Educação de profissionais de enfermagem para a identificação e registros de eventos adversos em hemodiálise

• Autor(a) principal: Pássaro, Priscila Garpelli
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/20084
• topic: Avaliação em enfermagem; Hemodialise - Pacientes; Enfermeiros - Prática profissional; Nursing evaluation; Hemodialysis - Patients; Nurses - Professional practice; CNPQ::CIENCIAS DA SAUDE

Introduction: The evolution of patient care should include the complete knowledge about the Adverse Events (AD) of a given procedure. In hemodialysis units there are risk factors that increase the chances of some type of AE occurring, which is why it is important that they are properly identified and recorded. Hemodialysis technicians, who have direct contact with patients in hemodialysis units, should be instructed to recognize and classify AE, in addition to understanding the importance of proper recording. Objectives: 1. Elaborate indicators and mechanisms for the registration of adverse events in hemodialysis patients. 2. To construct an educational program aimed at the training of nursing technicians (students), which allows the understanding of adverse events and aims to adapt the data records. 3. Evaluate the learning before and after the knowledge. Methodology: This was a prospective, longitudinal, descriptive, interventional and quantitative study that was performed at the Dialysis and Renal Transplant Center (CDTR) of Santa Lucinda Hospital, PUC-SP. A table was created for data collection and EA recording during hemodialysis sessions. Any clinical change presented by the patient in a hemodialysis session was considered as an AD. The presentation table and the understanding of the EA and its registration were made through a course, for which a mixed methodology was used, both face-to-face and online, using the Moodle platform for this purpose. In addition to the course itself, individual problems were constructed for each nursing technician, who described the occurrence of AD during the hemodialysis session. The filling in of the EA record models based on these cases served to evaluate online the knowledge of nursing technicians before and after the course. A satisfaction survey of the technicians participating in the course was also made. Results: Of the 16 participating nursing technicians, 9 were female (56%), their mean age was 39 ± 8.9 years and the mean time of experience in the hemodialysis sector was 10 ± 5.9 years. The total number of accesses of the participants to the course through the Moodle platform was 825, with the average access per student, 51.6 ± 21.7 times. In the initial test, the mean score was 3.7 ± 0.3 points and in the final assessment, after the course and using the same pre-course problem, 4.2 ± 0.3 points (p = 0.00002). In the assessment after the course, a different case was also offered than had been answered in the pre-course by each of the students. The mean of these evaluations was similar (4.3 ± 0.3 points, p = 0.26). Satisfaction survey of course participants showed that all students approved the course. Conclusion: The assessment of students before and after a course of presentation of a table developed to improve records of adverse events during hemodialysis showed that students had a low level of understanding of these facts before the course; There was a statistically significant improvement in the evaluation after the course; The students showed a homogeneous behavior in the evaluations; The course provoked interest of the students, and the number of accesses to the course was high