Tomada de decisão para o uso de ultrassonografia para punção venosa periférica difícil em adultos: revisão integrativa
DOI:
10.24276/rrecien2022.12.37.315-322Resumo
Identificar os motivos que norteiam a tomada de decisão para usar ou não a ultrassonografia na punção periférica na prática clínica de enfermagem. Trata-se de uma revisão integrativa de artigos publicados na íntegra, em periódicos indexados em bases nacionais e internacionais. Foram identificados 2.247 artigos segundo os descritores selecionados dos quais 36 atenderam os critérios de inclusão e exclusão, segundo três categorias: tecnologia, experiência do paciente e capacitação para o uso. Tanto a necessidade, quanto a importância do uso da ultrassonografia a foram evidenciados nos estudos, porém, lacunas para embasar a decisão do enfermeiro para usar ou não esta tecnologia na prática clínica foram observadas nos estudos. A ultrassonografia tem sido usada na punção venosa periférica, contribuindo para a segurança do paciente, no entanto é necessário ferramentas de decisão para apoiar o profissional quanto ao uso da tecnologia.
Descritores: Cateterismo Periférico, Ultrassonografia, Adultos.
Decision making for the use of ultrasound for difficult peripheral venipuncture in adults: an integrative review
Abstract: To identify the fundamentals that guide decision making to use or not to use ultrasound in peripheral puncture in clinical nursing practice. This is an integrative review of articles published in full, in journals indexed on national and international bases. 2,247 articles were identified according to the selected descriptors and among these, 36 met the inclusion and exclusion criteria, according to three categories: technology, patient experience and training for use. Both the need and the importance of using ultrasonography were highlighted in the studies, however, gaps to support the nurse's decision to use this technology or not in clinical practice were observed in the studies. Ultrasonography has been used in peripheral venipuncture, contributing to patient safety, however, decision tools are needed to support the professional regarding the use of technology.
Descriptors: Peripheral Catheterization, Ultrasonography, Adults.
Toma de decisiones para el uso de la ecografía en la venopunción periférica difícil en adultos: una revisión integradora
Resumen: Identificar los fundamentos que orientan la toma de decisiones sobre el uso o no de la ecografía en la punción periférica en la práctica clínica de enfermería. Se trata de una revisión integradora de artículos publicados íntegramente, en revistas indexadas a nivel nacional e internacional. Se identificaron 2.247 artículos según los descriptores seleccionados y de ellos, 36 cumplieron con los criterios de inclusión y exclusión, según tres categorías: tecnología, experiencia del paciente y formación para su uso. Tanto la necesidad como la importancia del uso de la ecografía se destacaron en los estudios, sin embargo, en los estudios se observaron lagunas para sustentar la decisión de la enfermera de utilizar o no esta tecnología en la práctica clínica. La ecografía se ha utilizado en la punción venosa periférica, contribuyendo a la seguridad del paciente, sin embargo, se necesitan herramientas de decisión para apoyar al profesional en el uso de la tecnología.
Descriptores: Cateterismo Periférico, Ecografía, Adultos.
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Referências
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