A1(14) Arq Bras Cardiol: Imagem Cardiovasc. 2016. |
Observation and evaluation of image quality in regarding to the decubitus position. Total of 67 patients. |
To assess whether changing the patient's position during the exam could have an influence on the technical quality of the images and whether additional factors could limit collecting adequate images in the bed. |
Patient's positioning on the bed is extremely important for obtaining good quality images. About 90% of the images were considered good/excellent when the patients were placed in the Left Lateral Decubitus. |
A2(15) Revista Brasileira de Enfermagem. 2017 |
Descriptive study, with a quantitative approach of methodological validation of an instrument. |
To develop and validate a nursing care protocol for patients with Ventricular Assist Device (VAD). |
Protocol composed of 10 actions: the appropriate nutritional support, the assessment of the patient's pain, the correct analgesia and the prevention of infectious processes are highlighted. |
A3(16) Acta Scientiarum. Health Sciences. 2016. |
Prospective observational study. Adult patients undergoing thoracic drainage with a water seal. |
To evaluate the management of closed chest drainage systems through the analysis of adult patients, as well as standardize the care protocol for chest drainage and minimize its complications. |
Protocol composed of 12 actions. Therapeutic success is evidenced and it is directly related to the qualification and continuous training of the patient's caregivers undergoing chest drainage. |
A4(17) Essentia. 2017 |
Integrative Review. A total of 12 articles were selected. |
To identify the scientific evidence about the nursing care provided to patients undergoing mechanical ventilation in the ICU. |
Nursing care for artificially ventilated patients requires nurses to have prior knowledge and skills so that patients' care needs are met. |
A5(18) Revista Gaúcha de Enfermagem. 2015 |
Cross-sectional, analytical study with a quantitative approach. A total of 793 observations were made. |
To identify the adherence of health professionals in an Intensive Care Unit regarding the five moments of hand-washing (HW) recommended by WHO. |
In 446 (56.2%) observations, there was no HW. HW with soap and water was more frequent (32%) compared to rubbing with alcohol (11.8%). The HW adherence rate was 43.7%. |
A6(19) Revista Brasileira de Enfermagem. 2015. |
Methodological study. Participation of five specialists. |
Check the positioning recommendations of newborns (NB) and build a standard operating procedure protocol (SOP) for positioning NBs in the Neonatal Intensive Care Unit (NICU). |
Correct positioning of the premature baby: head of the bed raised to 30°. Positions: a) flat or supine position: maximum flexion and support of the scapular zone; b) Lateral decubitus: Slight flexion of the trunk and head in the midline and flexion of the arms; c) prone position or pronation: flexion of the spine, slight pelvic elevation, correct feet angle and nesting. |
A7(20) International Journal of Evidence-Based Healthcare.2015 |
A convenience sample, selected 33 nurses. |
To identify the best available evidence and develop an evidence-based clinical audit project to use as a guide to assess current nursing, practice and implement a change strategy to increase compliance with best practice standards for nursing in patients with chest tubes. |
A total of 94% of participants agreed that the use of the checklist improved patient care and 90% agreed that it was useful for performing physical examinations on patients. Regarding workload: 35% of nurses did not notice an increase in workload. |
A8(21) Radiologia Brasileira. 2015. |
Literature review, without description of the method used. |
To review the main concepts related to the topic addressed in order to better understand them, thus making it possible to establish strategies for safe practice without compromising the quality of the exam and the operator's productivity. |
The use of gloves is recommended during all tests and should be used to remove the used preservative and to wash the transducer. Hand asepsis is essential for starting a new exam. Cleaning/ disinfecting the probes should be systematic and routinely. |
A9(3) Revista Online de Pesquisa: Cuidado é Fundamental. 2018. |
Descriptive, retrospective, documentary research with a quantitative approach. A total of 360 printouts were analyzed. |
To analyze the unplanned removal of invasive devices in an intensive care unit. |
The enteric catheter for food stood out among those devices removed in an unplanned manner (42%). The reasons for which the removal was done were: removed by the patient (33%), obstruction (30%) and accidental loss (21%). |
A10 (22) JBI Database of Systematic Reviews and Implementation Reports. 2018 |
Systematic review. It included patients who underwent a CT scan with contrast. |
To identify risk factors and interventions that prevent or reduce the extravasation of the contrast medium in patients undergoing computerized tomography examination. |
The amount of extravasated fluid, the venous access and the catheter's permanence time and the patient's characteristics can be a risk factor for extravasation, recent hospitalization. |
A11(23) Journal of Specialized Nursing Care. 2018 |
Descriptive research carried out through systematic bibliographic review. A total of 10 articles were selected. |
To review the evidence-based guidelines that will assist the intensive care nurse in the identification and prevention of Surgical Site Infections (SSI) in the postoperative period of cardiac surgery, in the Intensive Care Unit. |
Proper assessment of the surgical site is important. The nurse has a central role in the maintenance of the surgical dressing and in the evaluation of the surgical wound, in order to detect early complications of infection. |
A12(24) Journal of Specialized Nursing Care. 2018 |
Integrative bibliographic research. A total of 12 articles were selected. |
To analyze the scientific evidence available for the prevention of infection associated with bladder catheterization, with emphasis on the Intensive Care Unit, through nursing interventions. |
Nurse qualification guarantees the quality of the care provided to the patient, and it must follow protocols and guidelines as a way to avoid damage to the health of the patient who is already hospitalized in ICUs. |
A13(25) Journal of Specialized Nursing Care. 2018 |
Integrative literature review. A total of 10 articles were selected. |
To review evidence-based guidelines that will assist the intensive care nurse in identifying and treating nursing care conduct related to infection control related to the Central Venous Access device. |
Through good practices in the insertion, handling and removal of the central venous catheter, nurses can develop mechanisms to prevent infections related to the use ofCVC. |
A14(26) Revista de Administração em Saúde. 2018 |
Clinical audit study, control and system review. With a total of 15 participants. |
To evaluate CVC-related nursing care in adult and pediatric Intensive Care Units to compare the conduct to the standardized protocol in the institution and analyze the results, based on the ANVISA guide entitled "Health Care-Related Infection Prevention Measures" 2017. |
Regarding the use of PPE (gloves, mask, glasses and cap) while performing CVC dressings, it was noticed that 1 (6.7%) nurse did not use sterile gloves during the procedure, 4 (26.7%) did not wear a mask, 14 (93.4%) did not wear glasses, 3 did not wear a cap (20.0%). |
A15(27) Revista Brasileira de Enfermagem. 2018 |
Descriptive and cross-sectional study, with 50 nurses. |
To describe determining factors in the management of the hand hygiene procedure performed by a group of nurses in Internal Medicine services and to identify possible challenges for public health. |
A total of 90% consider respecting the existing hand hygiene recommendations at the stipulated times. However, none of the moments of hand hygiene with water and soap were identified by all respondents. |
A16(28) Revista Uningá. 2016 |
Integrative literature review, with a qualitative approach, totaling 22 selected articles. |
To characterize the scientific production on biosafety and precaution in the ICU and to describe the factors that contribute to the healthy environment in the ICU and the habits of professionals, from 2003 to 2012. |
Professionals neglect biosafety in their daily work routine, exposing themselves to occupational risks, a result strongly influenced by organizational issues of the health institution itself. |
A17(29) DisciplinarumScientia. Ciências da Saúde. 2017 |
Integrative literature review. A total of 8 publications were selected. |
To identify scientific productions at national and international level on patient identification through the use of wristbands and their implications for safe care in the hospital context. |
It was evident, the multiplicity of factors involved in such a process and the great challenge of health institutions in reaching acceptable levels of conformities regarding the identification process. |
A18(30) Escola Anna Nery. 2018 |
Integrative, exploratory review study, which resulted in 15 articles. |
To look for scientific evidence on the practice of handoff in the ICU regarding the safety of team members' communication about the hospitalized patient. |
Missing, incomplete, or wrong information in the handoff is highlighted, due to the lack of standardization and preparation of this activity, causing a delay in procedures or that are wrong or not performed. The use of instruments reduces the amount of information neglected, casual conversations, and errors, improving team satisfaction. |
A19(31) Revista Eletrônica Acervo Saúde. 2018 |
Integrative literature review. A total of 6 articles were selected. |
To analyze nursing care for bedridden patients in the ICU through a literature review. |
Most studies evaluated the nurses' actions and the need for a trained and experienced intensivist to guarantee the quality of life of patients who need their care. |
A20(32) Revista de Saúde Pública do Paraná. 2017 |
Exploratory-descriptive study, based on documents and quantitative approach. Direct observation of 61 beds. |
To assess the adherence of health professionals in the five moments of hand hygiene in the ICUs of a pediatric hospital. |
It is observed that, just before contact with the patient, there is a more significant concern for HM. The training of the multidisciplinary team must be carried out continuously to raise awareness of risks and prevent hospital infection to which patients are exposed. |
A21(33) Revista de Enfermagem do Centro-Oeste Mineiro. 2017 |
Laboratory analysis of 14 swabs was performed. |
To analyze contamination of equipment in an intensive care unit before and after cleaning and disinfection and propose a protocol for decontamination. |
In the pre-disinfection, the bedside table, the computer keyboard, and the telephone presented negative growth of staphylococcus coagulase. The phone remained contaminated after cleaning and disinfection. The medication preparation bench, the glucometer, the nursing scale, and the monitor did not show contamination before or aftercleaning/disinfection. |
A22(34) Rev Latino-Americana de Enfermagem. 2016 |
Systematic literature review. A total of 13 articles were selected. |
To describe the strategies that health professionals use in the implementation of the guidelines issued by the Centers for DiseaseControlandPrevention in the prevention of urinary tract infection associated with bladder catheterization. |
It was identified: reminder systems to decrease the number of people submitted to urinary catheterization; audits on the practice of nursing professionals, application of bundles and removing the catheter when unnecessary, which allows reducing the rate of catheter-related urinary tract infections. |
A23(35) Revista Eletrônica de Enfermagem do Vale do Paraíba. 2013 |
Descriptive exploratory cross-sectional study, with statistical data. A total of 130 patients were admitted, reaching 1107 patients/day. |
To identify the number of nosocomial infections associated with the use of the central venous catheter and propose the use of the infection prevention bundles method, contributing to the quality of care provided to the client. |
Among the 1107 patients/day with CVC, the majority of infections were caused by Staphylococcus aureus, which is removed with a simple hand washing to avoid, bundles appear, which are simple and effective measures. |