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Item Conhecimento de profissionais e trabalhadores da saúde sobre o processo de doação e transplante de órgãos e tecidos(Universidade Federal de Goiás, 2019-12-04) Calixto, Anaian Carla Vieira; Barreto, Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Barreto, Regiane Aparecida dos Santos Soares; Cordeiro, Jacqueline Andreia Bernardes Leão; Suzuki, Karina; Pagotto, Valéria; Gonçalves, Fernanda Alves FerreiraThe number of transplants has increased considerably in recent years, but there are still numerous barriers and difficulties to be faced. The population is known to lack considerable numbers of effective organ and tissue donors. It is essential that the multiprofessional assistant team in this area is constantly trained and trained. The aim of this study was to analyze the knowledge of health professionals and workers about organ and tissue donation and transplantation. From July 2018 to January 2019 a quantitative cross-sectional analytical study was conducted with 250 health professionals and workers. Data collection was performed through a structured questionnaire with 18 closed questions related to the knowledge of health professionals and workers about the aspects of organ and tissue donation and transplantation in Brazil prepared by the researchers Freire et al. The collected data were analyzed using STATA software, version 12.0. Most participants demonstrated knowledge about the non-obligatory donation, non-commercialization of organs and tissues in the country, deceased donor with beating heart, deceased donor with stopped heart and concept of ME. Participants showed no knowledge of the concept of living donor. Few professionals have stated intention to donate. There was an association between the intention to donate in females, participants with higher education and those who reported higher monthly income. There was an association with the intention to donate in the participants who were able to answer correctly about informing the family as a criterion to be a donor, non-commercialization of organs and tissues in the country, the concept of a deceased donor with a beating heart, and the existence of the National Transplant System and in those. participants who could not respond to the concept of living donor. Although organ and tissue donation is a current theme, it is still poorly understood by the general population and by health professionals and workers as a result of several cultural reasons and paradigms dragged on for years cited throughout this study. The need to raise awareness along with the implementation of educational programs among health professionals on organ donation and transplantation is evident.Item Incidentes em sessões de hemodiálise à beira leito em unidades de terapia intensiva(Universidade Federal de Goiás, 2019-03-29) Costa, Natália Nunes; Barreto, Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Barreto, Regiane Aparecida dos Santos Soares; Freitas, Nara Rúbia de; Cavalcante, Agueda Maria Ruiz ZimmerOBJECTIVE: Analyzing the incidents that occurred during the hemodialysis sessions at bedside in the Intensive Care Unit. INTODUCTION: the Intensive Care Unit are highly complex assistance environments that are conductive to the occurrence of incidents. A complex treatment realized in the hemodialysis service at bedside, indicated by the nephrologist to the severer patient aiming, to keep it metabolically stable. The hemodialysis at bedside is adapted to the environment of Intensive Care Unit, although the legislation is still incipient. Hemodialysis sessions can bring on incidental that compromise patient safety. These circumstances have potential to cause damage such as injuries, disabilities and even death. Therefore, it is necessary to understand the etiology, the contributing factors and the possible consequences of such incidents, with subsidies for strategies to promote patient safety, involving professionals that perform hemodialysis assistance, in the search for a continuous improvement culture. METODOLOGY: Cross-sectional, analytical and retrospective study, developed in 10 (ten) Intensive Care Units of Goiânia-GO, during hemodialysis sessions performed by a specialized outsourced clinic. The data collection was performed through the analysis of incidents reports, performed by the nursing team in the hemodialysis prescription at the bedside, from march to april of 2018, using a structured instrument elaborated for this purpose. Descriptive analysis was performed for categorical data, presented in absolute (n) and relative (%) frequencies and for continuous data in mean and standard deviation of the mean. To test the homogeneity of the groups in relation to the proportions, it was used the Two-Tale Fisher's Exact Test. The research has ethical approval, under CAEE nº61669016.2.0000.5078. RESULTS: During the data collection period, 873 hemodialysis sessions were performed and 563 incidents were recorded. Incidents were prevalent in male patients over 60 years old, who had diabetes mellitus and underwent hemodialysis in the SLED modality, using a central catheter for hemodialysis and without heparin. Among the reported incidents, 46.00% (259) were considered to be inherent to the treatment, with hypotension predominating, 28.06% (158) incidents with health technology, with a predominant report of leakage of the water treatment system (portable osmosis), 20.43% (115) care incidents, with emphasis on incompatibility of access to the prescribed flow, and 0.35% (02) incidents involving health products. In general, these incidents were identified by the nursing technician, who attended the hemodialysis session, prior to the patient's injury, although they requested vigilance, delayed the start of the session and did not obtain support from the unit's multiprofessional team at the time of the incident. In 56.12% (132) of the intimate circumstances, the professional worked for more than 12 uninterrupted hours. CONCLUSION: The most recorded were avoidable incidents that generated delay to start treatment and required patient monitoring, despite the non-predominance of damages. Visionary actions are necessary to mitigate incidents and promote safe care during bedside hemodialysis sessions.Item Punção de fístula arteriovenosa de pacientes em hemodiálise: evidências para a enfermagem(Universidade Federal de Goiás, 2018-03-16) Rodrigues, Jéssica Guimarães; Barreto, Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Barreto, Regiane Aparecida dos Santos Soares; Silva, Ana Elisa Bauer de Camargo; Freitas, Nara Rúbia deHemodialysis is the most common category of kidney replacement therapy set for chronical kidney disease. In order to perform this treatment it’s needed a vascular access (VA) that offers an adequate flow rate, a long use-life and a low rate of complications. The Arteriovenous Fistula (AVF) is the closest access to meet these requirements. It can, however, present complications and, during the cannulation that usually happens three times per week, adverse events (AE) can occur to the patient. The arteriovenous fistula cannulation must happen with safety in order to prevent future patency problems. There are three methods of cannulation: area, rope ladder and buttonhole. In the area method, the insertion points of the needles are in the same area; in the rope ladder method there’s the varying of the place of the puncture, at a distance defined by the previous puncture, all along the VA; and in the buttonhole method, the needle’s insertion happen in the same place, angle and deepness, forming a subcutaneous tunnel that will be cannulated with the blunt needle. Each one of these methods has its own particularity and can influence in the need to repair the fistula. This is a prospective cohort study, during the course of six months, from April to September of 2017, conducted with the participation of 347 patients using the vascular access by autologous arteriovenous fistula, within three hemodialysis clinics in the city of Goiânia - GO. The data collection happened by weekly interview to the patients, using a structured instrument online. The research was approved by the Ethics Committee and the participation conditioned to signing of the consent form by the patient. The general objective was to analyze the factors that can influence in the necessity to repair the arteriovenous fistula of patients in hemodialytic treatment cannulated by different cannulation methods. The specific objective was to relate the adverse events and complications in the different arteriovenous fistula cannulation methods. We’ve found that in the buttonhole method, the most frequent AE was dermatitis and misscannulation, and in the area/rope-ladder methods, the most frequent AE were haematoma and peri-punction bleeding. The patients in the buttonhole method group received the hemodialytic treatment with a higher blood flow compared the other group. We’ve observed that the dual lumen catheter (DLC) is a predictor to the need of AVF repairments, due to enhancing in 28% the risk of need for AFV repair. The “arterial” retrograde cannulation has presented itself as a protection factor, diminishing the need to AVF repairments in 1%. In conclusion, the buttonhole method is recommended, since there is an intermittent surveillance of the arteriovenous fistula by the nurse in the touching exam. The area method is not recommended, and the rope ladder method should be individually evaluated in future studies. The nurse must act by monitoring the AFV, surveillance of the patency parameters and health education to the patients for the AVF self-care, as well as continued education to the nursing team in order to promote safe and scientifically based practices.Item Cultura de segurança do paciente em um hospital regional goiano(Universidade Federal de Goiás, 2019-12-11) Sousa, Jéssica Cezario de; Barreto, Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Pagotto, Valéria; Luciano, Cristiana da Costa; Bezerra, Ana Lúcia Queiroz; Almeida, Carlos Cristiano Oliveira de FariaIntroduction: According to the World Health Organization, Patient Safety is characterized as reducing the risk of unnecessary harm associated with health care to an acceptable minimum. Patient Safety Culture is described as a product of values, attitudes, skills and behavioral patterns that determine the commitment, style and proficiency of running a healthy and safe organization. Objective: The aim of this study was to analyze the PSC from the perspective of the health team of a public regional hospital in the state of Goiás. Methods: We applied the Hospital Survey of Patient Safety Culture (HSOPSC) questionnaire adapted and validated for Portuguese. The percentage frequency of each dimension was calculated and classified into area of strength, neutral area and area with potential for improvement for Patient Safety. Results: The target population consisted of 197 workers and health professionals from the studied hospital, of which 152 answered the questionnaire. The health team of the institution studied was mainly composed of females, aged between 40 and 49 years, with completed high school and with specialization. Most respondents to this survey were health workers (44.7%), followed by technical health professionals (27.6%) and higher-level health professionals (27.6%). The dimensions of the HSOPSC questionnaire that received the most positive responses and were classified as “neutral areas” were: “organizational learning”, “safety direction expectations” and “teamwork in the unit”. All other dimensions were classified as “areas with potential for improvement” for Patient Safety. Most respondents (82%) reported no adverse events in the last 12 months. In general, higher-level health professionals had a worst perception about the dimensions presented in the questionnaire. Most respondents rated patient safety as "very good" or "fair" in the hospital studied. Conclusion: We concluded that this hospital has a fragile Patient Safety Culture from the perspective of the health team, with most dimensions showing potential for improvement and no area of strength. Such evidence serves to reinforce the strategy planning for Patient Safety in this institution.