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Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To evaluate the effect of educational interventions on the Nursing team's knowledge and applicability of electrosurgery. Material and Method: A quasi-experiment, with pre- and post-tests in a single group developed in the operating room of a Brazilian tertiary-level university hospital. It was developed in seven stages, with the application of a semi-structured questionnaire to assess the participants' knowledge. The participants were exposed to two educational interventions (lecture, dialogue and video-lesson) and, after each intervention, they were evaluated for knowledge retention. Indicators of the application of the electrosurgery unit during surgical procedures were also evaluated. Results: Four nurses and 28 nursing technicians participated in the study. The nurses had prior knowledge of the theme on most of the topics. Among the nursing technicians, there was an improvement in the "equipment check" and "electrodispersive plate positioning" items. Conclusions: The professionals presented good theoretical performance but the same is not evidenced in the practice because they are reluctant to having a practice different from the theory. Research of this nature is timely because it provides managers with a possibility to propose projects for continuous improvement of perioperative assistance. [ABSTRACT FROM AUTHOR]

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: to evaluate the Nosocomial Infection Control Programs in hospital institutions regarding structure and process indicators. Method: this is a descriptive, exploratory and quantitative study conducted in 2013. The study population comprised 13 Nosocomial Infection Control Programs of health services in a Brazilian city of the state of São Paulo. Public domain instruments available in the Manual of Evaluation Indicators of Nosocomial Infection Control Practices were used. Results: The indicators with the highest average compliance were “Evaluation of the Structure of the Nosocomial Infection Control Programs” (75%) and “Evaluation of the Epidemiological Surveillance System of Nosocomial Infection” (82%) and those with the lowest mean compliance scores were “Evaluation of Operational Guidelines” (58.97%) and “Evaluation of Activities of Control and Prevention of Nosocomial Infection” (60.29%). Conclusion: The use of indicators identified that, despite having produced knowledge about prevention and control of nosocomial infections, there is still a large gap between the practice and the recommendations. [ABSTRACT FROM AUTHOR]

Background Patients may acquire ventilator-associated pneumonia (VAP) by aspirating the condensate that originates in the ventilator circuit upon use of a conventional humidifier. The bacteria that colonize the patients themselves can proliferate in the condensate and then return to the airways and lungs when the patient aspirates this contaminated material. Therefore, the use of HME might contribute to preventing pneumonia and lowering the VAP incidence. The aim of this study was to evaluate how the use of HME impacts the probability of VAP occurrence in critically ill patients. Methods On the basis of the acronym "PICO" (Patient, Intervention, Comparison, Outcome), the question that guided this review was "Do critically ill patients under invasive mechanical ventilation present lower VAP incidence when they use HME as compared with HH?". Two of the authors of this review searched the databases PUBMED/Medline, The Cochrane Library, and Latin-American and Caribbean Literature in Health Sciences, LILACS independently; they used the following keywords: "heat and moisture exchanger", AND "heated humidifier", AND "ventilator-associated pneumonia prevention". This review included papers in the English language published from January 1990 to December 2012. Results This review included ten studies. Comparison between the use of HME and HH did not reveal any differences in terms of VAP occurrence (OR = 0.998; 95% CI: 0.778-1.281). Together, the ten studies corresponded to a total sample of 1077 and 953 patients in the HME and HH groups, respectively; heterogeneity among the investigations was low (I² < 50%). Information about the outcome mortality was available in only eight of the ten studies. The use of HME and HH did not afford different results in terms of mortality (OR = 1.09; 95% CI: 0.864-1.376). The total sample size was 884 and 762 patients, respectively. Heterogeneity among the studies was low (I² = 0.0%). Conclusion Current meta-analysis was not sufficient to definitely exclude an associate between heat and moisture exchangers and VAP. Despite the methodological limitations found in selected clinical trials, the current meta-analysis suggests that HME does not decrease VAP incidence or mortality in critically ill patients. [ABSTRACT FROM AUTHOR]

Objetivo: Verificar a associação entre a ocorrência de lesão por pressão (LP) com variáveis demográficas e carga de trabalho de enfermagem na Unidade de Terapia Intensiva (UTI). Métodos: Estudo de coorte prospectivo realizado em pacientes da UTI de um hospital universitário, avaliados diariamente quanto ao desenvolvimento de LP. Utilizouse do teste de Wilcoxon para verificar a associação entre as variáveis quantitativas e o teste exato de Fisher para as qualitativas. Resultados: Foram incluídos 50 pacientes, sendo que aqueles com ausência de lesão (n=33) eram predominantemente do sexo feminino (70%), idade inferior a 60 anos (64%), brancos (70%), IMC maior que 24,9 (61%), tempo mediano de 5 dias de internação e admitidos devido à necessidade de acompanhamento clínico (39%). Os valores medianos dos escores SAPS 3 (escore de gravidade), Braden (escore de risco de LP) e NAS (escore de carga de trabalho de enfermagem) foram 51, 15 e 86 pontos, respectivamente. Os pacientes que desenvolveram LP (n=17) eram do sexo feminino (59%), idade inferior a 60 anos (53%), brancos (70,5%), IMC maior que 24,9 (70,5%), tempo mediano de internação de 6 dias e admitidos na UTI por instabilidade hemodinâmica (59%). Os valores medianos do SAPS 3, Braden e NAS foram 78, 11 e 96 pontos. As variáveis SAPS 3, Braden e carga de trabalho foram associadas à ocorrência de LP ambas com p<0,001. Conclusão: A alta carga de trabalho pode atuar como um fator associado a ocorrência de LP. [ABSTRACT FROM AUTHOR]

Objetivo: Avaliar a demanda de leitos de Unidade de Terapia Intensiva (UTI) e a classificação do paciente segundo protocolo institucional de prioridades. Métodos: Estudo de coorte retrospectivo, conduzido em hospital universitário com 655 leitos e 9 leitos de terapia intensiva. Foram analisadas as solicitações de leitos para UTI de todos os pacientes com idade maior ou igual a 16 anos, constantes numa base eletrônica de dados, no ano de 2017, e a classificação segundo critério de prioridades, que considerou a probabilidade de maior benefício ao paciente (valor 1) a (valor 4). Resultados: Foram analisadas 889 solicitações, sendo 527 (59,28%) não atendidas, evidenciando uma capacidade de absorção da unidade de aproximadamente 40%. Dessas, 30(5,69%) foram classificadas como prioridade 1, 115(21,82%) prioridade 2, 117(22,20%) prioridade 3, 90(17,08%) prioridade 4 e 175(33,21%) não tiveram a prioridade informada. Do total de solicitações não atendidas, 151(28,65%) foram pacientes que evoluíram para óbito. Das solicitações atendidas, 136(37,57%) foram classificadas como P1, 144(39,78%) como P2, 65(17,95%) como P3 e 17(4,7%) como P4, com média de 5,05 horas de espera pela vaga. Do total de pacientes atendidos 156 (43,1%) evoluíram a óbito. A taxa média de ocupação da UTI no período investigado foi de 90,46%. Conclusão: A admissão ou triagem para a UTI é uma complexa prática, cuja decisão é influenciada pela demanda elevada e o limitado número de leitos. Os critérios para admissão devem estar em desenvolvimento contínuo e primar por minimizar os piores desfechos. [ABSTRACT FROM AUTHOR]

Objetivo: Avaliar a adesão à higiene das mãos (HH) entre profissionais de saúde em uma unidade de terapia intensiva (UTI). Métodos: Estudo observacional realizado por um único observador em UTI de um hospital universitário em agosto de 2017. A avaliação foi baseada nas oportunidades definidas segundo os cinco momentos recomendados pela Organização Mundial de Saúde (OMS). Uma relação do percentual de adesão dos profissionais foi elaborada por meio da divisão entre o número de oportunidades de higiene de mãos aproveitadas e o número total de oportunidades identificadas, multiplicado por 100. Resultados: Um total de 1161 oportunidades de higiene das mãos foram observadas, e em 677 houve a prática de HH, taxa de adesão de 58,32%. As taxas de adesão foram menores antes do contato com o paciente. Das 384 oportunidades avaliadas, houve a prática em 107, taxa de adesão de 27,9%. Antes de um procedimento asséptico a adesão foi de 58%, sendo 200 oportunidades e 116 práticas. A maior taxa de adesão de 98,7% foi após contato com fluídos, sendo 155 oportunidades e 153 ações. Após contato com o paciente a adesão foi de 87,3%, com 236 oportunidades e 206 práticas. Após contato com superfícies do paciente, taxa de adesão de 51,1%, sendo 186 oportunidades e 95 ações. Conclusão: A adesão à HH dos profissionais de saúde foi baixa na instituição, principalmente nos momentos de menor risco ao profissional, porém de grande chance de transmissão de microrganismos. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira de Terapia Intensiva is the property of Associacao de Medicina Intensiva Brasileira and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to investigate the prevalence of skin lesions and factors associated with the use of N95 respirators among health professionals in Brazil. Method: a cross-sectional study conducted with 11,368 health professionals using a respondent-driven sampling method adapted for online environments. Univariate and multivariate analyses were performed to investigate the association between the "skin lesions with the use of N95 respirators" variable and gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and high-quality Personal Protective Equipment. Results: the prevalence of skin lesions was 61.8%. Women were 1.203 times (95% CI: 1.154-1.255) more likely to develop a lesion than men. The chances of skin lesions in psychologists (PR=0.805; 95% CI: 0.678-0.956) and dentists (PR=0.884; 95% CI: 0.788-0.992), were lower when compared to Nursing professionals. Professionals with a positive COVID-19 diagnosis and working in the Intensive Care Unit have an increased chance of presenting skin lesions (PR=1.074; 95% CI: 1.042-1.107); (PR=1.203; 95% CI: 1.168-1.241), respectively. Conclusion: the prevalence of skin lesions caused by the use of N95 respirators was 61.8% and was associated with female gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and high- quality Personal Protective Equipment. [ABSTRACT FROM AUTHOR]