Research Article
Volume 3 Issue 3 - 2021
Factors Related to the Application of Intervention Bundles by Nurses of a Portuguese Intensive Care Unit
Ana Gertrudes Felgueiras Machado1*, Amâncio António de Sousa Carvalho2 and Ana Paula Morais Carvalho Macedo3
1Nurse at the Medical Service of Centro Hospitalar Tâmega e Sousa, Unit de São Gonçalo, Amarante, Portugal
2Associate Professor at Universidade Trás-os-Montes e Alto Douro, Escola Superior de Saúde, Vila Real, CIEC - Centro de Investigação em Estudos da Criança, Universidade do Minho, Braga, Portugal
3Coordinating Professor, University of Minho, School of Nursing, Braga and Health Sciences Research Unit: Nursing, Coimbra School of Nursing, Braga, Portugal
*Corresponding Author: Ana Gertrudes Felgueiras Machado, Nurse at the Medical Service of Centro Hospitalar Tâmega e Sousa, Unit de São Gonçalo, Amarante, Portugal.
Received: September 28, 2021; Published: February 09, 2021




Abstract

Introduction: Patients admitted to the Intensive Care Unit develop the most complications because they are submitted to invasive procedures, thus being a high-risk population for Health Care Associated Infections. Infections associated with devices such as Urinary Tract Infection (UTI), Central Venous Catheter (CVC) and Intubation Associated Pneumonia (IAP) are the most common in the Intensive Care Unit (ICU) and therefore require effective measures for their prevention, such as hand hygiene and the applicability of Intervention Beams (IF) by nurses.

Objective: To identify factors related to IF application by nurses of a Portuguese Intensive Care Unit.

Method: Descriptive-correlational, cross-sectional, quantitative approach study, with a sample of 44 nurses, from the Intensive Care Unit, of a Hospital Center located in northern Portugal, in which a questionnaire was applied.

Results and Discussion: The majority of the sample was female (72.7%), belonged to the age group between 38 - 50 years (57%), and had a degree (95.5%). In terms of professional experience, the majority (61.4%) of nurses had between 16 - 30 years of professional exercise time, and between 9 - 20 years of exercise time in the Intensive Care Unit (59.2%). The majority (80.0%) of nurses surveyed responded that they needed to address the Intervention Beams in continuous training. Regarding preventive procedures, most (79.5%) reported that the use of gloves prevents infection and does not perform audits (86.4%) for the three types of infection under study: UTI, CVC and PAI. The IF score of UTI and PAI differs significantly between the sexes (Student's T: p < 0.047 and p < 0.037); the IF of UTI and PAI and the categories of exercise time in ICU and professional exercise, respectively (Student's T: p < 0.026 and p < 0.001); and between the average of the IF score ordering of PAI and the use of gloves (Kruskal-Wallis: p < 0.022). The sample nurses demonstrated some knowledge about the application of IF by experience and time of professional exercise.

Conclusion: Nurses in general apply IFs to the three measures of infection under study, recommended by the Directorate General of Health. Factors related to the application of Intervention Beams are socio-demographic characteristics, time of professional exercise in the Intensive Care Unit, preventive procedures and audits.

 

Keywords: Nursing Audit; Critical Care; Nurses; Prevention and Control

References

    1. Direção-Geral da Saúde. Diário da República, 2ª série Nº102 (2015).
    2. Direção-Geral da Saúde. “Programa de Prevenção e Controlo de Infeções e de Resistências aos Antimicrobianos (2017).
    3. AlKhawaja S., et al. “Catheter-Associated Urinary Tract Infections at Intensive Care Unit in Bahrain”. EC Microbiology2 (2017): 71-79.
    4. European Centre for Disease Prevention and Control. Healthcare-associated infections in intensive care units - Annual Epidemiological (2017).
    5. Gao F., et al. “Impact of a bundle on prevention and control of healthcare associated infections in intensive care unit”. Journal of Huazhong University of Science and Technology - Medical Science2 (2015): 283-290.
    6. McAlearney AS., et al. “Searching for management approaches to reduce HAI transmission (SMART): A study protocol”. Implementation Science1 (2017): 82.
    7. Direção-Geral da Saúde. “Orientação nº 002/2017 de 20/01/2017. Preparação e Condução de Auditorias da Qualidade e Segurança da Prestação de Cuidados de Saúde, Documento de apoio (2017).
    8. Marôco J. “Análise Estatística com o SPSS Statistics (7th edition) (2018).
    9. Ordem dos Enfermeiros. Dados Estatísticos 2000-2011 (2012).
    10. Cruz JRM and Martins MDS. “Pneumonia associada à ventilação mecânica invasiva: cuidados de enfermagem. Bragança, Portugal”. Revista de Enfermagem Referência –IV nº20 (2019).
    11. Ordem dos Enfermeiros. Estatísticas de Enfermeiros (2018).
    12. Benner P. “De Iniciado a Perito: Excelência e Poder na Prática Clínica de Enfermagem (2001).
    13. Macedo APMC., et al. “Professional practices of education/training of nurses in an intensive care unit”. Revista Brasileira de Enfermagem-REBEn 2 (2019): 321-328.
    14. Ordem dos Enfermeiros, lei nº156/2015, de 16 de setembro. Regulamento do Exercício Profissional dos Enfermeiros (2015).
    15. Santos SP., et al. “Avaliação dos registros de enfermagem em hemoterapia de um hospital geral”. Avances en Enfermería1 (2013): 103-112.
    16. Direção-Geral da Saúde. “Norma nº 013/2014 de 25/08/2014 atualizada a 07/08/2015 Uso e Gestão de Luvas nas Unidades de Saúde (2015).
Citation: Ana Gertrudes Felgueiras Machado., et al. “Factors Related to the Application of Intervention Bundles by Nurses of a Portuguese Intensive Care Unit”. EC Nursing and Healthcare 3.3 (2021): 64-73.

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