{"id":5108,"date":"2019-03-29T11:26:55","date_gmt":"2019-03-29T09:26:55","guid":{"rendered":"http:\/\/www.easistent.ro\/?p=5108"},"modified":"2019-05-10T20:46:37","modified_gmt":"2019-05-10T18:46:37","slug":"bariere-in-prevenirea-infectiilor-asociate-asistentei-medicale-in-activitatea-asistentilor-medicali","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=5108","title":{"rendered":"Bariere \u00een prevenirea infec\u021biilor asociate asisten\u021bei medicale \u00een activitatea asisten\u021bilor medicali"},"content":{"rendered":"

Activitatea asisten\u021bilor medicali din Bucure\u0219ti cu privire la prevenirea infec\u021biilor asociate asisten\u021bei medicale este apreciat\u0103 la nivel interna\u021bional! <\/em><\/strong>
\n Posterul \u201eBarriers in preventing healthcare associated infections in the nurses\u2019 activity\u201d care a prezentat rezultatele ob\u021binute \u00een cadrul unui studiu \u0219tiin\u021bific realizat \u00een perioada februarie-iunie 2018 a fost nominalizat \u00eentre cele 10 Cele mai bune E-Postere la Conferin\u021ba \u201eThe Third CEE Conference on Hospital Hygiene and Patient Safety\u201d din 12-13 martie 2019 de la Viena organizat\u0103 de Semmelweis Foundation.<\/em><\/strong>
\n Lucrarea face parte din activitatea \u0219tiin\u021bific\u0103 a doctorandului Viorica Nedelcu.<\/em><\/strong>\n<\/p>\n

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Autori:<\/em><\/p>\n

Viorica Nedelcu<\/strong>
\nOAMGMAMR Filiala Municipiului Bucure\u0219ti, Bucure\u0219ti, Rom\u00e2nia;
\nUniversitatea de Medicin\u0103 \u0219i Farmacie \u201dCarol Davila\u201d din Bucure\u0219ti, Bucure\u0219ti, Rom\u00e2nia<\/p>\n

Mariana Zazu
\n<\/strong>OAMGMAMR Filiala Municipiului Bucure\u0219ti, Bucure\u0219ti, Rom\u00e2nia;<\/p>\n

Doina Carmen Mazilu<\/strong>
\nOAMGMAMR Filiala Municipiului Bucure\u0219ti, Bucure\u0219ti, Rom\u00e2nia;
\nUniversitatea de Medicin\u0103 \u0219i Farmacie \u201dCarol Davila\u201d din Bucure\u0219ti, Bucure\u0219ti, Rom\u00e2nia<\/p>\n

Ioana Marina Grin\u021bescu<\/strong>
\nUniversitatea de Medicin\u0103 \u0219i Farmacie \u201dCarol Davila\u201d din Bucure\u0219ti, Bucure\u0219ti, Rom\u00e2nia
\nSpitalul Clinic de Urgen\u021b\u0103 Bucure\u0219ti, Sec\u021bia ATI, Bucure\u0219ti, Rom\u00e2nia<\/p>\n

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INTRODUCERE<\/strong><\/p>\n

Infec\u021biile asociate asisten\u021bei medicale (IAAM) reprezint\u0103 complica\u021bii nedorite ale \u00eengrijirilor de s\u0103n\u0103tate, cu impact semnificativ asupra evolu\u021biei pacien\u021bilor. Cea mai simpl\u0103 \u0219i eficient\u0103 metod\u0103 de limitare \u0219i control a IAAM este igiena m\u00e2inilor. De\u0219i personalul medical recunoa\u0219te importan\u021ba igienei m\u00e2inilor, acest lucru nu se reflect\u0103 totu\u0219i \u00een practica clinic\u0103 a acestora. O surs\u0103 a complian\u021bei sc\u0103zute cu igiena m\u00e2inilor a personalului medical ar putea fi reprezentat\u0103 de un nivel inadecvat de cuno\u0219tin\u021be al acestora privind importan\u021ba igienei m\u00e2inilor, indica\u021biile, criteriile tehnice \u0219i recomand\u0103rile interna\u021bionale. Educa\u021bia medical\u0103 continu\u0103 (EMC) poate reprezenta astfel o strategie important\u0103 de \u00eembun\u0103t\u0103\u021bire a complian\u021bei personalului medical cu igiena m\u00e2inilor.<\/p>\n

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MATERIAL \u0218I METOD\u0102<\/strong><\/p>\n

Scopul studiului realizat \u00een perioada februarie-iunie 2018 a fost identificarea principalelor bariere de complian\u021b\u0103 sc\u0103zut\u0103 a asisten\u021bilor medicali \u00een ceea ce prive\u0219te nivelul cuno\u0219tin\u021belor cu privire la igiena m\u00e2inilor \u0219i prevenirea IAAM. Principalele obiective stabilite au fost: a) identificarea nivelului de cuno\u0219tin\u021be; b) identificarea lacunelor \u00een cuno\u0219tin\u021be; \u0219i c) stabilirea unei corela\u021bii \u00eentre nivelul cuno\u0219tin\u021belor \u0219i experien\u021ba profesional\u0103. A fost aplicat un chestionar cu 25 de itemi cu grad mediu de dificultate. Prelucrarea statistic\u0103 a datelor a fost realizat\u0103 cu programul SPSSv23.0.<\/p>\n

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REZULTATE<\/strong><\/p>\n

\u00cen studiu au fost inclu\u0219i 236 asisten\u021bi medicali cu v\u00e2rsta medie de 45,6 ani \u0219i vechimea medie \u00een profesie de 15 ani. 32,2% din participan\u021bi au prezentat un nivel foarte bun de cuno\u0219tin\u021be, 28,8% un nivel bun \u0219i 39% un nivel satisf\u0103c\u0103tor. Calificativul mediu acordat e\u0219antionului a fost bun, acesta corel\u00e2nd negativ, dar nesemnificativ, cu v\u00e2rsta \u0219i cu vechimea \u00een profesie. \u00cen general, asisten\u021bii medicali au avut dificult\u0103\u021bi \u00een a furniza r\u0103spunsuri corecte la itemii privind igiena m\u00e2inilor, prevenirea IAAM, dezinfec\u021bia \u0219i sterilizarea. Itemii care au ridicat mai pu\u021bine dificult\u0103\u021bi au fost cei cu privire la: precau\u021biuni standard \u0219i precau\u021bii adresate c\u0103ii de transmitere, expunerea accidental\u0103 la produse biologice \u0219i managementul de\u0219eurilor medicale.<\/p>\n

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CONCLUZII<\/strong><\/p>\n

\u00cembun\u0103t\u0103\u021birea complian\u021bei cu igiena m\u00e2inilor a asisten\u021bilor medicali \u00een practica de \u00eengrijire presupune implementarea unei strategii de EMC adaptat\u0103 nevoilor educa\u021bionale ale acestora, care s\u0103 vizeze domeniile identificate ca fiind deficitare: igiena m\u00e2inilor, prevenirea IAAM, dezinfec\u021bia \u0219i sterilizarea.<\/p>\n

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Barriers in preventing healthcare associated infections in the nurses\u2019 activity<\/h2>\n

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Authors:<\/p>\n

Viorica Nedelcu<\/strong>
\nThe Order of Nurses, Midwives and Medical Assistants in Romania Bucharest Branch, Bucharest, Romania;
\nThe \u201cCarol Davila\u201d University of Pharmacy and Medicine of Bucharest, Bucharest, Romania<\/p>\n

Mariana Zazu<\/strong>
\nThe Order of Nurses, Midwives and Medical Assistants in Romania Bucharest Branch, Bucharest, Romania;<\/p>\n

Doina Carmen Mazilu<\/strong>
\nThe Order of Nurses, Midwives and Medical Assistants in Romania Bucharest Branch, Bucharest, Romania;
\nThe \u201cCarol Davila\u201d University of Pharmacy and Medicine of Bucharest, Bucharest, Romania<\/p>\n

Ioana Marina Grin\u021bescu<\/strong>
\nThe \u201cCarol Davila\u201d University of Pharmacy and Medicine of Bucharest, Bucharest, Romania
\nThe Emergency Clinical Hospital Bucharest, ICU, Bucharest, Romania
\nBucharest, Romania<\/p>\n

 <\/p>\n

INTRODUCTION <\/strong><\/p>\n

Healthcare associated infections (HCAI) represent unwanted complications of health care, with a significant impact on the patients\u2019 evolution. The most simple and efficient method of controlling and limiting HCAI is hand hygiene. Although the medical staff acknowledges the importance of hand hygiene, this isn\u2019t reflected always in their clinical practice. A source of low hand hygiene compliance in health care professionals could be represented by an inadequate knowledge level regarding the importance of hand hygiene, indications, technical criteria and international recommendations. Continuing medical education (CME) might thus represent an important strategy of improving hand hygiene compliance among the medical staff.<\/p>\n

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MATERIAL AND METHOD<\/strong><\/p>\n

The purpose of the study made between February-June 2018 was to identify the main barriers of the nurses\u2019 low compliance regarding their knowledge level about hand hygiene and HCAI prevention. The determined main objectives were: a) to identify the nurses knowledge level; b) to identify the knowledge gaps; and c) to establish a correlation between the knowledge level and the work experience.We used a 25-item questionnaire of an average degree of difficulty. The statistical analysis was performed using SPSSv23.0.<\/p>\n

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RESULTS<\/strong><\/p>\n

The study included 236 nurses of an average age of 45,6 and with an average work experience of 15 years. 32,2% of the participants had a very good knowledge level, 28,8%, a good level and 39%, a satisfactorily level. The average score of the sample was good, which correlated negatively, but insignificantly with the age and the work experience. Generally, the nurses had difficulties in giving the right answer to the items regarding hand hygiene, HCAI prevention, disinfection and sterilization. The items that presented fewer difficulties were the ones about: standard precautions and precautions regarding the mode of transmission, accidental exposure to biological products and medical waste management.<\/p>\n

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CONCLUSIONS<\/strong><\/p>\n

Improving the nurses\u2019 hand hygiene compliance in health care practice entails the implementation of a CME strategy adapted to their educational<\/p>\n

needs, that will target the areas identified as being deficient: hand hygiene, HCAI prevention, disinfection and sterilization.<\/p>\n

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Descarca Posterul:<\/strong><\/p>\n

Poster Romana<\/a><\/p>\n

Poster Engleza<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Activitatea asisten\u021bilor medicali din Bucure\u0219ti cu privire la prevenirea infec\u021biilor asociate asisten\u021bei medicale este apreciat\u0103 la nivel interna\u021bional! Posterul \u201eBarriers in preventing healthcare associated infections in the nurses\u2019 activity\u201d care a prezentat rezultatele ob\u021binute \u00een cadrul unui studiu \u0219tiin\u021bific realizat \u00een perioada februarie-iunie 2018 a fost nominalizat \u00eentre cele 10 Cele mai bune E-Postere la […]<\/p>\n","protected":false},"author":3,"featured_media":5047,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,155],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5108"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5108"}],"version-history":[{"count":20,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5108\/revisions"}],"predecessor-version":[{"id":5134,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/5108\/revisions\/5134"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/5047"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5108"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5108"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}