Pesquisa-ação para otimização da qualidade da higienização em leito crítico hospitalar

Abstract

The environment of health units can promote a feeling of cleanliness and well-being, as well as being a host and source of contamination for patients. Among the most common complications in hospital environments, Health Care-Related Infections stand out and control the spread of microorganisms becomes essential. Thus, Standard Operating Procedures for cleaning surfaces are important strategies for promoting safe and effective practices. In this sense, the study aimed to develop a quality improvement cycle at the North Regional Hospital, state of Ceará, to reduce Health Care-Related Infections through the development, validation and application of a Standard Operating Procedure to optimize terminal hygiene critical bed. To this end, an action research was developed from January 2022 to January 2023 with professionals from the cleaning team of the intensive care units and the management of the hygiene service, with steps from: integrative review to theoretical subsidy of the Operating Procedure Standard, focus groups with key informants (service workers) to add practical focus and build the document; participant sample training; implementation and monitoring through process and result indicators built with data from the checklist used in audits of the hygiene process; participatory analysis of results. In this way, safe critical bed hygiene management practices were systematized, based on the construction and validation of the SOP and checklist, constructed and validated by those involved in the work process and with satisfactory results achieved, which will potentially contribute to the reduction infections, a key issue for risk management.