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[卫生专业人员与手卫生:儿科患者安全问题]

[Health professionals and hand hygiene: a question of pediatric patient safety].

作者信息

Botene Daisy Zanchi de Abreu, Pedro Eva Neri Rubim

出版信息

Rev Gaucha Enferm. 2014 Sep;35(3):124-9. doi: 10.1590/1983-1447.2014.03.44306.

Abstract

This paper is a qualitative descriptive study, which aims to analyze how the academic education concerning hand hygiene contributes to the pediatric patient safety. This research was developed in an university hospital in Southern Brazil, in the pediatric unit, during the period of August to December, 2012. Sixteen healthcare professionals participated (doctors, nurses and physical therapists). A semi-structured interview was used to gather information. Data was organized by the software QSR Nvivo and analyzed using the content analysis technique. The results allowed us to list two thematic categories:"Hand hygiene and healthcare professionals' academic education"; and "Hand hygiene and professional life". The first thematic category will be presented in this paper. It was identified that the academic education contributes in an ineffective way to the creation of a patient safety culture. According to the professionals, there are gaps during the educational process regarding hand hygiene. The topic is treated in an ineffective and not very significant way to the learning and adhesion of hand hygiene in the professional life. It is recommended that, for the internalization of the practice by future professionals, a transversal, continuous and systematical approach is adopted during the professional's training, evaluations concerning the hand hygiene are done throughout the academic life as well as healthcare professors bethink the topic.

摘要

本文是一项定性描述性研究,旨在分析手部卫生方面的学术教育如何促进儿科患者安全。该研究于2012年8月至12月期间在巴西南部的一家大学医院的儿科病房开展。16名医护人员参与其中(医生、护士和物理治疗师)。采用半结构化访谈收集信息。数据由软件QSR Nvivo整理,并运用内容分析技术进行分析。结果使我们列出了两个主题类别:“手部卫生与医护人员的学术教育”以及“手部卫生与职业生活”。本文将呈现第一个主题类别。研究发现,学术教育对创建患者安全文化的贡献不大。据专业人员称,在手部卫生教育过程中存在差距。该主题在教学过程中处理方式无效,对专业生活中手部卫生的学习和遵守来说不太重要。建议为使未来专业人员将该实践内化,在专业人员培训期间采用横向、持续且系统的方法,在整个学术生涯中进行有关手部卫生的评估,并且医护专业教授应重新思考该主题。

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