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Estratégias do enfermeiro na prevenção e controlo de infeção na pessoa em situação crítica
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Orientador(es)
Resumo(s)
As infeções associadas aos cuidados de saúde são evitáveis, contudo é necessário que os profissionais de saúde tenham consciência das suas práticas e dos riscos que estão inerentes, de modo a estarem mais conscientes e adotarem medidas corretas de prevenção e controlo de infeção. A adoção de medidas preventivas, reduz o número de infeções, morbilidade, dias de internamento, custos e mortalidade. Considerando a importância da implementação de medidas de prevenção e controlo de infeção, foi realizada uma Scoping Review de acordo com a metodologia do Joanna Briggs Institute (JBI), com o objetivo de mapear a melhor evidência sobre as estratégias do enfermeiro na prevenção e controlo de infeção, no cuidado ao doente crítico, de modo a responder à questão de revisão: “Quais são as estratégias utilizadas pelo enfermeiro na prevenção e controlo de infeção no cuidado ao doente crítico?” Os artigos encontrados deram resposta à questão de revisão, fazendo referência a várias medidas, nomeadamente: prevenções básicas de controlo de infeção, precauções baseadas nas vias de transmissão, medidas de prevenção e controlo de infeções, nomeadamente COVID-19 e Clostridium difficile, medidas de prevenção de pneumonia associada à intubação, prevenção de infeção com a implementação de banho com clorohexidina, técnicas asséticas, medidas de prevenção da corrente sanguínea associada a cateter venoso central e cateter venoso periférico, medidas de prevenção urinária associada a cateter vesical, bem como participação em programas de gestão antimicrobiana. Com base no estudo elaborado, foi possível desenvolver as minhas competências na área da prevenção e controlo de infeção direcionada à pessoa em situação crítica e aplicá-las durante os momentos de estágio da especialidade médico-cirúrgica. Todo o percurso realizado permitiu mobilizar o pensamento crítico e o conhecimento, permitindo desenvolver competências científicas, técnicas, éticas e relacionais especializadas, relacionadas com a prestação de cuidados à pessoa em situação crítica e respetiva família, aumentando a qualidade dos cuidados de enfermagem prestados.
Healthcare associated Infections are preventable, however, it is necessary for healthcare professionals to be aware of their practices and the inherent risks, in order to have greater awareness and adopt correct infection prevention and control measures. The adoption of preventive measures reduces the number of infections, morbidity, hospital stay, costs and mortality. Considering the importance of implantation of infection prevention and control measures, a Scoping Review was carried out in accordance with the Joanna Briggs Institute (JBI) methodology, with the purpose of mapping the best evidence on nurses' strategies in infections control and prevention in critically ill patients in order to answer the review question “What are the strategies used by nurses in the infection prevention and control in the care of critically ill patients?” The articles found responded to the review question, making reference to several measures, namely: basic infection control prevention, precautions based on transmission routes, infection prevention and control measures, namely COVID-19 and Clostridium difficile, prevention of intubation associated pneumonia, prevention of infection with the implementation of a chlorhexidine bath, aseptic techniques, blood flow prevention measures of central venous catheters and peripheral venous catheters associated infections, urinary prevention measures of bladder catheters associated infections, as well as participation in antimicrobial stewardship programs. Based on this study, it was possible to increase my skills in infection prevention and control area in critically ill patients and apply them during internships in the medicalsurgical specialty. The entire journey led to the expansion of critical thinking and knowledge, enabling the development of specialized scientific, technical, ethical and relational skills, related to the provision of care to critically ill patients and their families, increasing the quality of nursing healthcare provided.
Healthcare associated Infections are preventable, however, it is necessary for healthcare professionals to be aware of their practices and the inherent risks, in order to have greater awareness and adopt correct infection prevention and control measures. The adoption of preventive measures reduces the number of infections, morbidity, hospital stay, costs and mortality. Considering the importance of implantation of infection prevention and control measures, a Scoping Review was carried out in accordance with the Joanna Briggs Institute (JBI) methodology, with the purpose of mapping the best evidence on nurses' strategies in infections control and prevention in critically ill patients in order to answer the review question “What are the strategies used by nurses in the infection prevention and control in the care of critically ill patients?” The articles found responded to the review question, making reference to several measures, namely: basic infection control prevention, precautions based on transmission routes, infection prevention and control measures, namely COVID-19 and Clostridium difficile, prevention of intubation associated pneumonia, prevention of infection with the implementation of a chlorhexidine bath, aseptic techniques, blood flow prevention measures of central venous catheters and peripheral venous catheters associated infections, urinary prevention measures of bladder catheters associated infections, as well as participation in antimicrobial stewardship programs. Based on this study, it was possible to increase my skills in infection prevention and control area in critically ill patients and apply them during internships in the medicalsurgical specialty. The entire journey led to the expansion of critical thinking and knowledge, enabling the development of specialized scientific, technical, ethical and relational skills, related to the provision of care to critically ill patients and their families, increasing the quality of nursing healthcare provided.
Descrição
Palavras-chave
Enfermeiro especialista Enfermagem médico-cirúrgica Pessoa em situação crítica Prevenção e controlo de infeção Estratégias de saúde Specialist nurse Medical-surgical nursing Critically ill patient Infection prevention and control Healthcare strategies
Contexto Educativo
Citação
Editora
Licença CC
Sem licença CC