The influence of nursing team's behavior in adverse event following immunization surveillance.

OBJECTIVES: to analyze the effects of nursing professionals' behavior in adverse event following immunization surveillance. METHODS: a cross-sectional study of 384 participants who received vaccines. Information on vaccination history, administered vaccines and vaccination guidelines were analyzed. Descriptive and bivariate analyzes were performed using simple logistic regression (unadjusted Odds Ratio). RESULTS: guidelines on events (PR=1.8; p=0.001) and conducts regarding their occurrence (PR=1.7; p=0.001) are activities that influence adverse event following immunization surveillance. More than half of participants did not receive guidance on the vaccines administered, the events and the conduct in case of an occurrence. Only 38.5% were instructed about the vaccines administered and 40.6% about adverse events. In the presence of an event, 29.9% reported that they sought services for notification. CONCLUSIONS: proper screening, providing guidance on vaccines and adverse events are essential preventive measures to strengthen adverse event following immunization surveillance.

Permanent education in the vaccination room: what is the reality?

OBJECTIVE: To understand, from the perspective of the professional, the Permanent Education (PE) in the vaccination room in its real context. METHOD: Multiple holistic-qualitative case studies, based on Maffesoli's Interpretive Sociology with 56 participants from four microregions of the Western Extended Region of Minas Gerais State. RESULTS: They present PE as infrequent and insufficient. They denote that the practical-theoretical experience with vaccine contributes to the work; the search for knowledge, starting from the professional itself; and the professional training fails to perform in the vaccination room. FINAL CONSIDERATIONS: The notions of PE are linked to the daily needs of individuals and services, with indication of being interactive, periodic, in specific and non-global issues for better assimilation. Obstacles to the non-implementation of PEH are realized by the workload associated with insufficient human resources, the distance of the nurses from the vaccination room and the lack of support from the higher levels.

The influence of nursing team's behavior in adverse event following immunization surveillance / Influencia del comportamiento del equipo de enfermería en la vigilancia de eventos adversos posvacunación / A influência das condutas da equipe de enfermagem na vigilância de eventos adversos pós-vacinação

ABSTRACT Objectives: to analyze the effects of nursing professionals' behavior in adverse event following immunization surveillance. Methods: a cross-sectional study of 384 participants who received vaccines. Information on vaccination history, administered vaccines and vaccination guidelines were analyzed. Descriptive and bivariate analyzes were performed using simple logistic regression (unadjusted Odds Ratio). Results: guidelines on events (PR=1.8; p=0.001) and conducts regarding their occurrence (PR=1.7; p=0.001) are activities that influence adverse event following immunization surveillance. More than half of participants did not receive guidance on the vaccines administered, the events and the conduct in case of an occurrence. Only 38.5% were instructed about the vaccines administered and 40.6% about adverse events. In the presence of an event, 29.9% reported that they sought services for notification. Conclusions: proper screening, providing guidance on vaccines and adverse events are essential preventive measures to strengthen adverse event following immunization surveillance.

RESUMEN Objetivos: analizar los efectos del comportamiento de los profesionales de enfermería en la vigilancia de eventos adversos posvacunación. Métodos: estudio transversal con 384 participantes que recibieron vacunas. Se analizó la información sobre el historial de vacunación, las vacunas administradas y las pautas de vacunación. Se realizaron análisis descriptivos y bivariados mediante regresión logística simple (Odds Ratio no ajustada). Resultados: las guías sobre eventos (RP=1,8; p=0,001) y las conductas en cuanto a su ocurrencia (RP=1,7; p=0,001) son actividades que influyen en la vigilancia de eventos adversos tras la vacunación. Más de la mitad de los participantes no recibieron orientación sobre las vacunas administradas, los eventos y la conducta en caso de ocurrencia. Solo el 38,5% recibió instrucciones sobre las vacunas administradas y el 40,6% sobre los eventos adversos. Ante la presencia del evento, el 29,9% informó que solicitó servicios de notificación. Conclusiones: realizar un cribado adecuado, orientar sobre las vacunas y los eventos adversos son medidas preventivas fundamentales para fortalecer la vigilancia de los eventos adversos posvacunación.

RESUMO Objetivos: analisar os efeitos das condutas dos profissionais de enfermagem na vigilância de eventos adversos pós-vacinação. Métodos: estudo transversal, com 384 participantes que receberam vacinas. Analisadas informações de antecedentes vacinais, vacinas administradas e orientações sobre vacinação. Realizadas análises descritivas e bivariada, por meio de regressão logística simples (Odds Ratio não ajustada). Resultados: as orientações sobre os eventos (RP=1.8; p=0,001) e as condutas frente a sua ocorrência (RP=1.7; p=0,001) são atividades que influenciam a vigilância dos eventos adversos pós-vacinação. Mais da metade dos participantes não recebeu orientações sobre as vacinas administradas, os eventos e as condutas em caso de ocorrência. Somente 38,5% foram orientados sobre as vacinas administradas e 40,6%, sobre os eventos adversos. Na presença do evento, 29,9% relataram que procuraram os serviços para notificação. Conclusões: realizar triagem adequada, orientar a respeito das vacinas e dos eventos adversos são medidas preventivas essenciais para fortalecer a vigilância de eventos adversos pós-vacinação.

Permanent education in the vaccination room: what is the reality? / Educación permanente en sala de vacuna: ¿cuál es la realidad? / Educação permanente em sala de vacina: qual a realidade?

ABSTRACT Objective: To understand, from the perspective of the professional, the Permanent Education (PE) in the vaccination room in its real context. Method: Multiple holistic-qualitative case studies, based on Maffesoli's Interpretive Sociology with 56 participants from four microregions of the Western Extended Region of Minas Gerais State. Results: They present PE as infrequent and insufficient. They denote that the practical-theoretical experience with vaccine contributes to the work; the search for knowledge, starting from the professional itself; and the professional training fails to perform in the vaccination room. Final considerations: The notions of PE are linked to the daily needs of individuals and services, with indication of being interactive, periodic, in specific and non-global issues for better assimilation. Obstacles to the non-implementation of PEH are realized by the workload associated with insufficient human resources, the distance of the nurses from the vaccination room and the lack of support from the higher levels.

RESUMEN Objetivo: Comprender, bajo la óptica del profesional, la Educación Permanente (EP) en sala de vacuna en su contexto real. Método: Estudio de casos múltiples holístico-cualitativo, fundamentado en la Sociología Comprensiva del Cotidiano con 56 participantes de cuatro microrregiones de la Región Ampliada Oeste de Minas Gerais. Resultados: Presentan la EP como poco frecuente e insuficiente. Denotan que la experiencia práctico-teórica con vacuna contribuye con el trabajo, la búsqueda del conocimiento partiendo del propio profesional y la formación profesional falla para la actuación en sala de vacuna. Consideraciones finales: Los conceptos de EP están ligadas a las necesidades cotidianas individuales y de los servicios, con indicios de ser interactiva, periódica, en temas puntuales y no globales para una mejor asimilación. Los obstáculos para la no realización de la EPS se concretan en la sobrecarga de trabajo asociada a los recursos humanos insuficientes, el distanciamiento del enfermero de la sala de vacuna y la falta de apoyo de las instancias superiores.

RESUMO Objetivo: Compreender, sob a ótica do profissional, a Educação Permanente (EP) em sala de vacina em seu contexto real. Método: Estudo de casos múltiplos holístico-qualitativo, fundamentado na Sociologia Compreensiva do Cotidiano com 56 participantes de quatro microrregiões da Região Ampliada Oeste de Minas Gerais. Resultados: Apresentam a EP como pouco frequente e insuficiente. Denotam que a experiência prático-teórica com vacina contribui com o trabalho, a busca do conhecimento partindo do próprio profissional e a formação profissional falha para atuação em sala de vacina. Considerações finais: As noções de EP vêm atreladas às necessidades cotidianas individuais e dos serviços, com indicação de ser interativa, periódica, em temas pontuais e não globais para melhor assimilação. Os entraves para não realização da EPS se concretizam na sobrecarga de trabalho associada a recursos humanos insuficientes, o distanciamento do enfermeiro da sala de vacina e a falta de apoio das instâncias superiores.