Representação do enfermeiro sobre infecções em pacientes submetidos a transplante de células-tronco hematopoiéticas

Abstract

Representação do enfermeiros sobre infecção Representação do enfermeiros sobre infecção Representação do enfermeiros sobre infecção Representação do enfermeiros sobre infecção Representação do enfermeiros sobre infecção Zavadil ETC, Mantovani MF, Cruz EDA REPRESENTAÇÃO DO ENFERMEIRO SOBRE INFECÇÕES EM PACIENTES SUBMETIDOS A TRANSPLANTE DE CÉLULAS-TRONCO HEMATOPOIÉTICAS a RESUMOO estudo teve por objetivo identificar as representações de 36 enfermeiros sobre a ocorrência de infecções em pacientes submetidos a transplante de células-tronco hematopoiéticas de um hospital universitário em 2010. Os dados foram coletados mediante entrevista semiestruturada embasada nas representações sociais e analisados por meio da Análise de Conteúdo Temático, a qual resultou na categoria infecção e culpabilidade. Os enfermeiros referiram utilizar medidas para a prevenção de infecções durante a prática assistencial e reconhecem a condição imunológica desfavorável dos pacientes; contudo, consideram-se vetores das infecções e sentem-se culpados diante da ocorrência do agravo. Os resultados apontam para a necessidade de serviço de apoio aos profissionais, visando contextualizar o cuidado a paciente imunodeprimido e minimizar o sentimento de culpa. Abstract ResumenThe study aimed to identify the representations from 36 nurses concerning to the infections occurred in patients submitted to transplantation of hematopoietic stem-cell in from a university hospital in 2010. The data were collected through semi-str uctured inter view based on social representations and analyzed by thematic content analysis, which resulted in the infection and guilt category. The nurses have chosen to use measures in order to prevent infections during care practice and recognize the unfavorable immune status of the patients, however, they considered vectors of infections and feel guilty when the injury occurs. The result points to the need of a support service to the professional in this area, focusing in contextualize the care to immunosuppressed patient care and minimize their guilt.

Hand hygiene: knowledge and skill of caregivers in the hematopoietic stem cell transplantation

“…Specialists bet on the standardization of the procedure as a way to guarantee its effectiveness (18) . However, this aspect is emphasized in the HSCT, since the infections are most responsible for the failure of the procedure (3) .…”

“…Depending on the HSCT phase, different types of microorganisms may be responsible for infections. In the medullary aplasia phase, due to intense immunosuppression, opportunistic infections are common, as well as those caused by microorganisms of the patient's microbiota (3) .…”

Hematopoietic Stem Cell Transplantation Based On The Transdisciplinary Care

“…Professionals are working in HSCT service also relieve complex and specialized care [18], given that this scenario requires specific knowledge of the area. However, they do not relieve the interweaving of new knowledge for an interdisciplinary practice that meets the patient´s health needs in this delicate moment of their lives.…”

Nursing care in a hematopoietic stem cells transplantation unit

“…The HSCT contexts demands distinguished nursing care, highlighting infection prophylaxis measures. 8 The storage of personal belongings outside the unit, dressing the institutional uniform and hand washing, activities classified in the general technical care category, are included in this discussion because their objective is to protect the patient against micro-organisms coming from the external environment and to avoid cross-infections. Similarly, the nurses need specific knowledge on infection control and pro-tective isolation.…”