FLAVIA DE OLIVEIRA MOTTA MAIA
Projetos de Pesquisa
Unidades Organizacionais
3 resultados
Resultados de Busca
Agora exibindo 1 - 3 de 3
- Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: A best practice implementation project(2018) SICHIERI, K.; IIDA, L. I. S.; MENEZES, I. R. D. S. C. De; GARCIA, P. Carlos; SANTOS, T. R.; PERES, E.; SHIMODA, G. T.; MAIA, F. De Oliveira Motta; SECOLI, S. R.; PüSCHEL, V. A. De AraújoObjectives: This implementation project aimed to identify the current practice in regards to central venous catheters (CVCs) maintenance to improve knowledge amongst nursing staff and to assess increased compliance with evidence-based best practice. Introduction: Central venous catheters are considered an important therapeutic resource for the administration of fluids, drugs, blood, collection of blood samples and hemodynamic monitoring. Despite the benefits, catheter use is associated with complications such as primary infection of the catheter-related bloodstream. Methods: This project utilized the audit and feedback model using the Joanna Briggs Institute Practical Application of Clinical Evidence System. Nine of 10 criteria were audited through direct observation of nursing professionals or patient records in relation to CVC maintenance, and one criterion involved direct questioning of nursing staff. Baseline and follow-up audits were conducted in a 12-bed adult intensive care unit in a university hospital. Results: The baseline audit revealed deficits between current practice and best practice in some criteria. Barriers to implementation of CVC maintenance best practice criteria were identified, and the strategies were implemented. The post-implementation (follow-up) audit showed improvement in compliance to best practice guidelines in all of the audit criteria, except in one criterion: the use of sterile gloves or surgical tweezers during the execution of the dressing. Conclusions: Best practice in CVC care was achieved in the hospital, strengthening and guiding nursing care, as well as highlighting the importance of nursing records throughout the care process. However, this project highlighted the need to improve compliance through follow-up audits and periodic training to support best practice. © 2018 THE JOANNA BRIGGS INSTITUTE.
- Strategies to support health professionals in the condition of second victim: scoping review(2021) QUADRADO, Ellen Regina Sevilla; TRONCHIN, Daisy Maria Rizatto; MAIA, Flavia de Oliveira MottaObjective: To map and analyze the knowledge produced about strategies aimed at promoting support to health professionals in the condition of second victim. Method: Scoping review, developed in portals, databases and academic websites, whose inclusion criteria were articles and materials indexed in the respective search sites, between January 2000 and December 2019, in Portuguese, English and Spanish. The findings were summarized and analyzed based on descriptive statistics and narrative synthesis. Results: A total of 64 studies were included, 100% international; 92.2% in English and 50% from secondary research. The support strategies were grouped into four categories and most of the studies referred to the use of the forYOU, Medically Induced Trauma Support Services and Resilience in Stressful Events programs and the interventions represented, through dialogue with peers, family, friends and managers. Conclusion: Support strategies for the second victim are pointed out in international mostly developed through programs/services and interventions. It is recommended to develop studies to learn about the phenomenon and to structure feasible support strategies in Brazilian health organizations.
- Pain evaluation scales for elderly patients with dementia(2015) CUSTÓDIA, Andressa Caio Eira da; MAIA, Flávia de Oliveira Motta; SILVA, Rita de Cassia Gengo eABSTRACT BACKGROUND AND OBJECTIVES: Elderly people with dementia are impaired in the way they interpret and communicate pain, being important the use of specific tools for accurate diagnosis. This study aimed at summarizing literature data on tools for pain evaluation in hospitalized elderly patients with dementia. CONTENTS: This is a literature review of the following databases: LILACS, Pubmed/Medline, CINAHL, SCOPUS, Cochrane, Web of Science and Joanna-Briggs Institute. Eligibility criteria were established for studies selection. A specific tool was used for critical evaluation. From 383 studies found, 4 were included in this review. Studies have evaluated the performance of 8 observational or self-report scales. CONCLUSION: Our study results suggest that observational and self-report scales may be used to evaluate pain in hospitalized elderly patients with dementia, provided the level of cognitive impairment is observed to select the scale, thus avoiding inadequate evaluations and consequently the undertreatment of pain.