Positive deviance as a strategy to prevent and control bloodstream infections in intensive care

Authors

  • Francimar Tinoco de Oliveira Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery; Departamento de Enfermagem Médico-Cirúrgica
  • Maria Manuela Frederico Ferreira Escola Superior de Enfermagem de Coimbra; Conselho para a Qualidade e Avaliação da Unidade Científico Pedagógica de Enfermagem Fundamental
  • Silvia Teresa Carvalho de Araújo Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery; Departamento de Enfermagem Médico-Cirúrgica
  • Amanda Trindade Teixeira de Bessa Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery
  • Advi Catarina Barbachan Moraes Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery; Departamento de Enfermagem Médico-Cirúrgica
  • Marluci Andrade Conceição Stipp Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery; Departamento de Metodologia da Enfermagem

DOI:

https://doi.org/10.1590/s1980-220x2016182303212

Abstract

OBJECTIVE To describe the application of positive deviance as a strategy to prevent and control bloodstream infections. METHOD An intervention study with nursing and medical team members working in an intensive care unit in a university hospital, between June and December 2014. The four steps of the positive defiance methodology were applied: to define, to determine, to discover and to design. RESULTS In 90 days, 188 actions were observed, of these, 36.70% (n=69) were related to catheter dressing. In 81.15% (n=56) of these dressings, the professionals most adhered to the use of flexible sterile cotton-tipped swabs to perform antisepsis at catheter entry sites and fixation dressing. CONCLUSION Positive deviance contributed to the implementation of proposals to improve work processes and team development related to problems identified in central venous catheter care.

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Published

2017-01-01

Issue

Section

Original Article

How to Cite

Oliveira, F. T. de, Ferreira, M. M. F., Araújo, S. T. C. de, Bessa, A. T. T. de, Moraes, A. C. B., & Stipp, M. A. C. (2017). Positive deviance as a strategy to prevent and control bloodstream infections in intensive care . Revista Da Escola De Enfermagem Da USP, 51, e03212-. https://doi.org/10.1590/s1980-220x2016182303212