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O estudo “Cuidar de doentes em isolamento de contacto – Desenvolvimento de Competências dos profissionais de Enfermagem”, pretendia realizar um diagnóstico de situação, da prática de cuidados ao doente em isolamento de contacto, num Serviço de um Hospital Central da zona norte, onde se desenvolvia
estágio no âmbito do Mestrado em Enfermagem e tinha como principal objetivo inquirir quais as dificuldades sentidas pelos profissionais de Enfermagem na implementação dos procedimentos institucionalizados, relacionados com as precauções de isolamento de contacto. Tratou-se de um estudo exploratório,
descritivo e transversal inserido numa abordagem quantitativa e qualitativa, tendo como participantes os enfermeiros prestadores de cuidados aos doentes em isolamento de contacto. Foi feita pesquisa sobre a problemática das infeções hospitalares e sobre os Programas de Controlo de Infeção e Vigilância Epidemiológica. Reconheceu-se que a existência de diretrizes específicas e de recomendações da Direção Geral da Saúde e das Unidades de Prevenção e Controlo de Infeção, têm contribuído para as boas práticas. A precaução de Isolamento de contacto implica a concretização de diversos procedimentos institucionalizados, cuja aplicabilidade se tentou analisar neste caso concreto. Para este efeito, foi construído um questionário, grelhas de observação e guias orientadores de preenchimento, baseados no procedimento de precauções de isolamento de contacto e aplicou-se aos Enfermeiros do Serviço. Após caraterização dos participantes e colheita de dados da perceção relativa ao contexto de trabalho, questionou-se os enfermeiros quanto ao conhecimento do procedimento e posteriormente quanto à implementação de todos os itens componentes. Para os enfermeiros, a estrutura física, número de profissionais, materiais, equipamentos e gestão de informação, são os principais facilitadores da implementação e como aspetos limitativos, os mais considerados são também a estrutura física, plano de trabalho e distribuição
de doentes, formação e número de profissionais. As estratégias escolhidas pelos profissionais envolvidos são maioritariamente, relacionadas com a formação, adequada proporção de profissionais, bem como plano de trabalho e distribuição de doentes mais adequados e reconhecimento profissional. Das observações
efetuadas, conclui-se existir uma diferença significativa entre o conhecimento referido e o aplicado e que algumas das indicações, não são cumpridas. Concluise também que as recomendações atuais da Direção Geral da Saúde, vêm de encontro com o que os profissionais intrinsecamente envolvidos necessitam para
a sua prática e com as propostas que se estabelecem para melhoria de práticas.
The study "Caring for patients on Contact Isolation – Development of Nursing Professionals skills", aimed to carry out a diagnosis situation, to the practice of patient care on contact isolation, in a Service of a Central Hospital in the North, where developed a course in the scope of the Master's Degree in Nursing and had as main objective, to inquire about the difficulties experienced by the Nursing professionals on the implementation of the institutionalized procedures related to contact isolation precautions. This was an exploratory, descriptive and crosssectional study inserted in a quantitative and qualitative approach, with nurses providing care for patients in contact isolation, as participants. Research, was done on the problem of hospital infections and on the Programs for Control of Infection and Epidemiological Surveillance. It was recognized that the existence of specific guidelines and recommendations of the Health Board and Prevention and Control of Infection Units, has contributed to good practices. The contact isolation precaution requires the accomplishment of several institutionalized procedures, whose applicability was implemented to analyze in this concrete case. For this purpose, a questionnaire, observation grids and guidance guides were built, based on the procedure of contact isolation precautions and applied to the Nurses Services. After, characterizing the participants and collecting data, about the perception regarding the work context, the nurses were questioned about the knowledge of the procedure, and later on the implementation of all the component items. For nurses, the physical structure, number of professionals, materials, information management and equipment are the main facilitators of the implementation. As a limiting aspect, the most important, are the physical structure, work plan and distribution of patients, training and a number of professionals. The strategies, chosen by the professionals involved are mostly related to training, adequate working proportion of professionals, as well as a more adequate work plan, distribution of patients and professional recognition. From the observations made, it was concluded that there is a significant difference between the knowledge referred, and that applied, some of the indications are not fulfilled. It was concluded, that the current recommendations of the Health Board, meets with the needs of the involved professionals, improved by the practice proposals that are established.
The study "Caring for patients on Contact Isolation – Development of Nursing Professionals skills", aimed to carry out a diagnosis situation, to the practice of patient care on contact isolation, in a Service of a Central Hospital in the North, where developed a course in the scope of the Master's Degree in Nursing and had as main objective, to inquire about the difficulties experienced by the Nursing professionals on the implementation of the institutionalized procedures related to contact isolation precautions. This was an exploratory, descriptive and crosssectional study inserted in a quantitative and qualitative approach, with nurses providing care for patients in contact isolation, as participants. Research, was done on the problem of hospital infections and on the Programs for Control of Infection and Epidemiological Surveillance. It was recognized that the existence of specific guidelines and recommendations of the Health Board and Prevention and Control of Infection Units, has contributed to good practices. The contact isolation precaution requires the accomplishment of several institutionalized procedures, whose applicability was implemented to analyze in this concrete case. For this purpose, a questionnaire, observation grids and guidance guides were built, based on the procedure of contact isolation precautions and applied to the Nurses Services. After, characterizing the participants and collecting data, about the perception regarding the work context, the nurses were questioned about the knowledge of the procedure, and later on the implementation of all the component items. For nurses, the physical structure, number of professionals, materials, information management and equipment are the main facilitators of the implementation. As a limiting aspect, the most important, are the physical structure, work plan and distribution of patients, training and a number of professionals. The strategies, chosen by the professionals involved are mostly related to training, adequate working proportion of professionals, as well as a more adequate work plan, distribution of patients and professional recognition. From the observations made, it was concluded that there is a significant difference between the knowledge referred, and that applied, some of the indications are not fulfilled. It was concluded, that the current recommendations of the Health Board, meets with the needs of the involved professionals, improved by the practice proposals that are established.
Descrição
Palavras-chave
Infeções hospitalares Controlo de infeção Precauções de isolamento de contacto Adesão dos profissionais Hospital Infections Infection control Contact isolation precautions Adherence of professionals