Educational strategy with nursing professionals on malignant hypertermia in a cardiovascular surgical center
DOI:
https://doi.org/10.5327/Z1414-4425202000010007Keywords:
Equipe de Enfermagem, Hipertermia Maligna, Enfermagem de Centro Cirúrgico, Enfermagem Perioperatória.Abstract
Objectives: To evaluate the knowledge of the nursing staff of the surgical center (SC) about malignant hyperthermia (MH), before and after lecture, and to implant a kit for the treatment of MH with anesthesiologists. Method: Quasi-experimental before and after study. Data collection with 43 professionals (three nurses, seven technicians and 33 assistants) from the SC of a cardiology hospital in São Paulo. Five questions were applied before and after lecture, and McNemar and Fisher’s exact tests were used. After analyzing the literature and industry materials and meeting with the medical team, a treatment kit was prepared. Results: There was a significant difference (p <0.05) regarding the team’s knowledge about MH; After class, progress was seen in the three categories (assistants 89.42%, technicians 90%, and nurses 100%). The questions with percentage above 90% after class were: definition of MH, triggering agents, and treatment. A treatment kit was developed and implemented. Conclusion: The knowledge of the nursing staff about MH before and after the lecture was evaluated, and a treatment kit was implemented. The knowledge of the team was satisfactory after the taught class.References
– Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização – SOBECC. Práticas recomendadas. 7ª ed. São Paulo; 2017.
– Silva HCA. Fisiopatologia e genética. Rev Neurociênc [Internet]. 2014 [citado 2016 Jul 26];22(4):482. Disponível em: http://www.revistaneurociencias.com.br/edicoes/2014/2204/VI_curso_HIPERTERMIA%20VOL%2022%2004%202014.pdf#page=23
– Souza CS, Cunha AL. Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia. Rev Gaúch Enferm [Internet]. 2014 [cited 2016 Jul 18];35(3):43-8. Available from: http://seer.ufrgs.br/index.php/revistagauchadeenfermagem/article/view/44643/31503. DOI: http://dx.doi.org/10.1590/1983-1447.2014.03.44643
- Haluka J. Malignant Hyperthermia [Internet]. ACLS Training Center; [Updated Apr 6, 2018; cited: 2019 Jan 03]. Available from: https://www.acls.net/malignant-hyperthermia.htm
– Silva HCA, Almeida CS, Brandão JCM, Silva CAN, Lorenzo MEP, Ferreira CBND, et al. Malignant hyperthermia in Brazil: analysis of hotline activity in 2009. Rev Bras Anestesiol [Internet]. 2013 [cited 2016 Jul 21];63(1):13-9. Available from: http://www.scielo.br/pdf/rba/v63n1/en_v63n1a02.pdf DOI: http://dx.doi.org/10.1590/S0034-70942013000100002
– Sousa CS, Bispo DM, Cunha ALM, Siqueira ILCP. Educational intervention on malignant hyperthermia with nursing professionals of the operating room. Rev Esc Enferm USP [Internet]. 2015 [cited 2016 Aug 22];49(2):290-5. Available from: http://www.scielo.br/pdf/reeusp/v49n2/0080-6234-reeusp-49-02-0292.pdf. DOI: http://dx.doi.org/10.1590/S0080-623420150000200015
– Denholm BG. Using a Vulnerability Theoretical Model to Assess the Malignant Hyperthermia Susceptible Population: Implications for Advanced Practice Emergency Nurses. Adv Emerg Nurs J. [Internet]. 2015 [cited 2017 Mar 21];37(3):209-22. Available from: http://onlinelibrary.wiley.com/doi/10.1016/j.aorn.2016.02.001/epdf DOI: 10.1097/TME.0000000000000073 In: PubMed; PMID: 26218487.
– Pancieri PA, Carvalho R, Braga ME. Applying the safe surgery checklist: experience report. Rev SOBECC. 2014;19(1):26-33. Available from: https://revista.sobecc.org.br/sobecc/article/view/50 DOI: http://dx.doi.org/10.4322/sobecc.2014.006
– Waksman DR, Farah DGO. Enfermagem em centro cirúrgico e recuperação anestésica. In: Carvalho R, Teixeira MA. Anestesia: tipos, riscos e assistência de enfermagem. Barueri (SP): Manole; 2015. Capítulo 08.
– Instituto Dante Pazzanese de Cardiologia. Relatório de gestão e atividade: septênio 2009-2015. São Paulo. IDPC; 2015.
– Brevidelli MM, Sertório SM. Trabalho de conclusão de curso: guia prático para docentes e alunos da área da saúde. 4ªed. São Paulo: Iátria; 2014.
– São Paulo (Estado). Secretaria de Saúde do Estado de São Paulo. Resolução SS nº23, de 27 de fevereiro de 2004. Aprova a norma técnica relativa às diretrizes para diagnóstico, tratamento, prevenção, notificação e investigação epidemiológica dos casos de hipertermia maligna do estado de São Paulo. [Internet]. São Paulo; 2004 [citado 2017 May 28]. Disponível em: http://tc-legis2.bvs.br/leisref/public/showAct.php?id=69&word=
– Gottems LBD, Alvarez AM, Almeida LMWS. Nursing education: quality, innovation and accountability. Rev Bras Enferm [Internet]. 2014 [cited 2017 Jul 22];67(4):501-2. Available from: http://www.scielo.br/pdf/reben/v67n4/en_0034-7167-reben-67-04-0499.pdf. DOI: http://dx.doi.org/10.1590/0034-7167.2014670401
– Cain CL, Riess ML, Gettrust L, Novalija J. Malignant hyperthermia crisis: optimizing patient outcomes through simulation and interdisciplinary collaboration. AORN J [Internet]. 2014 [cited 2017 Jul 25];99(2):301-11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276305/pdf/nihms639518.pdf DOI: https://doi.org/10.1016/j.aorn.2013.06.012
–Taguti PS, Dotti AZ, Araujo KP, Pariz PS, Dias GF, Kauss IA, et al. The performance of a rapid response team in the management of code yellow events at a university hospital. Rev Bras Ter Intensiva [Internet]. 2013 [cited 2017 Sep 05];25(2):99-105. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031833/pdf/rbti-25-02-0099.pdf. DOI: 10.5935/0103-507X.20130020.
– Denholm GB. Using informatics to improve the care of patients susceptible to malignant hyperthermia. AORN J [Internet]. 2016 [cited 2017 Sep 22];103(4):364-74. Available from: https://aornjournal.onlinelibrary.wiley.com/doi/full/10.1016/j.aorn.2016.02.001 . DOI: https://doi.org/10.1016/j.aorn.2016.02.001
– Pinto JR, Ferreira GSM, Gomes AMA, Ferreira FIS, Aragão AEA, Gomes FMA. Permanent education: reflection in practice nursing hospital. Tempus (Brasilia) [Internet]. 2015 [cited 2017 Sep 29];9(1):155-65. Available from: http://www.tempusactas.unb.br/index.php/tempus/article/download/1699/1409.
– São Paulo (Estado). Secretaria de Saúde do Estado de São Paulo. Resolução SS Nº 20, de 22 de fevereiro de 2006: atualiza a lista de doenças de notificação compulsória no estado de São Paulo. [Internet]. São Paulo; 2006. [citado 2017 Oct 10]. Disponível em: fehosp.com.br/app/webroot/files/circulares/2b257b09784b0963399612d26cc914fc.doc
– Theofanis F. Malignant Hyperthermia: Nursing Implications for care. Br J Anaesth Recovery Nurs [Internet]. 2015 [cited 2017 Oct 12];15(4):15-7. Available from: http://eprints.brighton.ac.uk/14549/1/Malignant.pdf
– Seifert PC, Wahr JA, Pace M, Cochrane AB, Bagnola AJ. Crisis management of malignant hyperthermia in the OR. AORN J [Internet]. 2014 [cited 2017 Oct 21];100(2):189-202. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25080419. DOI: https://doi.org/10.1016/j.aorn.2014.06.014
– American Association of Nurse Anesthetists. Malignant Hyperthermia Crisis Preparedness and Treatment. J AM Assoc Nurse Anesth. 2015 Apr:1-12. Available from: https://www.aana.com/docs/default-source/practice-aana-com-web-documents-(all)/malignant-hyperthermia-crisis-preparedness-and-treatment.pdf?sfvrsn=630049b1_8
– Sene ESO, Jardim DP. Nursing practice in minimally invasive vídeo-assisted cardiac surgery. Rev SOBECC. 2016;21(3):170-7. DOI: https://doi.org/10.5327/Z1414-4425201600030008
– Lima GF, Rinaldi PA, Catunda KA, Bittar E, Bianchi ERF. The role nurses in the structuring and implementation of a hybrid surgical room. Rev SOBECC. 2014;19(2):110-8. DOI: http://dx.doi.org/10.4322/sobecc.2014.017
– Sousa CS, Diniz TRZ, Cunha ALSM. Malignant hyperthermia: proposing a care protocol for surgical centers. J Nurs UFPE On line [Internet]. 2013 [cited: 2017 Oct 29];7(11):6714-8. Available from: http://www.revista.ufpe.br/revistaenfermagem/index.php/revista/article/view/4878/pdf_4061. DOI: 10.5205/reuol.5058-41233-3-SM.0711esp201320.
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