Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos

Detalhes bibliográficos
Ano de defesa: 2017
Autor(a) principal: Porto, Priscilla de Souza lattes
Orientador(a): Oliveira, Lizete Malagoni de Almeida Cavalcante de lattes
Banca de defesa: Caixeta , Camila Cardoso, Bezerra, Ana Lúcia Queiroz
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Goiás
Programa de Pós-Graduação: Programa de Pós-graduação em Enfermagem (FEN)
Departamento: Faculdade de Enfermagem - FEN (RG)
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/7771
Resumo: INTRODUCTION: The insertion of the Central Peripheral Insertion Catheter (PICC) is a very common procedure in hospitalized patients and the nurse has the autonomy to indicate and perform the procedure, provided that she has received specific training. PURPOSE: to analyze the competence of nurses in relation to the use of PICC in hospitalized adult patients. METHODOLOGY: an exploratory descriptive study with a cross - sectional design and a qualitative approach carried out in a large public hospital, with 15 nurses working in hospitalization units of adult patients. The data were collected in an individual interview recorded on digital media or registered by the interviewer in writing at the time of its accomplishment and were analyzed by the content analysis of Bardin (2011). RESULTS: the results were presented in five categories: nurses' knowledge about the management of PICC, ability to use PICC, attitude/ adherence in the management of PICC, reasons for noncompliance with PICC use in adults, and suggestions for adherence to the use of PICC in adults. The majority of nurses do not have the competence to perform the PICC course. Nurses reported reasons for noncompliance with PICC and suggested ways to increase catheter use in adult patients outside intensive care units. FINAL CONSIDERATIONS: The majority of nurses still do not have competence to use the PICC. Very few have the necessary knowledge, the less they have developed the technical skill for their accomplishment, and none have demonstrated an attitude of acquiring that competence. It is necessary to invest in the training of health professionals and in the development of a more proactive attitude of nurses to increase their competencies to improve the quality of their care.
id UFG-2_74dd6e86acf88de6e2fc90d683f42684
oai_identifier_str oai:repositorio.bc.ufg.br:tede/7771
network_acronym_str UFG-2
network_name_str Repositório Institucional da UFG
repository_id_str
spelling Oliveira, Lizete Malagoni de Almeida Cavalcante dehttp://lattes.cnpq.br/2680821388094276Caixeta , Camila CardosoBezerra, Ana Lúcia Queirozhttp://lattes.cnpq.br/5752572356640472Porto, Priscilla de Souza2017-09-19T14:03:00Z2017-08-29PORTO, Priscilla de Souza. Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos. 2017. 61 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.http://repositorio.bc.ufg.br/tede/handle/tede/7771INTRODUCTION: The insertion of the Central Peripheral Insertion Catheter (PICC) is a very common procedure in hospitalized patients and the nurse has the autonomy to indicate and perform the procedure, provided that she has received specific training. PURPOSE: to analyze the competence of nurses in relation to the use of PICC in hospitalized adult patients. METHODOLOGY: an exploratory descriptive study with a cross - sectional design and a qualitative approach carried out in a large public hospital, with 15 nurses working in hospitalization units of adult patients. The data were collected in an individual interview recorded on digital media or registered by the interviewer in writing at the time of its accomplishment and were analyzed by the content analysis of Bardin (2011). RESULTS: the results were presented in five categories: nurses' knowledge about the management of PICC, ability to use PICC, attitude/ adherence in the management of PICC, reasons for noncompliance with PICC use in adults, and suggestions for adherence to the use of PICC in adults. The majority of nurses do not have the competence to perform the PICC course. Nurses reported reasons for noncompliance with PICC and suggested ways to increase catheter use in adult patients outside intensive care units. FINAL CONSIDERATIONS: The majority of nurses still do not have competence to use the PICC. Very few have the necessary knowledge, the less they have developed the technical skill for their accomplishment, and none have demonstrated an attitude of acquiring that competence. It is necessary to invest in the training of health professionals and in the development of a more proactive attitude of nurses to increase their competencies to improve the quality of their care.INTRODUÇÃO: a inserção do Cateter Central de Inserção Periférica (PICC) é um procedimento muito comum em pacientes internados e o enfermeiro tem autonomia para indicar e realizar o procedimento, desde que tenha recebido treinamento específico. OBJETIVO: analisar a competência dos enfermeiros em relação ao uso do PICC em pacientes adultos internados. METODOLOGIA: estudo descritivo exploratório com delineamento transversal e abordagem qualitativa realizado em um hospital público de grande porte, com 15 enfermeiros que trabalham em unidades de internação de pacientes adultos. Os dados foram colhidos em entrevista individual gravada em mídia digital ou registrada pela entrevistadora por escrito no momento de sua realização e foram submetidos à análise de conteúdos de Bardin (2011). RESULTADOS: os resultados são apresentados em cinco categorias: conhecimento do enfermeiro quanto ao manejo do PICC, habilidade para o uso do PICC, atitude/adesão ao manejo do PICC, motivos para não adesão ao uso do PICC em adultos e sugestões para adesão ao uso do PICC em adultos. A maioria dos enfermeiros não possui competência para realização da passagem do PICC. Os enfermeiros apresentaram motivos da não adesão ao uso do PICC e sugeriram diversas condutas para o aumento do uso do cateter em pacientes adultos fora das unidades de terapia intensiva. CONSIDERAÇÕES FINAIS: a maioria dos enfermeiros ainda não possuem competência para uso do PICC. Muito poucos possuem o conhecimento necessário, menos ainda desenvolveram a habilidade técnica para sua realização e nenhum demonstrou atitude de adquirir essa competência. É necessário investir na formação dos profissionais de saúde e no desenvolvimento de uma atitude mais proativa dos enfermeiros no sentido de incrementar suas competências para melhorar a qualidade de sua assistência.application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessCompetência clínicaCompetência profissionalCateterismo venoso centralAdultoInfusões intravenosasClinical competenceCatheterization, peripheralAdultInfusionsIntravenousCIENCIAS DA SAUDE::ENFERMAGEMCompetência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultosCompetence of nurses to use peripherally inserted central venous catheter (PICC) in adultsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis45061628303650419816006006002756753233336908714-7702826533010964327reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGCC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://repositorio.bc.ufg.br/tede/bitstreams/7e6fae60-639a-4b4a-b1f0-e022673990d1/download4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://repositorio.bc.ufg.br/tede/bitstreams/5480c967-2155-40e7-b4b1-4dbb583446e2/downloadd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://repositorio.bc.ufg.br/tede/bitstreams/7fa3d5f1-12d6-4c71-ab76-1e178dcc1890/downloadd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://repositorio.bc.ufg.br/tede/bitstreams/17822240-0dc1-403c-8539-02d04a6359f4/downloadbd3efa91386c1718a7f26a329fdcb468MD51ORIGINALDissertação - Priscilla de Souza Porto - 2017.pdfDissertação - Priscilla de Souza Porto - 2017.pdfapplication/pdf2399135http://repositorio.bc.ufg.br/tede/bitstreams/eb8abc4f-d386-4517-a059-f6cc3da7c1f5/download1bc18dafa2f5bb006c770faf2cc511d6MD55tede/77712017-09-19 11:03:00.653http://creativecommons.org/licenses/by-nc-nd/4.0/Acesso Abertoopen.accessoai:repositorio.bc.ufg.br:tede/7771http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttps://repositorio.bc.ufg.br/tedeserver/oai/requestgrt.bc@ufg.bropendoar:oai:repositorio.bc.ufg.br:tede/12342017-09-19T14:03Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)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
dc.title.eng.fl_str_mv Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
dc.title.alternative.eng.fl_str_mv Competence of nurses to use peripherally inserted central venous catheter (PICC) in adults
title Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
spellingShingle Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
Porto, Priscilla de Souza
Competência clínica
Competência profissional
Cateterismo venoso central
Adulto
Infusões intravenosas
Clinical competence
Catheterization, peripheral
Adult
Infusions
Intravenous
CIENCIAS DA SAUDE::ENFERMAGEM
title_short Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
title_full Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
title_fullStr Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
title_full_unstemmed Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
title_sort Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos
author Porto, Priscilla de Souza
author_facet Porto, Priscilla de Souza
author_role author
dc.contributor.advisor1.fl_str_mv Oliveira, Lizete Malagoni de Almeida Cavalcante de
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/2680821388094276
dc.contributor.referee1.fl_str_mv Caixeta , Camila Cardoso
dc.contributor.referee2.fl_str_mv Bezerra, Ana Lúcia Queiroz
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/5752572356640472
dc.contributor.author.fl_str_mv Porto, Priscilla de Souza
contributor_str_mv Oliveira, Lizete Malagoni de Almeida Cavalcante de
Caixeta , Camila Cardoso
Bezerra, Ana Lúcia Queiroz
dc.subject.por.fl_str_mv Competência clínica
Competência profissional
Cateterismo venoso central
Adulto
Infusões intravenosas
topic Competência clínica
Competência profissional
Cateterismo venoso central
Adulto
Infusões intravenosas
Clinical competence
Catheterization, peripheral
Adult
Infusions
Intravenous
CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv Clinical competence
Catheterization, peripheral
Adult
Infusions
Intravenous
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::ENFERMAGEM
description INTRODUCTION: The insertion of the Central Peripheral Insertion Catheter (PICC) is a very common procedure in hospitalized patients and the nurse has the autonomy to indicate and perform the procedure, provided that she has received specific training. PURPOSE: to analyze the competence of nurses in relation to the use of PICC in hospitalized adult patients. METHODOLOGY: an exploratory descriptive study with a cross - sectional design and a qualitative approach carried out in a large public hospital, with 15 nurses working in hospitalization units of adult patients. The data were collected in an individual interview recorded on digital media or registered by the interviewer in writing at the time of its accomplishment and were analyzed by the content analysis of Bardin (2011). RESULTS: the results were presented in five categories: nurses' knowledge about the management of PICC, ability to use PICC, attitude/ adherence in the management of PICC, reasons for noncompliance with PICC use in adults, and suggestions for adherence to the use of PICC in adults. The majority of nurses do not have the competence to perform the PICC course. Nurses reported reasons for noncompliance with PICC and suggested ways to increase catheter use in adult patients outside intensive care units. FINAL CONSIDERATIONS: The majority of nurses still do not have competence to use the PICC. Very few have the necessary knowledge, the less they have developed the technical skill for their accomplishment, and none have demonstrated an attitude of acquiring that competence. It is necessary to invest in the training of health professionals and in the development of a more proactive attitude of nurses to increase their competencies to improve the quality of their care.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-09-19T14:03:00Z
dc.date.issued.fl_str_mv 2017-08-29
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv PORTO, Priscilla de Souza. Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos. 2017. 61 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/7771
identifier_str_mv PORTO, Priscilla de Souza. Competência de enfermeiros para uso de cateter central de inserção periférica (PICC) em adultos. 2017. 61 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.
url http://repositorio.bc.ufg.br/tede/handle/tede/7771
dc.language.iso.fl_str_mv por
language por
dc.relation.program.fl_str_mv 4506162830365041981
dc.relation.confidence.fl_str_mv 600
600
600
dc.relation.department.fl_str_mv 2756753233336908714
dc.relation.cnpq.fl_str_mv -7702826533010964327
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Enfermagem (FEN)
dc.publisher.initials.fl_str_mv UFG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Enfermagem - FEN (RG)
publisher.none.fl_str_mv Universidade Federal de Goiás
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFG
instname:Universidade Federal de Goiás (UFG)
instacron:UFG
instname_str Universidade Federal de Goiás (UFG)
instacron_str UFG
institution UFG
reponame_str Repositório Institucional da UFG
collection Repositório Institucional da UFG
bitstream.url.fl_str_mv http://repositorio.bc.ufg.br/tede/bitstreams/7e6fae60-639a-4b4a-b1f0-e022673990d1/download
http://repositorio.bc.ufg.br/tede/bitstreams/5480c967-2155-40e7-b4b1-4dbb583446e2/download
http://repositorio.bc.ufg.br/tede/bitstreams/7fa3d5f1-12d6-4c71-ab76-1e178dcc1890/download
http://repositorio.bc.ufg.br/tede/bitstreams/17822240-0dc1-403c-8539-02d04a6359f4/download
http://repositorio.bc.ufg.br/tede/bitstreams/eb8abc4f-d386-4517-a059-f6cc3da7c1f5/download
bitstream.checksum.fl_str_mv 4afdbb8c545fd630ea7db775da747b2f
d41d8cd98f00b204e9800998ecf8427e
d41d8cd98f00b204e9800998ecf8427e
bd3efa91386c1718a7f26a329fdcb468
1bc18dafa2f5bb006c770faf2cc511d6
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)
repository.mail.fl_str_mv grt.bc@ufg.br
_version_ 1861293917566140416