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Feixe de intervenções para a prevenção da infeção urinária associada a cateter vesical : Perspetiva dos enfermeiros
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Introdução: A realização dos estágios nos serviços de Urgência e Cuidados Intensivos representou um momento fundamental no meu percurso formativo com foco na aquisição de competências comuns e específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica, integrando experiências práticas e o processo de desenvolvimento de competências especializadas; A investigação “Feixe de Intervenções para a Prevenção da Infeção Urinária Associada a Cateter Vesical: Perspetiva dos Enfermeiros”, tem o objetivo de analisar a prática clínica e as intervenções implementadas promovendo uma reflexão sustentada na evidência científica.
Objetivos: Analisar criticamente a aquisição das competências comuns e específicas em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica; Avaliar a perspetiva dos enfermeiros sobre o “Feixe de Intervenções para a Prevenção da Infeção Urinária associada a Cateter Vesical”.
Métodos: Análise das competências adquiridas nos estágios em contexto de Urgência e Cuidados Intensivos; Estudo quantitativo, descritivo e transversal, realizado numa Unidade Local de Saúde do Norte de Portugal, comparando serviços com e sem implementação do projeto “STOP Infeção Hospitalar 2.0.”.
Resultados: O contacto direto com a pessoa em situação crítica, em contextos diferenciados como o Serviço de Urgência e Cuidados Intensivos, bem como as atividades desenvolvidas, constituíram elementos essenciais para o desenvolvimento de competências nos diferentes domínios da prática de Enfermagem; A investigação desenvolvida teve a participação de 80 enfermeiros. Os resultados demonstram que os enfermeiros apresentam um nível globalmente adequado de conhecimentos relativamente ao Feixe de Intervenções, contudo identificam-se fragilidades na sua aplicação prática, sobretudo em áreas que exigem maior capacidade de pensamento crítico e clínico.
Conclusão: Os objetivos delineados para os estágios foram atingidos e as competências adquiridas. Os resultados da investigação reforçam que, apesar dos enfermeiros apresentarem um bom nível de conhecimento sobre o “Feixe de Intervenções”, persistem lacunas na aplicação prática.
Palavras- Chave: Enfermagem Médico-Cirúrgica; Investigação; Infeções Urinárias; Conhecimentos, Atitudes e Prática em Saúde.
Abstract Introduction: Completing clinical rotations in the Emergency and Intensive Care Units was a pivotal moment in my educational journey, focused on acquiring both general and specialized competencies as a Nurse Specialist in Medical-Surgical Nursing, specifically in the area of Critical Care Nursing, integrating practical experiences with the process of developing specialized skills; The research study “Bundle of Interventions for the Prevention of Urinary Tract Infections Associated with Urinary Catheters: Nurses’ Perspective” aims to analyze clinical practice and the interventions implemented, promoting reflection grounded in scientific evidence. Objectives: To critically analyze the acquisition of common and specific competencies in Medical-Surgical Nursing, within the field of Critical Care Nursing; To assess nurses’ perspectives on the “Bundle of Interventions for the Prevention of Urinary Tract Infections Associated with Urinary Catheters.” Methods: Analysis of skills acquired during internships in emergency and intensive care settings; A quantitative, descriptive, cross-sectional study conducted at a local health unit in northern Portugal, comparing departments with and without implementation of the “STOP Hospital Infection 2.0” project. Results: Direct contact with patients in critical condition, in diverse settings such as the Emergency Department and Intensive Care Unit, as well as the activities performed, were essential elements for the development of competencies in the various domains of nursing practice; The study involved 80 nurses. The results show that nurses demonstrate an overall adequate level of knowledge regarding the Intervention Bundle; however, weaknesses are identified in its practical application, particularly in areas that require greater critical and clinical thinking skills. Conclusion: The objectives set for the internships were achieved, and the necessary skills were acquired. The research findings confirm that, although nurses demonstrate a good level of knowledge regarding the “Intervention Bundle,” gaps remain in its practical application. Keywords: Medical-Surgical Nursing; Research; Urinary Tract Infections; Health Knowledge, Attitudes, and Practice.
Abstract Introduction: Completing clinical rotations in the Emergency and Intensive Care Units was a pivotal moment in my educational journey, focused on acquiring both general and specialized competencies as a Nurse Specialist in Medical-Surgical Nursing, specifically in the area of Critical Care Nursing, integrating practical experiences with the process of developing specialized skills; The research study “Bundle of Interventions for the Prevention of Urinary Tract Infections Associated with Urinary Catheters: Nurses’ Perspective” aims to analyze clinical practice and the interventions implemented, promoting reflection grounded in scientific evidence. Objectives: To critically analyze the acquisition of common and specific competencies in Medical-Surgical Nursing, within the field of Critical Care Nursing; To assess nurses’ perspectives on the “Bundle of Interventions for the Prevention of Urinary Tract Infections Associated with Urinary Catheters.” Methods: Analysis of skills acquired during internships in emergency and intensive care settings; A quantitative, descriptive, cross-sectional study conducted at a local health unit in northern Portugal, comparing departments with and without implementation of the “STOP Hospital Infection 2.0” project. Results: Direct contact with patients in critical condition, in diverse settings such as the Emergency Department and Intensive Care Unit, as well as the activities performed, were essential elements for the development of competencies in the various domains of nursing practice; The study involved 80 nurses. The results show that nurses demonstrate an overall adequate level of knowledge regarding the Intervention Bundle; however, weaknesses are identified in its practical application, particularly in areas that require greater critical and clinical thinking skills. Conclusion: The objectives set for the internships were achieved, and the necessary skills were acquired. The research findings confirm that, although nurses demonstrate a good level of knowledge regarding the “Intervention Bundle,” gaps remain in its practical application. Keywords: Medical-Surgical Nursing; Research; Urinary Tract Infections; Health Knowledge, Attitudes, and Practice.
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Palavras-chave
Catéteres urinários Competência profissional Conhecimentos atitudes e prática em saúde Cuidados de enfermagem Enfermagem médico cirúrgica Infeções do aparelho urinário - prevenção e controle Infeções relacionadas com catéteres - prevenção e controle Catheter related infections - prevention and control Health knowledge attitudes practice Medical surgical nursing Nursing care Professional competence Urinary catheters Urinary tract infections