Banca de DEFESA: LORAINE MACHADO DE ARAUJO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LORAINE MACHADO DE ARAUJO
DATE: 15/12/2020
TIME: 08:00
LOCAL: Departamento de Saúde Coletiva da UFRN
TITLE:

Evaluation and improvement of the quality of phlebitis prevention in a teaching hospital

KEY WORDS:

Quality of health care; Phlebitis; Peripheral catheterization; Nursing.

PAGES: 122
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUBÁREA: Enfermagem Médico-Cirúrgica
SUMMARY:

Introduction: Intravenous therapy aims at the administration of solutions or drugs in the circulatory system. The peripheral intravenous catheter is used in approximately one third of hospitalized patients and may present local and systemic complications. Phlebitis is one of the most frequent local complications according to the Intravenous Nurse Society (2011) and its prevention is part of the work process of the nursing staff. Objective: To evaluate the quality of phlebitis prevention in patients undergoing peripheral insertion catheter implantation. Methodology: This is a quasi-experimental, before and after study, with no control group with quantitative approach, using a quality improvement cycle with analysis of the opportunity for improvement; undertaking the quality level study; planning and execution of timely interventions; and reassessment of the quality level. The place of study was the wards of the central internment building of the Onofre Lopes University Hospital. The selected population consisted of 120 peripheral venous catheter insertion procedures, 60 before and 60 after intervention with the nursing staff. Data collection to identify the quality level was performed from May to June 2019, using non-participant observation of the procedure of puncture and maintenance of the peripheral venous catheter with the completion of a checklist instrument, consisting of 19 criteria. Of Quality. The intervention took place from August to October 2019 and covered an educational action directed to nursing team professionals and another to patients / caregivers, in addition to updating the Standard Operating Protocol available at the hospital. The study followed the ethical procedures required by Resolution No. 466/2012, and was approved by the Research Ethics Committee of the Onofre Lopes University Hospital. Results: The study of possible causes related to phlebitis prevention revealed numerous factors related to the professionals. Thus, the quality level was evaluated and among the 19 criteria evaluated, 4 had compliance equal to or above 90%. It did not observe criteria that had no compliance (0%) or that had 100% compliance. 8 criteria were considered problematic, together representing 69.1% of nonconformities. Conclusions: This study is expected to contribute to the development of improved quality of phlebitis prevention based on interventions aimed at appropriate care and the improvement of procedures related to puncture and maintenance of the peripheral venous catheter.

BANKING MEMBERS:
Presidente - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Interna - 784.321.701-00 - VIVIANE PEIXOTO DOS SANTOS PENNAFORT - EBSERH
Externa ao Programa - 2140865 - GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
Externa à Instituição - ADRIANA MONTENEGRO DE ALBUQUERQUE - UFCG
Externa à Instituição - LIDIANY GALDINO FELIX - UFCG