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O Conhecimento dos Enfermeiros Especialistas em Enfermagem de Reabilitação Relativo a Dispositivos Médicos
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Authors
Abstract(s)
O conhecimento dos Enfermeiros Especialistas em Enfermagem de Reabilitação (EEER) relativo a Dispositivos Médicos (DM) assume relevância num contexto de crescente desenvolvimento tecnológico, valorização e expansão do exercício profissional, especialmente no âmbito da prescrição.
Objetivo: Avaliar o nível de conhecimento dos EEER relativo aos DM.
Métodos: Tratou-se de um estudo descritivo, transversal e observacional, realizado em duas Unidades Hospitalares de uma Unidade Local de Saúde no Norte de Portugal. Aprovado pela Comissão de Ética da instituição. Foram selecionados 53 EEER por amostragem não-probabilística por conveniência. Foi desenvolvido um questionário suportado no Regulamento (UE) 2017/745 e no Regulamento nº 392/2019, composto por:1-caraterização sociodemográfica; 2-avaliação do conhecimento em quatro domínios: conhecimento geral relativo aos DM; informações que constam nos rótulos dos Dispositivos Médicos de Uso Único (DMUU); informações das instruções de utilização dos DMUU e símbolos gráficos utilizados na rotulagem dos DM; 3-competências dos EEER e 4-fonte de conhecimento. O questionário foi revisto e validado por dois peritos, submetido a prova-piloto e posteriormente aplicado. A análise estatística realizada no software SPSS, incluiu estatística descritiva, correlacional e comparativa.
Resultados: Os EEER tinham idades compreendidas entre 29-66 anos, a maioria era do género feminino, prestava cuidados de saúde, realizou ensinos aos doentes/cuidadores
informais, selecionou DM (73,6%), dos quais 76,9% definiu especificações técnicas para aquisição desses DM. Embora 52,8% tivesse recebido formação/informação relativa aos
DM, 79,2% não estava satisfeito com o seu conhecimento, tendo 84,9% manifestado necessidade de formação, nomeadamente sobre especificações técnicas e
reprocessamento. O domínio do conhecimento com melhor classificação correspondeu às informações que as instruções de utilização do DMUU devem conter (82,9±15,7%).
Enquanto o domínio com pior classificação correspondeu ao conhecimento sobre símbolos gráficos na rotulagem dos DM (67,4%±9,0%). Variáveis como idade, função de
gestão e formação prévia dos EEER influenciaram o nível de conhecimento nos domínios.
Conclusão: O nível de conhecimento dos EEER relativo aos DM classificado comom “Bom” contribui para cuidados mais eficientes, capazes, equitativos e com impacto direto
na cultura organizacional de segurança. Os domínios do conhecimento com melhor classificação foram concordantes com a relevância dada pelos EEER à capacitação dos
doentes/cuidadores informais. O défice de conhecimento identificado no domínio dos símbolos gráficos dos DM reforça a necessidade de formação contínua, atualizada e
sistematizada, como oportunidade para responder aos desafios emergentes e a escassez de evidência científica realça a necessidade de estudos que suportem e consolidem o
conhecimento dos EEER e agreguem valor ao processo de tomada de decisão relativo aos DM.
The Rehabilitation Nurse (RN) knowledge concerning Medical Devices (MD) is significant within the context of continuous technological development, as well as the recognition and the expansion of professional practice, particularly in the scope of prescription. Aim: To evaluate the level of RN knowledge concerning MD. in two Hospital Units of a Local Health Unit in Northern Portugal Methods: This was a descriptive, cross-sectional, and observational study conducted in two Hospital Units of a Local Health Unit in the North of Portugal. It Was approved by the institution´s Ethics Committee. A total of 53 RN were selected through non-probabilistic convenience sampling. A questionnaire was developed based on Regulation (EU) 2017/745 and Regulation nº 392/2019, and structured into: 1- sociodemographic characterization; 2- assessment of knowledge in four domains: general knowledge concerning MD; information included on the labels of Single-Use Medical Devices (SUMD); information from the instructions for use of SUMD and graphical symbols used in MD labelling; 3- RN competencies; and 4- sources of knowledge. The questionnaire was reviewed and validated by two experts, subjected to a pilot test and subsequently applied. Data analysis was performed using SPSS software, including descriptive, correlational and comparative statistics. Results: RN were aged between 29 and 66 years, the majority were female, provided healthcare and delivered education to patients/caregivers. They selected MD (73,6%), of which 76,9% defined technical specifications for the acquisition of these MD. Although 52,8% had received training/information concerning MD, 79,2% were not satisfied with their knowledge, with 84,8% expressing a need for further training, particularly concerning technical specifications and reprocessing. The domain of knowledge with the highest score corresponded to the information that the instructions for use of SUMD should contain (82,9±15,7%). In contrast, the domain with lowest score corresponded to knowledge concerning graphical symbols in MD labelling (67,4±9,0%). Variables such as age, management role and prior training of RN influenced the level of knowledge in these domains. Conclusions: The level of RN knowledge concerning MD classified as “Good”, contributes to more efficient, competent and equitable care, with a direct impact on the organizational culture of safety. The domains of knowledge with the highest scores were consistent with the importance that RN attributes to the training of patients and caregivers. The knowledge deficit identified in the domain concerning graphical symbols of MD underscores the need for continuous, up-to-date, and systematic training, representing an opportunity to address emerging challenges. is highlighted as an opportunity to address emerging challenges. Furthermore, the scarcity of scientific evidence highlights the need for studies to support and consolidate RN knowledge and add value to the decision-making process concerning MD.
The Rehabilitation Nurse (RN) knowledge concerning Medical Devices (MD) is significant within the context of continuous technological development, as well as the recognition and the expansion of professional practice, particularly in the scope of prescription. Aim: To evaluate the level of RN knowledge concerning MD. in two Hospital Units of a Local Health Unit in Northern Portugal Methods: This was a descriptive, cross-sectional, and observational study conducted in two Hospital Units of a Local Health Unit in the North of Portugal. It Was approved by the institution´s Ethics Committee. A total of 53 RN were selected through non-probabilistic convenience sampling. A questionnaire was developed based on Regulation (EU) 2017/745 and Regulation nº 392/2019, and structured into: 1- sociodemographic characterization; 2- assessment of knowledge in four domains: general knowledge concerning MD; information included on the labels of Single-Use Medical Devices (SUMD); information from the instructions for use of SUMD and graphical symbols used in MD labelling; 3- RN competencies; and 4- sources of knowledge. The questionnaire was reviewed and validated by two experts, subjected to a pilot test and subsequently applied. Data analysis was performed using SPSS software, including descriptive, correlational and comparative statistics. Results: RN were aged between 29 and 66 years, the majority were female, provided healthcare and delivered education to patients/caregivers. They selected MD (73,6%), of which 76,9% defined technical specifications for the acquisition of these MD. Although 52,8% had received training/information concerning MD, 79,2% were not satisfied with their knowledge, with 84,8% expressing a need for further training, particularly concerning technical specifications and reprocessing. The domain of knowledge with the highest score corresponded to the information that the instructions for use of SUMD should contain (82,9±15,7%). In contrast, the domain with lowest score corresponded to knowledge concerning graphical symbols in MD labelling (67,4±9,0%). Variables such as age, management role and prior training of RN influenced the level of knowledge in these domains. Conclusions: The level of RN knowledge concerning MD classified as “Good”, contributes to more efficient, competent and equitable care, with a direct impact on the organizational culture of safety. The domains of knowledge with the highest scores were consistent with the importance that RN attributes to the training of patients and caregivers. The knowledge deficit identified in the domain concerning graphical symbols of MD underscores the need for continuous, up-to-date, and systematic training, representing an opportunity to address emerging challenges. is highlighted as an opportunity to address emerging challenges. Furthermore, the scarcity of scientific evidence highlights the need for studies to support and consolidate RN knowledge and add value to the decision-making process concerning MD.
Description
Keywords
Enfermeiro Enfermagem em reabilitação Dispositivo médico Reabilitação Conhecimento