Conhecimento e atitudes de trabalhadores de um serviço público de emergência sobre adoção de precauções padrão

Texto contexto - enferm.

2017

Objective: to validate the Knowledge Questionnaire regarding Standard Precautions Measures for Brazilian nurses.Method: a methodological exploratory study carried out in health institutions of two municipalities in the interior of São Paulo with 121 nurses. Data were collected through the sociodemographic questionnaire and the standard precautions knowledge questionnaire, adapted for Brazilian Portuguese, both of which were self-applicable.Results: the questionnaire showed to be stable and concordant, with an Intraclass Correlation Coefficient of 0.91 and a satisfactory Kappa index. The validation by discriminant groups did not identify a statistically significant difference between the groups of nurses who reported receiving training or not on standard precautions measures (p=0.209).Conclusion: the use of this questionnaire can help in the planning and implementation of educational programs aimed at patient and professional safety, focusing on health workers adherence to standard precautions measures. DESCRIPTORS:Nursing. Universal precautions. Validation studies. Knowledge, attitudes and practices in health. Occupational risk. QUESTIONÁRIO DE CONHECIMENTO SOBRE AS PRECAUÇÕES-PADRÃO: ESTUDO DE VALIDAÇÃO PARA UTILIZAÇÃO POR ENFERMEIROS BRASILEIROS CUESTIONARIO DE CONOCIMIENTO SOBRE LAS PRECAUCIONES: ESTUDIO DE VALIDACIÓN PARA LA UTILIZACIÓN POR ENFERMEROS BRASILEÑOS RESUMENObjetivo: validar el cuestionario de conocimientos sobre las medidas de precaución estándar para enfermeras brasileñas.Método: estudio metodológico, exploratorio desarrollado en instituciones de salud en dos ciudades del interior de São Paulo, llevada a cabo con 121 enfermeras. Los datos fueron recolectados a través del cuestionario sociodemográfico y el cuestionario de conocimientos acerca de las precauciones estándar, adaptado para el portugués de Brasil, tanto autoadministrado.Resultados: el cuestionario era estable y consistente con el coeficiente de correlación intra-clase de 0,91 y el índice Kappa satisfactorio. La validación por los grupos discriminantes no identificó diferencias estadísticamente significativas entre los grupos de enfermeras que informaron o no haber recibido capacitación sobre medidas de precauciones estándar (p=0,209).Conclusión: el uso de este cuestionario puede ayudar en la planificación de los programas educativos y las implementaciones que se ocupan de la seguridad del paciente y profesional, con la adhesión de enfoque para las medidas de precauciones estándar para trabajadores de la salud. DESCRIPTORES:Enfermería. Precauciones universales. Estudios de validación. Conocimientos, actitudes y prácticas de salud. Riesgo ocupacional.

Section: -9mentioning

confidence: 99%

Questionário De Conhecimento Sobre as Precauções-Padrão: Estudo De Validação Para Utilização Por Enfermeiros Brasileiros

Valim

Pinto

Texto contexto - enferm.

2017

“…Adherence to SP is one of the strategies used to protect workers from exposure to pathogens and to protect the patient (29) . The factors with a positive impact on adherence to SP include training (17,30) ; perception of the organizational safety environment (31) ; care provided to a smaller number of patients (32) ; organization and cleaning of the workplace (33) ; size of the establishments, since larger sites usually count on more active infection control committees (34) ; perception of obstacles faced by workers to adhere to SP (31) ; risk behaviors of workers (35) and perceived self-efficacy of the use of safe practices (16) . A study on multicausality of occupational accidents with exposure to biological material in a teaching hospital found that these accidents were not only caused due to peculiarities of the work, but also to work conditions and the process of hospital work.…”

Section: Discussionmentioning

confidence: 99%

Motivos e consequências da baixa adesão às precauções padrão pela equipe de enfermagem

Porto

2016

Rev. Gaúcha Enferm.

Standard precautions (SP) are recommendations to prevent infection and protect health care workers during the provision of care, however, still exists low adherence to these recommendations. Objective: To analyze the reasons and consequences of low adherence to standard precautions by the nursing staff . Method: integrative literature review, search in seven databases, from 2005 to 2014. Results: 30 articles were selected for analysis. The reasons for low adherence evidenced relate to defi cient practices of lifelong learning, risk behaviors of workers, inadequate provision of equipment and protective equipment and inadequate working conditions. The consequences are accidents and occupational diseases. There are few intervention studies, which merely provide guidance to professionals. Conclusions:The low adhesion to standard precautions is linked to individual aspects of workers, employers and educational institutions. Intervention strategies carried out have shown little effi cient by only focusing on the worker. Keywords: Standard precautions. Universal precautions. Occupational health. Accident prevention. Nursing, team. RESUMOAs precauções padrão (PP) são recomendações para prevenir infecções e proteger os trabalhadores de saúde durante a prestação de cuidados. Porém, constata-se baixa adesão a estas recomendações. Objetivo: Analisar os motivos e as consequências da baixa adesão às PP pela equipe de enfermagem. Método: Revisão integrativa da literatura, busca em sete bases de dados, período de 2005 a 2014. Resultados: 30 artigos foram selecionados para análise. Os motivos da baixa adesão evidenciados relacionam-se a práticas defi citárias de educação permanente, comportamentos de risco de trabalhadores, provisão de material e equipamentos de proteção inadequados e condições de trabalho inadequadas. As consequências são os acidentes e as doenças do trabalho. Os estudos de intervenção são escassos e limitam-se à educação dos profi ssionais. Conclusões: A baixa adesão às PP está vinculada a aspectos individuais dos trabalhadores e às instituições empregadoras e formadoras. As estratégias de intervenção realizadas mostram-se pouco efi cientes por focar apenas o trabalhador. Palavras-chave: Precauções padrão. Precauções universais. Saúde ocupacional. Prevenção de acidentes. Equipe de enfermagem. RESUMENLas precauciones estándares (PE) son recomendaciones para prevenir infecciones y proteger a los trabajadores de la salud durante la prestación de cuidados, pero, se constata baja adhesión a estas recomendaciones. Objetivo: analizar los motivos y consecuencias de la baja adhesión a las PE por el equipo de enfermería. Método: revisión integradora de la literatura, busca en siete bases de datos, periodo de 2005 a 2014. Resultados: 30 artículos fueron seleccionados para análisis. Los motivos de la baja adhesión evidenciados se relacionan a precarias prácticas de educación permanente, comportamientos de riesgo de trabajadores, inadecuada provisión de material y equipos de protección e inadecuadas condiciones de ...

“…(4)(5) These instruments must be valid, consistent and reliable to guarantee the validity of results, and serve as support for both the planning of interventions and comparisons between cultures. (6) A literature review (7) on instruments that evaluate adherence by healthcare professionals to SP found that the majority do not address all of the topics recommended by the CDC.…”

Section: Introductionmentioning

confidence: 99%

“…Of the studies conducted in Brazil, some instruments were designed to measure adherence to (2,5) and knowledge of (5) the SP; however, none presented their psychometric properties, a fact that interferes with the validity of the results.…”

Section: Introductionmentioning

confidence: 99%

Adaptação cultural do "Questionnaires for knowledge and Compliance with Standard Precaution" para o português brasileiro

Valim

2013

Rev. Gaúcha Enferm.

The aim of this study was to adapt the "Questionnaires for Knowledge and Compliance with Standard Precaution" to Brazilian Portuguese. This was a methodological study with the following steps: 1) initial translations; 2) synthesis of translations; 3) analysis by a committee of experts; 4) back translation; 5) semantic validation; and 6) pretest. The sample was composed of 42 nurses, 12 of which participated in the semantic validation, and 30 of which participated in the pretest. The study was conducted in a teaching hospital in the state of São Paulo, Brazil. The semantic validation showed that the questionnaires are understandable, easy to complete, and appropriate in regard to knowledge and compliance with standard precautions. The pretest confirmed the final version. Therefore, the process of cultural adaptation was shown to be satisfactory, and the questionnaires are adapted to Brazilian Portuguese, and their process of validation should be continued to test the psychometric characteristics. After that, the instruments will be ready for use in Brazil.Descriptors: Universal precautions, nursing, health knowledge, attitudes, practice. RESUMO O objetivo foi adaptar para o Brasil o "Questionnaires for Knowledge and Compliance with Standard Precaution". Estudo metodológico, cujas etapas foram: 1) traduções iniciais; 2) síntese das traduções; 3) comitê de especialistas; 4) retrotradução