Educational intervention on malignant hyperthermia with nursing
               professionals of the operating room

Sousa, Cristina Silva; Bispo, Daniela Magalhaes; Cunha, Ana Lucia Mirancos da; Siqueira, Ivana Lucia Correa Pimentel de

doi:10.1590/S0080-623420150000200015

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Revista da Escola de Enfermagem da USP

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Sumário

Original Article • Rev. esc. enferm. USP 49 (02) • Mar-Apr 2015 • https://doi.org/10.1590/S0080-623420150000200015 copy

Educational intervention on malignant hyperthermia with nursing professionals of the operating room

Intervención educativa acerca de la hipertermia maligna con profesionales de enfermería del quirófano

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE

To evaluate the effectiveness of an educational intervention on malignant hyperthermia with operating room nurses.

METHOD

A quasi-experimental study, aimed at an educational intervention of short duration with the nursing staff in the operating room of the institution hosting the research in the city of São Paulo, with the participation of 96 professionals. Pre-intervention tests and post-intervention tests were applied, which consisted of a lecture followed by simulation.

RESULTS

Considering the overall results of the intervention, there was a statistically significant difference (p<0.00). After the educational intervention, there was an increase of the minimum and maximum scores, and average growth of 2.64 points in the knowledge of professionals when compared to the previous step.

CONCLUSION

The educational intervention strategy favors the concept of the content developed by everyone involved and qualifies professionals to work safely.

Nursing Staff; Health Knowledge, Attitudes, Practice; hospital; Malignant Hyperthermia; Perioperative Nursing; Operating Room Nursing

Variables	Sample (n=96)
	n(%)
Age (years)
20 - 30	26(27.1)
31 - 40	45(46.9)
41 - 50	20(20.8)
51 - 60	5(5.2)
Gender
Female	64(69.4)
Male	32(34.7)
Graduation (years)
< 5	26(27.1)
06 - 10	35(36.5)
11 - 20	28(29.2)
> 20	7(7.3)
Total	96(100)

Variables	Minimum		Maximum		Medium (SD)		p^* * Wilcoxon test
Before (pre-knowledge)	1		5		5.85(1.73)		0.00¬
After (post-knowledge)	9		10		8.49(1.23)		0.00¬

Variables	Knowledge
Variables	Pre-test Medium (SD)	Post-test Medium (SD)	Difference	p^* * Wilcoxon test
Malignant hyperthermia definitions	0.86(0.34)	0.95(0.22)	-0.08	0.03¬
Crises triggering agents	0.65(0.48)	0.94(0.24)	-0.29	0.00¬
Initial clinical indicators	0.30(0.46)	0.68(0.47)	-0.38	0.00¬
Malignant hyperthermia treatment	0.47(0.50)	1.00(0.00)	-0.53	0.00¬
Main side effects	0.58(0.50)	0.70(0.46)	-0.11	0.07
Medication availability at the hospital	0.65(0.48)	1.00(0.00)	-0.35	0.00¬
Availability of care protocol for crisis	0.27(0.45)	0.56(0.50)	-0.29	0.00¬
Incidence of prevention for patients with a previous diagnosis and high risk	0.67(0.47)	0.76(0.43)	-0.09	0.12
Notification of monitoring centers	0.60(0.49)	0.97(0.17)	-0.36	0.00¬
Professionals involved in the treatment of attacks	0.80(0.40)	0.94(0.24)	-0.14	0.05¬

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding Author: Cristina Silva Sousa. Rua Dona Adma Jafet, 91. CEP 01308-000 - São Paulo, SP, Brasil. E-mail: crissousa@usp.br