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Mapeamento da evidência sobre bundles e medidas de prevenção de infeção associada a cateter venoso central em unidades de internamento pediátrico : Scoping review
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Enquadramento: O presente relatório, integra duas componentes complementares: o
percurso formativo em estágio e uma componente de investigação centrada no impacto da
adesão aos bundles de prevenção de infeção associada a cateteres venosos centrais em
contexto pediátrico. A crescente complexidade dos cuidados à criança, adolescente e família
exige o desenvolvimento de competências clínicas, científicas, éticas e relacionais,
sustentadas numa prática reflexiva e baseada na evidência.
Objetivos: Desenvolver e consolidar competências especializadas em diferentes contextos
assistenciais pediátricos e mapear a evidência científica disponível sobre estratégias de
prevenção da infeção associada ao cateter venoso central em pediatria.
Metodologia: A metodologia adotada integrou uma abordagem descritiva e reflexiva do
percurso de estágios, centrada na análise crítica das experiências e no desenvolvimento de
competências comuns e específicas do enfermeiro especialista, bem como uma revisão de
escopo conduzida segundo a metodologia do Joanna Briggs Institute, incluindo pesquisa em
bases de dados eletrónicas, aplicação de critérios de inclusão e exclusão e síntese narrativa
dos dados.
Resultados: O percurso formativo permitiu consolidar competências na prestação de
cuidados diferenciados. A revisão de escopo evidenciou que a implementação de bundles de
prevenção, associada a formação contínua, auditorias, monitorização da adesão às práticas
e estratégias organizacionais, contribui para a redução das taxas de infeção associada ao
cateter venoso central em contexto pediátrico.
Conclusão: O relatório evidencia o desenvolvimento de uma prática especializada, reflexiva
e baseada na evidência, reforçando a importância da adesão aos bundles na qualidade e
segurança dos cuidados pediátricos.
Palavras-chave: Cateter venoso central; infeção; pediatria; criança; conjunto de cuidados.
Abstract Background: This report integrates two complementary components: the clinical training pathway undertaken during internships and a research component focused on the impact of adherence to infection prevention bundles associated with central venous catheters in pediatric settings. The increasing complexity of care provided to children, adolescents, and families requires the development of clinical, scientific, ethical, and relational competencies supported by reflective and evidence-based practice. Objectives: To develop and consolidate specialized competencies in different pediatric healthcare settings and to map the available scientific evidence regarding strategies for the prevention of central venous catheter-associated infection in pediatrics. Methodology: The methodology adopted integrated a descriptive and reflective approach to the clinical placements, focused on the critical analysis of experiences and the development of common and specific competencies of the specialist nurse, as well as a scoping review conducted according to the Joanna Briggs Institute methodology, including searches in electronic databases, application of inclusion and exclusion criteria, and narrative synthesis of the data. Results: The training pathway enabled the consolidation of competencies in the provision of specialized care. The scoping review showed that the implementation of prevention bundles, associated with continuous training, audits, monitoring of adherence to practices, and organizational strategies, contributes to the reduction of central venous catheter-associated infection rates in pediatric settings. Conclusion: This report highlights the development of specialized, reflective, and evidencebased practice, reinforcing the importance of adherence to bundles in the quality and safety of pediatric care. Keywords: Central venous catheter; infection; pediatrics; child; care bundle.
Abstract Background: This report integrates two complementary components: the clinical training pathway undertaken during internships and a research component focused on the impact of adherence to infection prevention bundles associated with central venous catheters in pediatric settings. The increasing complexity of care provided to children, adolescents, and families requires the development of clinical, scientific, ethical, and relational competencies supported by reflective and evidence-based practice. Objectives: To develop and consolidate specialized competencies in different pediatric healthcare settings and to map the available scientific evidence regarding strategies for the prevention of central venous catheter-associated infection in pediatrics. Methodology: The methodology adopted integrated a descriptive and reflective approach to the clinical placements, focused on the critical analysis of experiences and the development of common and specific competencies of the specialist nurse, as well as a scoping review conducted according to the Joanna Briggs Institute methodology, including searches in electronic databases, application of inclusion and exclusion criteria, and narrative synthesis of the data. Results: The training pathway enabled the consolidation of competencies in the provision of specialized care. The scoping review showed that the implementation of prevention bundles, associated with continuous training, audits, monitoring of adherence to practices, and organizational strategies, contributes to the reduction of central venous catheter-associated infection rates in pediatric settings. Conclusion: This report highlights the development of specialized, reflective, and evidencebased practice, reinforcing the importance of adherence to bundles in the quality and safety of pediatric care. Keywords: Central venous catheter; infection; pediatrics; child; care bundle.
Descrição
Palavras-chave
Catéter venoso central Infeções relacionadas com catéteres - prevenção e controle Pacotes de assistência ao paciente Pediatria Prática baseada na evidência Revisão scoping Unidades hospitalares Catheter related infections - prevention and control Central venous catheters Evidence based practice Hospital units Patient care bundles Pediatrics Scoping review