Adesão dos profissionais de enfermagem que atuam em uma UTI geral ao bundle de prevenção a PAV em um hospital regional do oeste catarinense

Abstract

The aim of this study was to analyze adherence to and compliance with the nursing practices that make up the Mechanical Ventilation-Associated Pneumonia (VAP) prevention bundle in an Intensive Care Unit (ICU). This is a cross-sectional quantitative study carried out in the general adult ICU of a hospital in western Santa Catarina. Data collection took place between September and October 2024, through visits to the general ICU five times a week. The project was approved by the Research Ethics Committee of the Federal University of the Southern Frontier (UFFS) under CAAE number 81112324.5.0000.5564. The data was collected using a compliance investigation script established and standardized by the Healthcare-Related Infection Control Service (SCIRAS). The Positivity Index proposed by Carter and descriptive statistics were used to establish the expected compliance of the practices assessed and to analyze adherence.The results showed low adherence and compliance with the nursing practices included in the VAP prevention bundle. Carter's Positivity Index revealed poor care in all items of the research instrument. The study pointed to gaps in the care provided by nursing professionals which have a negative impact on the quality of care and the prevention of VAP. The role of the nursing team, and especially the nurse as supervisor of the actions carried out in the ICU, is crucial for preventing VAP. When this is done prudently and carefully, it improves the quality of the health care offered to patients, reduces the length of hospitalization and cuts down on extra costs for the hospital.