Gastrostomy management by the nursing team in a hospital in São Paulo, Brazil: a best practice implementation project.

Autor:	Vicente MC; Sociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil.; Escola de Enfermagem da USP (EEUSP), São Paulo, Brazil., Sanches MB; Sociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil.; Escola de Enfermagem da USP (EEUSP), São Paulo, Brazil., Fabri JC; Sociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil., Cunha GFD; Sociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil., Carvalho LS; Sociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil., Püschel VAA; Escola de Enfermagem da USP (EEUSP), São Paulo, Brazil.; Brazilian Centre for Evidence-based Healthcare: A JBI Centre of Excellence, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	JBI evidence implementation [JBI Evid Implement] 2024 Sep 10. Date of Electronic Publication: 2024 Sep 10.
DOI:	10.1097/XEB.0000000000000459
Abstrakt:	Introduction: The efficient and effective management of gastrostomy patients should be based on best practices. Objective: This project aimed to improve gastrostomy management in a semi-intensive care unit of a private hospital in São Paulo, Brazil. Methods: This study followed the JBI Evidence Implementation Framework. The JBI approach to evidence implementation is grounded in an audit, feedback, and re-audit strategy. A baseline audit was conducted to measure current practices against recommended best practices. Feedback from the audit was used to identify barriers and design implement strategies to improve practice. A follow-up audit was then conducted to measure changes in compliance with best practices. Results: The baseline audit involved an evaluation of 33 nurses and 90 nursing technicians, as well as 10 gastrostomy patients. The follow-up audit evaluated 37 nurses and 80 nursing technicians, as well as 10 gastrostomy patients. The follow-up audit revealed that compliance increased to 90% for three of the eight criteria. For the remainder, it varied between 20% and 50%. Conclusion: The baseline audit and feedback strategy led to improved compliance in five of the eight criteria. Future audits will be necessary to maintain these results. Spanish Abstract: http://links.lww.com/IJEBH/A259. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the University of Adelaide, JBI.)
Databáze:	MEDLINE
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