Abstract
Aim: To evaluate the knowledge of nursing professionals in the Intensive Care Unit (ICU) about endotracheal aspiration (ETA) for open system. Method: This an exploratory descriptive study in which a quantitative approach was used, performed in July 2011 in two ICUs of a large university hospital in Mato Grosso do Sul, Brazil. Data were collected through the means of a questionnaire. The sample consisted of 27 professionals of whom 51.9% were male. Results: Globally, the knowledge of professionals was qualified as fair (73.2% correct), but worryingly, it was considered poor in five areas with differing results among the professional categories. Discussion: Taking into account that incorrect knowledge generates inappropriate behavior, it is inferred that the practice of these subjects may compromise patient safety. Conclusion: The studied individuals showed knowledge deficits in some aspects of ETA, a fact that deserves investment regarding teaching and nursing.References
Kelleher S, Andrews T. An observational study on the open-system endotracheal suctioning practices of critical care nurses. J Clin Nurs. 2008;17(3):360-9.
Seckel MA. Does the use of a closed suction system help to prevent ventilator-associated pneumonia? Crit Care Nurse. 2008;28(1):65-6.
Davies K, Monterosso L, Leslie G. Determining standard criteria for endotracheal suctioning in the paediatric intensive care patient: an exploratory study. Intensive Crit Care Nurs. 2011;27(2):85-93.
Ania González N, Martínez Mingo A, Eseberri Sagardoy M, Margall Coscojuela MA, Asiain Erro MC. Assessment of practice competence and scientific knowledge of ICU nurses in the tracheal suctioning. Enferm Intensiva. 2004;15(3):101-11.
Day T, Iles N, Griffiths P. Effect of performance feedback on tracheal suctioning knowledge and skills: randomized controlled trial. J Adv Nurs. 2009;65(7):1423-31.
American Association of Respiratory Care. AARC clinical practice guidelines: endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respir Care. 2010;55(6):758-64.
Celik SA, Kanan N. A current conflict: use of isotonic sodium chloride solution on endotracheal suctioning in critically iil patients. Dimens Crit Care Nurs. 2006;25(1):11-4.
Farias GM, Freitas MCS, Rocha KMM, Costa IKF. Pacientes sob ventilação mecânica: cuidados prestados durante a aspiração endotraqueal. InterScience Place [periodic online]. 2009 Set [2012 Nov 25]; 2(9). Available From: http://www.interscienceplace.org/interscienceplace/article/view/109/111
Pedersen CM, Rosendahl-Nielsen M, Hjermind J, Egerod I. Endotracheal suctioning of the adult intubated patient - what is the evidence? Intensive Crit Care Nurs. 2009;25(1):21-30.
Lourenço SA, Ohara CVS. Nurses’ knowledge about the insertion procedure for peripherally inserted central catheters in newborns. Rev Latino-Am Enferm. 2010;18(2):189-95.
Roberts FE. Consensus among physiotherapists in the united kingdom on the use of normal saline instillation prior to endotracheal suction: a delphi study. Physiother Can. 2009;61(2):107-15.
Halm MA, Krisko-Hagel K. Instilling normal saline with suctioning: beneficial technique or potentially harmful sacred cow? Am J Crit Care. 2008;17(5):469-72.
Day T, Farnell S, Haynes S, Wainwright S, Wilson-Barnett J. Tracheal suctioning: an exploration of nurses’ knowledge and competence in acute and high dependency ward areas. J Adv Nurs. 2002;39(1):35-45.
Oh H, Seo W. A meta-analysis of the effects of various interventions in preventing endotracheal suction-induced hypoxemia. J Clin Nurs. 2003;12(6):912-24.
Conselho Regional de Enfermagem de São Paulo (COREN-SP) [Internet]. Parecer CAT n. 046/2010. Assunto: Atribuições do enfermeiro e equipe de enfermagem na assistência ao paciente submetido à ventilação pulmonar mecânica. [2011 Set 10]. Available From: http://inter.coren-sp.gov.br/sites/default/files/046_2010_ventilacao_mecanica.pdf
Freire ILS, Farias GM, Ramos CS. Prevenindo pneumonia nosocomial: cuidados da equipe de saúde ao paciente em ventilação mecânica invasiva. Rev Eletr Enferm. 2006;8(3):377-97.
Jongerden IP, Rovers MM, Grypdonck MH, Bonten MJ. Open and closed endotracheal suction systems in mechanically ventilated intensive care patients: a meta-analysis. Crit Care Med. 2007;35(1):260-70.
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Curso básico de controle de infecção hospitalar: Caderno B: principais síndromes infecciosas hospitalares. Brasília: Anvisa; 2000.
Jerre G, Silva TJ, Beraldo MA, Gastaldi A, Kondo C, Leme F, et al. Fisioterapia no paciente sob ventilação mecânica. J Bras Pneumol. 2007;33(5 Suppl):S142-50.
Silveira IR, Gnatta JR, Lacerda RA. Reproducibility and confiability of a processual indicator to evaluate adherence to oral hygiene in patients with orotracheal intubation. Online Braz J Nurs [periodic online]. 2011 May [2012 Nov 30]; 10(1). Available From: http://www.objnursing.uff.br/index.php/nursing/article/view/3207