Vaccination in everyday life: experiences indicate Permanent Education

Abstract

Objective: To understand Permanent Education in the daily work in the vaccination room, from the professional's perspective. Method:A holistic-qualitative multiple-case study, based on the Quotidian Comprehensive Sociology, and carried out in four micro-regions of Minas Gerais State, Brazil, with 56 professionals working in seven municipalities. To analyze the data, the Thematic Content Analysis was used associated to the cases' cross-synthesis. Results: The frequent changes in immunization, adverse events, professional accountability, as well as the daily difficulties of working in the vaccination room point to the need for Permanent Education. There is a need for doctors and community health agents to be trained in immunization, just as nurses are previously trained. The importance of Permanent Education for safe work and patient safety in vaccination is evidenced. Conclusion and implications for practice: Considering the relevance and complexity of work in the vaccination room, PermanentEducation has the potential to strengthen teamwork, positively impact the care provided to users and provide professionals with more security in the practices carried out.Objetivo: Compreender a Educação Permanente no cotidiano de trabalho em sala de vacinação, sob a ótica do profissional.Método: Estudo de casos múltiplos holístico-qualitativo, fundamentado na Sociologia Compreensiva e do Cotidiano, e realizado em quatro microrregiões de Minas Gerais, Brasil, com 56 profissionais que atuam em sete municípios. Para análise dos dados, utilizou-se a Análise de Conteúdo Temática associada à síntese cruzada dos casos. Resultados: As frequentes alterações em imunização, os eventos adversos, a responsabilização profissional, bem como as dificuldades cotidianas do trabalho em sala de vacinação apontam a precisão de Educação Permanente. Verifica-se a necessidade de médicos e Agentes Comunitários de Saúde serem capacitados em imunização, assim como os profissionais de Enfermagem estarem previamente treinados.Evidenciam-se a importância da Educação Permanente para o trabalho seguro e a segurança do paciente em vacinação. Conclusão e implicações para a prática:Considerando a relevância e a complexidade do trabalho em sala de vacinação, a Educação Permanente tem potencial para fortalecer o trabalho em equipe, impactar positivamente no cuidado prestado aos usuários e proporcionar ao profissional mais segurança nas práticas realizadas. Palavras-chave: Educação Permanente; Vacinação; Imunização; Equipe de Enfermagem; Enfermeiros.resumen Objetivo: Comprender la Educación Permanente en el cotidiano de trabajo en sala de vacunación, bajo óptica del profesional.Método: Método de estudio de casos múltiples, cualitativo, fundamentado en la Sociología Comprensiva y del Cotidiano, realizado en cuatro microrregiones de Minas Gerais, Brasil, con 56 profesionales que actúan en siete municipios. análisis de los datos, se utilizó el Análisis de Contenido Temático asociado a la síntesis cruzada de los casos. Resultados: Frecuentes alteraciones en inmunizaci...

Vacinação contra influenza no enfrentamento da COVID-19: integração ensino-serviço para formação em enfermagem e saúde

“…Since the Brazilian National Immunization Program (Programa Nacional de Imunização) was implemented, the nursing team has been primarily responsible for planning, carrying out, monitoring and evaluating actions, within the scope of PHC, which aim to expand vaccine coverage and reduce morbidity and mortality from preventable diseases in a population. 13,14 The effectiveness of these practices depends on a set of skills, such as scientific knowledge about immunology, on the factors that influence the immune response (related to the vaccinee and the vaccine), on composition, route of administration, interactions, contraindications of immunobiological agents and adverse effects expected post-vaccination; furthermore, technical and operational knowledge of the functioning of the cold chain at national, state, municipal and regional levels (vaccine room), which includes storage, transportation, handling of vaccines under appropriate conditions, from the producing laboratory to the moment of dose application; also, register applied and missed doses, develop search for absenteeism, blocking actions and campaigns to protect individuals and the community against preventable diseases. 13,15 In the context of PHC, Family Health Units also develop actions of promotion, prevention, protection, diagnosis, treatment, rehabilitation, harm reduction, palliative care and health surveillance that are performed by a multidisciplinary team for a defined population.…”

“…16 Team interaction with the population's way of life reinforces the need for knowledge about vaccination to be multidisciplinary and not exclusive to nursing workers allocated in the vaccination room. 14 To vaccinate as many older adults as possible during the first stage of the 22 nd Brazilian National Influenza Vaccination Campaign, the representatives of EERP/USP and coordinators of the Epidemiological Surveillance of MHD/RP adjusted the organizational conditions for vaccination teams' work, based on Strategic Health Planning (SHP), which identifies a problem, determines an objective, creates a plan feasible and manages its execution. 17 Thus, adopting SHP, in a short time, allowed to understand about the concept of situational explanation and the perspective of a comprehensive look at the management 17 and organization aspects for the vaccination campaign.…”

Effectiveness of simulation in teaching immunization in nursing: a randomized clinical trial

“…In this perspective, it is urgent to think about actions that promote safety and quality in immunization. Thus, thinking about teaching and learning strategies that promote meaningful learning is relevant and current (17)(18) .…”

Assessment of Patient Safety in Vaccination Rooms

“…A study with 56 immunization professionals showed the need and importance of permanent education to ensure safety in the workplace for health professionals, and quality and safety in vaccination for patients 28 . Strategies can be developed to reduce errors and, consequently, increase patient safety, including constant training to health teams; improved differentiation of vaccines with similar names, abbreviations, labeling and packaging; implementation of adequate screening mainly to assess contraindications; and application of standard operating procedures (SOP) 13 .…”