Proteção radiológica e a atitude de trabalhadores de enfermagem em serviço de hemodinâmica

Abstract

ABSTRACT:A qualitative study conducted in a hemodynamic service in Santa Catarina, Brazil. The objective was to analyze the attitude of nursing staff in relation to in the use of radioprotection measures during interventional procedures. The psychodynamics of work approach was utilized. Such a method has been developed in different stages, namely: demand and pilot study, the research itself, the research material, interpretation method and validation. Altogether, 36 meetings were held between March and November of 2009, totaling approximately 54 hours of observation. Results showed that staff used defensive strategies to justify the misuse, lack of knowledge, or even the failure to use some measures of radioprotection, that were evidenced by the allegations of discomfort and the weight of the lead clothing. It was concluded that certain attitudes adopted by the staff also referred to the lack of a continuing educational program which addressed this issue. DESCRIPTORS:Ionizing radiation. Radiation protection. Interventional radiology. PROTEÇÃO RADIOLÓGICA E A ATITUDE DE TRABALHADORES PROTECCIÓN RADIOLÓGICA Y LA ACTITUD DE TRABAJADORES DE ENFERMERÍA EN EL SERVICIO DE HEMODINÁMICA RESUMEN:Estudio cualitativo realizado en el servicio de hemodinámica de Santa Catarina, Brasil. El objetivo fue analizar la actitud de los trabajadores de enfermería en relación al uso de las medidas de radioprotección en procedimientos intervencionistas. Se utilizó la Metodología de la Psicodinámica del Trabajo. Ese método se desarrolló en diferentes etapas, a saber: demanda y preinvestigación, investigación propiamente dicha, material de investigación, método de interpretación y validación. En total, fueron realizados 36 encuentros en el período de Marzo a Noviembre del 2009, totalizando aproximadamente, 54 horas de observación. Los resultados mostraron que los trabajadores utilizan estrategias de defensa para justificar el uso incorrecto, el desconocimiento o mismo la no utilización de algunas medidas de radioprotección que fueron evidenciadas por medio de la alegación de incomodidad y del peso de las vestimentas con plomo. Se concluye que ciertas actitudes adoptadas por los trabajadores se refieren, también, a la falta de un programa de educación permanente que aborde esa temática.DESCRIPTORES: Radiación ionizante. Protección radiológica. Radiología intervencional.

Solutions in radiology services management: a literature review

“…Radiology teams are multidisciplinary by their nature, comprising radiology technicians and/or technologists, and, frequently, nurses, nursing technicians, cardiologists, orthopedists, vascular surgeons, neurologists and many other professionals who, many times, are not properly trained in radiological protection ( 29 ) . With a view on the increasing technological complexity, continued education is a key point to be implemented in the sector, as learning and teaching are a part of the daily work in the organizations ( 12 , 30 ) .…”

Implementation of a Radiation Protection Program: Opinion of the Health Team Working in a Radiology Service

“…Therefore, the importance of the use of PPE and a dosimeter is emphasized for periodic evaluations. 17 Therefore, permanent education is an important tool for the qualification/training of professionals, which is materialized in the opportunity of aggregated knowledge exchange, after the initial formation. From the identification of the reality experienced by the professionals in their workplace, and noting the deficiencies of knowledge and actions for the ideal performance of their functions, the resolution of possible flaws is pursued, in a collective way, thus allowing new knowledge to emerge.…”

Prevenção da Nefropatia induzida por contraste em pacientes submetidos a procedimentos em cardiologia intervencionista e hemodinâmica

“…Os principais procedimentos na cardiologia intervencionista incluem o cateterismo cardíaco, a angioplastia coronária, Persistência do Canal Arterial (PCA), Comunicação Intra--Arterial (CIA), Comunicação Intraventricular (CIV), entre outros e demais especialidades. 8…”