Effect of educational intervention on the use of personal protective equipment in nursing staff
DOI:
https://doi.org/10.26694/repis.v10i1.5750Palavras-chave:
Universal Precautions, Nurse Practitioners, Cross Infection, Personal Protective Equipment, COVID-19Resumo
Introduction: In the context of the COVID-19 pandemic, specific care in the use of Personal Protective Equipment (PPE) is crucial for patient care. Aim: To evaluate the impact of an educational intervention on the self-reported use of PPE by nursing professionals. The primary question guiding this research was: What is the effect of an educational intervention on the self-reported use of PPE by nursing professionals? Design: This quasi-experimental study used a before-and-after design and involved 98 nursing professionals. Results: It was found that 78.30% of nursing technicians reported absences from work due to COVID-19. Among these professionals, 82.27% reported having access to PPE during the pandemic, yet only 78.4% had received training on its usage. Notably, before the educational intervention, 53.2% of nursing technicians and 57.8% of nurses correctly performed PPE placement. After the intervention, these figures changed to 45.5% and 36.8%, respectively. Regarding the correct sequence of PPE removal, before the intervention, 32.9% of nursing technicians and 57.8% of nurses reported accuracy; these numbers slightly changed post-intervention to 34.1% and 52.6%, respectively. Implications: The educational intervention resulted in significant improvements in the correct removal of PPE, particularly among technical-level professionals. This outcome underscores the importance of ongoing training programs, tailored to the specific needs and experience levels of healthcare professionals, to enhance adherence to safety practices and optimize protection in high-risk environments.
Referências
Ohen J, van der Meulen Rodgers Y. Contributing factors to personal protective equipment shortages during the covid-19 pandemic. Prev Med [Internet]. 2020 [cited 2021 Dec 5];141(141):106263. Available from: https://doi.org/10.1016/j.ypmed.2020.106263
Avilar CT de A, Andrade ÍMA, Nascimento C da S do, Viana LVM, Amaral TLM, Prado PR do. Nursing care for bed bath in patients with COVID-19: an integrative review. Rev Bras Enferm [Internet]. 2021 [cited 2021 Dec 5]; 75(1):1-12. Available from: https://doi.org/10.1590/0034-7167-2020-0704
Salomé GM, Dutra RAA. Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic. Rev Bras Enferm [Internet]. 2021 [cited 2021 Dec 5];74(suppl 1). Available from: https://doi.org/10.1590/0034-7167-2020-1219
Silva LFM da, Almeida AG de A, Pascoal LM, Santos Neto M, Lima FET, Santos FS. Skin injuries due to Personal Protective Equipment and preventive measures in the COVID-19 context: an integrative review. Rev Lat Am Enfermagem [Internet]. 2022 [cited 2021 Dec 5];30(1)1-12. Available from: https://doi.org/10.1590/1518-8345.5636.3522
Caliari JS, Santos MA, Andre Cordeiro k CRS, Campos KRC, Ceolim MF, Pereira FH. Quality of life of nurse practitioners during the COVID-19 pandemic. Rev Bras Enferm [Internet]. 2022 [cited 2021 Dec 5];75(suppl 1):1-15. Available from: https://doi.org/10.1590/0034-7167-2020-1382
Soares SSS, Souza NVD de O, Silva KG, César MP, Souto JDSS, Leite JCR de AP. Covid-19 pandemic and rational use of personal protective equipment. Rev Enferm UERJ [Internet]. 2020 [cited 2021 Dec 5];28:e50360. Available from: https://doi.org/10.12957/reuerj.2020.50360
Silva AP, Nirriella MA, Silva HJ. Masks in COVID-19: let's unmask the evidence. Expert Rev Resp Med [Internet]. 2021 [cited 2021 Dec 5];15(3):293-299. Available from: https://doi.org/10.1080/17476348.2021.1838277
Magalhães A, Pereira D, Araújo HB, Thamires L, Lima LV, Amorim M. Contribution of continuing education about hand hygiene in the fight against COVID-19: an experience report. Revista Prevenção de Infecção e Saúde [Internet] 2022 [cited 2021 Dec 5];8(1):1-13. Available from: https://doi.org/10.26694/repis.v8i1.3111
Cordeiro, Corrêa F, Gomes F, Ares T, Valim MD, Andrade D de, et al. Adherence to standard precautions by nursing professionals in Brazil during the COVID-19 pandemic: a cross-sectional study. Revista Prevenção de Infecção e Saúde. 2023 [cited 2021 Dec 5];8(1):1-12. Available from: https://doi.org/10.26694/repis.v8i1.3815
Pires C. A pre-systematic review on the use of masks as a protection material for SARS-COV-2 during the COVID-19 pandemic. Int J Clin Pract [Internet] 2021 [cited 2021 Dec 5];75(9):e14215. Available from: https://doi.org/10.1111/ijcp.14215
Ramaraj P, Super J, Doyle R, Aylwin C, Hettiaratchy S. Triaging of respiratory protective equipment on the assumed risk of SARS-CoV-2 aerosol exposure in patient-facing healthcare workers delivering secondary care: a rapid review. BMJ Open [Internet]. 2020 [cited 2021 Dec 5];16;10(10):e040321. Available from: https://doi.org/10.1136/bmjopen-2020-040321
BRASIL, Ministério da Saúde. Conselho Nacional de Saúde. (2013). Resolução nº. 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União: seção 1, Brasília, DF, p. 59, 13 jun.
BRASIL, Ministério da Saúde. Conselho Nacional de Saúde. (2016). Resolução nº. 510, de 07 de abril de 2016. Dispõe sobre as normas aplicáveis a pesquisas em Ciências Humanas e Sociais cujos procedimentos metodológicos envolvam a utilização de dados diretamente obtidos com os participantes ou de informações identificáveis ou que possam acarretar riscos maiores do que os existentes na vida cotidiana. Diário Oficial da União: seção 1, Brasília, DF, p. 44, 24 maio.
Liberato N, Angeloni N, Ariel L, Valle R, Francisco Á, Sousa L, et al. Intervenção educativa para maior conhecimento às precauções padrão na pandemia de COVID-19: estudo quase-experimental. Rev Bras Enferm [Internet]. 2023 [cited 2021 Dec 5];76(4):20220750. Available from: https://doi.org/10.1590/0034-7167-2022-0750pt
Diniz ML. Adesão e fatores dificultadores dos profissionais de enfermagem às precauções-padrão durante a pandemia da covid-19. 2021. Dissertação: Universidade Federal de Mato Grosso do Sul, Mato Grosso do Sul, 2021. Available from: https://repositorio.ufms.br/handle/123456789/3657
Seki KK. Conhecimentos e Comportamentos dos profissionais de saúde sobre precauções padrão e específicas: uma intervenção educativa na prática da atenção primária à saúde. 2018. Dissertação: Escola de Enfermagem de Ribeirão Preto, São Paulo, 2018. Available from: https://doi.org/10.11606/D.7.2018.tde-27042018-100540
Porto JS, Marziale MHP. Construction and validation of an educational video for improving adherence of nursing professionals to standard precautions. Texto contexto – enferm [Internet]. 2020 [cited 2021 Dec 5];29(1):1-12. Available from: https://doi.org/10.1590/1980-265X-TCE-2018-0413
Souza FM, Valério LA, Pereira TS. As relações interprofissionais e a atuação do enfermeiro diante do quadro de infecções no centro cirúrgico. Rev Artigos.Com [Internet]. 2021 [cited 2021 Dec 5]; 25(1):6205-6205. Available from: https://acervomais.com.br/index.php/artigos/article/view/6205
Ferioli M, Cisternino C, Leo V, Pisani L, Palange P, Nava S. Protecting healthcare workers from SARS-CoV-2 infection: practical indications. Eur Respir Rev [Internet]. 2020 [cited 2021 Dec 5];29(155):200068. Available from: https://doi.org/10.1183/16000617.0068-2020
Ojha S, Debnath M, Sharma D, Niraula A. Knowledge of Handling the Personal Protective Equipment by Frontline Allied Health Professionals in COVID-19 Outbreak—A Web-Based Survey Study. J Radiol Nurs [Internet]. 2020 [cited 2021 Dec 5];26(1):1-12. Available from: https://doi.org/10.1016/j.jradnu.2020.12.012
Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, et al. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database Syst Rev [Internet]. 2020 [cited 2021 Dec 5];4(4):1-16. Available from: https://doi.org/10.1002/14651858.CD013582
Backes MTS, Higashi GDC, Damiani P da R, Mendes JS, Sampaio L de S, Soares GL. Condições de trabalho dos profissionais de enfermagem no enfrentamento da pandemia da covid-19. Rev Gaúcha Enferm [Internet]. 2021 [cited 2021 May 13];42(esp):1-8. Available from: https://doi.org/10.1590/1983-1447.2021.20200339
Giroti ALB, Ferreira AM, Carneiro LM, Cury ERJ, Alvim ALS, et al. Improving Best Practices in Assessing the Usage Conditions of Hospital and Long-Term Care Mattresses. Health Scope [Internet]. 2024 [cited 2021 Dec 5];13(1):e141912. Available from: https://doi.org/10.5812/healthscope-141912.
Angeloni NLN, Furlan MCR, Barcelos LDS, Ferreira AM, Sousa AFL, et al. Multimodal Educational Intervention for Adherence to Standard Precautions in the COVID-19 Pandemic Among Nursing Professionals: A Quasi-Experimental Study. J Nurs Midwifery Sci [Internet]. 2024 [cited 2021 Dec 5];11(1):e143516. Available from: https://doi.org/10.5812/jnms-143516.
Bransfield RC, Mao C, Greenberg R. Microbes and Mental Illness: Past, Present, and Future. Healthcare (Basel) [Internet]. 2023 [cited 2021 Dec 5];12(1):83. Available from: https://doi.org/10.3390/healthcare12010083
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Natália Liberato Norberto Angeloni, Aires Garcia Santos Junior, Adriano Menis Ferreira, Lomberto Ariel Romeu Valle, Krislley Crhistine de Almeida Lima, Aline Romão dos Santos, Helder de Pádua Lima, Mara Cristina Ribeiro Furlan, Maria Luísa Pereira Maronesi
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
