title: Effects of educational intervention on adherence to the technical recommendations for tracheobronchial aspiration in patients admitted to an intensive care unit.
abstract: OBJECTIVE
  To evaluate the effectiveness of an educational intervention on healthcare professionals' adherence to the technical recommendations for tracheobronchial aspiration in intensive care unit patients.
  
  
  METHODS
  A quasi-experimental study was performed to evaluate intensive care unit professionals' adherence to the tracheobronchial aspiration technical recommendations in intensive care unit patients both before and after a theoretical and practical educational intervention. Comparisons were performed using the chi-square test, and the significance level was set to p<0.05.
  
  
  RESULTS
  A total of 124 procedures, pre- and post-intervention, were observed. Increased adherence was observed in the following actions: the use of personal protective equipment (p=0.01); precaution when opening the catheter package (p<0.001); the use of a sterile glove on the dominant hand to remove the catheter (p=0.003); the contact of the sterile glove with the catheter only (p<0.001); the execution of circular movements during the catheter removal (p<0.001); wrapping the catheter in the sterile glove at the end of the procedure (p=0.003); the use of distilled water, opened at the start of the procedure, to wash the connection latex (p=0.002); the disposal of the leftover distilled water at the end of the procedure (p<0.001); and the performance of the aspiration technique procedures (p<0.001).
  
  
  CONCLUSIONS
  There was a low adherence by health professionals to the preventive measures against hospital infection, indicating the need to implement educational strategies. The educational intervention used was shown to be effective in increasing adherence to the technical recommendations for tracheobronchial aspiration.
authors.affiliation: Hospital São Vicente de Paulo - HSVP - Passo Fundo, Rio Grande do Sul RS, Brazil.
authors.forename: Erimara Dall'agnol
authors.initials: ED
authors.lastname: de Lima
authors.forename: Caren Schlottefeld
authors.initials: CS
authors.lastname: Fleck
authors.forename: Januário José Vieira
authors.initials: JJ
authors.lastname: Borges
authors.forename: Robledo Leal
authors.initials: RL
authors.lastname: Condessa
authors.forename: Sílvia Regina Rios
authors.initials: SR
authors.lastname: Vieira
mesh_terms: D000293:Adolescent; D000328:Adult; D001980:Bronchi; D055499:Catheter-Related Infections / Q000517:prevention & control*; D002404:Catheterization / Q000379:methods / Q000592:standards; D003428:Cross Infection / Q000517:prevention & control*; D005260:Female; D017575:Gloves, Protective; D019983:Guideline Adherence; D006282:Health Personnel / Q000193:education; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D013396:Suction / Q000379:methods / Q000592:standards; D014132:Trachea; D055815:Young Adult
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