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- Title
O IMPACTO DA APRENDIZAGEM INTERPROFISSIONAL NA PNEUMONIA ASSOCIADA À VENTILAÇÃO: IMPLEMENTAÇÃO DE BUNDLES EM UMA UNIDADE DE CUIDADOS INTENSIVOS.
- Authors
Pinto Coelho, Ariele Ferreira; Monteiro e Vieira, Raquel Aparecida; Aparecida Leite, Monica; Coaglio Lucas, Thabata
- Abstract
Objective: to verify the impact of the bundles and the interprofessional learning for the prevention of mechanical ventilation-associated pneumonia of an intensive care unit (ICU). Method: This was a quasi-experimental study performed in an ICU of a public hospital in Diamantina, Minas Gerais. Were included in this study 56 professionals who provided direct assistance to patients in mechanical ventilation. The data collection took place in three phases: pre-intervention, which consisted of direct observation and interview; intervention, in which training was performed through clinical simulations; and post-intervention, in which the impact of the strategies implemented through direct observation, was evaluated. Differences between pre and post groups were assessed using McNemar's test. An alpha level of 0.05 set a priori was used, and a Bonferroni correction determined statistical significance for the case of multiple comparisons. Results: After the intervention, there was increased adherence to endotracheal cuff pressure (8.10%), daily interruption of sedation (16.67%) and subglottic aspiration (18.75%). It was significant (p < 0,0083) in the associations between the professional category versus non-aspiration, bed head positioning, oral hygiene frequency and the type of hand hygiene after intervention. Conclusions: There is still a gap to be detected in the bundle implementation and the positive impact generated by the inter-professional knowledge, mainly because it is not immediate but in the long term to obtain the desired feedback.
- Subjects
BRAZIL; PREVENTION of communicable diseases; COMPARATIVE studies; HAND washing; INTENSIVE care units; INTERDISCIPLINARY education; INTERVIEWING; LEARNING strategies; RESEARCH methodology; MEDICAL care; PATIENTS; QUALITY assurance; STATISTICS; TOOTH care &; hygiene; DATA analysis; STATISTICAL significance; VENTILATOR-associated pneumonia
- Publication
Enfermagem em Foco, 2019, Vol 10, Issue 4, p93
- ISSN
2177-4285
- Publication type
Article