Nursing activities for the diagnosis "Risk for contamination of medical devices"
DOI:
https://doi.org/10.33448/rsd-v9i9.7794Keywords:
Sterilization; Standardized Nursing Terminology; Validation Studies; Nursing research.Abstract
Objective: to seek evidence of consensus among specialists to validate Nursing activities for the diagnosis “Risk for contamination of articles”. Methodology: this is a quantitative, descriptive, methodological study of validity by consensus of experts. It is reported that 35 specialist nurses in the operating room and material and sterilization center participated. An instrument was applied that contained the risk factors of the diagnosis and the activities proposed for them. Activities with more than 90% consensus were considered valid. Results: agreement was observed for 25 activities proposed for 11 risk factors and two risk factors did not obtain an agreement greater than 90% for their activities. Conclusion: there was agreement between the proposed and the validated by the specialists for 25 activities. It is believed that the relevance of the study is in the determination of nursing activities, characterizing care indirectly in the material and sterilization center and the nurse's work in this unit. As a limitation of the study, the need to validate the rejected activities and update the diagnosis title for later validation are pointed out.
References
Agência Nacional de Vigilância Sanitária (ANVISA). (2012) Resolução RDC nº 15, de 15 de março de 2012: Dispõe sobre requisitos de boas práticas para o processamento de produtos para saúde e dá outras providências. Diário Oficial da União. Recuperado de: https://www20.anvisa.gov.br/segurancadopaciente/index.php/legislacao/item/rdc-15-de-15-de-marco-de-2012.
Anjos, M. A. M., & Oliveira, J.C. (2016) As percepções dos profissionais de enfermagem da central de material e esterilização: uma reflexão sobre a cultura organizacional. Rev ACRED, 6 (11), 1-9. Recuperado de: https://dialnet.unirioja.es/servlet/articulo?codigo=5602109
Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Mterial e Esterilização (SOBECC). (2017) Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para a saúde. (7a ed.). São Paulo: SOBECC.
Association of periOperative Registered Nurses (AORN). (2017) Guidelines for cleaning and care of surgical instruments. Recuperado de: http://www.nascecme.com.br/assinante/GUIDE LINE_FOR_CLEANING_AND_CARE_OF_SURGICAL_INSTRUMENTS.pdf
Basu, D. (2019) Requirement of hollow process challenge device for monitoring hollow and complex instruments sterilization: a simulator for proper sterility assurance. Infect Control Hosp Epidemiol, 40(8), 951‐2. DOI: 10.1017/ice.2019.138
Brooks, J. V., Williams, J. A. R., & Gorbenko, K. (2019) The work of sterile processing departments: an exploratory study using qualitative interviews and a quantitative process database. Am J Infect Control, 47(7), 816-21. DOI: 10.1016/j.ajic.2018.12.010
Bulechek, G. M., Butcher, H. K., Dochterman, J., & Wagner, C. M. (2016) NIC: Classificação das Intervenções de Enfermagem. (6a ed.). Oxford: Elsevier.
Fletcher, R. H., Fletcher, S. W., & Fletcher, G. S. (2014) Epidemiologia clínica: elementos essenciais. (5a ed.). Porto Alegre: Artmed.
Gonçalves, R. C. S., & Santana, R. F. (2016) Nursing diagnosis for material and sterilization center: concept analysis. J Nurs UFPE on line, 10(2),485-94. DOI: 10.5205/reuol.8557-74661-1-SM1002201614
Guimarães, H. C. Q. C. P., Pena, S. B., Lopes, J. L., Lopes, C. T., & Barros, A. L. B. L. (2016) Experts for validation studies in nursing: new proposal and selection criteria. Int J Nurs Knowl, 27(3), 130-35. DOI: 10.1111/2047-3095.12089
Laranjeira, P. R., Bronzatti, J. A. G., Bruna, C. Q. M., Souza, R. Q., Graziano, K. U., & Lusignan, V. (2020) False positive results of Bowie and Dick type test used for hospital steam sterilizer with slower come-up ramps: a case study. PLoS One, 15(1), e0227943. DOI: 10.1371/journal.pone.0227943
Ling, M. L., Ching, P., Widitaputra, A., Stewart, A., Sirijindadirat, N., & Thu, L. T. A. (2018) APSIC guidelines for disinfection and sterilization of instruments in health care facilities. Antimicrob Resist Infect Control, 7, 25. DOI: 10.1186/s13756-018-0308-2
Link, T. (2019) Guideline implementation: sterilization. AORN J, 109(6), 772-82. DOI: 10.1002/aorn.12668
Mussel, I. C., Paula, A. O., & Oliveira, A. C. (2017) Storage of health products in hospital sterilization centers. Enferm Foco , 8(4),37-41. DOI: 10.21675/2357-707X.2017.v8.n4.1026
Nascimento, M. N. R., Félix, N. D. C., Damasceno, S. S., Alencar, A. M. P. G., Oliveira, C. J., & Nóbrega, M. M. L. (2018) Psychospiritual nursing diagnoses for people with metabolic syndrome. J Nurs UFPE on line, 12(12), 3181-9. DOI: 10.5205/1981-8963-v12i12a238081p3181-3189-2018
Panta, G., Richardson, A. K., Shaw, I. C., Chambers, S., & Coope, P. A. (2019) Effectiveness of steam sterilization of reusable medical devices in primary and secondary care public hospitals in Nepal and factors associated with ineffective sterilization: a nation-wide cross-sectional study. PLoS One, 14(11), e0225595. DOI: 10.1371/journal.pone.0225595
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka R. (2018) Metodologia da pesquisa científica. [e-book]. Santa Maria Ed. UAB/ NTE/ UFSM. Recuperado de: https://repositorio .ufsm.br/handle/1/15824?show=full
Polit, D. F., & Beck, C. T. (2018) Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática de enfermagem. (9a ed.). Porto Alegre: Artmed.
Quintino, A. P. N. N. (2017) Challenges in subsequent loads in saturated steam sterilization: comparative study of performance. Rev SOBECC, 22 (3), 145-51. DOI:10.5327/Z1414-4425201700030005
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Raquel Calado da Silva Gonçalves; Aline Coutinho Sento Sé; Maria da Conceição Samu Pezzi; Cecília Maria Izidoro Pinto; Priscilla Alfradique de Souza; Blanca Marín Fernández; Paula Escalada Hernández; Teresa Tonini
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.