Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project

Sichieri, Karina; Iida, Luciana Inaba Senyer; Menezes, Isa Rodrigues da Silveira Cabral de; Garcia, Paulo Carlos; Santos, Talita Raquel dos; Peres, Emília Cristina; Shimoda, Gilcéria Tochika; Maia, Flávia de Oliveira Motta; Secoli, Sílvia Regina; Püschel, Vilanice Alves de Araújo

doi:10.11124/jbisrir-2017-003561

Cited by 12 publications

(7 citation statements)

References 12 publications

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“…The results of the projects of best practices implemented in the health services have been showing a high percentage of conformity of the criteria after the follow-up audition, many of which achieve the totality of conformity compatible with the best evidence. These favorable results may be seen in some publications of the alumni (13)(14)(15)(16)(17) .…”

Section: Discussionmentioning

confidence: 64%

Educating for the implementation of evidence-based healthcare in Brazil: the JBI methodology

Püschel

Oliveira

Gomes

et al. 2021

Rev. esc. enferm. USP

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Objective: To present the JBI evidence implementation methodology and report the Brazilian experience in educating health professionals. Method: This is an experience report on professional education in the Brazilian context as per the JBI methodology. Results: In four years, 29 clinical fellows were trained in Brazil, with technical and scientific theoretical bases and tools for evidence-based practice, focusing on the transformation of the health contexts in which they are inserted. Conclusion: The JBI methodology offers systems and tools to evaluate existent practices; it also reinforces and disseminates evidence-based healthcare, potentializing the achievement of effective change in healthcare.

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Section: Discussionmentioning

confidence: 64%

Educating for the implementation of evidence-based healthcare in Brazil: the JBI methodology

Püschel

Oliveira

Gomes

et al. 2021

Rev. esc. enferm. USP

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“…The method included auditing through observation and analysis of medical records, followed by feedback. The pre-implementation phase of the educational program involved 22 patients and 180 nursing staff, and in the phase after 14 and 180, respectively (40) .…”

Section: Discussionmentioning

confidence: 99%

What do we know about flushing for intravenous catheter maintenance in hospitalized adults?

2022

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Objective: to evidence the use of flushing to prevent complications from intravenous therapy. Methods: an integrative review in databases, using descriptors and selection criteria. Data were collected in 12 articles using an instrument and later classified, summarized and aggregated for knowledge synthesis. Results: it was evident that: the pre-filled syringe resulted in a lower occurrence of catheter obstruction; irregular flushing frequency caused advanced phlebitis; the use of Venous Arterial Blood Management Protection (VAMP) generated a lower incidence of blood infection; heparinized solution did not result in a lower central catheter failure rate; flushing volume and frequency were not predictors of catheter failure; flushing practice was not shown to be incorporated among professionals. Conclusion: there are disagreements about the volume, frequency, solution and devices used in flushing. New technologies can reduce complications such as obstruction and infection.

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“…Embora negligenciada, a higiene das mãos é a medida menos dispendiosa e mais eficaz para a prevenção de infecções relacionadas à assistência à saúde. A adoção e o aumento na realização dessa medida de proteção contribuem para a redução das taxas de infecção de corrente sanguínea em Unidade de Terapia Intensiva (8) . Portanto, a higiene das mãos é um cuidado fundamental para conter no instrumento de cuidado do enfermeiro.…”

Section: Discussionunclassified

“…Para melhorar os indicadores em saúde e proporcionar um cuidado livre de danos no cenário assistencial, diversas estratégias têm sido adotadas, como: padronizações de procedimentos; checklist; treinamentos das equipes e implantação de bundles (6)(7) . No entanto, observa-se um direcionamento de esforços de estratégias, sobretudo, para cuidados visando à manutenção do cateter (7)(8) , sendo, portanto, requeridos cuidados que cubram todos os momentos do uso do cateter -sua instalação, manutenção e remoção.…”

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Construction of a nursing care instrument for patients with central venous catheters

et al. 2022

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Objective: to build a nursing care instrument for patients with short-term central venous catheters in an Intensive Care Unit. Methods: a multi-method study in three stages: structuring of the instrument; pre-testing of the instrument; agreement analyses among nurses and final composition of the instrument. Results: the instrument, in its first version, presented three domains related to the moment of insertion (five items), maintenance (15 items) and catheter removal (ten items). Most of the 30 items were assessed as relevant (23/77%) and presented a satisfactory Content Validity Index (28/93%). Ten items were reformulated, 32 new items were included, and three items were deleted. Conclusion: the instrument was constructed, which presented response validity for the care of nurses to patients with central venous catheters in Intensive Care Units, consisting of three domains and 59 items evaluated by nurses and considered appropriate for the moments of insertion, maintenance and removal of the catheter.

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Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: a best practice implementation project

Cited by 12 publications

References 12 publications

Educating for the implementation of evidence-based healthcare in Brazil: the JBI methodology

Educating for the implementation of evidence-based healthcare in Brazil: the JBI methodology

What do we know about flushing for intravenous catheter maintenance in hospitalized adults?

Construction of a nursing care instrument for patients with central venous catheters

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