Assessment of Adherence to Post-Exposure Conducts Among Health Workers: Translation and Cultural Adaptation of an Instrument

Abstract

Methodological study, undertaken between July/2011 and June/2012, whose aim was to translate and culturally adapt to Brazil the Chinese instrument (健康照顧專業人員職業性危害針扎後之追蹤) that assesses health professionals' intent to comply with conducts post-occupational exposure to biological material. The sample was random and consisted of 15 nursing professionals, exposed to biological material. The cross-cultural adaptation process showed to be satisfactory and the semantic validation evidenced that the instrument is understandable (73.3%), appropriate for the Brazilian culture and well accepted (85.2% of the items with favorable answers). The use of this instrument in Brazilian studies will permit broader discussions about actions to prevent occupational exposure to biological material and the planning of new strategies for the health services. DESCRIPTORS:Exposure to biological agents. Nursing. Intention. Occupational health. Validation studies. AVALIAÇÃO DA ADESÃO ÀS CONDUTAS PÓS-EXPOSIÇÃO ENTRE TRABALHADORES DE SAÚDE: TRADUÇÃO E ADAPTAÇÃO CULTURAL DE INSTRUMENTORESUMO: Estudo metodológico, realizado no período de julho/2011 a junho/2012, que objetivou traduzir e adaptar culturalmente para o Brasil o instrumento chinês (健康照顧專業人員職業性危害針扎後之追蹤) que avalia a intenção dos profissionais de saúde de cumprir as condutas pós-exposição ocupacional a material biológico. A amostra foi aleatória e constituída por 15 profissionais de enfermagem, expostos a material biológico. O processo de adaptação cultural mostrou-se satisfatório e a validação semântica evidenciou que o instrumento é compreensível (73,3%), adequado à cultura brasileira e bem aceito (85,2% dos itens com respostas favoráveis). O uso do instrumento em pesquisas brasileiras possibilitará ampliar a discussão sobre ações de prevenção à exposição ocupacional a material biológico e planejamento de novas estratégias para os serviços de saúde. DESCRITORES:Exposição a agentes biológicos. Enfermagem. Intenção. Saúde do Trabalhador. Estudos de Validação. EVALUACIÓN DE LA ADHESIÓN A LAS CONDUCTAS POST-EXPOSICIÓN ENTRE TRABAJADORES DE SALUD: TRADUCCIÓN Y ADAPTACIÓN CULTURAL DE INSTRUMENTORESUMEN: Estudio metodológico, desarrollado entre julio/2011 y junio/2012, con objeto de traducir y adaptar culturalmente para Brasil el instrumento chino (健康照顧專業人員職業性危害針扎後之追蹤) que evalúa la intención de los profesionales de salud de cumplir con las conductas post-exposición profesional a material biológico. La muestra fue aleatorizada y abarcó a 15 profesionales de enfermería expuestos a material biológico. El proceso de adaptación cultural se mostró satisfactorio y la validación semántica evidenció que el instrumento es comprensible (73,3%), adecuado a la cultura brasileña y bien aceptado (85,2% de los ítems con respuestas favorables). El uso del instrumento en investigaciones brasileñas posibilitará ampliar la discusión sobre las acciones de prevención a la exposición ocupacional a material biológico y la planificación de nuevas estrategias para los servicios de salud.

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

“…This would allow the identification of the reasons for low adherence to SP and the planning of actions targeted to the reduction of the obstacles, individual or organizational, that might be interfering with adherence to SP (43) . Some instruments have been used to identify adherence to SP (44)(45) , which produced satisfactory results for the planning of strategies aimed to improve safety measures and minimize occupational hazards.…”

Validation of the Comply with Post-Exposure Management Among Health Care Workers Instrument for Brazil

“…Nursing technicians and nurses of both genders who were actively working during the data collection period and those who agreed to respond to the data collection instrument were included in the study. Nursing technicians and nurses who were on vacation, health leave, dismissal from work, those who had been dismissed and the professionals who participated in the translation and adaptation stages of the ACPETS tool were excluded from the study (12) . Thus, the study sample consisted of 137 nursing workers, 119 nursing technicians and 18 nurses.…”

“…The name of the instrument contained in the title of this research project, informed in this opinion, is different from the name of the instrument used in this study because it was modified during the translation and cultural adaptation steps (12) . The participants read and signed the Free and Informed Consent Form, guaranteeing free and voluntary participation of the study subjects, as well as anonymity and confidentiality of the collected information.…”

“…It was translated and adapted for use in Brazil in Brazilian Portuguese, entitled Adesão às condutas pós-exposição entre trabalhadores de saúde (ACPETS) (12) .…”

Waste Management of Healthcare Services From the Perspective of Nursing Professionals

“…16 "Occupational accidents involving exposure to biological material is a preoccupying reality in health institutions. The gaps in the completion of important information reveal the need to train the responsible professionals for the registration and make it difficult to elaborate preventive strategies."…”