Educational technologies for teaching hand hygiene: Systematic review.

AIM: To gather available scientific evidence on technologies used to teach hand hygiene to professional populations and lays involved in health care in the hospital setting. This systematic review was designed as proposed by Preferred Reporting Items for Systematic Reviews and Meta-Analysis, included studies reporting primary, original, quantitative research findings with no date limit and written in English, Spanish or Portuguese. The search was performed in the following electronic databases: Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica dataBASE, Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine, Scopus, Web of Science, Google Scholar and ProQuest. The eligibility criteria were applied independently by two reviewers to select the studies, first by reading the titles and abstracts on the Rayyan platform and then by full text reading of the eligible studies. After a descriptive analysis, the studies were subjected to critical evaluation of their methodological quality using JBI tools. RESULTS: Seven studies were included, addressing various methods for teaching hand hygiene using different technological resources, such as audiovisual electronic devices, videos, virtual reality, and gamification using tablets and smartphones, in different populations. CONCLUSION: Using technologies to teach hand hygiene considerably helps patients, visitors, and relatives in learning the procedures and efficiently improves hand hygiene compliance rates among healthcare professionals, creating evidence-based repetitive learning opportunities for patients and caregivers.

Prevalence of adverse events in pronated intubated adult COVID-19 patients: A systematic review with meta-analysis.

AIM: To present the pooled estimated prevalence of adverse events in pronated intubated adult COVID-19 patients. DESIGN: A systematic review and meta-analysis. DATA SOURCES: This study used the Cochrane Library, CINAHL, Embase, LILACS, Livivo, PubMed, Scopus, and Web of Science databases as data sources. METHODS: The studies were meta-analysed using JAMOVI 1.6.15 software. A random-effects model was used to identify the global prevalence of adverse events, confidence intervals and the heterogeneity data. Risk of bias was assessed using the Joanna Briggs Institute tool, and the certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. RESULTS: Of the 7904 studies identified, 169 were included for full reading, and 10 were included in the review. The most prevalent adverse events were pressure injuries (59%), haemodynamic instability (23%), death (17%) and device loss or traction (9%). CONCLUSION: The most prevalent adverse events in mechanically ventilated pronated patients with COVID-19 are pressure injuries, presence of haemodynamic instability, death and device loss or traction. IMPLICATIONS FOR THE PATIENT CARE: The evidence identified in this review can help improve the quality and safety of patient care by helping to design care protocols to avoid the development of adverse events that can cause permanent sequelae in these patients. IMPACT: This systematic review addressed the adverse events related to prone position in intubated adult COVID-19 patients. We identified that the most prevalent adverse events in these patients were pressure injuries, haemodynamic instability, device loss or traction and death. The results of this review may influence the clinical practice of nurses who work in intensive care units and, consequently, the nursing care provided not only to COVID-19 patients but for all intubated patients due to other reasons in intensive care units. REPORTING METHOD: This systematic review adhered to the PRISMA reporting guideline. PATIENT OR PUBLIC CONTRIBUTION: As this is a systematic review, we analysed data from primary studies conducted by many researchers. Thus, there was no patient or public contribution in this review.

Cateterismo urinário e as técnicas para prevenção de hematúria: revisão integrativa / Cateterismo urinario y las técnicas para prevención de hematuria: revisión integradora / Urinary catheterization and techniques for preventing hematuria: integrative review

Resumo Objetivo Analisar e sintetizar as evidências científicas disponíveis sobre o cateterismo urinário e as técnicas utilizadas para prevenir a hematúria no esvaziamento da bexiga, na retenção urinária aguda e crônica, em adultos e idosos. Métodos Revisão integrativa realizada nas bases de dados Pubmed, LILACS, Embase, Cochrane, Web of Science e Scopus; e busca manual nas listas de referências dos estudos incluídos. Um período ilimitado foi usado para revisar estudos em português, inglês, francês, alemão e espanhol. Aplicado estratégia PICOS na elaboração da pergunta de pesquisa e instrumento Joanna Briggs Institute (JBI) para avaliar qualidade metodológica dos estudos. Resultados Foram incluídos 11 estudos, com um total de 659 pacientes. A retenção urinária ocorreu principalmente em homens, tendo como principal causa a hiperplasia prostática benigna. As técnicas utilizadas para descompressão vesical, por cateterismo urinário, foram a descompressão rápida e a gradual, sendo as principais complicações, independente da técnica, hematúria e hipotensão. Os resultados mostraram que não houve diferença significativa entre as duas técnicas quanto ao desfecho prevenção da hematúria. Conclusão O esvaziamento gradual da bexiga não previne a hematúria em comparação com o esvaziamento rápido e completo. Mas os estudos, principalmente os relatos de casos, descrevem quadros clínicos que merecem atenção diante da ocorrência de hematúria após cateterismo urinário e as implicações no tratamento dos pacientes. Destaca a importância da enfermagem na identificação e prevenção do diagnóstico de Retenção Urinária, a fim de evitar intervenções posteriores e complicações clínicas, inclusive hematúria pós-cateterismo.

Resumen Objetivo Analizar y sintetizar las evidencias científicas disponibles sobre el cateterismo urinario y las técnicas utilizadas para prevenir la hematuria en el vaciado de la vejiga, en la retención urinaria aguda y crónica en adultos y personas mayores. Métodos Revisión integradora realizada en las bases de datos Pubmed, LILACS, Embase, Cochrane, Web of Science y Scopus y búsqueda manual en las listas de referencias de los estudios incluidos. Se utilizó un período ilimitado para revisar estudios en portugués, inglés, francés, alemán y español. Se aplicó la estrategia PICOS en la elaboración de la pregunta de investigación y el instrumento Joanna Briggs Institute (JIB) para evaluar la calidad metodológica de los estudios. Resultados Se incluyeron 11 estudios con un total de 659 pacientes. La retención urinaria ocurrió principalmente en hombres, principalmente a causa de la hiperplasia prostática benigna. Las técnicas utilizadas para la descompresión vesical por cateterismo urinario fueron la descompresión rápida y la gradual, y las principales complicaciones, independientemente de la técnica, fueron hematuria e hipotensión. Los resultados mostraron que no hubo diferencia significativa entre las dos técnicas respecto al resultado de prevención de la hematuria. Conclusión El vaciado gradual de la vejiga no previene la hematuria en comparación con el vaciado rápido y completo. Sin embargo, los estudios, principalmente los relatos de casos, describen cuadros clínicos que necesitan atención ante los episodios de hematuria después del cateterismo urinario y las consecuencias en el tratamiento de los pacientes. Se destaca la importancia de la enfermería en la identificación y prevención del diagnóstico de retención urinaria, a fin de evitar intervenciones posteriores y complicaciones clínicas, inclusive hematuria poscateterismo.

Abstract Objective Analyze and synthesize the available scientific evidence on urinary catheterization and techniques used to prevent hematuria in bladder emptying and acute and chronic urinary retention in adults and the elderly. Methods This integrative review was carried out in the PubMed, LILACS, Embase, Cochrane, Web of Science, and Scopus databases. Hand searching was used in the reference lists of included studies. An unlimited period was used to review the studies published in Portuguese, English, French, German, and Spanish. The PICOS strategy was applied to develop the research question and the Joanna Briggs Institute (JBI) instrument was used to assess the methodological quality of studies. Results Eleven studies were included, with a total of 659 patients. Urinary retention occurred mainly in men and the main cause was benign prostatic hyperplasia. Rapid and gradual decompressions were the techniques used for bladder decompression by urinary catheterization, and hematuria and hypotension were the main complications regardless of the technique. The results showed that there was no significant difference between the two techniques in terms of the outcome of hematuria prevention. Conclusion Gradual bladder emptying does not prevent hematuria compared to rapid and complete emptying. Case reports describe clinical conditions that deserve attention when hematuria occurs after urinary catheterization and the respective implications in the treatment of patients. We highlight the importance of nursing in identifying and preventing the diagnosis of Urinary Retention to avoid subsequent interventions and clinical complications, including post-catheterization hematuria.

Correlation between time on target and glycated hemoglobin in people with diabetes mellitus: systematic review. / Correlación entre tiempo en rango y hemoglobina glicosilada en personas con diabetes mellitus: revisión sistemática.

to analyze the correlation between time on target and glycated hemoglobin in people living with diabetes mellitus and carrying out continuous blood glucose monitoring or self-monitoring of capillary blood glucose.systematic review of etiology and risk based on JBI guidelines and reported according to Preferred Reporting Items for Systematic Reviews and Meta- Analyses, covering six databases and grey literature. The sample included 16 studies and methodological quality was assessed using JBI tools. Protocol registered in the Open Science Framework, available at https://doi.org/10.17605/OSF.IO/NKMZB.time on target (70-180 mg/dl) showed a negative correlation with glycated hemoglobin, while time above target (>180 mg/dl) showed a positive correlation. Correlation coefficients ranged between -0.310 and -0.869 for time on target, and between 0.66 and 0.934 for time above target. A study was carried out on a population that performed self-monitoring.there is a statistically significant correlation between time on target and time above target with glycated hemoglobin. The higher the proportion in the adequate glycemic range, the closer to or less than 7% the glycated hemoglobin will be. More studies are needed to evaluate this metric with data from self-monitoring of blood glucose.

Correlación entre tiempo en rango y hemoglobina glicosilada en personas con diabetes mellitus: revisión sistemática / Correlation between time on target and glycated hemoglobin in people with diabetes mellitus: systematic review / Correlação entre tempo no alvo e hemoglobina glicada de pessoas com diabetes mellitus: revisão sistemática

Objetivo: analizar la correlación entre el tiempo en rango y la hemoglobina glicosilada de personas que viven con diabetes mellitus y realizan la monitorización continua de la glucemia o el automonitoreo de la glucemia capilar Método: revisión sistemática de etiología y riesgo basada en las directrices del JBI e informada según los Preferred Reporting Items for Systematic Reviews and Meta-Analyses, abarcando seis bases de datos y la literatura gris. La muestra incluyó 16 estudios y la calidad metodológica fue evaluada utilizando las herramientas del JBI. Protocolo registrado en Open Science Framework, disponible en https://doi.org/10.17605/OSF.IO/NKMZB. Resultados: tiempo en rango (70-180 mg/dl) mostró una correlación negativa con la hemoglobina glicosilada, mientras que el tiempo por encima del rango (>180 mg/dl) mostró una correlación positiva. Los coeficientes de correlación variaron entre -0,310 y -0,869 para el tiempo en rango, y entre 0,66 y 0,934 para el tiempo por encima del rango. Un estudio se realizó en una población que hacía el automonitoreo. Conclusión: hay una correlación estadísticamente significativa entre el tiempo en rango y el tiempo por encima del rango con la hemoglobina glicosilada. Cuanto mayor sea la proporción en el rango glucémico adecuado, más cerca o por debajo del 7% estará la hemoglobina glicosilada. Se necesitan más estudios que evalúen esta métrica con datos del automonitoreo de la glucemia.

Objective: to analyze the correlation between time on target and glycated hemoglobin in people living with diabetes mellitus and carrying out continuous blood glucose monitoring or self-monitoring of capillary blood glucose. Method: systematic review of etiology and risk based on JBI guidelines and reported according to Preferred Reporting Items for Systematic Reviews and Meta- Analyses, covering six databases and grey literature. The sample included 16 studies and methodological quality was assessed using JBI tools. Protocol registered in the Open Science Framework, available at https://doi.org/10.17605/OSF.IO/NKMZB. Results: time on target (70-180 mg/dl) showed a negative correlation with glycated hemoglobin, while time above target (>180 mg/dl) showed a positive correlation. Correlation coefficients ranged between -0.310 and -0.869 for time on target, and between 0.66 and 0.934 for time above target. A study was carried out on a population that performed self-monitoring. Conclusion: there is a statistically significant correlation between time on target and time above target with glycated hemoglobin. The higher the proportion in the adequate glycemic range, the closer to or less than 7% the glycated hemoglobin will be. More studies are needed to evaluate this metric with data from self-monitoring of blood glucose.

Objetivo: analisar a correlação entre o tempo no alvo e a hemoglobina glicada de pessoas que vivem com diabetes mellitus e realizam a monitorização contínua da glicemia ou a automonitorização da glicemia capilar. Método: revisão sistemática de etiologia e de risco pautada nas diretrizes do JBI e reportada conforme Preferred Reporting Items for Systematic Reviews and Meta-Analyses, abrangendo seis bases de dados e a literatura cinzenta. A amostra incluiu 16 estudos e a qualidade metodológica foi avaliada utilizando as ferramentas do JBI. Registrado protocolo no Open Science Framework, disponível em https://doi.org/10.17605/OSF.IO/NKMZB. Resultados: tempo no alvo (70-180 mg/dl) apresentou correlação negativa com a hemoglobina glicada, enquanto o tempo acima do alvo (>180 mg/dl) mostrou correlação positiva. Os coeficientes de correlação variaram entre -0,310 e -0,869 para o tempo no alvo, e entre 0,66 e 0,934 para o tempo acima do alvo. Um estudo foi efetuado com população que realizava a automonitorização. Conclusão: há correlação estatisticamente significativa entre o tempo no alvo e o tempo acima do alvo com a hemoglobina glicada. Quanto maior a proporção na faixa glicêmica adequada, mais próxima ou inferior a 7% estará a hemoglobina glicada. São necessários mais estudos que avaliem essa métrica com dados da automonitorização da glicemia.

Textiles impregnated with antimicrobial substances in healthcare services: systematic review.

Background: Antimicrobial textiles have proved to be a promising biosafety strategy. Thus, the current study was focused on identifying which antimicrobial substances impregnated in textiles used in healthcare services confer efficacy in reducing the microbial load present in these textiles and/or the Healthcare-Associated Infection (HAI) rates, when compared to conventional textiles. Methods: A systematic review of intervention studies using MEDLINE via the PubMed portal, EMBASE, CINAHL, Web of Science, Scopus, Google Scholar and medRxiv. The studies identified were selected according to eligibility criteria and submitted to data extraction and methodological quality evaluation through Joanna Briggs Institute specific tools. The outcomes were synthesized qualitatively. Results: 23 studies were selected to comprise the final sample, in which antimicrobial textiles were used by hospitalized patients, by health professionals during work shifts and in inanimate healthcare environments. Conclusions: Copper, silver, zinc oxide, titanium and silver-doped titanium impregnated in textiles used by patients confer efficacy in reducing the microbial load of these textiles and/or the HAI rates. Quaternary ammonium, chlorhexidine, silver and copper together, quaternary ammonium, alcohols and isothiazolone derivatives together, chitosan and dimethylol dimethyl hydantoin together, all impregnated in textiles used by health professionals confer efficacy in reducing the microbial load of these textiles. Quaternary ammonium impregnated in textiles used in inanimate healthcare environments confers efficacy in reducing the microbial load of these textiles.

Bed bath protocol for infection reduction: a quasi-experimental study / Protocolo de higiene de pacientes en la cama para reducir infecciones: estudio cuasiexperimental / Protocolo de banho no leito para redução de infecções: estudo quase experimental

ABSTRACT Objective: To analyze the effect of implementing a bed bath protocol in relation to infection-free time and the prevalence of Healthcare-Associated Infections. Method: A quasi-experimental study with a comparison between two groups. In the Control Group, the data were retrospectively collected between January and April 2018. Implementation of the bed bath protocol in an Intensive Care Unit took place from May to October 2018. Data from the Intervention Group were collected from November 2018 to February 2019 through daily follow-up during the hospitalization period. Results: There were 157 participants in the Control Group and 169 in the Intervention Group, with a mean age of 56 and 54 years old, respectively, and majority of male individuals. The occurrence of Healthcare-Associated Infections was higher in the Control Group (n=32; 20.4%) compared to the Intervention Group (n=10; 5.9%), which presented a 2.86 times lower risk of developing Healthcare-Associated Infections (p<0.01). The Intervention Group presented a longer infection-free time when compared to the Control Group, which had a mean of 2.46 times higher risk of developing infections in the Intensive Care Unit (95%CI: 1.18; 5.11). Conclusion: The study provides support for standardizing the bed bath technique and to preventing health-care associated infections. There is a limitation in generalization of the results, as the groups come from a quasi-experimental before-after design with a non-equivalent Control Group due to the absence of random distribution in the compared groups.

RESUMEN Objetivo: analizar el efecto de implementar un protocolo de higiene de pacientes en la cama en relación con el tiempo sin infección y la prevalencia de Infecciones Relacionadas con la Atención de la Salud. Método: estudio cuasi experimental con comparación entre dos grupos. En el Grupo Control, los datos se recolectaron retrospectivamente entre enero y abril de 2018. La implementación del protocolo de higiene de pacientes en la cama de una Unidad de Cuidados Intensivos tuvo lugar entre mayo y octubre de 2018. Los datos del Grupo Intervención se recolectaron entre noviembre de 2018 y febrero de 2019 por medio del seguimiento diario durante el período de internación. Resultados: hubo 157 participantes en el Grupo Control y 169 en el Grupo Intervención, con una media de edad de 56 y 54 años, respectivamente, y la mayoría del sexo masculino. La incidencia de Infecciones Relacionadas a la Atención de la Salud fue mayor en el Grupo Control (n=32; 20,4%) que en el Grupo Intervención (n=10; 5,9%), y este último presentó 2,86 veces menos riesgo de desarrollar Infecciones Relacionadas a la Atención de la Salud (p<0,01). El Grupo Intervención presentó mayor tiempo sin infección en comparación con el Grupo Control, cuyos participantes tuvieron un promedio de 2,46 veces mayor riesgo de desarrollar infecciones en la Unidad de Cuidados Intensivos (IC95%: 1,18; 5,11). Conclusión: el estudio ofrece aportes para estandarizar la técnica de higiene de pacientes en la cama y prevenir infecciones relacionadas con la atención de la salud. Existe cierta limitación en cuanto a la generalización de los resultados, puesto que los grupos provienen de un diseño cuasiexperimental del tipo "antes-después" con un Grupo Control no equivalente, debido a la ausencia de distribución aleatoria en los grupos comparados.

RESUMO Objetivo: Analisar o efeito da implementação de um protocolo de banho no leito em relação ao tempo livre de infecção e à prevalência de Infecção Relacionada à Assistência à Saúde. Método: Estudo quase experimental, com comparação entre dois grupos. No grupo controle, os dados foram coletados retrospectivamente entre janeiro e abril de 2018. A implementação do protocolo de banho no leito em uma Unidade de Terapia Intensiva ocorreu de maio a outubro de 2018. Os dados do grupo intervenção foram coletados de novembro de 2018 a fevereiro de 2019, por meio do acompanhamento diário durante o período de internação. Resultados: 157 participantes no grupo controle e 169 no grupo intervenção, com média de idade de 56 e 54 anos, respectivamente, sendo a maioria do sexo masculino. A ocorrência de Infecção Relacionada à Assistência à Saúde foi maior no grupo controle (n=32; 20,4%) comparado ao grupo intervenção (n=10; 5,9%), este que apresentou 2,86 menor risco de desenvolver Infecção Relacionada à Assistência à Saúde (p<0,01). O grupo intervenção apresentou maior tempo livre de infecção comparado ao grupo controle, estes que tem, em média, 2,46 vezes maior risco de desenvolver infecção na Unidade de Terapia Intensiva (IC95% 1,18; 5,11). Conclusão: O estudo oferece subsídios para padronização da técnica do banho no leito e prevenção de infecções relacionadas à assistência à saúde. Há limitação na generalização dos resultados, pois os grupos são oriundos de um delineamento quase experimental antes-depois com grupo controle não equivalente, devido à ausência de distribuição aleatória nos grupos comparados.

Lock terapia na prevenção e tratamento da infecção da corrente sanguínea associada ao cateter vascular: revisão integrativa / Terapia de bloqueo en la prevención y tratamiento de infecciones del torrente sanguíneo asociadas al catéter vascular: revisión integradora / Lock therapy in prevention and treatment of catheter-associated bloodstream infection: integrative review

Resumo Objetivo Sintetizar o conhecimento sobre o uso da lock terapia na prevenção e no tratamento da infecção da corrente sanguínea associada ao dispositivo de acesso vascular central de longa permanência em pacientes adultos e idosos hospitalizados. Métodos Revisão integrativa com busca nas bases de dados CINAHL, Cochrane Central, Embase, LILACS, PubMed, Scopus e Web of Science, no período de 1º janeiro de 2010 a 28 de setembro de 2021 sem restrições de idioma. Os dados foram analisados de forma descritiva. Resultados Foram identificados 16 estudos sendo seis (37,5%) sobre o uso da lock terapia como prevenção de infecção associada ao dispositivo de acesso vascular central e dez (62,5%) sobre tratamento. Os artigos sobre prevenção relataram o uso de soluções não antibióticas. Nove dos dez estudos que abordaram a lock terapia como tratamento, utilizaram soluções antibióticas. Dois estudos avaliaram a eficácia da lock terapia em curta duração (de três a quatro dias), sete em maior duração (entre 10 e 14 dias) e um não especificou a duração. Cada estudo descreveu uma técnica de intervenção e o tempo de permanência da solução intraluminal. Em relação ao risco de viés, foram avaliados como baixo risco: cinco ensaios clínicos randomizados, dois ensaios clínicos sem randomização e oito estudos observacionais. Apenas um estudo observacional foi classificado como risco moderado. Conclusão Na prevenção, identificou-se o uso de soluções não antibióticas como o etanol. Para o tratamento, foi utilizada a daptomicina endovenosa. Enquanto os estudos incluídos nessa revisão sobre prevenção não demonstraram evidência estatística, os dez estudos sobre tratamento demonstraram que a lock terapia é um complemento eficaz ao tratamento sistêmico, apresentando boas taxas de salvamento do cateter.

Resumen Objetivo Sintetizar el conocimiento sobre el uso de la terapia de bloqueo en la prevención y tratamiento de infecciones del torrente sanguíneo asociadas al dispositivo de acceso vascular central de larga permanencia en pacientes adultos y adultos mayores hospitalizados. Métodos Revisión integradora con búsqueda en las bases de datos CINAHL, Cochrane Central, Embase, LILACS, PubMed, Scopus y Web of Science, en el período del 1 de enero de 2010 al 28 de septiembre de 2021 sin restricción de idioma. Los datos fueron analizados de forma descriptiva. Resultados Se identificaron 16 estudios, de los cuales seis (37,5 %) trataban sobre el uso de la terapia de bloqueo como prevención de infecciones asociadas al dispositivo de acceso vascular central y diez (62,5 %) sobre tratamiento. En los artículos sobre prevención se relató el uso de soluciones no antibióticas. En nueve de los diez estudios que abordaban la terapia de bloqueo como tratamiento, se utilizaron soluciones antibióticas. En dos estudios se evaluó la eficacia de la terapia de bloqueo de corta duración (de tres a cuatro días), siete de mayor duración (entre 10 y 14 días) y uno sin especificar la duración. En cada estudio se describió una técnica de intervención y el tiempo de permanencia de la solución intraluminal. Con relación al riesgo de sesgo, fueron evaluados con riesgo bajo: cinco ensayos clínicos aleatorizados, dos ensayos clínicos no aleatorizados y ocho estudios observacionales. Solo un estudio observacional fue clasificado con riesgo moderado. Conclusión Para la prevención, se identificó el uso de soluciones no antibióticas como el etanol. Para el tratamiento, se utilizó la daptomicina intravenosa. Aunque los estudios incluidos en esta revisión sobre prevención no hayan demostrado evidencia estadística, los diez estudios sobre tratamiento demostraron que la terapia de bloqueo es un complemento eficaz para el tratamiento sistémico y presentó buenos índices de salvamento del catéter.

Abstract Objective To synthesize knowledge on the use of lock therapy for prevention and treatment of long-term central vascular access devices-associated bloodstream infection in hospitalized adult and elderly patients. Methods Integrative review conducted in CINAHL, Cochrane Central, Embase, LILACS, PubMed, Scopus, and Web of Science databases, from January 1st, 2010 to September 28th, 2021, without language restrictions. Data were analyzed descriptively. Results Sixteen studies were identified, six (37.5%) on the use of lock therapy for prevention of bloodstream infection associated with central vascular access devices, and ten (62.5%) on treatment. The articles on prevention reported the use of non-antibiotic solutions. Nine of the ten studies that addressed lock therapy as treatment used antibiotic solutions. Two studies assessed the effectiveness of lock therapy in a short duration (three to four days), seven in a longer duration (between 10 and 14 days), and one did not specify the length of time. Each study described an intervention technique and the length of stay of the intraluminal solution. Regarding the risk of bias, five randomized clinical trials, two non-randomized clinical trials, and eight observational studies were rated as low risk. Only one observational study was classified as moderate risk. Conclusion The use of non-antibiotic solutions such as ethanol was identified for prevention of bloodstream infection. For treatment, intravenous daptomycin was used. While the studies included in this review on prevention did not show statistical evidence, the ten studies on treatment demonstrated that lock therapy is an effective complement to systemic treatment, showing good catheter salvage rates.

Uso do dispositivo Pegfilgrastim OBI para prevenção de neutropenia: revisão de escopo / Uso del dispositivo Pegfilgrastim OBI para prevenir la neutropenia: revisión de alcance / Pegfilgrastim OBI device use for neutropenia prevention: a scoping review

Resumo Objetivo Mapear os cuidados em saúde do dispositivo Pegfilgrastim on-body injector na prevenção de neutropenia em adultos com câncer em assistência domiciliar após quimioterapia ambulatorial. Métodos Revisão de escopo baseada na metodologia do Joanna Briggs Institute . Foram incluídos somente estudos com adultos com câncer submetidos à quimioterapia ambulatorial. A busca foi realizada nas bases de dados Cochrane, CINAHL, EMBASE, LILACS , PubMed, Scopus, LIVIVO e Web of Science, além da literatura cinzenta ProQuest, Scielo, Banco de Dados em Enfermagem, Google Scholar, Open Grey, bula do medicamento e websites . Foram esgotadas as buscas nas referências dos estudos elegidos. Todos os estudos identificados foram exportados para o gerenciador de referências EndNote para organização e remoção das duplicadas. Utilizou-se o aplicativo web Rayyan para seleção das evidências. Os estudos foram selecionados por pares e de forma independente, sendo os conflitos solucionados por um terceiro pesquisador. Resultados Foram incluídos 10 artigos cujos resultados foram subdivididos nas categorias: adesão do paciente, opinião da equipe de saúde, carga de trabalho do paciente em tratamento do câncer e uso do dispositivo na prática clínica. O dispositivo apresenta poucas falhas e foi aceito pelas equipes de saúde e pacientes na maioria dos estudos. Conclusão Os principais cuidados em saúde para o uso do dispositivo Pegfilgrastim on-body injector estão relacionados à técnica de preparo da pele onde o dispositivo será aplicado, o preparo e a administração do dispositivo. Além disso, salienta-se a importância da avaliação do conhecimento do paciente e seu familiar sobre o dispositivo, o fornecimento de todas as orientações necessárias, verbalmente e por escrito, de forma clara e objetiva, e a validação dessas informações, certificando-se que o paciente compreendeu todas elas e está seguro.

Resumen Objetivo Mapear los cuidados de la salud al utilizar el dispositivo Pegfilgrastim on-body injector para prevenir la neutropenia en adultos con cáncer en atención domiciliaria después de quimioterapia ambulatoria. Métodos Revisión de alcance basada en la metodología del Joanna Briggs Institute . Se incluyeron solamente estudios con adultos con cáncer sometidos a quimioterapia ambulatoria. La búsqueda se realizó en las bases de datos Cochrane, CINAHL, EMBASE, LILACS , PubMed, Scopus, LIVIVO y Web of Science, además de la literatura gris ProQuest, Scielo, Banco de Datos de Enfermería, Google Scholar, Open Grey, prospecto del medicamento y sitios web. Se concluyeron las búsquedas en las referencias de los estudios seleccionados. Todos los estudios identificados se exportaron al programa de gestión de referencias EndNote para organizarlas y remover las duplicadas. Se utilizó la aplicación web Rayyan para seleccionar las evidencias. Se seleccionaron los estudios por pares y de forma independiente, y los conflictos se solucionaron mediante un tercer investigador. Resultados Se incluyeron diez artículos cuyos resultados fueron subdivididos en las siguientes categorías: adhesión del paciente, opinión del equipo de salud, carga de trabajo del paciente en tratamiento de cáncer y uso del dispositivo en la práctica clínica. El dispositivo presenta pocas fallas y fue aceptado por los equipos de salud y por los pacientes en la mayoría de los estudios. Conclusión Los principales cuidados de la salud para el uso del dispositivo Pegfilgrastim on-body injector se relacionan con la técnica de preparación de la piel donde se aplicará el dispositivo, la preparación y la administración del dispositivo. Además, se destaca la importancia de la evaluación de conocimientos del paciente y su familiar sobre el dispositivo, la entrega de todas las instrucciones necesarias, verbalmente y por escrito, de forma clara y objetiva, la validación de la información y la verificación de que el paciente haya comprendido todo y esté seguro.

Abstract Objective To map the health care of Pegfilgrastim On-body Injector in neutropenia prevention in adults with cancer in home care after outpatient chemotherapy. Methods This is a scoping review based on the JBI methodology. Only studies with adults with cancer undergoing outpatient chemotherapy were included. The search was carried out in the Cochrane, CINAHL, EMBASE, LILACS, PubMed, Scopus, LIVIVO and Web of Science databases, in addition to gray literature ProQuest, SciELO, Database in Nursing, Google Scholar, Open Grey, drug leaflet and websites. The searches in the references of selected studies were exhausted. All identified studies were exported to the EndNote reference manager for organization and removal of duplicates. The Rayyan web application was used for evidence selection. The studies were selected by pairs independently, with conflicts resolved by a third researcher. Results A total of 10 articles were included, whose results were subdivided into categories: patient compliance, health team opinion, patient workload in cancer treatment and device use in clinical practice. The device has few flaws and was accepted by health care teams and patients in most studies. Conclusion The main health care for Pegfilgrastim On-body Injector use is related to the skin preparation technique where the device will be applied, in addition to device preparation and administration. Moreover, the importance of assessing the knowledge of patients and their family about the device is highlighted, providing all the necessary guidelines, verbally and in writing, clearly and objectively, and validating this information, making sure that patients have understood all of them and are safe.

Resiliência em pessoas idosas diante da pandemia COVID-19: revisão integrativa / Resiliencia en personas mayores ante la pandemia de COVID-19: revisión integradora / Resilience in older adults in the face of the COVID-19 pandemic: an integrative review

Resumo Objetivo Analisar o conhecimento produzido na literatura científica sobre a resiliência de pessoas idosas diante da pandemia COVID-19. Método Revisão integrativa da literatura com estudos primários publicados na íntegra, em Portugues, Ingles e/ou Espanhol, entre 2020 e 2022 nas bases de dados PubMed, EMBASE, LILACS, Web of Science e PsycINFO-APA. Os artigos foram exportados para o sistema Rayyan, os estudos selecionados foram lidos e inseridos em um instrumento cujos dados extraídos foram: autores, ano, objetivo,tipo de estudo, amostra, média da idade, resiliência, principais resultados e conclusão. Na avaliação crítica para determinar a qualidade metodológica e nível de evidência, para estudos qualitativos utilizou-se o Guidelines for Critical Review Form: Qualitative Studies , para quantitativos o Guideline Critical Review Form for Quantitative Studies e estudos mistos o Mixed Methods Appraisal Tool . Resultados Correspondem à análise final dos nove artigos publicados. Sobre às estratégias de enfrentamento, destacam-se atividades físicas, sendo estas, caminhadas, Tai-chi , corridas, exercícios de resistência e ciclismo; o uso da tecnologia de comunicação, como jogos, site de videos, teleconferencias, assistir TV e o uso de aplicativos de comunicação e as atividades de lazer, como a leitura, tocar instrumentos musicais, meditação, a arte de costura, jardinagem e pintura e estilo de vida, mantendo-se ocupado, busca de apoio social, se alimentar saudável e a manutenção de rotinas domésticas. Conclusão As pessoas idosas foram relativamente resilientes durante essa pandemia. A resiliência foi fator importante para a manutenção do bem-estar e qualidade de vida dessa população, com destaque para a prática de atividade física e o uso de tecnologias.

Resumen Objetivo Analizar el conocimiento producido en la literatura científica sobre la resiliencia de personas mayores ante la pandemia de COVID-19. Métodos Revisión integradora de la literatura con estudios primarios publicados en su totalidad, en portugués, inglés o español, entre 2020 y 2022, en las bases de datos PubMed, EMBASE, LILACS, Web of Science y PsycINFO-APA. Se exportaron los artículos al sistema Rayyan, se leyeron los estudios seleccionados y se ingresaron en un instrumento cuyos datos extraídos fueron: autores, año, objetivo, tipo de estudio, muestra, promedio de edad, resiliencia, resultados principales y conclusión. En la evaluación crítica para determinar la calidad metodológica y nivel de evidencia, se utilizó, para estudios cualitativos, el instrumento Guidelines for Critical Review Form: Qualitative Studies , para cuantitativos, el Guideline Critical Review Form for Quantitative Studies y para estudios mixtos, el Mixed Methods Appraisal Tool . Resultados Nueve artículos publicados conformaron el análisis final. Sobre las estrategias de afrontamiento, se destacan las actividades físicas, como caminatas, Tai-chi , correr, ejercicios de resistencia y ciclismo; el uso de la tecnología de la comunicación, como juegos, páginas de videos, teleconferencias, mirar televisión y el uso de aplicaciones de comunicación y actividades recreativas, como lectura, tocar instrumentos musicales, meditación, arte de costura, jardinería y pintura y estilo de vida, mantenerse ocupado, buscar apoyo social, alimentarse de forma saludable y mantener rutinas domésticas. Conclusión Las personas mayores fueron relativamente resilientes durante la pandemia. La resiliencia fue un factor importante para mantener el bienestar y la calidad de vida de esta población, con énfasis en la práctica de actividad física y el uso de tecnologías.Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/VSBHP

Abstract Objective To analyze the knowledge produced in the scientific literature about older adults' resilience in the face of the COVID-19 pandemic. Method This is an integrative literature review with primary studies published in full, in Portuguese, English and/or Spanish, between 2020 and 2022, in PubMed, EMBASE, LILACS, Web of Science and PsycINFO-APA databases. The articles were exported to the Rayyan system. The selected studies were read and entered into an instrument whose extracted data were authors, year, objective, study design, sample, mean age, resilience, main results and conclusion. In the critical assessment to determine the methodological quality and level of evidence, for qualitative studies, the Guidelines for Critical Review Form: Qualitative Studies were used, for quantitative studies, the Guideline Critical Review Form for Quantitative Studies, and mixed studies, the Mixed Methods Appraisal Tool. Results Correspond to the final analysis of the nine published articles. Regarding coping strategies, physical activities stand out, such as walking, Tai-chi, running, resistance exercises and cycling; communication technology use, such as games, video sites, teleconferences, watching TV and communication application use and leisure activities, such as reading, playing musical instruments, meditation, the art of sewing, gardening and painting and lifestyle, keeping busy, seeking social support, eating healthy, and maintaining household routines. Conclusion Older adults were relatively resilient during this pandemic. Resilience was an important factor for maintaining the well-being and quality of life of this population, with emphasis on physical activity and technology use.Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/VSBHP

Dressing to prevent surgical site infection in adult patients with cancer: a systematic review with meta-analysis.

PURPOSE: To identify the most effective dressing for application to surgical wounds with primary closure to prevent surgical site infection (SSI) in adult patients with cancer undergoing elective surgeries. METHODS: This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, with online searches conducted in the CINHAL, Cochrane Central, LILACS, PubMed, Scopus, Embase, Livivo, and Web of Science databases. An additional search was conducted in gray literature using Google Scholar. The risk of bias was assessed using RoB 2.0. The certainty of evidence was evaluated using the Grading of Recommendations Assessment and Development and Evaluation, and the results were synthesized in a descriptive manner and using meta-analysis. RESULTS: Eleven randomized clinical trials were conducted to compare different types of dressing-silver dressing with absorbent dressing (n = 3), mupirocin dressing with paraffin/no dressing (n = 1), honey-based dressing with absorbent dressing (n = 1), vitamin E and silicone-containing dressing with absorbent dressing (n = 1), and negative pressure wound therapy with absorbent dressing (n = 4)-and compare the usage duration of absorbent dressing (n = 1). Nine trials presented a low risk of bias, and two were classified as having uncertain bias. Compared with absorbent dressing, silver dressing did not reduce the risk of developing any type of SSI in 894 clinical trial participants (risk relative RR: 0.72; 95% confidence interval [CI] [0.44, 1.17] p = 0.18). Compared with absorbent dressing, negative pressure wound therapy did not reduce the risk of developing any type of SSI in the 1041 participants of two clinical trials (RR 0.68; 95% CI [0.31, 1.26] p = 0.22). The certainty of evidence of the three meta-analyses was considered low or very low for the prevention of SSI. We believe that this low certainty of evidence can be improved by conducting new studies in the future. CONCLUSION: There is no evidence regarding which dressing is the most effective in preventing SSI in adult patients with cancer.

Identificação de pessoas para cuidados paliativos na atenção primária: revisão integrativa / Identification of people for palliative care in primary health care: integrative review

Resumo O objetivo deste artigo é analisar as evidências disponíveis na literatura sobre o processo de identificação de pessoas adultas e idosas que podem se beneficiar dos cuidados paliativos na atenção primária à saúde. Trata-se de revisão integrativa da literatura realizada nas bases de dados PubMed, CINAHL, LILACS, Web of Science e Embase. Foram selecionados oito estudos, nos quais foram distinguidos diferentes instrumentos com o propósito de identificar as pessoas que podem se beneficiar dos cuidados paliativos no contexto da atenção primária à saúde. A incorporação desses instrumentos na prática clínica é urgente, para aumentar o alcance e a efetividade dos serviços oferecidos pelos profissionais de saúde, considerando o perfil demográfico e epidemiológico atual que aponta para o aumento de pessoas com potencial necessidade de cuidados paliativos. Diferentes instrumentos têm sido utilizados com sucesso na identificação do cuidado paliativo no contexto da atenção primária à saúde. No entanto, alguns possuem fragilidades, como o fato de permitirem a identificação apenas das pessoas com doenças oncológicas, deixando de fora as demais condições de saúde, o que reforça a necessidade de mais estudos sobre esta temática.

Abstract This article aims to analyze the evidence available in the literature on the process of identifying adults and elderly people who can benefit from palliative care (PC) in primary health care (PHC). This is an integrative literature review carried out in PubMed, CINAHL, LILACS, Web of Science, and Embase. Eight studies were selected, in which different instruments and methods were distinguished with the purpose of identifying people who can benefit from PC in the context of PHC. The incorporation of these instruments into clinical practice is urgent in order to increase the reach and effectiveness of the services offered by health professionals, considering the current demographic and epidemiological profile that points to the increase of people with a potential need for PC. Different instruments have been successfully used to identify PC in the context of PHC. However, some have weaknesses, such as the fact that they only allow the identification of people with oncological diseases, leaving out other health conditions, which reinforces the need for further studies on this topic.

Effectiveness of the interventions against workplace violence suffered by health and support professionals: A meta-analysis. / Efetividade das intervenções contra violência no trabalho sofrida por profissionais de saúde e apoio: metanálise.

OBJECTIVE: to assess the effectiveness of the interventions targeted at preventing and reducing the workplace violence suffered by health and support professionals. METHOD: a systematic review with meta-analysis conducted in eight databases and in the gray literature. Risk of bias was assessed by means of the Cochrane tools and certainty of the evidence, through Grading of Recommendations Assessment, Development and Evaluation. The analysis was performed in a descriptive manner and through the meta-analysis, including a heterogeneity assessment. RESULTS: a total of 11 randomized and quasi-randomized studies were eligible, of which six (54.5%) implemented individual skills, four used a multiple approach (36.4%) and one (9.1%) resorted to governmental actions. Four studies (36.4%) exerted a positive and significant effect on reducing violence. Risk of bias was classified as high or uncertain. The meta-analysis was performed with two studies that tested individual skill (intervention group) versus individual skill (comparator group), although there was no scientific evidence (95% CI: -0.41 - 0.25, p=0.64) for the violence prevention/reduction outcome. CONCLUSION: this review did not obtain a high level of evidence in the prevention or reduction of workplace violence. The reduced number of randomized trials, the lack of studies with low risk of bias and the high consistency may have been factors that hindered recommending effective interventions.

Identification of people for palliative care in primary health care: integrative review. / Identificação de pessoas para cuidados paliativos na atenção primária: revisão integrativa.

This article aims to analyze the evidence available in the literature on the process of identifying adults and elderly people who can benefit from palliative care (PC) in primary health care (PHC). This is an integrative literature review carried out in PubMed, CINAHL, LILACS, Web of Science, and Embase. Eight studies were selected, in which different instruments and methods were distinguished with the purpose of identifying people who can benefit from PC in the context of PHC. The incorporation of these instruments into clinical practice is urgent in order to increase the reach and effectiveness of the services offered by health professionals, considering the current demographic and epidemiological profile that points to the increase of people with a potential need for PC. Different instruments have been successfully used to identify PC in the context of PHC. However, some have weaknesses, such as the fact that they only allow the identification of people with oncological diseases, leaving out other health conditions, which reinforces the need for further studies on this topic.

O objetivo deste artigo é analisar as evidências disponíveis na literatura sobre o processo de identificação de pessoas adultas e idosas que podem se beneficiar dos cuidados paliativos na atenção primária à saúde. Trata-se de revisão integrativa da literatura realizada nas bases de dados PubMed, CINAHL, LILACS, Web of Science e Embase. Foram selecionados oito estudos, nos quais foram distinguidos diferentes instrumentos com o propósito de identificar as pessoas que podem se beneficiar dos cuidados paliativos no contexto da atenção primária à saúde. A incorporação desses instrumentos na prática clínica é urgente, para aumentar o alcance e a efetividade dos serviços oferecidos pelos profissionais de saúde, considerando o perfil demográfico e epidemiológico atual que aponta para o aumento de pessoas com potencial necessidade de cuidados paliativos. Diferentes instrumentos têm sido utilizados com sucesso na identificação do cuidado paliativo no contexto da atenção primária à saúde. No entanto, alguns possuem fragilidades, como o fato de permitirem a identificação apenas das pessoas com doenças oncológicas, deixando de fora as demais condições de saúde, o que reforça a necessidade de mais estudos sobre esta temática.

Use of technology for self-care in surgical wound infection surveillance: integrative review.

OBJECTIVES: to synthesize knowledge about technology for self-care in surgical wound infection surveillance. METHODS: integrative review conducted in CINAHL, Embase, LILACS, PubMed, Scopus and Web of Science databases with the descriptors "surgical wound infection" and "self-care", in addition to manual search in the references of the included studies. The selection and evaluation of the methodological quality of the studies and data collection were performed by two independent reviewers; conflicts were resolved by a third reviewer. RESULTS: nine primary studies were included, published between 2011 and 2019. Six are cross-sectional, two are randomized clinical trials, and one is a case report. Mobile, text messaging, and imaging applications, computer software, assessments, and data storage capacity stand out. CONCLUSIONS: the technologies identified for self-care in surgical wound infection surveillance were the creation and use of mHealth and the use of health apps on mobile devices. Effective technologies in surveillance of surgical wound infection that enable rapprochement with the healthcare team, encourage a greater number of surgical wound assessments, enhance self-care actions, and decrease patient anxiety. Technology is also a monitored and recorded form of patient care, one of the main axes of infection surveillance.

Inserção da máscara laríngea por enfermeiros: revisão integrativa da literatura / Laryngeal mask insertion by nurses: an integrative literature review

Objetivo: Identificar as evidências científicas da literatura sobre a inserção de máscara laríngea por enfermeiros. Método: Revisão integrativa de literatura, realizada em novembro de 2020, cuja busca ocorreu nas bases de dados Cumulattive Index to Nursing and Allied Health Literature, Cochrane, Excerpta Médica Database, Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine National Institutes Database Search of Healthe Web of Sciencepor meio do programa Rayyan para seleção dos estudos. Resultados: Identificaram-se 1.156 estudos, do quais oito atenderam aos critérios de inclusão. Os estudos foram categorizados em dispositivos de primeira e segunda geração. Conclusão: Conclui-se que o uso de máscara laríngea de primeira e segunda geração por enfermeiros é uma alternativa recomendada por sua rapidez, sucesso e eficácia em garantir a via aérea avançada, em especial, em situações de parada cardiorrespiratória em adultos, porém, recomenda-se verificar os efeitos adversos de seu uso.

Objective: To identify evidence-based literature on the laryngeal mask airway insertion by nurses. Method: Integrative literature review conducted in November 2020, searched in the Cumulative Index to Nursing and Allied Health Literature, Cochrane, Excerpta Medica Database, Latin American and Caribbean Health Sciences Literature, US National Library of Medicine National Institutes Database Search of Health and Web of Science through the Rayyan Study Selection Program. Results: Eight out of the 1,156 studies identified met the inclusion criteria. Studies were categorized into first and second-generation devices. Conclusion: The use of a first and second-generation laryngeal mask airway by nurses is a recommended alternative for its speed, success and effectiveness in ensuring the advanced airway, especially in situations of cardiopulmonary arrest in adults. However, adverse effects of its use should be evaluated.

Efetividade das intervenções contra violência no trabalho sofrida por profissionais de saúde e apoio: metanálise / Effectiveness of the interventions against workplace violence suffered by health and support professionals: A meta-analysis / Efectividad de las intervenciones contra la violencia laboral que sufren los profesionales de la salud y de apoyo: metanálisis

Resumo Objetivo: avaliar a efetividade das intervenções direcionadas à prevenção e redução da violência no trabalho sofrida por profissionais de saúde e apoio. Método: revisão sistemática com metanálise realizada em oito bases de dados e na literatura cinzenta. O risco de viés foi realizado por meio das ferramentas da Cochrane e a certeza da evidência pelo Grading of Recommendations Assessment, Development and Evaluation. A análise foi realizada de forma descritiva e pela metanálise, incluindo avaliação da heterogeneidade. Resultados: 11 estudos aleatorizados e quasi-aleatorizados foram elegíveis, dos quais seis estudos (54,5%) implementaram habilidades individuais, quatro multiabordagem (36,4%) e um (9,1%) ações governamentais. Quatro estudos (36,4%) tiveram efeito positivo e significativo na redução da violência. O risco de viés foi classificado como alto ou incerto. A metanálise foi realizada com dois estudos que testaram habilidade individual (grupo intervenção) versus habilidade individual (grupo comparador), porém não houve evidência científica (IC 95%: -0,41 a 0,25, p=0,64) para o desfecho prevenção/redução da violência. Conclusão: esta revisão não obteve alta evidência na prevenção ou redução da violência no trabalho. O número reduzido de ensaios aleatorizados, a falta de estudos com baixo risco de viés e a alta consistência podem ter sido fatores dificultadores para recomendar intervenções efetivas.

Abstract Objective: to assess the effectiveness of the interventions targeted at preventing and reducing the workplace violence suffered by health and support professionals. Method: a systematic review with meta-analysis conducted in eight databases and in the gray literature. Risk of bias was assessed by means of the Cochrane tools and certainty of the evidence, through Grading of Recommendations Assessment, Development and Evaluation. The analysis was performed in a descriptive manner and through the meta-analysis, including a heterogeneity assessment. Results: a total of 11 randomized and quasi-randomized studies were eligible, of which six (54.5%) implemented individual skills, four used a multiple approach (36.4%) and one (9.1%) resorted to governmental actions. Four studies (36.4%) exerted a positive and significant effect on reducing violence. Risk of bias was classified as high or uncertain. The meta-analysis was performed with two studies that tested individual skill (intervention group) versus individual skill (comparator group), although there was no scientific evidence (95% CI: -0.41 - 0.25, p=0.64) for the violence prevention/reduction outcome. Conclusion: this review did not obtain a high level of evidence in the prevention or reduction of workplace violence. The reduced number of randomized trials, the lack of studies with low risk of bias and the high consistency may have been factors that hindered recommending effective interventions.

Resumen Objetivo: evaluar la efectividad de las intervenciones dirigidas a prevenir y reducir la violencia laboral que sufren los profesionales de la salud y de apoyo. Método: revisión sistemática con metanálisis realizada en ocho bases de datos y en la literatura gris. El riesgo de sesgo se evaluó mediante herramientas Cochrane y la certeza de la evidencia mediante el Grading of Recommendations Assessment, Development and Evaluation. El análisis se realizó de forma descriptiva y por metanálisis, e incluyó la evaluación de la heterogeneidad. Resultados: fueron elegibles 11 estudios aleatorios y cuasialeatorios, de los cuales seis estudios (54,5%) implementaron habilidades individuales, cuatro multienfoque (36,4%) y uno (9,1%) acciones gubernamentales. Cuatro estudios (36,4%) tuvieron un efecto positivo y significativo en la reducción de la violencia. El riesgo de sesgo se clasificó como alto o incierto. El metanálisis se realizó con dos estudios que evaluaron la capacidad individual (grupo de intervención) versus la capacidad individual (grupo de comparación), pero no se encontró evidencia científica (IC del 95 %: -0,41 a 0,25, p = 0,64) para el resultado prevención/reducción de la violencia. Conclusión: esta revisión no obtuvo alta evidencia sobre la prevención o reducción de la violencia laboral. El número reducido de ensayos aleatorios, la falta de estudios con bajo riesgo de sesgo y la alta consistencia pueden haber sido factores que dificultaron la recomendación de intervenciones efectivas.

Use of technology for self-care in surgical wound infection surveillance: integrative review / Uso de tecnología para el autocuidado en la vigilancia de infección de la herida quirúrgica: revisión integradora / Uso de tecnologia para o autocuidado na vigilância de infecção da ferida cirúrgica: revisão integrativa

ABSTRACT Objectives: to synthesize knowledge about technology for self-care in surgical wound infection surveillance. Methods: integrative review conducted in CINAHL, Embase, LILACS, PubMed, Scopus and Web of Science databases with the descriptors "surgical wound infection" and "self-care", in addition to manual search in the references of the included studies. The selection and evaluation of the methodological quality of the studies and data collection were performed by two independent reviewers; conflicts were resolved by a third reviewer. Results: nine primary studies were included, published between 2011 and 2019. Six are cross-sectional, two are randomized clinical trials, and one is a case report. Mobile, text messaging, and imaging applications, computer software, assessments, and data storage capacity stand out. Conclusions: the technologies identified for self-care in surgical wound infection surveillance were the creation and use of mHealth and the use of health apps on mobile devices. Effective technologies in surveillance of surgical wound infection that enable rapprochement with the healthcare team, encourage a greater number of surgical wound assessments, enhance self-care actions, and decrease patient anxiety. Technology is also a monitored and recorded form of patient care, one of the main axes of infection surveillance.

RESUMEN Objetivos: sintetizar el conocimiento sobre tecnología para el autocuidado en la vigilancia de infección de la herida quirúrgica. Métodos: revisión integradora realizada en las bases de datos CINAHL, Embase, LILACS, PubMed, Scopus y Web of Science con los descriptores "surgical wound infection" y "self care", además de búsqueda manual en referencias de estudios incluidos. La selección y evaluación de la calidad metodológica de estudios y recolecta de datos fueron realizadas por dos revisores independientes; y los conflictos, por un tercero. Resultados: nueve estudios primarios fueron incluidos, publicados entre 2011 y 2019. Seis son de delineamento transversal, dos ensayos clínicos randomizados y un relato de caso. Destacados los aplicativos mobile, de mensajes de texto y de imágenes, softwares para ordenadores, evaluaciones y capacidad de almacenamiento de datos. Conclusiones: las tecnologías identificadas para el autocuidado en la vigilancia de infección de la herida quirúrgica fueron la creación y utilización de mHealth y uso de aplicativos de salud en dispositivos móviles. Tecnologías eficaces en la vigilancia de la infección de la herida quirúrgica que permiten acercamiento con el equipo de salud, incentivan un mayor número de evaluaciones de la herida quirúrgica, intensifican las acciones de autocuidado y disminuyen la ansiedad del paciente. La tecnología también es una manera monitorizada y registrada de atención al paciente, uno de los principales ejes de la vigilancia de infección.

RESUMO Objetivos: sintetizar o conhecimento sobre tecnologia para o autocuidado na vigilância de infecção da ferida cirúrgica. Métodos: revisão integrativa realizada nas bases de dados CINAHL, Embase, LILACS, PubMed, Scopus e Web of Science com os descritores "surgical wound infection" e "self care", além da busca manual nas referências dos estudos incluídos. A seleção e avaliação da qualidade metodológica dos estudos e coleta de dados foram realizadas por dois revisores independentes; e os conflitos, resolvidos por um terceiro revisor. Resultados: nove estudos primários foram incluídos, publicados entre 2011 e 2019. Seis são de delineamento transversal, dois ensaios clínicos randomizados e um relato de caso. Destacam-se os aplicativos mobile, de mensagens de texto e de imagens, softwares para computadores, avaliações e capacidade de armazenamento de dados. Conclusões: as tecnologias identificadas para o autocuidado na vigilância de infecção da ferida operatória foram a criação e utilização de mHealth e o uso de aplicativos de saúde em dispositivos móveis. Tecnologias eficazes na vigilância da infecção da ferida operatória que permitem aproximação com a equipe de saúde incentivam um maior número de avaliações da ferida operatória, intensificam as ações de autocuidado e diminuem a ansiedade do paciente. A tecnologia também é uma forma monitorizada e registrada de atendimento ao paciente, um dos principais eixos da vigilância de infecção.

Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis.

OBJECTIVE: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. METHOD: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis. RESULTS: when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I2 = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I2 = 0%). The assessment of certainty of evidence was moderate. CONCLUSION: the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period.

Postoperative complications in adult patients undergoing surgery with confirmed infection by SARS-CoV-2: An integrative review.

OBJECTIVE: to analyze the evidence available in the literature about postoperative complications in adult patients undergoing surgical procedures with confirmed infection by SARS-CoV-2. METHOD: an integrative literature review conducted in the CINAHL, EMBASE, LILACS, PubMed, Scopus and Web of Science databases, as well as in the gray literature. The references identified were exported to the EndNote manager and, subsequently, to the Rayyan web application for study selection. The stages of sampling, categorization of studies, evaluation of the studies included, interpretation of the results and knowledge synthesis were performed by two reviewers independently and in a masked manner. The data were analyzed descriptively. RESULTS: of the 247 articles identified, 15 were selected to comprise this review. The prevalent postoperative complications in patients infected with SARS-CoV-2 were the following: cough, dyspnea and hypoxia, need for invasive mechanical ventilation or not, admission to the intensive care unit and death. CONCLUSION: the most reported postoperative complications in the studies evaluated were respiratory-related, followed by cardiovascular complications. The importance of preoperative screening for COVID-19 is highlighted, as well as of the monitoring and tracking of confirmed cases in the postoperative period, as these actions exert an impact on reducing the occurrence of complications related to SARS-CoV-2.