Banca de DEFESA: AURELIA CRISTINA DE MEDEIROS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : AURELIA CRISTINA DE MEDEIROS
DATA : 29/09/2016
HORA: 09:00
LOCAL: Departamento de Saúde Coletiva - UFRN
TÍTULO:

Quality Improvement in Adherence to Hand Hygiene in a NICU Guided by Multimodal Strategy

PALAVRAS-CHAVES:

Hand Hygiene; Patient Safety; Multimodal strategy

PÁGINAS: 54
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Introduction: hygiene of the hands is a simple action, but that brings immeasurable beneficial to patients and health professionals in hospital infection control and patient safety.

Objective : The present study aims to improve the adhesion of the practice of professional hygiene of the hands, in five moments of the Multimodal Strategy assistance from the World Health Organization.. Methodology: the methodology of the study design is almost like before and after trial, held in the NICU of the maternity School in Rio Grande do Norte. To calculate the improvement between the evaluations there was the calculation of the point estimate with a confidence interval (95%) of the compliance level with the criteria of the selected samples, calculated the values of the absolute and relative improvements to each of the criteria, and the statistical significance of improving detected held a one-sided hypothesis test by means of calculating the value of Z considering how null hypothesis the lack of improvement, when p-value was the < 0.05. Results: The first evaluation (n = 44), 55% of professionals have met criteria for hand hygiene, on entering the ICU Neo. Held four more observations, three with (n = 179),  opportunities for 96 actions developed, distributed in October with 53 opportunities (18% of developed actions) in November 88 chances (58% of actions) and in December 38 opportunities (24% of actions). The fifth observation (n = 44) 86% fulfilled criterion of Hand Hygiene to enter in ICU Neo and 14% did not meet. The study shows that the adherence to hand hygiene, still is too low, when linked to the five times of assistance, while in relation to the criterion of HH when entering in the ICU, there has been a significant improvement. Makes necessary continuing education and planned actions. It should Works with the culture of hygiene of hands in five moments of assistance in the pursuit of quality and safety in health care, reducing not only the hospital infection, but also the index of morbidity and mortality.

MEMBROS DA BANCA:
Externo à Instituição - JOÃO BOSCO FILHO - UERN
Presidente - 572900 - PAULO DE MEDEIROS ROCHA
Interno - 911.028.804-00 - WILTON RODRIGUES MEDEIROS - UFRN