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| Author(s): |
Fernanda Maria Vieira Pereira
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2011-12-15 |
| Examining board members: |
Elucir Gir;
Silvia Rita Marin da Silva Canini;
Rosely Moralez de Figueiredo
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| Advisor: | Elucir Gir |
| Abstract | |
Introduction: Intensive Care Units serve critically ill patients requiring highly complex care. Thus, frequent invasive procedures promote the professional and the patients exposure to biological hazards. To reduce the risks associated with the work of professionals working in these units, it is essential to use preventive measures for the assistance of which we highlight the standard precautions. Objectives: To assess the individual factors related to work-related and organizational adherence to standard precautions for nurses working in intensive care at a university hospital in the interior of São Paulo. Methodology: This is a cross-sectional study, developed at the Hospital das Clinicas of the Faculty of Medicine of Ribeirao Preto, University of Sao Paulo in the period of December 2010 to June 2011. The study population consisted of 178 professionals of the nursing staff - nurses, technicians and nursing assistants who worked in patient care in intensive care, two distinct units of the institution. The instruments for data collection were the psychometric Likert scales developed by Gershon et al. (1995), translated and validated by Brevidelli and Cianciarullo (2009), totaling 57 questions divided into 10 scales, which include individual factors, and organizational work. Statistical analysis was performed using the Statistical Package for Social Science (SPSS) version 15.0., Using descriptive statistics and Pearson correlation test. Results: Most professionals were 171 females (79.2) with a predominance of the category of nursing assistant with 94 (52.8%). It was found that 79 (44.4%) of the professionals were working 50 hours or more during the week. On a scale of adherence to standard precautions we obtained a score of 4.45 (SD = 0.27) classified as intermediate for the two units. There was a correlation when compared with individual factors to Risk Personality Scale (r =- 0.169, p = 0.024) and factors related to the work represented by the scale of Obstacles to follow the standard-precautions (r =- 0.359, p = 0.000). For the B unit the organizational factors with Safety Climate Scale (r = 0.243, p = 0.014) showed statistically significant when compared with the adherence scale. Conclusion: For the A and B intensive care units, adherence to SP was intermediate between nurses, technicians and nursing assistants, or did not occur in its entirety. The individual behavior, identification of obstacles and work organization must be reviewed because individual factors, related to work and organizational influence on adherence to standard precautions by professionals working in intensive care. (AU) | |
| FAPESP's process: | 10/02739-5 - ADHERENCE TO STANDARD PRECAUTIONS FOR NURSING PROFESSIONALS ACTING IN INTENSIVE CARE IN A UNIVERSITY HOSPITAL OF INTERIOR SÃO PAULO |
| Grantee: | Fernanda Maria Vieira Pereira |
| Support Opportunities: | Scholarships in Brazil - Master |