SARS-COV-2 e as ERPI

: intervenção de enfermagem comunitária às assistentes operacionais

Abstract

Background: The SARS-CoV-2 pandemic has dramatically altered the daily lives of communities, both due to its direct impact on health and the measures adopted to control infection. The vulnerability of the elderly makes them extremely sensitive to the conse-quences of this virus, with nursing homes being a context of major importance in com-bating the pandemic.Diagnosis: Data from the SARS-CoV-2 epidemiological surveillance grid of the munic-ipalities of VRSA and CTM from 21-03 to 30-09-2020 were analyzed. It was concluded that the need for more urgent intervention was in the context of nursing homes. On 30-10-2020, formative follow-up visits were made to the nursing homes of these two munic-ipalities, with the participation of representatives from civil protection, social care and health departments. Was selected the nursing home Y to intervene, because it was the one that showed the greatest concern compared to the others. The intervention was directed to the healthcare assistants (HA).Objective: To promote the adhesion of the HA of nursing home Y to safe behaviors in the context of a SARS-CoV-2 pandemic.Methods: Health planning methodology by Imperatori and Giraldes, 1993 and Tavares, 1990 and, the theoretical nurse reference, Nola Pender’s Health Promotion Model.Results: The problems identified in ERPI Y and worked on in formative sessions, re-sulted in an increase of adherence of safe behaviors in all items (N = 14). Pre-session, more than 85% (inclusive) of HA adhered to 1 safe behavior: physical distance. Post-session more than 85% (inclusive) of HA adhered to 11 safe behaviors. The behaviors in which there was no adhesion equal to or greater than 85% were: checking the care of the nails, use of PPE - doffing and cleaning and disinfection of hygiene basins, portable uri-nals and bedpans.Conclusion: This project contributed to the training of HA in the adoption of prevention and infection control behaviors by SARS-CoV-2 in nursing homes, as well as to the de-velopment of competences of the master's student in community nursing and public health.

Date of Award	27 Jul 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Cândida Ferrito (Supervisor)