Results of the qualification for the prevention of accidental extubation associated to nursing care

Abstract

This work presents the results of qualification of the nursing team in preventing accidental extubation related to nursing care in four moments: bed-bathing, transport of a critically ill patient, change of decubitus, change of fixation. The research was carried out in the intensive care unit of Hospital Procardíaco, in the city of Rio de Janeiro. Sixty-five workers were trained during 60 hours between January and March 2006. Data was collected using a questionnaire before and after training. Results showed that the nursing technicians gave wrong answers to over 10% of the questions on pneumonia and extubation, to the bed-bathing procedure and to control of tracheal fixation and of ventilation circuits. The nurses had an incidence of 13% mistakes in the care related to fixing the ventilation device. By examining the pre and post test results, it was found that the global averages rose 25% compared to the initial averages and all, at the end of training, had marks above 8.