Compliance with central venous catheter infection prevention practices after intervention with simulation.

OBJECTIVES: to assess the effect of an educational intervention based on clinical simulation on nursing professionals' compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit. METHODS: a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted. RESULTS: after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique. CONCLUSIONS: the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.

Compliance with central venous catheter infection prevention practices after intervention with simulation / Cumplimiento de las prácticas de prevención de infecciones del catéter venoso central después de una intervención simulada / Adesão às práticas de prevenção de infecção de cateter venoso central após intervenção com simulação

ABSTRACT Objectives: to assess the effect of an educational intervention based on clinical simulation on nursing professionals' compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit. Methods: a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted. Results: after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique. Conclusions: the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.

RESUMEN Objetivos: evaluar el efecto de una intervención educativa basada en simulación clínica sobre la adherencia de profesionales de enfermería a prácticas de prevención de infecciones primarias del torrente sanguíneo asociadas a catéteres venosos centrales de inserción periférica en una Unidad de Cuidados Intensivos Neonatales. Métodos: estudio cuasiexperimental, con evaluación pre y postintervención con un solo grupo. La población estuvo constituida por 41 profesionales de enfermería, realizándose 31 observaciones antes y después de la intervención. Los análisis se realizaron utilizando estadística descriptiva y la prueba no paramétrica de McNemar. Se adoptó un nivel de significancia del 5%. Resultados: después de la intervención, hubo aumento en la adherencia a las prácticas de prevención de antisepsia quirúrgica e higiene profesional de manos, antisepsia cutánea con clorhexidina, espera del tiempo del efecto de la clorhexidina alcohólica y cumplimiento de la técnica estéril. Conclusiones: la intervención educativa mostró un efecto en el aumento de la adherencia a las prácticas de prevención de infecciones asociadas al catéter.

RESUMO Objetivos: avaliar o efeito de uma intervenção educativa pautada em simulação clínica na adesão de profissionais de enfermagem às práticas de prevenção de infecções primárias de corrente sanguínea associadas ao cateter venoso central de inserção periférica em Unidade de Terapia Intensiva Neonatal. Métodos: estudo quase-experimental, com avaliação pré e pós-intervenção com um grupo único. A população foi de 41 profissionais de enfermagem, sendo realizadas 31 observações antes e após intervenção. As análises foram por meio de estatística descritiva e pelo Teste Não Paramétrico de McNemar. Adotou-se um nível de significância de 5%. Resultados: após a intervenção, houve aumento da adesão às práticas de prevenção de antissepsia cirúrgica e higiene das mãos do profissional, antissepsia da pele com clorexidina, espera do tempo do efeito da clorexidina alcoólica e cumprimento da técnica estéril. Conclusões: a intervenção educativa mostrou efeito no aumento da adesão às práticas de prevenção da infecção associadas ao cateter.

Involvement of companions in patient safety in pediatric and neonatal units: scope review.

OBJECTIVES: to describe scientific evidence on the involvement of companions in patient safety, from their own perspective and health professionals' perspective in neonatal and pediatric units. METHODS: scoping review carried out according to The Joanna Briggs Institute's recommendations, in eight databases, following the Preferred Reporting Items checklist for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist, between 2011 and 2021. RESULTS: the 13 studies included highlighted the importance of companions' involvement in patient safety and the prevention of adverse events. However, they pointed out failures in communication and weakness in the training of professionals, which were obstacles to their involvement. The strengthening of health education, multidisciplinary rounds and educational technologies were highlighted as strategies to expand the involvement of companions. FINAL CONSIDERATIONS: this study directs elements for health professionals and managers to rethink the companions' role in patient safety and development of collective strategies.

Involvement of companions in patient safety in pediatric and neonatal units: scope review / Implicación de los acompañantes en la seguridad del paciente de unidades pediátricas y neonatales: revisión de alcance / Envolvimento dos acompanhantes na segurança do paciente em unidades pediátricas e neonatais: revisão de escopo

ABSTRACT Objectives: to describe scientific evidence on the involvement of companions in patient safety, from their own perspective and health professionals' perspective in neonatal and pediatric units. Methods: scoping review carried out according to The Joanna Briggs Institute's recommendations, in eight databases, following the Preferred Reporting Items checklist for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist, between 2011 and 2021. Results: the 13 studies included highlighted the importance of companions' involvement in patient safety and the prevention of adverse events. However, they pointed out failures in communication and weakness in the training of professionals, which were obstacles to their involvement. The strengthening of health education, multidisciplinary rounds and educational technologies were highlighted as strategies to expand the involvement of companions. Final Considerations: this study directs elements for health professionals and managers to rethink the companions' role in patient safety and development of collective strategies.

RESUMEN Objetivos: describir la evidencia científica sobre la implicación de los acompañantes en la seguridad del paciente, desde la perspectiva del susodicho y de los profesionales sanitarios de las unidades neonatales y pediátricas. Métodos: es una revisión de alcance realizada entre 2011 y 2021 en ocho bases de datos, según las recomendaciones del Instituto Joanna Briggs y siguiendo la lista de verificación Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Resultados: se incluyeron 13 estudios que demuestran la importancia de la implicación en la seguridad del paciente y en la prevención de eventos adversos. Sin embargo, se han detectado grietas en la comunicación y fragilidad en la formación de los profesionales, lo que dificulta dicha implicación. El fortalecimiento de la educación en salud, las rondas multidisciplinares y las tecnologías educativas se destacaron como estrategias para ampliar el envolvimiento de los acompañantes. Consideraciones Finales: Este estudio dirige elementos para que profesionales de la salud y gerentes reconsideren el papel de los acompañantes en la seguridad del paciente y desarrollo de estrategias colectivas.

RESUMO Objetivos: descrever evidências científicas sobre o envolvimento dos acompanhantes na segurança do paciente, na perspectiva desses e dos profissionais de saúde em unidades neonatais e pediátricas. Métodos: revisão de escopo realizada segundo recomendações do The Joanna Briggs Institute, em oito bases de dados, seguindo o checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews, entre 2011 e 2021. Resultados: os 13 estudos incluídos evidenciaram a importância do envolvimento do acompanhante na segurança do paciente e na prevenção de eventos adversos. Entretanto, apontaram falhas na comunicação e fragilidade na formação dos profissionais, sendo esses dificultadores para o envolvimento. O fortalecimento da educação em saúde, rounds multidisciplinares e tecnologias educativas foram destacadas como estratégias para ampliar o envolvimento dos acompanhantes. Considerações Finais: esse estudo direciona elementos para que profissionais de saúde e gestores repensem a atuação do acompanhante na segurança do paciente e desenvolvam estratégias coletivas.