Avaliação da infraestrutura de uma unidade COVID-19 e a percepção de profissionais de saúde sobre as atitudes de segurança
DOI:
https://doi.org/10.17058/reci.v13i3.17956Palavras-chave:
Higiene das mãos, Segurança do paciente, Cultura OrganizacionalResumo
Justificativa e objetivos: a Unidade de Terapia Intensiva COVID-19 possui estrutura favorável para a higienização das mãos dos profissionais de saúde? Qual a percepção dos profissionais de saúde acerca da segurança organizacional do referido setor? Tem como objetivo avaliar a estrutura para higiene das mãos de uma Unidade de Terapia Intensiva destinada a pacientes com COVID-19 e a percepção da atitude de segurança pelos profissionais de saúde. Métodos: estudo analítico, transversal, com 62 profissionais de saúde de um hospital universitário do estado de Mato Grosso, Brasil. Foram utilizados os questionários de estrutura da unidade para higienização das mãos e o de atitudes de segurança. Resultados: constataram-se falhas na infraestrutura que podem dificultar e impedir a realização da higiene das mãos pelos profissionais no ponto da assistência. A atitude de segurança esteve prejudicada em todos os domínios. Não foi encontrada diferença entre as medianas dos escores com relação às categorias profissionais. Conclusão: se faz urgente o investimento na melhoria da infraestrutura com fornecimento de preparações alcoólicas no ponto da assistência. O estudo demonstra o impacto negativo da percepção do baixo envolvimento da gestão nas ações de segurança do paciente e infraestrutura precária para higiene das mãos.
Downloads
Referências
Storr J, Twyman A, Zingg W, et al. Core components for effective infection prevention and control programmes: new WHO evidence-based recommendations. Antimicrob Resist Infect Control. 2017; 6:6. https://doi.org/10.1186/s13756-016-0149-9
Iordanou S, Middleton N, Papathanassoglou E, et al. Surveillance of device associated infections and mortality in a major intensive care unit in the Republic of Cyprus. BMC Infect Dis. 2017; 17(1):607. https://doi.org/10.1186/s12879-017-2704-2
Loftus MJ, Guitart C, Tartari E, et al. Hand hygiene in low- and middle-income countries. Int J Infect Dis. 2019; 86:25-30. https://doi.org/10.1016/j.ijid.2019.06.002
Yang J, Zheng Y, Gou X, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis. 2020; 94:91-95. https://doi.org/10.1016/j.ijid.2020.03.017
Miranda FMA, Santana LL, Pizzolato AC, et al. Condições de trabalho e o impacto na saúde dos profissionais de enfermagem frente a COVID-19. Cogitare enfermagem. 2020; 25:e72702. http://dx.doi.org/10.5380/ce.v25i0.72702
Alzyood M, Jackson D, Aveyard H, et al. COVID-19 reinforces the importance of handwashing. J Clin Nurs. 2020;29(15-16):2760-2761. https://doi.org/10.1111/jocn.15313
Allegranzi B, Tartari E, Pittet D. “Seconds save lives—clean your hands”: the 5 May 2021 World Health Organization SAVE LIVES: Clean Your Hands campaign. Antimicrob Resist Infect Control. 2021; 10(1):55. https://doi.org/10.1186/s13756-021-00926-7
Moro ML, Morsillo F, Nascetti S, et al. Determinants of success and sustainability of the WHO multimodal hand hygiene promotion campaign, Italy, 2007-2008 and 2014. Euro Surveill. 2017; 22(23):30546. https://doi.org/10.2807/1560-7917.ES.2017.22.23.30546
Bezerra TB, Valim MD, Bortolini J, et al. Influencing factors of hand hygiene in critical sections of a brazilian hospital. J Infect Dev Ctries. 2021; 15(6):840-846. https://doi.org/10.3855/jidc.13658
Valim MD, Rocha ILS, Souza TPM, et al. Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review. Rev Bras Enferm. 2019;72(2):552-65. https://doi.org/10.1590/0034-7167-2018-0584
da Silva SK, Rossetto JR, Valim MD. Participação do paciente na adesão à higiene das mãos pelos profissionais de saúde: revisão integrativa. Rev Epidemiol Control Infect [Internet]. 31 de março de 2022 [citado 2 de julho de 2022];11(3). Disponível em: https://online.unisc.br/seer/index.php/epidemiologia/article/view/15983
Carvalho REFL, Cassiani SHB. Cross-cultural adaptation of the Safety Attitudes Questionnaire - Short Form 2006 for Brazil. Rev Lat Am Enfermagem. 2012; 20(3):575-582. https://doi.org/10.1590/s0104-11692012000300020
World Health Organization (WHO). Hand hygiene technical reference manual: to be used by health-care workers, trainers and observers of hand hygiene practices. Geneva, 2009a. https://apps.who.int/iris/bitstream/handle/10665/44196/9789241598606_eng.pdf;sequence=1
World Health Organization (WHO). Guide to implementation: a guide to implementation of the who multimodal hand hygiene improvement strategy. Geneva, 2009b. https://apps.who.int/iris/bitstream/handle/10665/70030/WHO_IER_PSP_2009.02_eng.pdf?sequence=1&isAllowed=y
Paula DG, Francisco MR, Freitas JD, et al. Hand hygiene in high complexity sectors as an integrating element in the combat of Sars-CoV-2. Rev Bras Enferm. 2020; 73 suppl. 2:e20200316. https://doi.org/10.1590/0034-7167-2020-0316
Deshommes T, Nagel C, Tucker R, et al. A Quality Improvement Initiative to Increase Hand Hygiene Awareness and Compliance in a Neonatal Intensive Care Unit in Haiti. J Trop Pediatr. 2021;67(3):fmaa029. https://doi.org/10.1093/tropej/fmaa029
Tartari E, Pires D, Pittet D. ‘One size does not fit all’ - customizing hand hygiene agents, messages, and interventions. The Journal of Hospital Infection. 2018; 98(4):324- 327. https://doi.org/10.1016/j.jhin.2018.02.020
Anguraj S, Ketan P, Sivaradjy M, et al. The effect of hand hygiene audit in COVID intensive care units in a tertiary care hospital in South India. Am J Infect Control. 2021; 49(10):1247-1251. https://doi.org/10.1016/j.ajic.2021.07.008
Visan FA, Zakaria A, Castro J, et al. SWITCH: Al Wakra Hospital Journey to 90% hand hygiene practice compliance, 2011- 2015. BMJ Qual Improv Rep. 2017;6(1):u211699.w4824. https://doi.org/10.1136/bmjquality.u211699.w4824
Baccolini V, D'Egidio V, de Soccio P, et al. Effectiveness over time of a multimodal intervention to improve compliance with standard hygiene precautions in an intensive care unit of a large teaching hospital. Antimicrob Resist Infect Control. 2019; 8:92. https://doi.org/10.1186/s13756-019-0544-0
Profit J, Sharek PJ, Cui X, et al. The correlation between neonatal intensive care unit safety culture and quality of care. J Patient Saf. 2020; 16(4):e310-6. https://doi.org/10.1097/PTS.0000000000000546
de Lima Silva Nunes R, de Camargo Silva A, de Lima JC, et al. Factors influencing the patient safety climate in intensive care units: cross-sectional study. BMC nursing. 2021; 20(1):125. https://doi.org/10.1186/s12912-021-00643-x
Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018; 27(12):1019-26. https://doi.org/10.1136/bmjqs-2017-007756
Carvalho PA, Amorim FF, Casulari LA, et al. Safety culture in the perception of public-hospital health professionals. Rev. Saúde Pública. 2021; 55:56. https://doi.org/10.11606/s1518-8787.2021055002838
Soto-Rubio A, Giménez-Espert MDC, Prado-Gascó V. Effect of emotional intelligence and psychosocial risks on burnout, job satisfaction, and nurses' health during the COVID-19 pandemic. Int J Environ Res Public Health. 2020; 17(21):7998. https://doi.org/10.3390/ijerph17217998
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Jessica Regina Rossetto, Marília Duarte Valim
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.