Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/4810 |
Resumo: | The Catheter Peripherally Inserted Central is a device used in intravenous therapy in neonatal intensive care units and pediatric and in neonatal intermediate care units, which promotes venous access safe for a long time and with a low rate of infection, however, the use of this technology by being a complex process, may be subject to adverse events. The aim of the study was to analyze the use of central venous catheter peripherally inserted into a child public hospital from the perspective of nurses, identify and classify the events in the stages of the process of insertion, maintenance and removal of PICC and verify the procedures adopted in these events and the consequences for patients. Descriptive analysis was performed of the results, with minimum and maximum for continuous variables and absolute and relative frequencies for categorical variables. Qualitative data were grouped and categorized by approaching answers. Results The results showed a predominance of females with an average age between 24-58 years and 5 or more years of professional performance, function and institution. The working day was 30 hours per week and 53.8% were specialists with training course for handling PICC. 84.6% witnessed some kind of adverse event, 57.7% in the insertion, highlighting the difficulty of progression / closing valve / capillary fragility; 84.6% in keeping with an obstruction of the catheter 61.5% EA as mentioned, caused by the blood reflux, drug incompatibility, poor permeabilization and lack of washing (flushing) of the catheter; and 15.4% in recession, caused by rupture / breakage of the catheter. The adopted clinical management were the exchange of venous access, monitoring, traction of the catheter and pressure dressing in case of bleeding. The consequences for patients were prolonged length of stay in the service, need to complement therapy and new IV line installation. The results signaled the size of adverse event occurrences in the safe use of PICC, the safety measures and quality of patient care, requiring the training of nursing professionals, combined with a policy of promoting continuing education activities and formulation strategies to minimize flaws and building a professional and institutional culture of safety. |
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Bezerra, Ana Lúcia Queirozhttp://lattes.cnpq.br/0088227879433410Bezerra, Ana Lúcia QueirozCastral, Thaíla CorrêaSilva, Ana Elisa Bauer de Camargohttp://lattes.cnpq.br/6039390446462482Sá, Jaciane Soares de2015-10-28T14:31:28Z2013-11-08SÁ, J. S. Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil. 2013. 129 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/4810The Catheter Peripherally Inserted Central is a device used in intravenous therapy in neonatal intensive care units and pediatric and in neonatal intermediate care units, which promotes venous access safe for a long time and with a low rate of infection, however, the use of this technology by being a complex process, may be subject to adverse events. The aim of the study was to analyze the use of central venous catheter peripherally inserted into a child public hospital from the perspective of nurses, identify and classify the events in the stages of the process of insertion, maintenance and removal of PICC and verify the procedures adopted in these events and the consequences for patients. Descriptive analysis was performed of the results, with minimum and maximum for continuous variables and absolute and relative frequencies for categorical variables. Qualitative data were grouped and categorized by approaching answers. Results The results showed a predominance of females with an average age between 24-58 years and 5 or more years of professional performance, function and institution. The working day was 30 hours per week and 53.8% were specialists with training course for handling PICC. 84.6% witnessed some kind of adverse event, 57.7% in the insertion, highlighting the difficulty of progression / closing valve / capillary fragility; 84.6% in keeping with an obstruction of the catheter 61.5% EA as mentioned, caused by the blood reflux, drug incompatibility, poor permeabilization and lack of washing (flushing) of the catheter; and 15.4% in recession, caused by rupture / breakage of the catheter. The adopted clinical management were the exchange of venous access, monitoring, traction of the catheter and pressure dressing in case of bleeding. The consequences for patients were prolonged length of stay in the service, need to complement therapy and new IV line installation. The results signaled the size of adverse event occurrences in the safe use of PICC, the safety measures and quality of patient care, requiring the training of nursing professionals, combined with a policy of promoting continuing education activities and formulation strategies to minimize flaws and building a professional and institutional culture of safety.O Cateter Central de Inserção Periférica é um dispositivo utilizado em terapia intravenosa nas unidades de terapia intensiva neonatal e pediátrica e nas unidades de cuidados intermediários neonatais, que promove acesso venoso seguro por tempo prolongado e com baixo índice de infecção, todavia, a utilização dessa tecnologia, por ser um processo complexo, pode estar sujeito à ocorrência de eventos adversos. O objetivo do estudo foi analisar a utilização do cateter venoso central de inserção periférica em um hospital público infantil sob a ótica dos enfermeiros, identificar e classificar os eventos ocorridos nas fases do processo de inserção, manutenção e retirada do PICC e verificar as condutas adotadas na ocorrência desses eventos e as consequências para os pacientes. Foi realizada análise descritiva dos resultados, apresentando mínima e máxima para variáveis contínuas e frequência absoluta e relativa para as variáveis categóricas. Os dados qualitativos foram agrupados e categorizados por aproximação de respostas. Os resultados Os resultados evidenciaram a predominância do sexo feminino com idade média entre 24 a 58 anos e 5 ou mais anos de atuação profissional, na função e na instituição. A jornada de trabalho foi de 30 horas semanais e 53,8% eram especialistas com curso de capacitação para manuseio do PICC. 84,6% presenciaram algum tipo de evento adverso, 57,7% na inserção, destacando-se a dificuldade de progressão/fechamento da válvula/fragilidade capilar; 84,6% na manutenção sendo a obstrução do cateter com 61,5% o EA mais citado, ocasionado por refluxo sanguíneo, incompatibilidade de medicamentos, permeabilização inadequada e falta de lavagem (flushing) do cateter; e 15,4% na retirada, ocasionada por ruptura/quebra do cateter. As condutas clínicas adotadas foram a troca do acesso venoso, o monitoramento, o tracionamento do cateter e curativo compressivo em caso de sangramento. As consequências para os pacientes foram prolongamento do tempo de permanência no serviço, necessidade de terapêutica complementar e instalação de novo acesso venoso. Os resultados sinalizaram a dimensão de ocorrências de eventos adversos na utilização segura do PICC, nas medidas de segurança e na qualidade da assistência ao paciente, sendo necessária a capacitação dos profissionais de enfermagem, aliada a uma política de promoção de atividades de educação permanente e formulação de estratégias para minimizar as falhas existentes e a construção de uma cultura de segurança profissional e institucional.Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2015-10-27T18:01:23Z No. of bitstreams: 2 Dissertação - Jaciane Soares de Sá - 2013.pdf: 2086467 bytes, checksum: 981c508d390d7ce0ea5a9d89c434b7c2 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-10-28T14:31:28Z (GMT) No. of bitstreams: 2 Dissertação - Jaciane Soares de Sá - 2013.pdf: 2086467 bytes, checksum: 981c508d390d7ce0ea5a9d89c434b7c2 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-10-28T14:31:28Z (GMT). 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dc.title.por.fl_str_mv |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
dc.title.alternative.eng.fl_str_mv |
Adverse events in the use of peripherally inserted central venous catheter in a public infant hospital |
title |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
spellingShingle |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil Sá, Jaciane Soares de Segurança do paciente Eventos adversos Incidentes Cateter venoso central Neonatologia Patient safety Adverse events Incidents Central venous catheter Neonatology SAUDE COLETIVA::SAUDE PUBLICA |
title_short |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
title_full |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
title_fullStr |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
title_full_unstemmed |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
title_sort |
Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil |
author |
Sá, Jaciane Soares de |
author_facet |
Sá, Jaciane Soares de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bezerra, Ana Lúcia Queiroz |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0088227879433410 |
dc.contributor.referee1.fl_str_mv |
Bezerra, Ana Lúcia Queiroz |
dc.contributor.referee2.fl_str_mv |
Castral, Thaíla Corrêa |
dc.contributor.referee3.fl_str_mv |
Silva, Ana Elisa Bauer de Camargo |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6039390446462482 |
dc.contributor.author.fl_str_mv |
Sá, Jaciane Soares de |
contributor_str_mv |
Bezerra, Ana Lúcia Queiroz Bezerra, Ana Lúcia Queiroz Castral, Thaíla Corrêa Silva, Ana Elisa Bauer de Camargo |
dc.subject.por.fl_str_mv |
Segurança do paciente Eventos adversos Incidentes Cateter venoso central Neonatologia |
topic |
Segurança do paciente Eventos adversos Incidentes Cateter venoso central Neonatologia Patient safety Adverse events Incidents Central venous catheter Neonatology SAUDE COLETIVA::SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Patient safety Adverse events Incidents Central venous catheter Neonatology |
dc.subject.cnpq.fl_str_mv |
SAUDE COLETIVA::SAUDE PUBLICA |
description |
The Catheter Peripherally Inserted Central is a device used in intravenous therapy in neonatal intensive care units and pediatric and in neonatal intermediate care units, which promotes venous access safe for a long time and with a low rate of infection, however, the use of this technology by being a complex process, may be subject to adverse events. The aim of the study was to analyze the use of central venous catheter peripherally inserted into a child public hospital from the perspective of nurses, identify and classify the events in the stages of the process of insertion, maintenance and removal of PICC and verify the procedures adopted in these events and the consequences for patients. Descriptive analysis was performed of the results, with minimum and maximum for continuous variables and absolute and relative frequencies for categorical variables. Qualitative data were grouped and categorized by approaching answers. Results The results showed a predominance of females with an average age between 24-58 years and 5 or more years of professional performance, function and institution. The working day was 30 hours per week and 53.8% were specialists with training course for handling PICC. 84.6% witnessed some kind of adverse event, 57.7% in the insertion, highlighting the difficulty of progression / closing valve / capillary fragility; 84.6% in keeping with an obstruction of the catheter 61.5% EA as mentioned, caused by the blood reflux, drug incompatibility, poor permeabilization and lack of washing (flushing) of the catheter; and 15.4% in recession, caused by rupture / breakage of the catheter. The adopted clinical management were the exchange of venous access, monitoring, traction of the catheter and pressure dressing in case of bleeding. The consequences for patients were prolonged length of stay in the service, need to complement therapy and new IV line installation. The results signaled the size of adverse event occurrences in the safe use of PICC, the safety measures and quality of patient care, requiring the training of nursing professionals, combined with a policy of promoting continuing education activities and formulation strategies to minimize flaws and building a professional and institutional culture of safety. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-11-08 |
dc.date.accessioned.fl_str_mv |
2015-10-28T14:31:28Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SÁ, J. S. Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil. 2013. 129 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/4810 |
identifier_str_mv |
SÁ, J. S. Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil. 2013. 129 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/4810 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
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dc.relation.cnpq.fl_str_mv |
3112649244584600979 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Saúde Coletiva (PRPG) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Pró-Reitoria de Pós-graduação (PRPG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
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reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/a9259a18-2d77-4bfb-9cda-0dfa354bb6d0/download http://repositorio.bc.ufg.br/tede/bitstreams/74063a93-7233-4c93-b15a-c0dc4d2b808f/download http://repositorio.bc.ufg.br/tede/bitstreams/7bec1540-d6bc-44d9-9e14-27f268a984d4/download http://repositorio.bc.ufg.br/tede/bitstreams/0c35db76-a803-42c2-b658-1f20f369161c/download http://repositorio.bc.ufg.br/tede/bitstreams/15b519a8-46f2-4655-8508-1cd8a185dbbf/download http://repositorio.bc.ufg.br/tede/bitstreams/ead35950-7ac7-44e7-b9a8-bb19c70edbc3/download http://repositorio.bc.ufg.br/tede/bitstreams/1d202bb4-44d4-4194-b0c3-559cff5d4392/download |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f 683d9883b2ad62ac3b8bafc566b2e600 9da0b6dfac957114c6a7714714b86306 981c508d390d7ce0ea5a9d89c434b7c2 0425b12a537ebae707e4ee68317dc412 cc73c4c239a4c332d642ba1e7c7a9fb2 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044370642927616 |