Skills for generalist and specialist nurses working in the prevention and control of infections in Brazil

Massaroli, Aline; Martini, Jussara Gue; Moya, José Luis Medina; Pereira, Milca Severino; Tipple, Anaclara Ferreira Veiga; Maestri, Eleine

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Brasil

Revista Latino-Americana de Enfermagem

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Brasil

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Sumário

Original Article • Rev Lat Am Enfermagem 27 • 2019 • https://doi.org/10.1590/1518-8345.2620.3134 copy

Skills for generalist and specialist nurses working in the prevention and control of infections in Brazil^* * Paper extracted from doctoral dissertation “O ensino do controle de infecções nos cursos de graduação em enfermagem no Brasil”, presented to Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

to define the competencies for the prevention and control of healthcare-related infections that should be developed by the generalist nurse and the specialist nurse in infection control in Brazil.

Method

the Delphi technique, developed in four rounds, was used. Thirty-one nurses and eight physicians participated in the study, with expertise in infection prevention and control. Data were collected using open-ended questionnaires, whose answers were treated using the content analysis technique. Structured instruments were used to evaluate the importance of each competency using a Likert scale. Data were analyzed and presented in a descriptive way, use of median and coefficient of variation.

Results

the competences were organized in 4 core, 14 generic and 17 specific, with name and description of each competency.

Conclusion

the definition of competencies for the prevention and control of healthcare-related infections is the first step to begin the rethinking of the teaching and learning process in the initial training of nurses. The data found in the present study may help to restructure education and support permanent education programs in health.

Nursing; Infection Control; Professional Competence; Higher Education; Nursing Education; Prevention and Control

Core Competencies	Coefficient of variation*
Education and professional development	11%
Communication	10%
Decision making	10%
Ethics	9%

Generic competencies	Coefficient of variation*
Maintenance of aseptic chain	20%
Health services waste management	18%
Recognition of the problem of healthcare-related infections	17%
Collaboration with epidemiological surveillance and knowledge of the epidemiological profile of health services	17%
Management of exposure to biological material	17%
Implementing infection prevention actions	17%
Cleaning, disinfection and sterilization of health products/equipment	13%
Cleaning and disinfection of environments and surfaces	12%
Care for the infected patient	12%
Use of standard and specific precautions	11%
Recognition of the process of the microbial transmission chain	11%
Identification of risk for infection	11%
Use of Personal Protective Equipment	9%
Hand hygiene	7%

Specific competences	Coefficient of variation*
Maintenance of aseptic chain^†	18%
Management of the Committee and Service of Control of Healthcare-Related Infections	15%
Monitoring of use of antimicrobials	15%
Evaluation of inputs and materials	12%
Monitoring the development of multiresistant microorganisms	12%
Health services waste management^†	10%
Interaction with the various sectors of the health service	9%
Indication /Maintenance of invasive devices and procedures	8%
Cleaning and disinfection of environments and surfaces^†	7%
Cleaning, disinfection and sterilization of health products^†	7%
Performing epidemiological surveillance	7%
Performing Process and structure surveillance	7%
Developing and implementing manuals, standards and protocols for the prevention and control of healthcare-related infections	6%
Elaborating and implementing the Program for the Control of Healthcare-Related Infections	6%
Hand hygiene^†	6%
Use of standard and specific precautions^†	6%
Use of personal protective equipment^†	6%

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] *
Paper extracted from doctoral dissertation “O ensino do controle de infecções nos cursos de graduação em enfermagem no Brasil”, presented to Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.