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      O uso de equipamento de proteção individual por profissionais de enfermagem na aspiração endotraqueal Translated title: El uso de equipamiento de protección individual por profesionales de enfermerÃa en la aspiración endotraqueal Translated title: Use of individual protection equipment by nursing professionals in endotracheal aspiration

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          Abstract

          Este estudo descritivo-exploratório, prospectivo, com abordagem quantitativa teve como objetivo verificar a adesão dos profissionais de enfermagem ao uso dos equipamentos de proteção individual na realização do procedimento de aspiração endotraqueal por sistema aberto. Os dados foram coletados através de observação, utilizando um check-list, no perÃodo de abril a setembro de 2011, em duas unidades de terapia intensiva (UTI) de um hospital universitário de Mato Grosso do Sul, Brasil, e analisados utilizando estatÃstica descritiva. Dos 25 profissionais investigados, 11 trabalhavam na UTI Geral e 14 na Cardiológica. Dessa amostra, 14(56%) eram do sexo masculino. O uso de equipamentos de proteção individual variou de 60-100%, sendo que não ocorreu adesão para o uso de óculos; 28% não usaram máscara, 36% sapatos fechados e 40% avental descartável. Evidencia-se que os profissionais estão expostos ao risco biológico e, portanto, há necessidade de rever o processo de trabalho e as atividades educativas.

          Translated abstract

          La finalidad de este estudio descriptivo-exploratorio, prospectivo, con enfoque cuantitativo fue verificar la adhesión de profesionales de enfermerÃa al uso de equipos de protección individual durante la aspiración endotraqueal de sistema abierto. Los datos fueron recolectados mediante observación, utilizando un check-list, entre abril y septiembre del 2011, en dos unidades de terapia intensiva (UTI) adultas de un hospital universitario los de Mato Grosso do Sul, Brazil, y analizados utilizando estadÃstica descriptiva. De los 25 profesionales investigados, 11 trabajaban en la UTI General y 14 en la Cardiológica. En esa muestra, 14(56%) eran del género masculino. Respecto a la utilización de equipos de protección individual, el uso varió entre 60 y 100%, sin adhesión al uso de óculos; 28% no usó máscara; 36% zapatos cerrados y 40% delantal desechable. Se evidencia que los profesionales están expuestos al riesgo biológico y, por lo tanto, son necesarias la revisión del proceso de trabajo y actividades educativas.

          Translated abstract

          Descriptive-exploratory and prospective study with a quantitative approach. It aims at checking nursing professionals’ adherence to individual protection equipment during open-system endotracheal aspiration procedures. Data were collected through observation, with a checklist, at two intensive care units (ICU) of a teaching hospital in Mato Grosso do Sul, Brazil, from April to September, 2011. Data were analyzed on the basis of descriptive statistics. Out of the 25 professionals investigated, 11 worked at the General ICU and 14 at the Cardiologic ICU. In this sample, 14(56%) were male. Use of individual protection equipment ranged between 60 and 100%, with no adherence to eyewear; 28% did not wear a mask; 36% closed shoes and 40% disposable gowns. There’s evidence that those professionals are exposed to biological risk and, therefore, both the work process and educational activities must be enhanced.

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          Incidence, risk stratification, antibiogram of pathogens isolated and clinical outcome of ventilator associated pneumonia

          Background: The initial empirical therapy of Ventilator Associated Pneumonia (VAP) modified based on the knowledge of local microbiological data is associated with decreased morbidity and mortality. The objective was to find the incidence and risk factors associated with VAP, the implicated pathogens and their susceptibility pattern as well as to assess the final clinical outcome in VAP. Materials and Methods: This was a prospective cohort study of 107 patients taken on ventilatory support for two or more days and those not suffering from pneumonia prior were to be taken on ventilator. The study was done over a period of one year. VAP was diagnosed using clinical pulmonary infection score of >6. The mortality, incidence of VAP, frequency of different pathogens isolated, their antibiotic sensitivity pattern, duration of mechanical ventilation and duration of hospital stay were assessed. Statistical Analysis: Univariate analysis, χ2 test and paired t-test. Results: The incidence of VAP was 28.04%. Mortality in VAP group was 46.67%, while in the non-VAP group was 27.28%. High APACHE II score was associated with a high mortality rate as well as increased incidence of VAP. The most common organisms isolated from endotracheal aspirate of patients who developed VAP were Pseudomonas aeruginosa, Methicillin-resistant Staphylococcus aureus (MRSA), Klebsiella pneumoniae and Acinetobacter baumannii. Most strains of Pseudomonas (55.56%) were resistant to commonly used beta-lactam antibiotics known to be effective against Pseudomonas. All strains of Staphylococcus aureus were MRSA and most isolates of K. pneumoniae (85.71%) were extended-spectrum beta-lactamase producing. About 50% isolates of Acinetobacter were resistant to carbapenems. Mortality was highest for infections caused by A. baumannii (83.33%) and K. pneumoniae (71.42%). Conclusions: APACHE II score can be used to stratify the risk of development of VAP and overall risk of mortality. Drug-resistant strains of various organisms are an important cause of VAP in our setting.
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            Acidentes de trabalho, riscos ocupacionais e absenteísmo entre trabalhadores de enfermagem hospitalar

            Os objetivos deste estudo foram identificar acidentes de trabalho, absenteísmo e relacionar riscos ocupacionais com o absenteísmo referentes a trabalhadores de enfermagem de dois hospitais, na cidade de Ribeirão Preto (SP). O estudo foi descritivo, de abordagem quantitativa, tendo sida a coleta de dados realizada no Centro de Referência de Saúde do Trabalhador, em 2006. Foi utilizado um instrumento para a coleta dos dados sobre a Comunicação de Acidente de Trabalho (CAT). Foram identificados 140 acidentes de trabalho e destes, 85% com mulheres, 81% entre auxiliares de enfermagem e 92% acidentes típicos. Entre os acidentes de trajeto acontecidos, a maioria ocorreu antes do início do turno laboral. Todos estes acidentes geraram 117 dias de afastamento. Na comparação das notificações, o hospital público superou o privado em número de notificações ao longo dos meses.
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              An evaluation of a teaching intervention to improve the practice of endotracheal suctioning in intensive care units.

              Endotracheal suctioning is a frequently performed procedure that has many associated risks and complications. It is imperative that nurses are aware of these risks and are able to practise according to current research recommendations. This study was designed to examine to what extent intensive care nurses' knowledge and practice of endotracheal suctioning is based on research evidence, to investigate the relationships between knowledge and practice, and to evaluate the effectiveness of a research-based teaching programme. This quasi-experimental study was a randomized, controlled, single-blinded comparison of two research-based teaching programmes, with 16 intensive care nurses, using non-participant observation and a self-report questionnaire. Initial baseline data revealed a low level of knowledge for many participants, which was also reflected in practice, as suctioning was performed against many of the research recommendations. Following teaching, significant improvements were seen in both knowledge and practice. Four weeks later these differences were generally sustained, and provide evidence of the effectiveness of the educational intervention. The study raised concern about all aspects of endotracheal suctioning and highlighted the need for changes in nursing practice, with clinical guidelines and focused practice-based education.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                reuerj
                Revista Enfermagem UERJ
                Rev. enferm. UERJ
                Universidade do Estado do Rio de Janeiro (Rio de Janeiro, RJ, Brazil )
                0104-3552
                December 2012
                : 20
                : spe1
                : 625-630
                Affiliations
                [04] orgnameUniversidade Federal de Mato Grosso do Sul orgdiv1Curso de Enfermagem
                [03] orgnameUniversidade Federal de Mato Grosso do Sul orgdiv1Curso de Enfermagem
                [05] orgnameUniversidade Federal de Mato Grosso do Sul orgdiv1Curso de Enfermagem
                [01] orgnameUniversidade Federal de Mato Grosso do Sul orgdiv1Programa de Saúde e Desenvolvimento na Região Centro-Oeste
                [02] orgnameUniversidade Federal de Mato Grosso do Sul orgdiv1Curso de Enfermagem
                Article
                S0104-35522012000400013
                1bd41fe2-5d5d-4cee-8c62-1f74e3d1c6bd

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 06 September 2012
                : 08 November 2012
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 6
                Product

                SciELO Revista de Enfermagem


                equipamentos de proteção,exposição a agentes biológicos,unidade de terapia intensiva,Evaluación del rendimiento de empleados,equipos de seguridad,exposición a agentes biológicos,unidad de cuidados intensivos,Employee’s performance report,protective devices,exposure to biological agents,intensive care unit,Avaliação de desempenho

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