Objetivo: Avaliar se a higienização das mãos realizada antes do preparo e da administração de medicamentos e fluidoterapia pelos profissionais de enfermagem segue as diretrizes estabelecidas pela Organização Mundial de Saúde (OMS) e Agência Nacional de Vigilância Sanitária (ANVISA). Material e método: Estudo quantitativo exploratório descritivo realizado de agosto a novembro de 2010, cuja coleta de dados foi implantada por meio da observação direta da higienização das mãos em uma unidade de internação pediátrica de um Hospital Universitário do Sul do Brasil, nos turnos manhã e tarde. Resultados: Constatou-se a baixa adesão à prática de higienização das mãos e estrutura inadequada, segundo as diretrizes estabelecidas pela OMS e ANVISA. Considerações finais: Há necessidade de se reestruturar o espaço físico e fornecer condições favoráveis para realização das técnicas de higienização das mãos pelos profissionais. Como também promover capacitação e educação continuada, garantindo, assim, a segurança do paciente pediátrico por meio da higienização das mãos. Palavras chave: Segurança do paciente, medidas de segurança, cuidados de enfermagem, lavagem de mãos, infecção hospitalar.
DAILY LIFE FOR ADOLESCENTS WITH CHRONIC DISEASEABSTRACT: This is a qualitative study that aimed to better understand the everyday life of Brazilian adolescents with chronic disease. Data was collected between March and June of 2009 in the Pediatric In-Patient and Outpatient Units at the University Hospital of the Federal University of Santa Catarina, Brazil, involving eleven adolescent patients with chronic disease. Symbolic Interactionism was used as a theoretical reference and semi-structured interviews were used to collect data. Collective Subject Discourse was used to analyse the data, from which the following categories emerged: the school routine, which shows how the schooling process is changed, with the importance of participating in school and the hospital institution promoting the continuation of their education; the feeding routine, which points out dietary restrictions and the need for nutritional education as something that interferes with social relationships, experienced with grief; and school nourishment, which showed how difficult it is for these adolescents to follow their prescribed diet in this environment. DESCRIPTORS:Adolescent. Chronic disease. Nursing. LA VIDA COTIDIANA DE LOS ADOLESCENTES CON ENFERMEDADES CRÓNICAS RESUMEN:Este estudio cualitativo tuvo como objetivo comprender la vida cotidiana de los adolescentes con enfermedades crónicas. La recolección de los datos se hizo en la unidad pediátrica y en la Clínica Pediátrica del Hospital Universitario de la Universidade Federal de Santa Catarina, con once adolescentes con enfermedades crónicas, entre marzo y junio de 2009. Para la fundamentación teórica se empleó el Interaccionismo Simbólico, y la entrevista semi-estructurada fue utilizada para la recolección de los datos. En el análisis de los datos se utilizó el Discurso del Sujeto Colectivo. Las categorías encontradas en el estudio son: la vida cotidiana de la escuela, que muestra cómo el proceso de escolarización cambia, y la importancia de la participación de la escuela y del hospital en la promoción de la continuidad de su educación; la dieta diaria, lo que señala la necesidad de restricciones en la dieta y la educación nutricional, como algo que interfiere en las relaciones sociales, que se experimenta con sufrimiento; y, la alimentación escolar, que demuestra lo difícil que es para estos jóvenes seguir su dieta en este entorno.
Objective: to build and semantically validate a safe communication tool to systematize care transition in pediatric clinical and emergency units. Method: a methodological study, based on the Classic Theory of Psychometric Tests and on the Instrument Development Model, proposed by Pasquali, which included seven professionals, five nurses and two physicians, experts in pediatrics and/or patient safety, who followed specific criteria for inclusion. Data collection was carried out between November and December 2016 and took place with the application of a form made available to the experts via the Google Drive/Microsoft® tool in two validation rounds, conducted by the Delphi Technique, being organized into two domains with 19 items. Data analysis was performed by calculating the Content Validity Index. Results: in order to validate the content, it was necessary to reach a Content Validity Index ≥ 0.80; thus, in the first round, five items underwent changes and were adjusted according to the experts' recommendations. These were validated in the second round, maintaining two domains and nineteen items. Conclusion: the construction and content validation of the instrument can enhance and qualify the clinical practice and contribute to minimize failures in pediatric patient safety associated with effective communication.
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