Educação permanente em saúde e suas repercussões no manejo da parada cardiorrespiratória: uma revisão integrativa da literatura

Abstract

Cardiopulmonary arrest (CPA) is characterized by the absence of cardiac movements, extinction of circulation and absence of breathing or agonizing breathing, thus generating the patient's unconsciousness, justifying the absence of pulse and respiratory movements. Being the extreme event of organic complications, CRP requires rapid intervention, in view of its potential risk of hypoxia to noble organs. Teaching instruments that favor the construction and solidification of the professionals' knowledge, made possible through Permanent Education (PE), are fundamental in the effectiveness of care and assistance. Objective: To identify in the literature practices of continuing education in health for nurses related to Cardiopulmonary Arrest and Cardiopulmonary Resuscitation. Method: this is an integrative review of the scientific literature, it is intended to systematically analyze existing research with a delimited question or theme, which helps in the deepening of the investigated topic. The PICO strategy was used to design the present study. In order to enable the present study, 6 steps were carried out, the 6th being the presentation of the integrative review. The databases used were: National Library of Medicine (Medicine - MEDLINE/PUBMED), Cumulative Index of Nursing and Allied Health Literature (CINAHL), Science Direct (Scopus), and Virtual Health Library (BDENF). Results and Discussion: Taking into account the year of publication of the included works, the distribution was as follows: in 2015 a total of 25% (n=3), in 2016, 33.32% (n=4), in 2017 and in 2018 studies were not included taking into account the inclusion and exclusion criteria, in 2019, 8.33% (n=1), in 2020, 16.66% (n=2) and in 2021 16.66% (n=2 ). After reading and analyzing the articles, categories were created: Category 1: Production of EPS tools for nursing professionals about CPA and CPR; Category 2: Weaknesses of knowledge about CPA and CPR by the nursing team; Category 3: Influence of EPS related to Cardiorespiratory Arrest on professional training in nursing. Among the publications examined, the evaluation of the studies identified weaknesses in the team of nursing technicians and nurses in: First action to be taken in CPR; the sequence of care; Airway management in PCR; Indication of defibrillation based on heart rhythms; Depth and frequency of cardiac compressions and handling of vasoactive drugs (amiodarone and adrenaline). Conclusion: Considering that continuing education is what guides the knowledge acquired by the professional nurse, in line with their training, it is noted that the EPS has been used as a tool for building knowledge, and reinforces the importance of the longitudinality of professional updating . Therefore, it was observed that the educational practices carried out with nurses are sometimes instituted in order to quantify the know-how or not, leaving aside the essence of EPS.