Experiência de aprendizagem de estudantes de enfermagem na prevenção e controlo de infeções associadas aos cuidados de saúde (PC-IACS) em países asiáticos: um estudo qualitativo exploratório
##plugins.themes.bootstrap3.article.main##
Resumo
Enquadramento: Os programas de educação em prevenção e controlo de infeções associadas aos cuidados de saúde (PC-IAS) em países asiáticos parecem ser limitados e necessitam de melhorias e apoio.
Objetivo: Este estudo explorou as experiências de aprendizagem dos estudantes com programas de educação em PC-IAS em países asiáticos (duas universidades vietnamitas e duas universidades cambojanas) para apoiar um modelo pedagógico em PC-IAS.
Método: Foi utilizado um desenho de estudo exploratório qualitativo, e foi realizada uma análise de conteúdo indutiva. Os estudantes foram selecionados para participar no grupo focal para investigar as suas experiências com PC-IAS usando cinco perguntas estruturadas. No total, participaram 48 estudantes de enfermagem de quatro universidades, sendo 28 de duas universidades no Camboja e 20 de duas universidades no Vietname.
Resultados: Os resultados resumidos das quatro universidades foram sintetizados agrupando-os em subcategorias e quatro categorias principais, que eram competência dos estudantes em PC-IAS, métodos de aprendizagem atuais dos estudantes em Educação em PC-IAS, ambiente de ensino e aprendizagem em PC-IAS, capacidade dos estudantes e habilidades empreendedoras no desenvolvimento de PC-IAS.
Conclusão: Este estudo revelou evidências para melhorar a educação em enfermagem em PC-IAS em países asiáticos. O novo método de aprendizagem do cenário de simulação e o modelo cativaram os estudantes; eles ficaram felizes e mais confiantes em relação às suas futuras carreiras na prática de habilidades em PC-IAS no estágio clínico e na prática hospitalar. A educação atual em PC-IAS enfrenta questões relacionadas aos sistemas de educação e saúde em países asiáticos, destacando a necessidade de melhorias.
Downloads
##plugins.themes.bootstrap3.article.details##
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Referências
Abdelaziz, T., Dogham, R., & Elcockany, N. (2019). Infection prevention and control curriculum in the undergraduate nursing program: Internship nursing students’ perspectives. Journal of Nursing Education and Practice, 9(10).
Aboelela, S. W., Stone, P. W., & Larson, E. L. (2007). The effectiveness of bundled behavioral interventions to control healthcare-associated infections: a systematic literature review. Journal of Hospital Infection, 66(2), 101.
Aebersold, M., & Tschannen, D. (2013). Simulation in nursing practice: the impact on patient care. Online journal of issues in nursing, 18(2).
Allegranzi B, & Pittet D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of hospital infection, 73(4), 305–15.
Alshammari, F., et al. (2018). Compliance with standard precautions during clinical training of nursing students in Saudi Arabia: A multi-university study. The Journal of Infection in Developing Countries, 12(11), 937–45.
Al-Tawfiq, J. A., Tambyah, P. A. (2014). Healthcare-associated infections (HAI) perspectives. Journal of infection and public health, 7(4), 339–44.
Amin, T. T., et al. (2013). Standard precautions and infection control, medical students’ knowledge and behavior at a Saudi university: the need for change. Global journal of health science, 5(4), 114.
Brosio, F., et al. (2017). Knowledge and behavior of nursing students on preventing healthcare-associated infections. Journal of preventive medicine and hygiene, 58(2), E99.
Centers for Disease Control and Prevention [CDC]. (2021). Healthcare-associated Infections (HAI). https://www.cdc.gov/policy/polaris/healthtopics/hai/index.html
Daud-Gallotti, R. M., et al. (2012). Nursing workload as a risk factor for healthcare-associated infections in ICU: a prospective study. PloS one, 7(12), e52342.
Elison, N. K., Verani, A. R., McCarthy, C. (2015). National nursing and midwifery legislation in countries of South-East Asia with high HIV burdens. WHO South-East Asia journal of public health, 4(102), 12.
Graneheim, U. H., & Lundman B. (2004). Qualitative content analysis in nursing research: concepts, procedures, and measures to achieve trustworthiness. Nurse education today, 24(2), 105–12.
Gray, J. R., & Grove, S. K. (2020). The Practice of Nursing Research. Appraisal, Synthesis and Generation of Evidence (9th Ed.). Saunders, Elsevier.
Guevara A, et al. (2020). Knowledge about healthcare-associated infections in medical, bioanalysis and nursing students from a Venezuelan university. Revista de la Facultad de Medicina, 68(1), 59–65.
Health and Human Services. (2021). Healthcare-Associated Infections. U.S. Department of Health and Human Services. https://www.hhs.gov/oidp/topics/health-care-associated-infections/index.html#:~:text=Healthcare%2Dassociated%20infections%20(HAIs),and%20long%2Dterm%20care%20facilities
Hearn, P., et al. (2017). Prospective surveillance of healthcare-associated infections in a Cambodian pediatric hospital. Antimicrobial Resistance & Infection Control, 6(1), 1–9.
Herrity, Jennifer. (2022). A Guide to Entrepreneurial Skills: Definition and Examples. https://www.indeed.com/career-advice/career-development/entrepreneurial-skills
Hinkin, J, & Cutter, J. (2014). How do university education and clinical experience influence pre-registration nursing students’ infection control practice? A descriptive, cross-sectional survey. Nurse education today, 34(2), 196–201.
Huang, Y., et al. (2013). Limited knowledge and practice of Chinese medical students regarding health-care associated infections. The Journal of Infection in Developing Countries, 7(2), 144–51.
Human Resource Development Department [HRDD]. (2021). Progress reports 2021, 1–11.
Jonsén E, Melender HL, & Hilli Y. (2013). Finnish and Swedish nursing students’ experiences of their first clinical practice placement—A qualitative study. Nurse Education Today, 33(3), 297–302.
Kulkarni, V., et al. (2013). Awareness of medical students in a medical college in Mangalore, Karnataka, India concerning infection prevention practices. Journal of infection and public health, 6(4), 261–8.
Ling, M. L., Apisarnthanarak, A., & Madriaga, G. (2015). The burden of healthcare-associated infections in Southeast Asia: a systematic literature review and meta-analysis. Clinical Infectious Diseases, 60(11), 1690–9.
Migliara G, et al. (2019). Multimodal surveillance of healthcare-associated infections in an intensive care unit of a large teaching hospital. Ann. Ig., 31, 399–413.
Ministry of Health [MoH]. (2008). Bachelor Science of Nursing National Program, 23–44.
Mozafaripour S. (2021). Benefits of Simulation in Education | USAHS. University of St. Augustine for Health Sciences. https://www.usa.edu/blog/simulation-in-education/#:~:text=Simulation%2Dbased%20learning%20allows%20students
Mudassar, S., et al. (2019). Nosocomial infections: awareness and practices of nurses regarding its spread in a tertiary care hospital of Lahore, Pakistan.
Nabolsi, M., et al. (2012). The experience of Jordanian nursing students in their clinical practice. Procedia-Social and Behavioral Sciences, 46, 5849–57.
Polit D. F., & Beck, C. T. (2014). Essentials of Nursing research. Appraising Evidence for Nursing Practice. (8th Ed.). Lippincott Williams & Wilkins.
Reveals, A. (2012). Healthcare–associated infections: A public health problem. Nigerian medical journal: journal of the Nigeria Medical Association, 53(2), 59.
Rodríguez M, et al. (2008). Riesgos biológicos laborales en el personal de enfermería de una institución hospitalaria. Ciudad La Habana, 8, e2722.
Rubio, M. O., Ávila, G. Á., & Gómez, B. A. (2008). Actitudes de estudiantes de enfermería mexicanos al manejar residuos peligrosos biologico infecciosos. Escola Anna Nery, 12, 479–84.
Sengupta, S., Barman, P., & Lo, J. (2019). Opportunities to overcome implementation challenges of infection prevention and control in low-middle-income countries. Current Treatment Options in Infectious Diseases, 11, 267–280.
Shalini S, et al. (2015). Impact and effect of nosocomial infections: a review. RESEARCH JOURNAL OF PHARMACEUTICAL BIOLOGICAL AND CHEMICAL SCIENCES, 6(1), 947–951.
Sodhi, K., et al. (2023). Knowledge and awareness of infection control practices among nursing professionals: A cross-sectional survey from South Asia and the Middle East. World Journal of Critical Care Medicine, 12(3), 176–87.
Ward, D. J. (2011). The role of education in the prevention and control of infection: a review of the literature. Nurse Education Today, 31(1), 9–17.
World Health Organization (2018). Meeting on Health Professional Education Reforms in Transition Economy Countries, Phnom Penh, Cambodia, 24–25 April 2018: meeting report. Manila: WHO Regional Office for the Western Pacific.
World Health Organization (WHO). Core Competencies for Infection Prevention and Control. (2020b). [cited 2022 Dec 5], p. 6–7. https://www.who.int/publications/i/item/9789240011656
World Health Organization. (2020a). Advice on using masks in the community, during home care, and in healthcare settings in the context of the novel coronavirus (2019-nCoV) outbreak: interim guidance, 29 January 2020. https://apps.who.int/iris/handle/10665/330987