Banca de DEFESA: ANA LUIZA DA SILVA GODEIRO
Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.STUDENT : ANA LUIZA DA SILVA GODEIRO
DATE: 19/10/2020
TIME: 09:00
LOCAL: VIA PLATAFORMA DO GOOGLE MEET
TITLE:
EDUCATIONAL INTERVENTION TO PREVENT NON-ELECTIVE REMOVAL OF THE PERIPHERALLY INSERTED CENTRAL CATHETER IN PEDIATRICS
KEY WORDS:
Keywords: Peripherally inserted central catheter. Nursing care. Permanent education of health. Almost-experimental study. Knowledge. Patient safety.
PAGES: 153
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUBÁREA: Enfermagem Pediátrica
SUMMARY:
Peripherally inserted central catheter is a technology created as a strategy of humanization to assistance, since promotes a secure venous access for a prolonged period. To this, the use of this catheter requires from nursing staff knowledge and skill, with discussions and trainings aiming to improve praxis and to reduce occurrences that can damage the performance of this device. Objective: to evaluate the effect of an educative intervention to nurses and nurse technicians from a Pediatric Intensive Care Unit in the improvement of theoretical knowledge related to the prevention of damage by the non-elective removal of the Peripherally inserted central catheter. Method: it consists in a almost-experimental study with a unique group, type before and after, in an educative intervention, based on problematization to nursing staff from Pediatric Intensive Care Unit of a hospital-school in Natal/RN. Data collection related to reasons by the removal of the catheter is in a register book from research scenery, about knowledge of the professionals, by the application of a questionnaire. This study points the existence of a significative difference between score of knowledge before and after educative intervention base on T-pareado test, considering values p < 0.05 as significative. Results: 22 nursing professionals participated of this research (10 technicians and 12 nurses), most of the feminine gender (86.36%), with an average age of 36.5 years, and 12.8 years of profession, with an average of 5.3 years working on Pediatric Intensive Care Unit. After educative intervention, it points significative difference of knowledge, improving the ranking of nurse technicians from 5.30 to 9.10 and nurses from 11.83 to 20.67. The most different average score was in the questions related to the technic to realize flush and to preventive actions of infiltration/thrombosis/phlebitis, indications and contra-indications of insert catheter. As a result, the Good practices guide to the prevention of non-elective removal of the PICC is the product of this study, approaching preventive actions and management of complications. This research points too some priority cares, according to the point of view of participant nursing staff during educative activities, organized in a priority care list related to the use of this device, that will be showed to the hospital to post-analyze and insertion in the prescription of electronic nursing, to collaborate to the promotion of nursing systematizing care to use this catheter. Conclusion: the educative intervention was effective, becoming possible the plausibility of this research hypothesis, considering average score of knowledge that improve significantly after intervention. At last, this research aims this knowledge be effective in the care act, part of permanent education in health, and the application as the Good Practices Guide as the Priority Care List improve the development of practices of management of the catheter, consequently, decreasing the non-elective damage of this device. Thus, children admitted in the Pediatric Intensive Care Unit can enjoy benefits of this device in a most comfortable way, with safety and therapeutic efficacy, as well as it will be time optimization of the staff nursing work and the lowest price to the service.
BANKING MEMBERS:
Presidente - 3508071 - LAURIANA MEDEIROS COSTA SANTOS
Interna - 2568454 - ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
Externo à Instituição - JOÃO BOSCO FILHO - UERN