RESUMEN
OBJECTIVE: to produce improvements in transfusion practices through the implementation of an educational program for health professionals in a university hospital. METHODS: this is an interventional and prospective study, with pre- and postanalysis of an educational intervention. The research was developed at the University Hospital of the Universidade Federal de Sergipe, involving participation of health professionals in the stage of training, during the month of February 2011, in addition to the monitoring of blood transfusions performed in the pre- and post-intervention periods. Transfusion practices were investigated upon request for transfusion or devolution of unused blood components. Knowledge of health professionals was assessed based on the responses to a questionnaire about transfusion practices. RESULTS: during the educative campaign, 63 professionals were trained, including 33 nurses or nursing technicians and 30 physicians. Among the doctors, there was a statistically significant gain of 20.1% in theoretical knowledge (p=0.037). Gain in the nursing group was even higher: 30.4% (p=0.016). The comparative analysis of transfusion request forms showed a non-significant decrease from 26.7 to 19.5% (p=0.31) in all forms with incomplete information. We also observed a statistically significant improvement in relation to the filling of four items of transfusion request. CONCLUSION: there was a significant improvement of the entire process related to blood transfusions after interventional project conducted in February 2011.
Asunto(s)
Transfusión de Componentes Sanguíneos/normas , Transfusión Sanguínea/normas , Capacitación en Servicio/métodos , Cuerpo Médico de Hospitales/educación , Personal de Enfermería en Hospital/educación , Actitud del Personal de Salud , Brasil , Competencia Clínica/normas , Femenino , Hospitales Universitarios , Humanos , Masculino , Estudios Prospectivos , Mejoramiento de la Calidad , Encuestas y CuestionariosRESUMEN
SummaryObjective:to produce improvements in transfusion practices through the implementation of an educational program for health professionals in a university hospital.Methods:this is an interventional and prospective study, with pre- and postanalysis of an educational intervention. The research was developed at the University Hospital of the Universidade Federal de Sergipe, involving participation of health professionals in the stage of training, during the month of February 2011, in addition to the monitoring of blood transfusions performed in the preand post-intervention periods. Transfusion practices were investigated upon request for transfusion or devolution of unused blood components. Knowledge of health professionals was assessed based on the responses to a questionnaire about transfusion practices.Results:during the educative campaign, 63 professionals were trained, including 33 nurses or nursing technicians and 30 physicians. Among the doctors, there was a statistically significant gain of 20.1% in theoretical knowledge (p=0.037). Gain in the nursing group was even higher: 30.4% (p=0.016). The comparative analysis of transfusion request forms showed a non-significant decrease from 26.7 to 19.5% (p=0.31) in all forms with incomplete information. We also observed a statistically significant improvement in relation to the filling of four items of transfusion request.Conclusion:there was a significant improvement of the entire process related to blood transfusions after interventional project conducted in February 2011.
ResumoObjetivo:produzir melhorias em práticas transfusionais a partir da implementação de um programa educacional para profissionais de saúde em um hospital universitário.Métodos:este é um estudo intervencional e prospectivo, com análises pré e pós-intervenção educacional. A pesquisa foi desenvolvida no Hospital Universitário da Universidade Federal de Sergipe, envolvendo a participação de profissionais de saúde no estágio de capacitação, durante o mês de fevereiro de 2011, além da monitorização de transfusões sanguíneas feitas nos períodos pré e pós-intervencionais. A busca por práticas transfusionais foi checada via requerimentos de transfusão e devolução de hemocomponentes não utilizados. O conhecimento dos profissionais de saúde foi medido por meio de questionário relacionado a práticas transfusionais.Resultados:durante a campanha educativa, foram capacitados 63 profissionais de saúde, sendo 33 enfermeiros e técnicos de enfermagem e 30 médicos. Entre os médicos, houve um ganho estatisticamente significante de 20,1% nos conhecimentos teóricos (p=0,037). O ganho no grupo da enfermagem foi ainda maior, de 30,4% (p=0,016). A análise comparativa dos formulários de requisição transfusional mostrou uma diminuição não significativa de 26,7 para 19,5% (p=0,31) em todas as formas de preenchimento incompleto. Observou-se uma melhoria estatisticamente significativa no preenchimento de quatro itens da requisição transfusional.Conclusão:houve melhorias significativas em todo o processo relacionado às transfusões sanguíneas após intervenção conduzida em fevereiro de 2011.