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Adesão dos enfermeiros à prática segura na manipulação do cateter venoso periférico: Uma scoping review
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Abstract(s)
INTRODUÇÃO: As infeções associadas a cuidados de saúde contribuem para um aumento da
morbilidade e mortalidade dos clientes. O Enfermeiro tem como função a identificação
atempada de complicações. Uma dessas complicações é a infeção, que pode ser
desencadeada por diversas intervenções, nomeadamente a introdução e manutenção do
cateter venoso periférico (CVP), da qual o enfermeiro é responsável. Para assegurar a adesão
dos enfermeiros às boas práticas no manuseamento do CVP, é essencial a existência de
normas e a atualização profissional por via da formação. O estudo está integrado no projeto
de investigação “Controlo das Infeções Associadas aos Cuidados de Saúde” do grupo NursID
do CINTESIS.
OBJETIVOS: Examinar e ampliar o conhecimento sobre as intervenções educacionais ou
formativas promotoras da adesão dos enfermeiros à prática segura na manipulação do CVP.
METODOLOGIA: Foi criado um protocolo de scoping review sustentado na metodologia de
Joanna Briggs Institute que obedece aos critérios de elegibilidade com base na População
(enfermeiros), Conceito (adesão à prática segura na manipulação do CVP) e Contexto
(hospital). Foi construída a frase booleana de acordo com a base de pesquisa e descritores
indexados. Posteriormente realizou-se a pesquisa nas bases de dados e literatura cinzenta,
seguindo-se a seleção de artigos, realizada por dois investigadores independentes e por um
terceiro, nas situações de falta de consenso.
RESULTADOS: Após pesquisa obteve-se um total de 637 documentos, que após triagem de
duplicados foram reduzidos para 440. Destes artigos, após análise de título e resumo e
posterior leitura integral, obtiveram-se nove documentos. Os artigos selecionados
apresentaram-nos, cada um, um programa constituído por intervenções promotoras de
adesão a uma prática segura no manuseamento do CVP, resultando todos eles numa melhoria
de práticas de enfermagem e/ou na redução de infeção relacionada com o dispositivo. As
intervenções transversais a todos os estudos selecionados cingiam-se a quatro grandes
grupos: Educação/ Formação; Treino; Feedback; Avaliação/ Auditorias. Sendo estas a base
para um programa de sucesso na promoção da adesão.
CONCLUSÃO: Com a presente scoping review foi possível evidenciar as principais
intervenções promotoras de adesão à prática segura na manipulação do CVP, ou seja, foi
possível alcançar o objetivo proposto. O que permite um contributo na ampliação do
conhecimento sobre a temática e ainda uma possível melhoria da segurança nos cuidados ao
CVP. No entanto, trata-se de um tema que carece de mais evidência, pois a atenção está
mais direcionada para o CVC, negligenciando-se a infeção decorrente do CVP.
INTRODUCTION: Healthcare-associated infections contribute to an increase in client morbidity and mortality. It is the nurses’ role to identify complications in a timely manner. Infection is one of these complications, and can be triggered by various interventions, namely the introduction and maintenance of the peripheric venous catheter (PVC), which is the nurse’s responsibility. To ensure the nurses' adherence to good practices in handling the PVC, the existence of norms and professional training is essential. This study is integrated in the group “NurID: Inovation & Development in Nursing” – CINTESIS-FMUP. OBJECTIVES: Examining and amplifying the knowledge about educational or formative interventions that promote the nurse’s adherence to safe practice in handling CVP. METHODOLOGY: A scoping review protocol sustained in the Joanna Briggs Institute methodology that obeys to eligibility criteria based on the population (nurses), concept (adherence to safe practice in handling the PVC) and context (hospital) was created. The Boolean phase was built according to the search base and indexed descriptors. Subsequently, the search was carried out in the databases and grey literature, followed by the selection of articles, carried out by two independent investigators and by a third, in situations with lack of consensus. RESULTS: After researching, a total of 637 documents were obtained, which after screening for duplicates was reduced to 440. Of these articles, after title and abstract analysis and subsequent integral reading, nine documents were obtained. Each of the selected articles presented a program consisting of interventions that promote safe practices in handling the PVC, all of which resulted in an improvement in nursing practices and/or the reduction of infection related to the device. Cross-cutting interventions for all the selected articles were limited to four large groups: Education/Training; Training; Feedback; Assessment/Audits. These are the base to a successful program that promotes the adherence. CONCLUSIONS: With this scoping review the main interventions promoting adherence to safe practice in handling the PVC were highlighted, which means the proposed objective was fulfilled. Enabling a contribution to the expansion of knowledge on the subject and a possible improvement in the safety in caring for the PVC. However, this topic needs further evidence, as attention is more focused on the CVC neglecting the infection resulting from the PVC.
INTRODUCTION: Healthcare-associated infections contribute to an increase in client morbidity and mortality. It is the nurses’ role to identify complications in a timely manner. Infection is one of these complications, and can be triggered by various interventions, namely the introduction and maintenance of the peripheric venous catheter (PVC), which is the nurse’s responsibility. To ensure the nurses' adherence to good practices in handling the PVC, the existence of norms and professional training is essential. This study is integrated in the group “NurID: Inovation & Development in Nursing” – CINTESIS-FMUP. OBJECTIVES: Examining and amplifying the knowledge about educational or formative interventions that promote the nurse’s adherence to safe practice in handling CVP. METHODOLOGY: A scoping review protocol sustained in the Joanna Briggs Institute methodology that obeys to eligibility criteria based on the population (nurses), concept (adherence to safe practice in handling the PVC) and context (hospital) was created. The Boolean phase was built according to the search base and indexed descriptors. Subsequently, the search was carried out in the databases and grey literature, followed by the selection of articles, carried out by two independent investigators and by a third, in situations with lack of consensus. RESULTS: After researching, a total of 637 documents were obtained, which after screening for duplicates was reduced to 440. Of these articles, after title and abstract analysis and subsequent integral reading, nine documents were obtained. Each of the selected articles presented a program consisting of interventions that promote safe practices in handling the PVC, all of which resulted in an improvement in nursing practices and/or the reduction of infection related to the device. Cross-cutting interventions for all the selected articles were limited to four large groups: Education/Training; Training; Feedback; Assessment/Audits. These are the base to a successful program that promotes the adherence. CONCLUSIONS: With this scoping review the main interventions promoting adherence to safe practice in handling the PVC were highlighted, which means the proposed objective was fulfilled. Enabling a contribution to the expansion of knowledge on the subject and a possible improvement in the safety in caring for the PVC. However, this topic needs further evidence, as attention is more focused on the CVC neglecting the infection resulting from the PVC.
Description
Keywords
Controlo de Infeção Enfermagem Cateter venoso periférico Educação Formação