Repercussion of an educational intervention on the knowledge of the nursing team regarding the use of external ventricular drains in pediatrics

Authors

DOI:

https://doi.org/10.5935/1415-2762.20190037

Keywords:

Pediatric Nursing, Ventriculostomy, Cerebrospinal Fluid Shunts, Nursing Care, Education, Continuing

Abstract

Objective: This study aimed to analyze the repercussion of an educational intervention on the theoretical knowledge of the Nursing team regarding the use of
external ventricular drains in Pediatrics. This is an uncontrolled intervention study, with a before and after study design. Method: A pre- and post-test was applied to collect information on the nurses’ knowledge regarding the care of pediatric patients with external ventricular drains. Between the pre- and post-test, an educational intervention was performed using clinical simulation as a teaching strategy. 41 nursing
professionals participated in the study. The professionals were more assertive after the educational intervention, especially regarding the use of an aseptic technique for emptying the collection bag (p=0.021). Correlation analyses in the pre-test revealed that the greatest number of errors was not correlated to any of the socio-demographic variables. However, in the post-test, a significant correlation was identified between
the number of errors and the participants’ age (rho=0.340; p=0.015); years since
graduation (rho=0.414; p=0.004); and years of professional experience in the unit
(rho=0.428; p=0.004). Therefore, the result shows that older professionals, with more years of professional experience in the unit did not take that much
advantage of the educational intervention, presenting greater number of errors. The educational intervention using the clinical simulation strategy enabled an increase in the knowledge of the participants, and
can be used in continuing education, improving assistance quality.

Downloads

Download data is not yet available.

References

1. Oliveira ECS, Oliveira RC, Souto ELM. Infection related to the external ventricular shunt in a neurosurgery hospital. Rev Pesqui Cuid Fundam (Online). 2013[citado em 2018 jan. 22];5(3):181-5. Disponível em: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/2001/pdf_840

2. Reyes MM, Munigala S, Churc EL, Kulik TB, Keyrouz SG, Zipfel GJ, et al. Comparing External ventricular drains-related ventriculitis surveillance definitions. Infect Control Hosp Epidemiol. 2017[citado em 2018 jan. 22];21:1-6. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/28219470

3. Fried HI, Nathan BR, Rowe AS, Zabramski JM, Andaluz N, Bhimraj A, et al. the insertion and management of external ventricular drains: an evidencebased consensus statement: a statement for healthcare professionals from the neurocritical care society. Neurocritical Care. 2016[citado em 2017 dez. 02];24(1):61-81. Disponível em: https://link.springer.com/article/10.1007%2Fs12028-015-0224-8

4. Oliveira ECS, Oliveira RC, Souto ELM. Infection related to the external ventricular shunt in a neurosurgery hospital. J Res Fundam Care. 2013[citado em 2018 jan. 22];5(3):181-5. Disponível em: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/2001/pdf_841

5. Ferreira GM. Perfil de microrganismos em infecção do sistema nervoso central de crianças com derivação ventricular externa [dissertação]. São Paulo: Faculdade Método de São Paulo; 2016.

6. Sussman ES, Kellner CP, Nelson E, McDowell MM, Bruce SS, Bruce RA, et al. Hemorrhagic complications of ventriculostomy: incidence and predictors in patients with intracerebral hemorrhage. J Neurosurg. 2014[citado em 2017 dez. 02];120(4):931-6. Disponível em: http://thejns.org/doi/pdf/10.3171/2013.12.JNS131685

7. Sobral FR, Campos CJG. The use of active methodology in nursing care and teaching in national productions: an integrative review. Rev Esc Enferm USP. 2012[citado em 2018 jan. 22];46(1):208-18. Disponível em: http://www.scielo.br/pdf/reeusp/v46n1/en_v46n1a28.pdf

8. Costa RRO, Medeiros SM, Martins JCA, Menezes RMP, Araújo MS. O uso da simulação no contexto da educação e formação em saúde e enfermagem: uma reflexão acadêmica. Rev Espaço Saúde. 2015[citado em 2018 jan. 22];16(1):59-65. Disponível em: http://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/418/pdf_63

9. Côrtes CT, Santos RCS, Caroci AS, Oliveira SG, Oliveira SMJV, Riesco MLG. Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study. Rev Esc Enferm USP. 2015[citado em 2018 jan. 22];49(5):716-25. Disponível em: http://www.scielo.br/pdf/reeusp/v49n5/pt_0080-6234-reeusp-49-05-0716.pdf

10. Oliveira SN, Prado ML, Kempfer SS. Utilização da simulação no ensino da enfermagem: revisão integrativa. REME - Rev Min Enferm. 2014[citado em 2018 fev. 22];18(2):487-95. Disponível em: http://www.reme.org.br/artigo/detalhes/941

11. Hepburn-Smith M, Dynkevich I, Spektor M, Lord A, Czeisler B, Lewis A. Establishment of an external ventricular drain best practice guideline: the quest for a comprehensive, universal standard for external ventricular drain care. J Neurosci Nurs. 2016[citado em 2018 jan. 22];48(1):54-65. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26720321

12. Maurine A, Leverstein-van Hall MD, Titia EM, Blok HE, van der Mark WA, Hanlo PW, et al. A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections. J Neurosurg. 2010[citado em 2018 jan. 22];112(2):345-53. Disponível em: http://thejns.org/doi/abs/10.3171/2009.6.JNS09223

13. Alcântara MCM, Silva FAA, Moreira TMM, Castro ME, Santos JC. Nursing problems in children with hydrocephalus and myelomeningocele. Ver Enferm UFPE on line. 2011[citado em 2018 jan. 22];5(6):1483-91. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/6819/6067

14. Rosa NM, Lima JF, Inoue KC. knowledge of nursing team about neurointensivism and influence of continuing education. Ciênc Cuid Saúde. 2013[citado em 2018 jan. 22];12(1):112-20. Disponível em: http://dx.doi.org/10.4025/cienccuidsaude.v12i1.15031

15. Worley E, Astle S, Watson JC. Prospective evaluation of ventriculostomy infections. Cureus. 2015[citado em 2018 jan. 22];7(8):e312. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4585816/

16. Muralidharan R. External ventricular drains: management and complications. Surg Neurol Int. 2015[citado em 2018 jan. 22];6(6):271-4. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4450504/

Published

2019-04-15

Issue

Section

Research

How to Cite

1.
Manzo BF, Macedo K de O, Barbosa LM, Simão DA da S, Souza RS, Correa A dos R, et al. Repercussion of an educational intervention on the knowledge of the nursing team regarding the use of external ventricular drains in pediatrics. REME Rev Min Enferm. [Internet]. 2019 Apr. 15 [cited 2026 Apr. 25];23. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49789

Most read articles by the same author(s)

1 2 > >>