Furukawa Patricia de Oliveira, Cunha Isabel Cristina Kowal Olm, Pedreira Mavilde da Luz Gonçalves, Marck Patricia Beryl
Doctoral student, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil. Scholarship holder at Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
PhD, Associate Professor, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2017 Jun 8;25:e2909. doi: 10.1590/1518-8345.1516.2909.
to verify the correlation between the characteristics of professionals and the practice of sustainable actions in the medication processes in an ICU, and to determine if interventions such as training and awareness can promote sustainable practices performed by nursing staff in the hospital.
before-and-after design study using Lean Six Sigma methodology, applied in an intensive care unit. Nursing staff were observed regarding the practice of ecologically sustainable actions during medication processes (n = 324 cases for each group (pre and post-intervention)) through a data collection instrument. The processes analyzed involved 99 professionals in the pre-intervention phase and 97 in the post-intervention phase. Data were analyzed quantitatively and the association of variables was accomplished by means of statistical inference, according to the nature of the related variables.
the education level was the only characteristic that showed to be relevant to an increase in sustainable practices, with a statistically significant difference (p = 0.002). When comparing before and after the intervention, there was an increase in environmentally friendly actions with statistically significant differences (p = 0.001).
the results suggest that institutions should encourage and invest in formal education, as well as training of health professionals to promote sustainable practices in the hospital.
验证重症监护病房（ICU）中专业人员的特征与用药过程中可持续行为实践之间的相关性，并确定培训和提高意识等干预措施是否能促进医院护理人员的可持续实践。
采用精益六西格玛方法进行前后设计研究，应用于重症监护病房。通过数据收集工具观察护理人员在用药过程中的生态可持续行为实践（每组（干预前和干预后）n = 324例）。分析的过程在干预前阶段涉及99名专业人员，干预后阶段涉及97名。根据相关变量的性质，对数据进行定量分析，并通过统计推断完成变量关联。
教育水平是唯一与可持续实践增加相关的特征，具有统计学显著差异（p = 0.002）。比较干预前后，环保行为有所增加，具有统计学显著差异（p = 0.001）。
结果表明，机构应鼓励并投资于正规教育以及卫生专业人员的培训，以促进医院的可持续实践。
