Riscos de lesões decorrentes de posicionamento cirúrgico e procedimentos eletrocirúrgicos: investigação do conhecimento do enfermeiro

• Ano de defesa: 2015
• Autor(a) principal: Barbosa, Osvaldo Carlos Pereira
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo
• Palavras-chave em Português: Riscos de lesões; Posicionamento cirúrgico; Procedimentos eletrocirúrgicos; Conhecimento do enfermeiro; Educação Permanente; Risk of Lesions; Surgical Positioning; Electrosurgical Procedures; What the Nurse Knows; Continuing Education
• Link de acesso: http://repositorio.unifesp.br/handle/11600/45782

Introduction: To ensure safe surgical procedures, nurses have to generate their actions from technical and scientific knowledge regardless the type of procedure and technology used. These procedures call for measures that reduce the risk of adverse events that may occur prior to, during and after surgeries. Adverse events are incidents resulting in harm to the patient. Objective: Identifying the extent of a nurse knowledge regarding the risk of lesions that result from surgical positioning and electrosurgical procedures. Method: Descriptive and prospective studies with a quantitative approach. The data collection took place during the XIX International Symposium of Sterilization and Infection Control Related to Health Assistance, organized by the Brazilian Association of Surgical Center Nurses, Anesthesia Recovery, Center of Material and Sterilization – ‘SOBECC’ at the “Palácio de Convenções do Anhembi”, Sao Paulo, Brazil, on September 17-20, 2014. We asked surgical center nurses that were taking part in the event to answer a questionnaire that evaluated what they knew regarding the risk of lesions related to surgical positioning and electrosurgical procedures. We received back 188 (56%) out of the 350 questionnaires that were delivered. Results: In regard to the profile of those who answered the questions, 171 (91%) were females and 17 (9%) were males. Most of them, 150 (80%), were from the South and Southeast of Brazil. With reference to their education, 117 (62%) were in school for 10 years, 71 (38%) were in school for more than 10 years and 95 (51%) had taken specialization courses. With respect to knowledge, 64 (34%) did not think preoperative genitalia hair removal was important; 74 (39%) stated that an active electrode that was not in use could remain close to the operatory area; 76 (41%) did not comply with the frequency of preventive servicing; 77 (41%) responded positively to the request of raising the scalpel motor power without reevaluating the accessories; 44 (23%) did not believe that extension chords and connectors could alter vascularization and facilitate an adverse effect in the area; 66 (35%) did not avoid the contact of skin with skin in areas that could sweat or collect liquids; 145 (77%) stated that long surgeries presented a greater risk of lesions; 43 (23%) said it was not important to avoid the presence of liquid under the patient at degerming and or cleaning him with alcohol; 43 (23%) did not think polymer static devices were more efficient to prevent pressure ulcers. The knowledge about the risk of lesions caused by surgical positioning and electrosurgical procedures correlates to the nurse who specialized in this area (82,1%) and another who has not specialized in the area (73,1%). The information gathered in this study can contribute to the formulation or reformulation of preventive strategies regarding the risk patients run during assistance as well as to the elaboration of protocols that ensure safety and provide even more quality to Health services.