静脉导管维护中冲洗实践的护理技术原型

Q2 Nursing

Texto Contexto Enfermagem Pub Date : 2023-06-30 DOI:10.1590/1980-265x-tce-2022-0302en

Gabriella da Silva Rangel Ribeiro, J. Campos, P. Parreira, Rafael Celestino da Silva

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引用次数: 0

摘要

摘要目的:在评估护理团队冲洗实践的基础上，阐述一种旨在促进重症监护室静脉导管维持良好实践的护理技术原型。方法:一项技术详细研究，分三个阶段开展:通过一份问卷对冲洗实践进行评估，问卷由巴西里约热内卢市一家公立医院重症监护环境中从事静脉导管维护工作的108名护理专业人员完成。数据收集于2019年11月至2020年1月进行，并进行描述性和推断性数据分析;根据主要指导方针和科学证据对该实践中存在的错误进行分析，并根据患者安全的概念框架对错误类型进行分类;以及技术原型开发。结果:88%的参与者在练习中进行冲洗;49.5%的注射器柱塞采用连续加压技术;22%的人在给药之前、之间和之后进行冲洗;主要使用5毫升和10毫升的体积和注射器。与知识相关的变量与不进行冲洗有关。在技术原型构建过程中存在着主动误差和潜在误差。结论:建立了护理指南，旨在提高护理团队对良好冲洗规范的认识，并配置为防止错误再次发生的障碍。

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CARE TECHNOLOGY PROTOTYPE FOR FLUSHING PRACTICE IN INTRAVENOUS CATHETER MAINTENANCE

ABSTRACT Objective: to elaborate, based on the assessment of the nursing team’s flushing practice, a care technology prototype aimed at promoting good practices in intravenous catheter maintenance in intensive care. Method: a technology elaboration study, developed in three stages: flushing practice assessment through a questionnaire completed by 108 nursing professionals working in intravenous catheter maintenance in intensive care settings of a public hospital located in the city of Rio de Janeiro, Brazil. Data collection took place from November 2019 to January 2020, with descriptive and inferential data analysis; analysis of this practice regarding the existence of errors according to the main guidelines and scientific evidence, with classification of types of errors in the light of the conceptual framework of patient safety; and technology prototype development. Results: 88% of participants perform flushing in their practice; 49.5% apply the continuous pressure technique on the syringe plunger; 22% perform flushing before, between and after medication administration; predominance of use of volume and syringes with gauges of 5 ml and 10 ml. Variables related to knowledge were associated with not performing flushing. There were active and latent errors that guided the technology prototype construction. Conclusion: a care guide was built that aims to increase nursing team’s knowledge about good flushing practices and is configured as a barrier to error recurrence.

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来源期刊

Texto Contexto Enfermagem Nursing-General Nursing

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Texto & Contexto Enfermagem provides space for reflection and deepening of knowledge about issues of practice, teaching and research in health and nursing, at national and international levels. The journal is published quarterly in the rolling pass or Continuous flow mode, accepting manuscripts in Portuguese, English or Spanish, in the categories original article, reflection, experience report and review. Contributions designated to the dissemination of unpublished original research results are prioritized for publication. Special issues are published at the discretion of the Board of Directors and Associate Editors. All manuscripts are published in two versions, one of which is English, aiming to cover the largest number of readers worldwide. The editorial policy of Texto & Contexto Enfermagem is based on rigorous quality criteria for indexing and publishing (including technical and normative aspects, graphic and textual quality and excellence in scientific content); on responsibility for shared management between the Board of Directors, Editorial Board and Internal and External Editors Associates; and on the rigorous and constructive peer review, preserving the anonymity of authors and reviewers (double blinded).