Implantação de um protocolo de cateter central de inserção periférica: contribuição dos enfermeiros gestores do processo para a segurança do paciente

• Ano de defesa: 2021
• Autor(a) principal: Rachel Melo Fonseca
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; Brasil; ENFERMAGEM - ESCOLA DE ENFERMAGEM; Programa de Pós-Graduação em Gestão de Serviços de Saúde; UFMG
• Palavras-chave em Português: Cateter venoso central; Neonatologia; Segurança do paciente; Recém-nascido; Unidade de terapia intensiva neonatal; Protocolo; Cateterismo Venoso Central; Cateteres; Unidades de Terapia Intensiva Neonatal; Protocolos; Dissertação Acadêmica
• Link de acesso: http://hdl.handle.net/1843/44313

Patient safety is one of the foundations of a hospital organization. It is a topic of wide discussion in the last decades around the world. Children are at the forefront when we consider the risk factors for incidents to occur. Primary bloodstream infection associated with a central venous catheter is the main infection in the Neonatal Intensive Care Unit. In a Neonatal Intensive Care Unit, the use of a peripherally inserted central catheter is very common. Aiming at reducing the probability of adverse events, it is necessary to identify errors and improve processes, pointing out aspects of care that can be improved by making patient care safer. Protocols are tools that contribute to the systematization of nursing care, favoring the improvement of processes in the pursuit of care excellence. In this context, the question is: can the implementation of a protocol for insertion and maintenance of peripherally inserted central catheters contribute to improving patient safety processes in the Neonatal Intensive Care Unit of a public hospital in Belo Horizonte? The study aimed to implement the protocol for insertion and maintenance of peripherally inserted central catheters in the Neonatal Intensive Care Unit of a large municipal hospital in Belo Horizonte - Minas Gerais. Methodology: To achieve the proposed objectives, the study was developed with mixed methods in three stages. In the 1st stage, as it is a search for meanings, qualitative research was chosen, of a descriptive nature, the chosen method was action research, the participants were the NICU nurses, as an instrument for data collection, the semi-structured interview and data analysis was performed through content analysis. Interviews were carried out with the participants about their knowledge and contributions about the insertion and maintenance protocol of the PICC and the critical points of the protocol were raised to be validated by the experts. In the 2nd stage, the protocol was validated by nurse judges specializing in neonatology, and the 3rd stage ended with the implementation of the PICC protocol and the preparation of a booklet with information from the participants and theoretical framework on the subject. The technical product was a protocol revised and validated by specialist nurses in neonatology.