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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Atua??o dos profissionais de enfermagem durante o processo transfusional na UTI de um hostital universit?rio

Silva, Ma?sa Arantes da 23 December 2008 (has links)
Made available in DSpace on 2014-12-17T14:46:38Z (GMT). No. of bitstreams: 1 MaisaAS.pdf: 2002111 bytes, checksum: 3639909687907c825b2fac2980223c4c (MD5) Previous issue date: 2008-12-23 / Prospective descriptive study with quantitative approach, which aimed to analyze the relationship of the knowledge of Nurses and conduct assistance during the process of transfusion, to patients in the ICU of a university hospital in Natal-RN. The sample consisted of 27 professionals from the nursing staff (5 nurses and 22 nursing technicians), climbing in the ICU during the period of data collection. Data collection was through a questionnaire and structured form of observation, in addition to consulting the diary. The results were organized in SPSS 15.0, tabulated, cathegorized and analyzed by descriptive and inferential statistics. The results show a young population, aged between 21 and 32 years (63.0%), female (85.2%). Among those surveyed were the main type of stock, mostly technical, nursing (ρ= 0006), which have little time to experience - up to 2 years (ρ= 0008), did not know the DRC in 153 (ρ= 0019), held greater number of pipelines care in blood (ρ= 0018), the non-participation in training and feel informed about the process of transfusion, showed no significant differences. As for officials, highlighted only the time to experience more than 2 years, carrying out fewer procedures and feel informed about the blood. As for the pipes during the transfusion process, I found that the majority of pipes observed in both the stock and the staff were inadequate, with predominance in the first, both in the pursuit of conduct regarding the shortfall. The averages of inappropriate conduct, predominantly developed by stock, were higher in all stages for appropriate conduct. Analyzing the knowledge about the disease process, the stock market were those who had lower scores of knowledge in three stages. As the relationship between the pipes care and knowledge, we see that at all stages of the process of transfusion inadequate knowledge of the averages were higher, taking a significant difference in the stages pre-transfusion (ρ= 0012). When analyzing the average of pipes behind, we see that in inappropriate conduct were significantly higher (ρ= 0031), who had searched in inadequate knowledge. As for the frequency of total procedures performed, we found a significant predominance (ρ= 0049) of inappropriate conduct (88.9%) of which 81.5% were developed by professionals who had inadequate knowledge, showing moderate correlation (r = 0,516) and odds ratio of 2,750 times the development of inappropriate conduct in trade with inadequate knowledge. We conclude that the professionals surveyed, especially the technicians of nursing stock, showed serious deficiencies with regard to the development of pipelines and knowledge of the transfusion process, showing the inadequacy to develop this therapy. Facing the foregoing, we accept the alternative hypothesis proposed in the study, because we show that the inadequacy of knowledge about the process of transfusion influence in inappropriate conduct implemented by the nursing staff in ICU. / Estudo descritivo prospectivo, com abordagem quantitativa, que objetivou analisar a rela??o entre o conhecimento dos profissionais de enfermagem e as condutas assistenciais prestadas, durante o processo transfusional, aos pacientes na UTI de um hospital universit?rio em Natal-RN. A amostra foi composta por 27 profissionais da equipe de enfermagem (5 enfermeiros e 22 t?cnicos de enfermagem), escalados para a UTI durante o per?odo da coleta de dados, coleta esta realizada por meio de question?rio e formul?rio de observa??o estruturados, al?m da consulta ao prontu?rio. Esses resultados foram organizados no programa SPSS 15.0, tabulados, categorizados e analisados por meio de estat?stica descritiva e inferencial. Os resultados mostram uma popula??o jovem, na faixa et?ria entre 21 e 32 anos (63,0%), do sexo feminino (85,2%). Dentre os pesquisados houve predomin?ncia de bolsistas, em sua maioria t?cnicos de enfermagem (ρ= 0,006), os quais possuem pouco tempo de experi?ncia, at? 2 anos (ρ= 0,008), n?o conhecem a RDC no 153 (ρ= 0,019), realizaram o maior n?mero de condutas assistenciais na hemotransfus?o (ρ= 0,018), a n?o participa??o de treinamentos e a falta de informa??o sobre o processo transfusional n?o resultaram em diferen?as significativas. Quanto aos funcion?rios, destacaram-se apenas o tempo de experi?ncia superior a 2 anos, a realiza??o de menor n?mero de procedimentos e se sentirem informados sobre a hemotransfus?o. Em rela??o ?s condutas durante o processo transfusional, constatamos que, na maioria, as condutas observadas, tanto dos bolsistas como dos funcion?rios foram inadequados, com predomin?ncia nos primeiros, tanto na realiza??o das condutas quanto na inadequa??o. As m?dias das condutas inadequadas, predominantemente desenvolvidas pelos bolsistas, foram maiores em todas as etapas em rela??o ?s condutas adequadas. Analisando o conhecimento sobre o processo transfusional, os bolsistas foram os que apresentaram os menores escores de conhecimento nas tr?s etapas. Quanto ? rela??o existente entre as condutas assistenciais e o conhecimento, verificamos que em todas as etapas do processo transfusional as m?dias de conhecimentos inadequados foram superiores, tendo diferen?a significativa nas etapas pr?-transfusional (ρ= 0,012). Ao analisarmos a m?dia de condutas desenvolvidas, verificamos que nas condutas inadequadas foram significativamente maiores (ρ= 0,031) nos pesquisados que apresentaram conhecimentos inadequados. Quanto ? frequ?ncia total de procedimentos realizados, verificamos uma predomin?ncia significativa (ρ= 0,049) de condutas inadequadas (88,9%), das quais 81,5% foram desenvolvidas por profissionais que tiveram conhecimento inadequado, apresentando moderada correla??o (r = 0,516) e raz?o de chance de 2,750 vezes de desenvolvimento de condutas inadequadas nos profissionais com conhecimentos inadequados. Conclu?mos que os profissionais pesquisados, principalmente os t?cnicos de enfermagem bolsistas, apresentaram defici?ncias graves no tocante ao desenvolvimento das condutas e conhecimento sobre o processo transfusional, denotando a inadequa??o para desenvolver essa terap?utica. Diante do exposto, aceitamos a hip?tese alternativa proposta no estudo, pois evidenciamos que a adequa??o do conhecimento sobre o processo transfusional influenciou nas condutas adequadas implementadas pela equipe de enfermagem na UTI.

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