KNOWLEDGE AND DIFFICULTIES OF NURSES IN MECHANICAL VENTILATION IN A TRAUMA UNIT IN A TERTIARY CENTER IN PERNAMBUCO
DOI:
https://doi.org/10.47820/jht.v1i1.2Keywords:
Nursing Care. Nurses. Artificial Respiration. Trauma Centers. Advanced Trauma Life. Support CareAbstract
Objective: To analyze the knowledge and difficulties in the assistance provided by trauma emergency nurses to patients on mechanical ventilation (MV) in a tertiary hospital located in RecifePE. Method: This is a cross-sectional study with a complementary quantitative and qualitative approach that was conducted in the Trauma Emergency Unit of the Hospital da Restauração, RecifePE. Data were collected in June 2021 using a questionnaire that assessed 4 domains of mechanical ventilation knowledge, these being: initial setting of the invasive ventilator and conventional ventilatory modes, monitoring the patient on ventilatory support, nursing care in patients on invasive ventilatory support, and sedation and analgesia during mechanical ventilation. The difficulties were measured by means of open questions at the end of the questionnaire. Inclusion criteria were: being a nurse assistant in the Trauma Emergency Department. Nurses working in administrative positions, on vacation or on leave during the data collection period were excluded. The research was approved by the Research Ethics Committee through opinion #4.704.572 and all participants previously signed the Informed Consent Form (TCLE). Results: Thirty nurses were analyzed, 80% were women, 43.5% were married and 67% were between 31 and 42 years old. As for the time of training in higher education, 40% revealed having up to 10 years of graduation, without other graduation in 87% of respondents and reported not having a technical course in nursing in 83%. Nursing care to patients on invasive ventilatory support, especially with regard to handling, as well as cleaning and conservation of equipment was deficient among the interviewees. Sedation and analgesia during mechanical ventilation were deficient when the use of neuromuscular blockade for deep sedation and adequate monitoring of the level of consciousness were mentioned. Among the difficulties when assisting the patient under mechanical ventilation, one can include the correct management of the ventilator, as well as the adjustment of its parameters adequate for each patient, ventilator assembly, interpreting the parameters, as well as the existence of high demand, lack of material to maintainadequate sedation of the patient, and prevention of ventilator-related accidents. As a facility, care actions such as assisting the intubation procedure, decubitus monitoring, sedation installation, basic parameters maintenance and endotracheal suctioning were mentioned. Conclusions: The authors suggest that continued education and specific training actions should be implemented to improve the assistance of nurses who assist MV patients in emergency units.
Downloads
References
Versa, G. L. G. D. S., Inoue, K. C., Nicola, A. L., & Matsuda, L. M. (2011). Influência do
dimensionamento da equipe de enfermagem na qualidade do cuidado ao paciente crítico. Texto
& Contexto-Enfermagem, 20(4), 796-802.
Santos Cleverson dos, Nascimento Eliane Regina Pereira do, Hermida Patrícia Madalena
Vieira, Silva Tatiana Gaffuri da, Galetto Sabrina Guterres da Silva, Silva Nelson Junior Cardoso
da et al . Boas práticas de enfermagem a pacientes em ventilação mecânica invasiva na
emergência hospitalara. Esc. Anna Nery [Internet]. 2020 [cited 2020 Dec 07] ; 24( 2 ): e20190300.
Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-
&lng=en. Epub Mar 02, 2020. http://dx.doi.org/10.1590/2177-9465-ean2019-0300
Carrilho Claudia Maria Dantas de Maio, Grion Cíntia Magalhães Carvalho, Carvalho Lais
Magalhães, Grion Adriana dos Santos, Matsuo Tiemi. Pneumonia associada à ventilação
mecânica em Unidade de Terapia Intensiva cirúrgica. Rev. bras. ter. intensiva [Internet]. 2006
Mar [cited 2020 Dec 07] ; 18( 1 ): 38-44. Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-507X2006000100008&lng=en.
https://doi.org/10.1590/S0103-507X2006000100008. DOI: https://doi.org/10.1590/S0103-507X2006000100008
BRASIL, Ministério da Saúde . Agência Nacional de Vigilância Sanitária( ANVISA) .Série
Segurança do Paciente e Qualidade em serviços de saúde 4, 2017. Medidas de Prevenção de
Infecção Relacionada à Assistência em Saúde. 2017.
Melo Elizabeth Mesquita, Teixeira Carlos Santos, Oliveira Rogéria Terto de, Almeida Diva
Teixeira de, Veras Joelna Eline Gomes Lacerda de Freitas, Frota Natasha Marques et al . Nursing
care of hospitalised patients receiving mechanical ventilation in intensive care units. Rev. Enf.
Ref. [Internet]. 2014 Mar [citado 2021 Jan 15] ; serIV( 1 ): 55-63. Disponível em:
http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0874-
&lng=pt. http://dx.doi.org/10.12707/RIII1316. DOI: https://doi.org/10.12707/RIII1316
Rodrigues Yarla Cristine Santos Jales, Studart Rita Mônica Borges, Andrade Ítalo Rigoberto
Cavalcante, Citó Maria do Carmo de Oliveira, Melo Elizabeth Mesquita, Barbosa Islene Victor.
Ventilação mecânica: evidências para o cuidado de enfermagem. Esc. Anna Nery [Internet].
Dec [cited 2021 Jan 15] ; 16( 4 ): 789-795. Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452012000400021&lng=en.
https://doi.org/10.1590/S1414-81452012000400021 DOI: https://doi.org/10.1590/S1414-81452012000400021
Frota Melissa Lopes, Campanharo Cássia Regina Vancini, Lopes Maria Carolina Barbosa
Teixeira, Piacezzi Luiz Humberto Vieri, Okuno Meiry Fernanda Pinto, Batista Ruth Ester Assayag.
Good practices for preventing ventilator-associated pneumonia in the emergency department.
Rev. esc. enferm. USP [Internet]. 2019. Available from:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100438&lng=en.
Epub June 13, 2019. https://doi.org/10.1590/s1980-220x2018010803460. DOI: https://doi.org/10.1590/s1980-220x2018010803460
Hialo Cavalcanti Vasconcelos, Noélle de Oliveira Freitas, Alfredo Almeida Pina-Oliveira, Meline Rossetto Kron-Rodrigues
Santos, C. D., Nascimento, E. R. P. D., Hermida, P. M. V., Silva, T. G. D., Galetto, S. G. D. S.,
Silva, N. J. C. D., & Salum, N. C. (2020). Boas práticas de enfermagem a pacientes em ventilação
mecânica invasiva na emergência hospitalara. Escola Anna Nery, 24(2).
AMIB; SBPT. Diretrizes Brasileiras em Ventilação Mecânica.Disponível em:
https://www.amib.org.br/fileadmin/user_upload/amib/2018/junho/15/Diretrizes_Brasileiras_de_V
entilacao_Mecanica_2013_AMIB_SBPT_Arquivo_Eletronico_Oficial.pdf. Acesso em 10 de
fevereiro de 2021.
Brasil. Agência Nacional de Vigilância Sanitária Medidas de Prevenção de Infecção
Relacionada à Assistência à Saúde. Brasília: Anvisa, 2017. Disponível em:
https://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/item/caderno-5.
Acesso em 21 de fevereiro de 2021
R Core Team. R: A Language and Environment for Statistical Computing. R Foundation for
Statistical Computing, Vienna, Austria, 2018.
Zandomenighi RC, Mouro DL, Oliveira CA, Martins CA. Cuidados intensivos em um serviço
hospitalar de emergência: desafios para os enfermeiros.Rev Min Enferm. 2014 abr/jun; 18(2):
-414. DOI: 10.5935/1415-2762.20140031 DOI: https://doi.org/10.5935/1415-2762.20140031
Silva GM, Seiffert MOLB. Silva GM, Seiffert MOLB. Educação continuada em enfermagem:
uma proposta metodológica. Rev Bras Enferm, Brasília 2009 maio-jun; 62(3): 362-6 DOI: https://doi.org/10.1590/S0034-71672009000300005
Silva MF, Conceição FA, Leit MMJ.Educação continuada: um levantamento de necessidades
da equipe de enfermagem. O Mundo da Saúde São Paulo: 2008: jan/mar 32(1):47-55 DOI: https://doi.org/10.15343/0104-7809.200832.1.6
Gonçalves FAF, Brasil V V, Minamisava R, Caixeta CR, Oliveira LMAC, Cordeiro JABL.
Eficácia de estratégias educativas para ações preventivas da pneumonia associada à ventilação
mecânica. Esc Anna Nery (impr.)2012 out -dez; 16 (4):802 - 808 DOI: https://doi.org/10.1590/S1414-81452012000400023
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Journal Health and Technology - JHT
This work is licensed under a Creative Commons Attribution 4.0 International License.
The copyright of published articles belongs to JHT, and follows the Creative Commons standard (CC BY 4.0), allowing copying or reproduction, as long as you cite the source and respect the authors' rights and contain mention of them in the credits. All and any work published in the journal, its content is the responsibility of the authors, and RECIMA21 is only responsible for the dissemination vehicle, following national and international publication standards.