Banca de DEFESA: FRANCISCO LINDOMAR DE SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : FRANCISCO LINDOMAR DE SOUZA
DATE: 08/11/2022
TIME: 09:00
LOCAL: meet
TITLE:

CYCLE OF IMPROVEMENT OF THE QUALITY OF PREVENTION OF PHLEBITE IN A MATERNITY SCHOOL

KEY WORDS:

Quality improvement; Improvement cycle; prevention of phlebitis.

PAGES: 96
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Intravenous Therapy (IVT) is a routine procedure performed by Nursing professionals. It is a set of interventions performed with patients for the treatment of diseases and performed through central or peripheral access through the practice of venipuncture. Intravenous Therapy can cause several complications, including phlebitis. Objective: To apply an improvement cycle for the prevention of phlebitis and to assess the level of quality of care in intravenous therapy. Objective: To apply an improvement cycle for the prevention of phlebitis and to assess the level of quality of care in intravenous therapy. Methodology: This is a quasi-experimental, before-and-after, time series study with a quantitative-qualitative approach. A cycle of improvements was carried out in the high-risk ward of the Januário Cicco Maternity School, based on the quality criteria established to measure the current level of quality. The intervention took place between May and September 2022, being carried out through five phases: Phase 1: Identification and prioritization of the opportunity for improvement; Phase 2: Analysis of the improvement opportunity; Phase 3: Quality assessment; Phase 4: Intervention to improve; Phase 5: Reassessment and recording of the improvement achieved. Results: Ten quality criteria related to the care process in intravenous therapy were selected, considered useful to assess the improvement in the quality of phlebitis prevention. For that, the indicators of puncture and maintenance of peripheral intravenous catheters before and after the interventions were monitored and the level of compliance with the evaluated criteria was calculated. Absolute compliance was identified in two criteria, namely: C1: Performing hand hygiene before and after insertion of the peripheral catheter, with 100% compliance and C5: Use of peripheral catheters over needle. As for the criteria with levels of non-compliance, they were C3: Use of semipermeable and sterile transparent cover for stabilization of peripheral vascular accesses. C8: Protect the peripheral vascular access cover with plastic and/or aluminum foil during the patient's bath; C9: Use syringes filled with 0.9% saline solution for flushing administration in peripheral vascular access; and C10: Daily assessment of the peripheral vascular access insertion site by the nurse, monitoring the catheter maintenance time, which should not exceed 96 hours. The intervention consisted of a training course given by the master's student to nursing professionals working in the hospital's high-risk ward. After the interventions, the quality criteria were again evaluated between the months of September and October 2022 in the high-risk ward of the HMJC. In the reassessment after the intervention, it was found that there were changes in the levels of compliance with the criteria evaluated in a positive way, with significant improvements in most of the criteria. Conclusions: The implementation of a cycle to improve the quality of phlebitis prevention in the gynecology unit proved to be relevant for patient safety and stimulated the adoption of practices based on scientific evidence by Nursing professionals before and after the intravenous catheterization process.

COMMITTEE MEMBERS:
Presidente - 2374850 - THAIZA TEIXEIRA XAVIER NOBRE
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externa à Instituição - SILVANA LOANA DE OLIVEIRA SOUSA - UMU
Externa à Instituição - THALYTA CRISTINA MANSANO SCHLOSSER - UFSJ