Intervenção educativa para prevenção da remoção não eletiva do Cateter Central de Inserção Periférica em pediatria
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 imp...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/30945 |
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| Resumo: | 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. The data related to the reasons
for removing the catheter were taken from a record book present in the research scenario and
those referring to the professionals' knowledge, were collected through the application of a
questionnaire. The frequency of PICC losses due to complications was calculated by measuring
the indicator. The Student's Paired T test was applied to compare differences in the mean of
correct answers before and after the educational intervention, considering the significance level
of 95% and the values of p <0.05 as significant. 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. |
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