Patient safety related to infection prevention and control practices is present in the curriculum of health undergraduate courses, but is not coordinated with other themes, is taught sporadically, and focuses mainly on hand hygiene.

Objective: to propose an instrument capable of identifying cognitive and curricular attributes obtained by nursing undergraduates about patient safety. Methodology: this is a methodological study, based on the Multi-professional Patient Safety Curriculum Guide and tracking terms identified in the literature. Participated 17 judges who composed a committee for face-content validation regarding semantic and idiomatic equivalence. Results: The theoretical attributes that support the knowledge of nursing undergraduates to act based on the principles of patient safety were structured in 46 items, later subdivided into eight domains that composed the instrument. The items seek to evaluate from organizational and training aspects to acting in stages. Conclusion: the identification of the topics will allow / contribute to future analyzes and reflections from the perspective of nursing undergraduates, who provide subsidies to the teaching, research and extension triad in order to provide an iatrogenic free assistance. Descriptors: Patient Safety; Curriculum; Education, Higher. RESUMOObjetivo: propor um instrumento capaz de identificar atributos cognitivos e curriculares obtidos por graduandos de enfermagem acerca da segurança do paciente. Metodologia: trata-se de um estudo de caráter metodológico, baseado no Multi-professional Patient Safety Curriculum Guide e termos rastreadores identificados na literatura. Participaram 17 juízes que compuseram um comitê para validação de face-conteúdo referente à equivalência semântica e idiomática. Resultados: os atributos teóricos que sustentam o conhecimento dos graduandos de enfermagem para atuação baseada nos princípios da segurança do paciente foram estruturados em 46 itens, posteriormente subdivididos em oito domínios que compuseram o instrumento. Os itens buscam avaliar desde aspectos organizacionais e de formação a atuação em estágios. Conclusão: a identificação dos tópicos permitirá / contribuirá para futuras análises e reflexões a partir da perspectiva dos graduandos em enfermagem, que forneçam subsídios à tríade ensino, pesquisa e extensão, com intuito de prover uma assistência livre de iatrogenias. Descritores: Infecção hospitalar; Unidade de terapia intensiva; Procedimentos invasivos. RESUMÉNObjetivo: proponer un instrumento capaz de identificar atributos cognitivos y curriculares obtenidos por graduandos de enfermería acerca de la seguridad del paciente. Metodología: se trata de un estudio de carácter metodológico, basado en el Multi-professional Patient Safety Curriculum Guide y términos rastreadores identificados en la literatura. Participaron 17 jueces que compusieron un comité para la validación de cara-contenido referente a la equivalencia semántica e idiomática. Resultados: los atributos teóricos que sostienen el conocimiento de los graduandos de enfermería para actuación basada en los principios de la seguridad del paciente fueron estructurados en 46 ítems, posteriormente subdivididos en ocho dominios que compusieron el instrumento. Los ítems buscan evalua...

Aquisição teórico-prática de tópicos relevantes à segurança do paciente: dilemas na formação de enfermeirosAdquisición teórico-práctico de tópicos relevantes sobre seguridad del paciente: dilemas en la formación de enfermeros Los contenidos estuvieron mayoritariamente contemplados en abordajes teóricos y prácticos al menos una vez durante el curso; aunque se registraron puntajes menores respecto de contenidos vinculados a aspectos socioculturales relacionados a seguridad del paciente.

Background m-Health initiatives can show an opportunity to improve the identification, prevention and management of certain diseases. Most health-care applications aims at chronic noncommunicable diseases care, and it is necessary to seek evidence from applications intended for surgical patient care, either before, during or after hospitalization. Objective: The Study Aims to identify and analyze, from the literature review and prospecting, applications for smartphones developed to assist the surgical patient. Methods: A descriptive-exploratory study developed in two sequential phases. The first one corresponded to an integrative review of the literature in the databases PubMed, Web of Knowledge, Europe PMC database and Cumulative Index to Nursing and Allied Health Literature database. The second phase corresponded to an exploration of applications in the European Patent Office, United States Patent and Trademark Office (USPTO), Free Patents Online, Canadian Intellectual Property Office and World Intellectual Property Organization. In both phases, we do not restrict the results by year of publication/registration or language. At each stage, the selected studies/patents were analyzed and pre-selected, according to the inclusion and exclusion criteria, by reading their titles and abstracts. Subsequently, we analyzed those with the potential of participation in the study, evaluating the answer to the research question, as well as the type of research, objectives, sample, method, outcomes, results and conclusion. Finally, the articles/patents record found were read in full. Results In the databases, 14 studies that presented some application for smartphone aimed at the surgical patient were selected. Most of them were in PubMed (64.3%), published in English (100%). Regarding origin, 28.6% of the texts are from the United States of America, 14.3 from Sweden and 14.3 from Canada. On the other hand, in patent databases, 10 registries were selected, 60% in the USPTO patent base, hosted in hybrid systems (iPhone and Android) and developed in the last 5 years (2014-1018) (80%). In general, there is a series of applications aimed at surgical patients, such as targets and/or users, mainly focused on the exchange of text and image messages but concentrated on assisting the physician/health team in the preparation of the patient during the procedure or post discharge. It is necessary to invest in the creation of technologies that aim to monitor these patients, especially in post discharge. Conclusion The characteristics of applications indicate a strong hospital centered tendency in relation to its purpose, having the surgeon as the main user and the surgical patient as the main target. The applications are still focused on optimizing diagnostics or functions, and no initiatives are identified to monitor the patient in a non-hospital environment.

Objective: to identify the main complications in the late postoperative period of surgical patients. Method: an integrative review from the CINAHL, LILACS, Science direct, Web of Science, SCOPUS, Europe PMC, and MEDLINE databases. Descriptors and keywords were combined without language or time restriction. Results: ten primary studies were included. Infectious complications were the most common, especially surgical site infection, pneumonia and urinary tract infection. The presence of complications was linked to increased mortality, need for reoperations and worse survival. Few studies report on monitoring frequency, follow-up time and/or when complications started to be observed. Conclusion: infectious complications were the most prevalent postoperatively. The scarcity of guidelines that guide the monitoring of complications regarding monitoring frequency, follow-up time and classification makes it difficult to establish an overview of them and consequently propose intervention strategies.

Objetivo: Analisar o cenário atual da adesão à Profilaxia Pré Exposição ao HIV (PrEP) no Brasil e compreender as barreiras e os aspectos facilitadores para a efetiva adesão.  Método: Trata-se de um estudo de revisão integrativa da literatura realizado em 2019. Resultados: Observou-se alta adesão à PrEP. As barreiras e os aspectos facilitadores para a adesão à PrEP estão associados ao estigma social, déficit de conhecimento sobre à eficácia e a segurança da profilaxia e, principalmente, a baixa conscientização sobre as práticas sexuais e comportamentos de alto risco para a transmissão do HIV. Conclusão: Observou-se alta adesão à PrEP nos segmentos populacionais mais vulneráveis. A adesão à PrEP potencializa o impacto dessa estratégia de saúde, bem como controla a transmissão da doença em segmentos populacionais de alta vulnerabilidade na sociedade.

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The disinfection procedures aim to reduce the microbial load, but there are doubts about the risks of contamination spreading into the lumens of devices, such as three-way stopcocks (3-WS). This study aimed at an in vitro evaluation of the antibacterial procedure of manual friction of 3-WS intentionally contaminated and to determine the solution dispersion into the lumens. Laboratory experiments were developed in two steps: evaluation of bacterial spread through intentional contamination with Staphylococcus aureus and Pseudomonas aeruginosa, and alcohol dispersion into the 3-WS lumens. After manual friction of the 3-WS with saline solution at 0.85% (w/v) [control group], S. aureus and P. aeruginosa were isolated in the lumens of 55.6% and 27.8% of the devices, respectively. However, after the disinfection of the 3-WS with ethyl alcohol at 70% (w/v), there was no bacterial contamination in the lumens of the 3-WS. On the other hand, the solution dispersion (dye) into the lumens was evidenced by two different techniques: Durham tubes (5.6%) and swabs (46.3%). The manual friction of the 3-WS with ethyl alcohol at 70% demonstrated antibacterial efficacy, but it refers to reflections on the risk of solution diffusion into the venous network and the inherent clinical practice situations and patient safety.