Infection control and patient safety measures addressed in nursing pedagogical projects<sup>,</sup>

Boeira, Elisângela Rodrigues; Souza, Adenicia Custódia Silva e; Pereira, Milca Severino; Vila, Vanessa da Silva Carvalho; Tipple, Anaclara Ferreira Veiga

doi:10.1590/S1980-220X2017042303420

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Revista da Escola de Enfermagem da USP

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 53 • 2019 • https://doi.org/10.1590/S1980-220X2017042303420 copy

Infection control and patient safety measures addressed in nursing pedagogical projects^* * Extracted from the dissertation: “O ensino de graduação em enfermagem: tendências metodológicas e a segurança do paciente com enfoque nas medidas de prevenção e controle de infecções”, Pontifícia Universidade Católica de Goiás, 2016. ^,^ Invited authors CIAQ 2016.

Control de infecciones y medidas de seguridad del paciente abordados en proyectos pedagógicos de la enfermería

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To characterize teaching about patient safety and standard precautionary measures for infection prevention and control in undergraduate nursing courses.

Method:

A descriptive documentary analysis study carried out in undergraduate courses, with a concept equal to or greater than three in the National Student Performance Exam and in the Preliminary Course Concept, located in the state of Goiás, Brazil.

Results:

Six education institutions participated, with the majority being private with curricular structure by discipline. Six pedagogical projects and 273 subject plans were analyzed. The most discussed topics for patient safety development were human factors related to communication, interpersonal relationships, and principles and techniques. Thirty-nine (39) disciplines contemplated teaching infection prevention and control measures, and the most approached topics were personal protective equipment and hand hygiene.

Conclusion:

Teaching about patient safety presented strong gaps in the six evaluated courses. There is fragility in teaching infection prevention and control measures. The data indicate the need to review the Course Pedagogical Projects in order to incorporate necessary educational demands for training professionals so that they develop safe and quality care.

DESCRIPTORS:
Infection Control; Education, Nursing; Education, Higher; Universal Precautions; Patient Safety

Characteristics	Graduation course in Nursing
Characteristics	A	B	C	D	E	F
Classification of the HEI	Private	Private	Private	Private	Private	Public
CPC*	3	4	4	4	4	5
ENADE*	3	4	3	3	3	5
Existence of the course/years	8	6	14	74	10	40
Duration of the course/years	5	5	4	5	4	5
Students/term	50	50	60	50	50	50
Entrance	Bi-annual	Bi-annual	Bi-annual	Bi-annual	Bi-annual	Annual

Subject	Yes		No		In part
Subject	n	%	n	%	n	%
Meaning of Patient Safety	16	5.9	226	82.8	31	11.4
Human factors related to the use of Technology and Equipment	83	30.4	168	61.5	22	8.1
Human factors related to Communication	113	41.4	136	49.8	24	8.8
Human factors associated with Interpersonal Relationships	95	34.8	149	54.6	29	10.6
Human factors related to Organizational Culture	57	20.9	190	69.6	26	9.5
Complexity of the organizational system as a whole articulated	50	18.3	196	71.8	27	9.9
Professional role in the multidisciplinary team	81	29.7	171	62.6	21	7.7
Role of team in care and harm reduction	41	15.0	198	72.5	34	12.5
Occurrence of errors and measures to prevent damage	30	11.0	212	77.7	31	11.4
Clinical risk management for improving the quality and safety of healthcare	50	18.3	196	71.8	27	9.9
Principles, theories, tools, activities and techniques to improve the quality of care	107	39.2	144	52.7	22	8.1
Involvement of the patient and their caregiver in safe care	33	12.1	223	81.7	17	6.2
Risks of infection in the healthcare environment and measures for prevention and control	38	13.9	201	73.6	34	12.5
Risks of errors in surgical procedures and error-checking protocols	9	3.3	246	90.1	18	6.6
Main errors in drug administration	13	4.8	234	85.7	26	9.5

Standard-Precautions	Graduation course
	A		B		C		D		E		F		Total
	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Hand hygiene	2	5.1	2	5.1	2	5.1	1	2.6	2	5.1	6	15.4	15	38.5
Personal protective equipment	2	5.1	4	10.3	1	2.6	2	5.1	4	10.3	5	12.8	18	46.2
Sharps disposal	0	0.0	2	5.1	1	2.6	0	0.0	1	2.6	4	10.3	8	20.5
Cleaning and disinfection of equipment and surfaces	3	7.7	2	5.1	1	2.6	2	5.1	2	5.1	2	5.1	12	30.8
PHP*	1	2.6	1	2.6	1	2.6	1	2.6	1	2.6	1	2.6	6	15.4

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: Elisângela Rodrigues Boeira Av. Universitária, 1069, Bloco B, Sala 303, Setor Universitário CEP 74605-010 - Goiânia, GO, Brazil erboeira@hotmail.com