1. O IMPACTO DA APRENDIZAGEM INTERPROFISSIONAL NA PNEUMONIA ASSOCIADA À VENTILAÇÃO: IMPLEMENTAÇÃO DE BUNDLES EM UMA UNIDADE DE CUIDADOS INTENSIVOS.
- Author
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Pinto Coelho, Ariele Ferreira, Monteiro e Vieira, Raquel Aparecida, Aparecida Leite, Monica, and Coaglio Lucas, Thabata
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PREVENTION of communicable diseases , *COMPARATIVE studies , *HAND washing , *INTENSIVE care units , *INTERDISCIPLINARY education , *INTERVIEWING , *LEARNING strategies , *RESEARCH methodology , *MEDICAL care , *PATIENTS , *QUALITY assurance , *STATISTICS , *TOOTH care & hygiene , *DATA analysis , *STATISTICAL significance , *VENTILATOR-associated pneumonia - Abstract
Objective: to verify the impact of the bundles and the interprofessional learning for the prevention of mechanical ventilation-associated pneumonia of an intensive care unit (ICU). Method: This was a quasi-experimental study performed in an ICU of a public hospital in Diamantina, Minas Gerais. Were included in this study 56 professionals who provided direct assistance to patients in mechanical ventilation. The data collection took place in three phases: pre-intervention, which consisted of direct observation and interview; intervention, in which training was performed through clinical simulations; and post-intervention, in which the impact of the strategies implemented through direct observation, was evaluated. Differences between pre and post groups were assessed using McNemar's test. An alpha level of 0.05 set a priori was used, and a Bonferroni correction determined statistical significance for the case of multiple comparisons. Results: After the intervention, there was increased adherence to endotracheal cuff pressure (8.10%), daily interruption of sedation (16.67%) and subglottic aspiration (18.75%). It was significant (p < 0,0083) in the associations between the professional category versus non-aspiration, bed head positioning, oral hygiene frequency and the type of hand hygiene after intervention. Conclusions: There is still a gap to be detected in the bundle implementation and the positive impact generated by the inter-professional knowledge, mainly because it is not immediate but in the long term to obtain the desired feedback. [ABSTRACT FROM AUTHOR]
- Published
- 2019