of care in order to direct and ensure a safer care. Descriptors: cross infection, demography, quality management.RESUMOObjetivos: caracterizar o perfil demográfico das internações na especialidade de clínica médica de um hospital público e identificar eventos adversos relativos à infecção hospitalar (IH) segundo topografias do trato urinário, do aparelho respiratório (pneumonia) e da corrente sangüínea, tendo em vista a gestão da qualidade hospitalar. Metodologia: trata-se de um estudo exploratório, retrospectivo com foco em análise de dados secundários. Resultados: a média de idade dos pacientes foi de 53 anos com predomínio do sexo feminino e faixa de associação de diagnóstico de 2 a 4 a mais representativa. A média de idade dos pacientes com infecção hospitalar variou de 48 a 69 anos, com o predomínio do sexo feminino e faixa de associação de diagnóstico variou de 3 a 19. A infecções da corrente sanguínea nos dois últimos anos apresentam elevação significativa, de 8,3% em 2003 para 36,4% em 2005; e as infecções urinárias uma trajetória de alternâncias de ocorrências atingindo valores máximos de 41,6% em 2003 e declinando para 18,2% em 2005. Conclusão: a IH apresenta-se como um agravo de grande significado epidemiológico no contexto da assistência hospitalar, acreditamos que o conhecimento do perfil demográfico da população atendida pela equipe de saúde cria a realidade necessária para a estruturação da gerência de cuidados a fim de direcionar e garantir uma assistência mais segura. Descritores: infecção hospitalar; demografia; gestão da qualidade.RESUMENObjetivo: caracterizar el perfil demográfico de los ingresos a la clínica de especialidades de un hospital público y para identificar eventos adversos relacionados con la infección nosocomial (IN) topografías segunda de las vías urinarias, las vías respiratorias (neumonía) y la corriente de la sangre con el fin de gestionar Hospital de la calidad. Método: se trata de un estudio exploratorio, retrospectivo, centrándose en el análisis de datos secundarios. Resultados: la edad media de los pacientes fue de 53 años con un predominio de la pista de la mujer y la Asociación de diagnóstico fue de 2 a 4 más representativas. La edad media de los pacientes con infecciones nosocomiales varió de 48 a 69 años, con el predominio de la vía femenina y la Asociación de diagnóstico varió de 3 a 19 años. Las infecciones del torrente sanguíneo en los dos últimos años muestran un aumento significativo del 8,3% en 2003 al 36,4% en 2005, y una historia de infecciones urinarias alternando apariciones alcanzando valores máximos de 41,6% en 2003 y la disminución de al 18,2% en 2005. Conclusión: la IH se presenta como un proyecto de ley de gran importancia epidemiológica en el contexto de la atención hospitalaria, creemos que el conocimiento del perfil demográfico de la población atendida por el equipo de salud crea la realidad necesaria para la estructuración de la gestión de la atención con el fin de dirigir y garantizar una atención segura. Descriptores: infección hospitalaria, demografía, gestíon de cualidad.
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