4 results on '"Kusahara, Denise Miyuki"'
Search Results
2. Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children
- Author
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Santos, Luciano Marques dos, Nunes, Katharinne de Jesus, Silva, Cleonara Sousa Gomes e, Kusahara, Denise Miyuki, Rodrigues, Elisa da Conceição, and Avelar, Ariane Ferreira Machado
- Subjects
Hospitalized Child ,Adverse Effects ,Intravenous Infusions ,Extravasamento de Materiais Terapêuticos e Diagnósticos ,Efectos Adversos ,Criança Hospitalizada ,Niño Hospitalizado ,Cateterismo Periférico ,Efeitos Adversos ,Pediatric Nursing ,Enfermagem Pediátrica ,Extravasación de Materiales Terapéuticos y Diagnósticos ,Enfermería Pediátrica ,Infusões Intravenosas ,Peripheral Catheterizations ,Infusiones Intravenosas ,Extravasation of Diagnostic and Therapeutic Materials - Abstract
Objetivo: desarrollar y validar el contenido y la apariencia de un algoritmo para el tratamiento de la infiltración y extravasación de medicamentos no quimioterápicos y soluciones administrados a niños. Método: estudio metodológico de formulación y validación de tecnología. Para la elaboración del algoritmo, se realizó una revisión de la literatura para enumerar la evidencia científica sobre el tratamiento de la infiltración y extravasación. La validación de contenido y apariencia se dio con 14 especialistas en enfermería pediátrica, utilizando la técnica Delphi, adoptando como Índice de Validación de Contenido deseable valores iguales o superiores a 0,80. Resultados: el algoritmo fue validado en la tercera evaluación por los jueces, alcanzando un Índice de Validación de Contenido Global de 0,99, compuesto por la percepción de la existencia de la complicación; interrupción de la infusión de terapia intravenosa; verificación de signos y síntomas; medición del edema; aplicación de escala de evaluación de infiltración y extravasación y conducta según las características del líquido administrado y el tipo de complicación. Conclusión: el algoritmo ha sido validado y puede ser utilizado de forma práctica y objetiva por los profesionales de la salud, con el fin de promover la seguridad en la atención de los niños hospitalizados, en lo que respecta a la reducción de los daños causados por infiltración y extravasación. Objetivo: elaborar e validar o conteúdo e a aparência de um algoritmo para tratamento de infiltração e extravasamento de medicamentos não quimioterápicos e soluções administradas em crianças. Método: estudo metodológico do tipo elaboração e validação de tecnologia. Para elaboração do algoritmo, realizou-se revisão bibliográfica para elencar as evidências científicas sobre o tratamento de infiltração e extravasamento. A validação do conteúdo e aparência ocorreu com 14 especialistas em enfermagem pediátrica, a partir da técnica Delphi, adotando-se como Índice de Validação de Conteúdo desejável os valores iguais ou superiores a 0,80. Resultados: o algoritmo foi validado na terceira avaliação pelos juízes, atingindo Índice de Validação de Conteúdo Global de 0,99, sendo composto por percepção da ocorrência da complicação; descontinuação da infusão da terapia intravenosa; verificação dos sinais e sintomas; mensuração do edema; aplicação de escala de avaliação de infiltração e extravasamento e condutas a serem utilizadas mediante a característica do fluido administrado e tipo de complicação. Conclusão: o algoritmo foi validado e pode ser usado de maneira prática e objetiva pelos profissionais de saúde, com o intuito de promover a segurança no cuidado da criança hospitalizada, no que tange à redução de danos provocados pela infiltração e extravasamento. Objective: to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to children. Method: a methodological study of the technology formulation and validation type. To elaborate the algorithm, a bibliographic review was carried out to list the scientific evidence on the treatment of infiltration and extravasation. Content and appearance validation was in charge of 14 specialists in pediatric nursing, using the Delphi technique, adopting a value equal to or greater than 0.80 as Content Validation Index. Results: the algorithm was validated in the third evaluation by the judges, reaching a Global Content Validation Index of 0.99, being composed by the perception of the occurrence of the complication; discontinuation of intravenous therapy infusion; verification of signs and symptoms; measurement of edema; application of an infiltration and extravasation assessment scale and conduits to be used according to the characteristics of the fluid administered and the type of complication. Conclusion: the algorithm was validated and can be used in a practical and objective way by health professionals, in order to promote safety in the care of hospitalized children, with regard to reducing harms caused by infiltration and extravasation. Descriptors
- Published
- 2021
3. National practice of Nursing professionals in the insertion of peripheral vascular access devices.
- Author
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Silva BSM, Santos LMD, Rocha PK, Mota ANB, Avelar AFM, and Kusahara DM
- Subjects
- Humans, Female, Male, Cross-Sectional Studies, Adult, Vascular Access Devices standards, Middle Aged, Surveys and Questionnaires, Practice Patterns, Nurses' statistics & numerical data, Practice Patterns, Nurses' standards, Catheterization, Peripheral nursing, Catheterization, Peripheral standards, Catheterization, Peripheral instrumentation
- Abstract
Objective: to identify and compare the practice of Nursing professionals regarding the insertion of peripheral vascular access devices, according to professional category., Method: descriptive sectional study carried out between July 2021 and May 2022 with 2,584 Nursing professionals, using a questionnaire validated by three judges with expertise in intravenous therapy, containing variables related to catheterization and the vascular access device. Descriptive and inferential analysis was carried out., Results: most professionals do not prepare the patient or perform some essential care before attempting peripheral intravenous catheterization. Regarding the preferred catheterization site, hands, arm and forearm stand out. There is no control over the tourniquet time, and the patient is punctured more than three times. The most used device materials are polyurethane and Teflon ® , more than one criterion is adopted for device selection, and Micropore ® type adhesive tape was the covering most cited by Nursing professionals. The identification of catheterization was not adequate., Conclusion: Nursing technicians and assistants are the professionals who least comply with what is recommended in recognized guidelines. Nurses' practice also presents deviations from scientific evidence.
- Published
- 2024
- Full Text
- View/download PDF
4. Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children.
- Author
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Santos LMD, Nunes KJ, Silva CSGE, Kusahara DM, Rodrigues EDC, and Avelar AFM
- Subjects
- Algorithms, Child, Health Personnel, Humans, Infusions, Intravenous, Pediatric Nursing, Catheterization, Peripheral
- Abstract
Objective: to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to children., Method: a methodological study of the technology formulation and validation type. To elaborate the algorithm, a bibliographic review was carried out to list the scientific evidence on the treatment of infiltration and extravasation. Content and appearance validation was in charge of 14 specialists in pediatric nursing, using the Delphi technique, adopting a value equal to or greater than 0.80 as Content Validation Index., Results: the algorithm was validated in the third evaluation by the judges, reaching a Global Content Validation Index of 0.99, being composed by the perception of the occurrence of the complication; discontinuation of intravenous therapy infusion; verification of signs and symptoms; measurement of edema; application of an infiltration and extravasation assessment scale and conduits to be used according to the characteristics of the fluid administered and the type of complication., Conclusion: the algorithm was validated and can be used in a practical and objective way by health professionals, in order to promote safety in the care of hospitalized children, with regard to reducing harms caused by infiltration and extravasation.
- Published
- 2021
- Full Text
- View/download PDF
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