INSTITUTIONAL MANAGEMENT PERFORMANCE IN PREVENTING PRIMARY BLOODSTREAM INFECTIONS

Abstract

Objective: To analyze the institutional management performance in the prevention of primary bloodstream infections. Material and Method: Descriptive exploratory study with a qualitative approach, conducted with professionals of an adult Intensive Care Unit and hospital managers in a university hospital in a city of the Brazilian Northeast, between March and December 2018. In the first stage, the sample consisted of 25 physicians and 83 nursing professionals, 19 nurses and 64 nursing technicians, totaling 108 participants. Questionnaires with open-ended questions about the feeling of institutional support and motivation towards safety culture were applied. The response rate of the questionnaires was 96.43%. In the second stage, the findings were discussed with seven managers within a focus group. Content analysis was carried out using Atlas.ti® version 8.3.20. Results: The following categories emerged: 1) difficulties regarding safe care for patients with central venous catheters; 2) resolutive practices to face difficulties; 3) organizational and educational factors related to the occurrence of infections and 4) managers’ proposals to achieve good results. Conclusions: In order to prevent infections it is necessary to encourage the participations of care teams in the elaboration of protocols, internal technological organization, control of shortages, standardization of access by professionals in the unit, increased frequency of training using distance learning platforms and implementation of active methodologies.