Implementation of care-based care-based care quality protocol

experience report

Authors

  • Taciana de Castilhos Cavalcanti Escola Superior de Gestão e Ciências da Saúde, Administração dos Serviços de Enfermagem, RS Porto Alegre , Brasil, Hospital de Clínicas de Porto Alegre, Terapia Intensiva. Porto Alegre, RS – Brasil; Instituto de Cardiologia do Rio Grande do Sul – IC-FUC, Cardiologia. Porto Alegre, RS – Brasil; Escola Superior de Gestão e Ciências da Saúde, Administração dos Serviços de Enfermagem. Porto Alegre, RS – Brasil. http://orcid.org/0000-0001-5856-769X
  • Thais dos Santos Donato Schmitz Hospital de Clínicas de Porto Alegre, Terapia Intensiva, Porto Alegre RS , Brasil, Hospital de Clínicas de Porto Alegre, Terapia Intensiva. Porto Alegre, RS – Brasil. http://orcid.org/0000-0002-9608-7707
  • Paula Pinheiro Berto Hospital de Clínicas de Porto Alegre, Terapia Intensiva, Porto Alegre RS , Brasil, Hospital de Clínicas de Porto Alegre, Terapia Intensiva. Porto Alegre, RS – Brasil. http://orcid.org/0000-0003-2559-0898
  • Rose Plotnik Hospital de Clínicas de Porto Alegre, Terapia Intensiva, Porto Alegre RS , Brasil, Hospital de Clínicas de Porto Alegre, Terapia Intensiva. Porto Alegre, RS – Brasil. http://orcid.org/0000-0003-0528-4893
  • Vivian Rodrigues Fernandes Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre RS , Brasil, Universidade Federal do Rio Grande do Sul – UFRGS, Escola de Enfermagem. Porto Alegre, RS – Brasil. http://orcid.org/0000-0001-5454-0158
  • Karina Oliveira Azzolin Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre RS , Brasil, Universidade Federal do Rio Grande do Sul – UFRGS, Escola de Enfermagem. Porto Alegre, RS – Brasil. http://orcid.org/0000-0002-2363-2858

DOI:

https://doi.org/10.5935/1415-2762.20190089

Keywords:

Critical Care, Protocols, Delirium, Patient Care Team, Patient Safety

Abstract

Objective: to describe the stages of the elaboration and implementation of a quality
care protocol, based on the ABCDEF bundle, adapted to local needs, integrating it with
the patient-centered view of care experienced by the multiprofessional group through
the eyes of nurses. Method: this is an experience report of the elaboration and partial
implementation of a care quality protocol, based on the PAD guidelines inserted in
the Care Quality Program “ABCDEF”, which addresses the management of analgesia,
sedation and delirium, encompassing discontinuation of mechanical ventilation, early
mobilization, sleep hygiene and humanization protocols since ICU admission. Results:
the protocols of sedoanalgesia, discontinuation of mechanical ventilation and early
mobilization were implemented so far. These underwent extensive discussion with
the multidisciplinary care team prior to implementation. Conclusion: there are many
factors that facilitate and hinder the implementation of ABCDEF bundle in our reality.
The change proposal is well accepted by the group, but adherence is not constant.
Intense efforts with continuing education, meetings with multiprofessional staff and
appreciation of work by managers seem to improve engagement.

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References

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Published

2019-07-08

Issue

Vol. 23 (2019)

Section

Report

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Copyright (c) 2019 Reme: Revista Mineira de Enfermagem

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How to Cite

1.
Implementation of care-based care-based care quality protocol: experience report. REME Rev Min Enferm. [Internet]. 2019 Jul. 8 [cited 2026 Apr. 3];23. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49823