Programa de Pós-graduação em Saúde Coletiva
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Navegando Programa de Pós-graduação em Saúde Coletiva por Por Orientador "Junqueira, Ana Luiza Neto"
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Item Hipodermóclise: uma proposta de protocolo de segurança do paciente em uso de infusão subcutânea(Universidade Federal de Goiás, 2017-05-19) Araújo, Camila Pinheiro; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Queiroz, Ana Lúcia Bezerra de; Galdino Junior, HélioObjective: Make an administration of drugs/infusion fluids protocol by subcutaneous path, to nursing professionals of an federal school hospital in the city of Goiânia_GO. Methodology: Elaboration of an intervention protocol which will be realized a bibliographic literature rewiew, between the months of march and august of 2016 ,with national and international publications preferentially on the last five years, that treats about drug/fluids administration by subcutaneous path. Results: The literature range used to compose this protocol shows that subcutaneous therapy back to discussion in several landscape practices. Final Considerations : This work postivly contributtes to nursing professinals , by presenting na hipodermoclysis protocol, based on pacient security , wth a large range technic to acadhemic , cienthific and professional centre.Item Administração segura de medicamentos: proposta de protocolo de orientações para equipe de enfermagem(Universidade Federal de Goiás, 2016-07-15) Fortes, Alba Valéria Sales; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Bezerra, Ana Lúcia Queiroz; Ribeiro, Luana Cássia MirandaThis paper aims to draw up a protocol on safe administration of medication intramuscularly to be made available to nursing staff. Methodology: descriptive study focused on the development of protocol for safe medication administration intramuscularly which were formulated based on the standards set by the scientific community, following pre-existing technical guidance grounded in clinical evidence, which were collected through a integrative literature review the following topics emerged: theoretical concepts related to anatomical issues for each drug administration region intramuscularly, as well as their graphic representations; factors that interfere directly and / or indirectly in making the decision as the best region of choice for the administration of injection; advantages and disadvantages of each region for drug administration and drug application techniques in the recommended intramuscular regions, with illustrations of them. Results: Prepared protocol with guidance on safe practices for administering medication intramuscularly, which includes the detailed description of the technique, images of anatomic regions, as well as key recommendations to this procedure, such as the correct choice of the site to be accessed, following recommended safety order, age, size of the needle, maximum volume to be injected. Conclusions: The activity of care, as well as complex, requires reliability to the assistance provided through insurance procedures and in this light, the construction of the protocol is notorious for carrying out the activities in which nursing is involved, since it is configured as a guiding instrument of care, promoting the work process of the nursing team regarding the safe administration of medications. The use of this instrument can help the practitioner to maximize therapeutic effects of administered medication, minimizing or eliminating injury to the patient and discomfort associated with intramuscular injections.Item Conhecimento e prática em administração de injeções por via intramuscular dos profissionais de enfermagem de unidades de urgência de Goiânia-Go(Universidade Federal de Goiás, 2015-03-13) Sousa, Gilma Moreira de; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Junqueira, Ana Luiza Neto; Matos, Marcos André de; Bezerra, Ana Lúcia Queiroz; Souza, Márcia Maria de; Caetano, Karlla Antonieta AmorimTo analyze the practices and knowledge in administration medication intramuscularly between nurses and nursing auxiliaries/ technicians in fixed pre-hospital emergency units of Goiânia -Go Methodology: descriptive, exploratory cross-sectional study, the research was conducted in the period February to May 2014. the study population consisted of nurses, technicians and nursing auxiliaries of fixed pre- hospital units and pediatric clinical urgency of Goiânia -Go , was investigated demographic data partners, knowledge acquired in vocational training and clinical practice in the conduct of drug delivery techniques intramuscularly ( IM ). Results: the study 176 nursing professional, 58 nurses and 111 nursing technicians and seven nursing auxiliaries. And 91.5% were female with an average age between 31 and 40 years and 60.3% had up to 10 years of experience in nursing. 99.0% of nursing auxiliaries / technicians mentioned that perform the IM for drug delivery regularly, while nurses, 32.7% and 5.2% rarely ever do. The deltoid muscle (100% and 95.6%) and dorsal gluteal (96.6% and 98.1%) were the regions that nurses and nursing auxiliaries / technicians, respectively said it had more information and practice during the course formation. 29.4 % of nurses and 32.3 % of nursing auxiliaries / technicians cited who did not know the technical ventral gluteal while students. The criteria cited for choosing the drug administration site were: the volume of the drug, size of muscles, needle size, thickness of fat tissue, user preference, and the service daily practice. Since the daily practice was mention ed more often by auxiliaries / technicians nursing (27.1%) already by nurses was 8.6%, this difference was statistically significant (p=0.005). The dorsal gluteal region back is the most used IM to drug use in adults, both by nurses (56.6%) and by auxiliarie / technicians nursing (69.8%). The experience of nurses in drug delivery in all regions was 64.9% while the auxiliaries / technicians nursing was 41.0% which is statistically significant difference between the categories (p=0.003). Conclusion It was found that the IM medication administration are not implemented in accordance with the recommendations in the literature, for much of the nurses and nursing auxiliaries / technicians claiming that the knowledge acquired during the training were insufficient to act in professional practice. The regions most commonly used drug for IM administration were dorsal gluteal in children and adults and the vastus lateralis thigh in neonates and infants. Poor adherence of nursing professionals, medication administration in the ventral gluteal region was justified by the insecurity in the technical implementation and the lack of knowledge in the correct identification of the place. Therefore the result of this study highlights the need to invest in continuing education , making nursing professionals to act safely and ethically in daily activities the role of nursing requires reflective practices based on scientific evidence , to ensure the safety of the professional and the patient.