RESUMO
The study elaborated evaluation patterns of the components of the surgical scrub in hospitals of the district of São Paulo. The most important difficulty was the lack of rules and consent on the types of the fabrics, as a microbiological and contact with blood and other fluids barrier. However, it was possible to identify positive and problematic aspects. It was observed that the components are similar among the hospitals, considering the design and the way of fabrics production. Gloves were the ones with the best quality results, while shootweares were the worst. The most problematic aspect was referred to the acquisition controls and the re-use process of the components.
Assuntos
Desinfecção das Mãos , Roupa de Proteção , Infecção da Ferida Cirúrgica/prevenção & controle , Infecção Hospitalar/prevenção & controle , Dispositivos de Proteção dos Olhos , Humanos , Infecção da Ferida Cirúrgica/enfermagemRESUMO
The study elaborated approaches for adequate use of the surgical scrub and it evaluated, through systematized observation, the performance of the surgical team during the surgery. The adopted procedure was very valid, allowing to recognize positive and problematic aspects. Except the protecting glasses, all the other components of the surgical scrub were used. The subject located in the use form, where caps and masks were more problematic among anaesthesists and circulate nurses; apron and gloves among surgeons and, mainly, scrub nurses.
Assuntos
Desinfecção das Mãos , Controle de Infecções/métodos , Procedimentos Cirúrgicos Operatórios , Infecção Hospitalar/prevenção & controle , Humanos , Roupa de Proteção , Fatores de RiscoRESUMO
This study focuses on the relation between the nosocomial infection phenomenon and the historical concepts of the health-disease process in the context of the western societies, as well as its hospital occurrence and the actions implemented to control them. It presents an analysis of the current practices of control of nosocomial infections and the implications that result from the development of the clinical model of care in the hospital locus. Authors point out the need to extend the analysis of the issue in the context of the health system organization understanding them as a result of social policies in specific circumstances.
Assuntos
Infecção Hospitalar/prevenção & controle , Controle de Infecções/métodos , Controle de Infecções/tendências , Atitude Frente a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Política de Saúde , Humanos , Filosofia Médica , OcidenteRESUMO
The authors study the hospital infections evolution em Brasil and the demands for its control until its establishment by governmental actions. For a better understanding and analysis of the social actors' dispute process, their needs and interests and the relation with the governmental sector to the establishment of a certain state politics, a theoretical reference that enabled to elaborate the whole of social structure elements was searched. This theoretical reference should also take the filled of the relation between Society, State, Actors and Social Politics as its main question. In order to allude to these specific actions and its intervention range, it was necessary to make a distinction between the state politics modalities and the implementation responsibilities. Based on empirical material, it was possible to trace these demands, conforming on technological-assistencial models thorough the working process indicators. Other empirical categories levels was demanded to approach to the theoretical reference: specific conjectures, welfare medical assistance, the clinical intervention model and the quality movement. All the time, the analysis of the demands and the established project aimed the relation between the instruments and their purposes with themselves and with the health general politics, showing its implications.
Assuntos
Infecção Hospitalar/prevenção & controle , Política de Saúde , Política , Brasil , Governo , Necessidades e Demandas de Serviços de Saúde , HumanosRESUMO
The author studies the hospital infections evolution in Brasil and the demands for its control until its establishment by governmental actions. For a better understanding and analysis of the social actors' dispute process, their needs and interests and the relation with the governmental sector to the establishment of a certain state politics, a theoretical reference that enabled to elaborate the whole of social structure elements was searched. This theoretical reference should also take the filled of the relation between Society, State, Actors and Social Politics as its main question. In order to allude to these specific actions and its intervention range, it was necessary to make a distinction between the state politics modalities and the implementation responsibility. Based on empirical material, it was possible to trace these demands, conforming on technological-assistancial models through the working process indicators. Other empirical categories levels was demanded to approach to the theoretical reference: specific conjectures, welfare medical assistance, the clinical intervention model and the quality movement.
Assuntos
Infecção Hospitalar/prevenção & controle , Política de Saúde , Brasil , Necessidades e Demandas de Serviços de Saúde , Humanos , Política , Gestão da Qualidade TotalRESUMO
The goal this study is to verify how is the preparation of nursing student during undergraduate course in Brasil in order to work as a member of Hospital Infection Control Committee (HICC). The results demonstrated that this teaching is assistematic and not planned. The authors propose a teaching recommendation on nurse's practice job in the HICC.
Assuntos
Educação em Enfermagem , Profissionais Controladores de Infecções/educação , Brasil , Currículo , Humanos , Escolas de Enfermagem/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
The purpose of this work was to determine the activities in which the nurses of the Hospital Infection Control Committee (HICC) in the hospitals of the City of São Paulo are involved and to identify the conditions favorable and unfavorable to their adequate performance. This study is justified by the fact that the nurse's work in the HICC is directly responsible for the obtaining of reliable rates of hospital infection as well as for their control and reduction.