Health promotion of nursing workers: intervention for the use of gloves in venous puncture. / Promoção da saúde do trabalhador de enfermagem: intervenção para o uso de luvas na punção venosa

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The peripheral venous puncture is an activity that exposes professionals who perform it to blood potential carrier of infections. This study aimed to validate the structured training in the health promotion model with a view to change the behavior of nursing workers in the use gloves in the peripheral venous puncture procedure. This is a descriptive and quasi-experimental study whose procedures were: instrument adaptation, validation of the questionnaire variables, application and evaluation of training. The multimedia tool health promotion at work: the use of gloves in venous puncture was adapted from the tool health promotion at work: the use of gloves in the administration of medication available by the Network for the Prevention of Occupational Accidents. It is composed of pre-training questions that identify professionals behavior and training on the adequate use of gloves, and post training questions that identify behavioral changes. The procedure to adapt the instrument followed the stages: index definition, script elaboration, production and availability of software and post production quality control. The questionnaire variables were content validated by ten nursing researchers and their internal consistency was analyzed through Cronbachs Alfa coefficient (0.83) based on data collected from 30 nursing workers from October to November 2008 at the Hospital das Clínicas, University of São Paulo at Ribeirão Preto Medical School. Training was applied in a sample of 96 nursing workers at the same hospital with data collected between December 2008 and January 2009 in two stages: self-application of training and application of a questionnaire one month after the first stage completion. Descriptive statistics, Fishers exact test and Spearmans correlation were used in data analysis. Results revealed that the factors influencing workers use of gloves were: perception of benefits (82.3%), self-efficacy in the use of gloves as individual protection equipment (92.7%); and factors influencing the non-use of gloves were: diminished tactile sensitivity (82.3%), difficulty in fixing the catheter (82.3%), gloves inadequate size (69.8%) and use of gloves only when the patients diagnosis is known (54.2%). Only 20% of participants reported being satisfied with the quality of available gloves. Before the application of training, 17.7% of the workers reported using gloves in 100% of times they perform peripheral venous puncture and 75.1% reported intention to use them in all venous punctures performed after training. The evaluation carried out one month after training revealed that 35.4% of the participants reported the use of gloves in all venous punctures, which showed a statistically significant difference between variables (p=0.00). There was a statistically significant correlation between the variable commitment with a plan of action with the variables previous behavior and use of gloves by co-workers (p<0.05). The conclusion is that training is efficacious though we suggest that other preventive measures to workers exposure to biological material are associated to the proposed training.

ASSUNTO(S)

occupational health saúde do trabalhador riscos ocupacionais software. health promotion protective gloves occupational risks enfermagem nursing luvas protetoras promoção da saúde software.

ACESSO AO ARTIGO

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