Fatores Que Interferem Na Adesão Às Precauções Padrão Por Profissionais Da Saúde: Revisão Integrativa

Abstract

Objetivo: identificar os fatores que interferem na adesão às precauções padrão por trabalhadores de saúde em instituições hospitalares. Metodologia: revisão integrativa conduzida nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine e SciVerse Scopus. Resultados: dezesseis estudos atenderam aos critérios estabelecidos. Ficaram evidentes fatores que influenciam na adesão: fatores individuais -conscientização, percepção do risco, percepção da eficácia das medidas de proteção, crenças e valores, conhecimento, subjetividade, relações interpessoais; fatores relacionados ao trabalho -carga de trabalho, obstáculos do trabalho; e fatores organizacionais -disponibilidade de equipamento de proteção individual, estrutura física, supervisão, ações gerenciais. Conclusão: vários fatores interferem na adesão às precauções padrão, sendo fundamental promover aqueles que irão levar à adoção universal e minimizar os que impedem sua plena utilização.Descritores: Precauções universais, Equipamento de proteção individual, Saúde do trabalhador, Pessoal de saúde. FACTORS THAT INTERFERE WITH ADHERENCE TO STANDARD PRECAUTIONS FOR HEALTH PROFESSIONALS: INTEGRATIVE REVIEWObjective: To identify the factors that interferes with adherence to standard precautions for health workers in hospitals.Methodology: Integrative review conducted in the databases Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine e SciVerse Scopus. Results: Sixteen studies met the inclusion criteria. The factors that influence with adherence to standard precautions was evident: individual factors -awareness, risk perception, perception of the effectiveness of protective measures, beliefs and values, knowledge, subjectivity, interpersonal relationships; work factors -workload, work obstacles; and organizational factors -availability of individual protection equipment, physical structure, supervision, management actions. Conclusion: Several factors interfere in adherence to standard precautions, and it is fundamental to promote those that will lead to universal adoption and minimize those that prevent its full use.Descriptors: Universal precautions, Personal protective equipment, Occupational health, Health personnel. FACTORES QUE INTERFEREN CON LA ADHESION DE PRECAUCIONES ESTÁNDAR POR PROFESIONALES DE SALUD: REVISIÓN INTEGRADORAObjetivo: Identificar los factores que interfieren en la adhesión de precauciones estándar para trabajadores de salud en los hospitales. Metodología: Revisión integradora realizada en bases de datos Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine e SciVerse Scopus. Resultados: Dieciséis estudios cumplieron los criterios de inclusión.Fue factores evidentes que influyen en la adhesión: factores individuales -sensibilización, percepción de riesgo, percepción de la eficacia de las medidas de protección, creencias y valores, conocimiento, subjetividad, relaciones interpersonales; factores de trabajo -carga d...

Compliance with standard precautions by nursing professionals in high complexity care

“…When analyzing the answers of each of the CSPS-PB items for some items, compliance with SP for hand hygiene, use of PPE, bath after extensive spattering and needle repacking was unsatisfactory. These data corroborate with the literature, since [4][5][6][7][8] One of the concerns regarding the results presented is the hand hygiene between contacts with patients after removing the gloves, since Regulatory Standard 32 (NR-32) 14 states that the use of gloves does not replace the hand hygiene process, which should occur at least before and after the use of the same. Similar results were observed in a study that indicated adherence of 65.6% of the professionals to this practice, even though it was recognized as simple and important in the prevention and control of infections related to health care.…”

“…4,5 Considering that behavioral factors such as decision-making not to use Personal Protective Equipment (PPE) or low perception of risk of exposure can influence compliance with SP. [4][5][6][7][8][9] Considering that factors such as work hours, professional category, time of professional experience, and the need for improvements in working conditions in critical sectors, this study had the objective of evaluating compliance with SP by nursing professionals who worked in high complexity care.…”

Auditoria de práticas de precauções-padrão e contato em Unidade de Terapia Intensiva

“…Review studies show evidence of several factors which interfere in adherence to standard precautions, such as individual, work-related and organizational (23)(24)(25) . Qualitative research with nursing professionals identified that the factors which hinder adherence to the standard precautions were emergency situations, the non-availability of PPE, their storage in locations far from the point of care, overwork and the consequent lack of time to put them on, providing care for children, more experienced professionals (bosses, physicians or teachers) who do not adequately carry out the precautions and can influence other professionals, greater professional experience and skills, among others.…”

Ishikawa Diagram: Causes and Solutions of Hiv Infection in Nursing Professionals Due to Sharps Use / Diagrama de Ishikawa: Causas e Soluções da Infecção ao Hiv Adquirida por Profissionais de Enfermagem Através de Materiais Perfurocortantes

“…The Ishikawa Diagrams based on the Table 1 and 2 are shown in Figure 2 The individual aspects found in this study deserve special mention, since it includes the use of Individual Protection Equipment, this being one of the basic precautions as prevention measures adopted by health professionals when there is blood manipulation and excretions of patients, regardless of whether or not there are contagious diseases defined in pre-diagnosed cases. 13 Other factors, such as inattention to the procedures, disbelief in the occurrence of sharps injuries, stress, risk behavior, long working hours, contribute to the occurrence of work-related accidents. 14 Sharp accidents occur due to inadequate work organization, material availability, neglecting the PPE use and lack of training.…”