Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave

Lima

2020

RSD

A sepse é uma resposta inflamatória sistêmica provocada por uma infecção, podendo evoluir para sepse grave, choque séptico e morte. Objetivou-se identificar as evidências científicas quanto à atuação do enfermeiro na prevenção e identificação de sinais e sintomas de sepse em terapia intensiva. Trata-se de uma revisão integrativa de abordagem qualitativa realizada no mês de setembro, nas bases de dados MEDLINE, BDENF, LILACS e IBECS, através da Biblioteca Virtual em Saúde (BVS), foram incluídos artigos nos idiomas inglês, espanhol e português, no período de 2010 a 2020, selecionando-se 10 artigos por meio de leitura exploratória e crítica dos títulos, resumos e resultados alcançados nos estudos. Dos artigos selecionados, 70% (N=7) foram encontrados na MEDLINE, 10% (N=1) no LILACS, 20% (N=2) BDENF/LILACS. Observou-se que a quantidade de trabalhos publicados foi maior nos anos de 2010, 2011, 2017 e 2019 com dois artigos nos respectivos anos, seguidos dos anos de 2015 e 2020, com um estudo cada ano. Dentre os artigos, 90% (N=9) foram publicados na língua inglesa e 10% (N=1) na língua portuguesa. De acordo com as sínteses dos estudos analisados, observa-se que a participação da enfermagem se inicia no momento de sensibilização junto às equipes de saúde, na criação de métodos para identificar a sepse, além da identificação da importância dos pacotes e ferramentas de triagem conduzida pela enfermagem. Além disso, faz-se necessário que os enfermeiros busquem ter noções básicas das alterações sistêmicas causadas pela sepse, sejam elas relacionada às alterações hemodinâmicas, neurológicas, respiratórias, renais e nutricionais.

Section: Discussionunclassified

Atuação do enfermeiro na prevenção e identificação de sinais e sintomas de sepse em terapia intensiva: uma revisão integrativa

Lima

2020

RSD

“…Change in level of consciousness (2,16,38,40,42) , care with central venous catheter (24,26,(43)(44)(45) . 5…”

Section: Clinical Indicators For Icu Assistance Nmentioning

confidence: 99%

Cross mapping between clinical indicators for assistance in intensive care and nursing interventions

et al. 2020

Objective: Identify the main clinical indicators for assistance in the Intensive Care Unit (ICU) and map them in the nursing interventions described by the Nursing Interventions Classification (NIC). Methods: Integrative literature review study, followed by cross-mapping between clinical indicators for assistance in the ICU care and NIC nursing interventions and activities. Results: 36 articles were identified, which resulted in 285 clinical indicators for ICU care, with mechanical ventilatory assistance, pain, sedation, psychomotor agitation, delirium, anxiety, altered heart rate, diet by naso tube / oroenteral and diarrhea the clinical indicators for assistance in the ICU the most prevalent. These were mapped in 12 Nursing Interventions Classification interventions and 130 nursing activities. Final considerations: It is concluded that the clinical indicators for ICU care associated with Nursing Interventions Classification are concrete data that assist intensive care nurses in their clinical practice.

“…This need facilitates treatment, decreases morbidity and mortality rates, reduces hospitalization time, patient and family suffering, and health system costs. [4][5][6] However, studies carried out in Brazil 7,8 and abroad 9,10 show poor knowledge of nurses on the subject. It is known that the level of knowledge shorter than expected can start from the training, as revealed in a study that evaluated the knowledge of the graduates of nursing undergraduate courses on sepsis.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are studies on the knowledge of nurses about sepsis, [7][8][9][10] it is emphasized that they were based on definitions, diagnostic methods, and treatment and management bundles no longer in line with the new definitions and guidelines. Two years after redefining sepsis1 and replacing the 3 and 6 hour bundles by the 1 hour bundle of the Surviving Sepsis Campaign (SSC), 12 there are still no studies that evaluated whether nurses' knowledge is consistent with these updates.…”

Section: Introductionmentioning

confidence: 99%

Are nurses updated on the proper management of patients with sepsis?

et al. 2019

Objective: To evaluate nurses' knowledge about the definitions of Sepsis-3 and updates to the Surviving Sepsis Campaign. Methods: This descriptive study was carried out from July to August 2018, with 30 nurses from four wards of a large university hospital. For data collection, we created, structured, and validated a questionnaire composed of socio-demographic/occupational data and knowledge test. Results: Only 16.6% of the professionals received in-service training on the subject. There was no implementation of sepsis protocols in the institution, although 96.6% of the participants considered their implementation necessary. Professionals aged ≥35 years old had a higher level of knowledge about the new definition of sepsis (p=0.042). The knowledge about volume resuscitation (p=0.001) and use of vasopressors (p=0.025) was greater in those with ≥10.5 years of experience in the profession. Nurses from the clinical units presented a higher level of knowledge about the organic dysfunctions caused by sepsis (p=0.025). Conclusion and implications for the practice: Nurses do not have satisfactory knowledge for the proper identification, treatment, and clinical management of sepsis. There is a need for greater professional, institutional, and political incentives to implement a permanent education and the sepsis protocol.