capacitação de técnicos/auxiliares de enfermagem: repercussão nos registros de enfermagem relacionados ao atendimento pré-hospitalar móvel capacitación de técnicos y auxiliares de enfermería en la atención pre-hospitalaria móvil: repercusiones en los registros de enfermería training of nursing technicians/assistants in mobile pre-hospital healthcare: results from nursing records
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Abstract
OBJETIVO: Evaluar el impacto de un curso de capacitación para la mejoría de los registros realizados por técnicos/auxiliares de enfermería en la atención pre hospitalaria a niños menores de cinco años con dificultad respiratoria. MÉTODOS: Se trata de un estudio prospectivo exploratorio, realizado en el Servicio de Atención Móvil de Urgencias - Recife. Fueron incluídas las fichas de atención realizadas por Unidades de Soporte Básico a niños menores de cinco años con cuadro de dificuldad respiratoria, con un total de 148 ocurrencias en el 2006, antes del curso de capacitación y 113 en 2007/2008 después de la capacitación de técnicos/auxiliares de enfermería. RESULTADOS: Se observó un cambio significativo en la calidad de la información registrada, pasando las señales de gravedad respiratoria a ser evaluados con mayor frecuencia, como el uso de la musculatura accesoria, aleteo nasal, agitación, retracción xifoide y sibilancias expiratorias (p<0,01). CONCLUSIÓN: El curso de capacitación implementado proporcionó mejor comunicación con la central médica de regulación en el repaso objetivo de las señales de dificultad respiratoria, favoreciendo la adopción de conductas apropiadas.
OBJECTIVE: To evaluate the impact of a program for capacitation of associate degree nurses and licensed practical nurses in improving the documentation of respiratory care for children less than 5 years old in pre-hospital mobile units. METHODS: A quasi-experimental, prospective, and comparative one-group before and after design was used to conduct the study. The study was conducted in the Pre-Hospital Mobile Units of Recife. The sample consisted of 148 children's records in 2006 before the initiation of the program of capacitation and 113 children's records in 2007 and 2008 after the implementation of the program. RESULTS: There was a statistical significant change after the implementation of the program regarding to quality documentation and the frequency of respiratory system assessment, such as the use of the accessory respiratory muscle, nose flaring, agitation, xiphoid process retraction, and wheezes (p < .01). CONCLUSIONS: The implementation of the program of capacitation of associate degree nurses and licensed practical nurses improved communication, nursing care, documentation, and respiratory assessment of children in pre-hospital mobile units.
| Reference Key |
silveira2009actacapacitao
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| Authors | ;Cibele de Lima Souza Silveira;Luciane Soares de Lima |
| Journal | ecology and society |
| Year | 2009 |
| DOI |
10.1590/S0103-21002009000500013
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