Oferta educacional sobre ventilação mecânica para equipe multiprofissional
Mechanical Ventilation (MV) is a therapeutic resource of great relevance as life support, which is associated with risks to the health of patients when used inadequately. The aim of this study was to develop a teaching model to improve learning about MV, focusing on patient safety for professiona...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/27305 |
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| Resumo: | Mechanical Ventilation (MV) is a therapeutic resource of great relevance as life
support, which is associated with risks to the health of patients when used
inadequately. The aim of this study was to develop a teaching model to improve
learning about MV, focusing on patient safety for professionals of the
multidisciplinary team of a university Hospital, to elaborate and validate content
of a Checklist for respiratory monitoring of patients on mechanical ventilation
aiming to reduce errors. This is an action research conducted in the ICU of a
university Hospital, in the period from October 2017 to April 2018, in 4 stages:
development of the checklist, validation of the checklist, preparation of the
course and training of the team, and evaluation of the results of Training. The
checklist, respiratory care of the patient in mechanical ventilation, contemed the
following parameters and/or information: Patient data, previous check of
ventilator test, gasometric evaluation, respiratory monitoring and monitoring of
Fan. We used a questionnaire with nine identical questions before and after the
training. 53 professionals were trained, of whom 47.2% were nursing
technicians and 28.3% were nurses. Only 18.9% of the professionals reported
previous training in mechanical ventilation with a focus on patient safety. We
used the non-parametric McNemar test to evaluate the questionnaire data. We
found that 22.6% recognized having knowledge to handle the mechanical
ventilator safely before the training, a percentage that amounted to 58.5% (P <
0.05). The professionals recognized having improved their ability to manage the
ventilator alarms, in relation to the frequency of checking alarms, adjusting the
alarms and what to do in case of failure of the mechanical ventilator. We
managed to improve the participants ' learning about mechanical ventilation with
a focus on patient safety in most of the items evaluated (5/7), as well as to
elaborate and validate a checklist to systate respiratory support to Patients in
MV. |
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