Nursing training on the administration of medication in pediatrics: an assessment of observed and self-reported behavior.

Ires Lopes Custódio,Islene Victor Barbosa,Patricia Neyva Da Costa Pinheiro,Francisca Elisângela Teixeira Lima,Lívia Maia Pascoal,Paulo César Almeida,Lorena Pinheiro Barbosa

doi:10.1590/0034-7167-2020-1188

Abstract

to evaluate the effect of a training program on the administration of intravenous drugs in pediatric patients on the observed and self-reported behavior of the nursing team. evaluation study carried out with 38 professionals during three phases: Assessment of the behavior observed in the actions performed before training; Training implementation; and Assessment of observed and self-reported behaviors (immediately and six months after training). in the observed behavior, there was an improvement in six (6/12) hand hygiene actions; five (5/14) pertaining to environment Organization, selection, and preparation of materials; and in seven (7/10) referring to the Orientation of the procedure, administration and monitoring of the patient's reactions. In self-reported behavior, there was an improvement in two (2/8) actions. the training resulted in an improvement in the actions of nursing professionals related to the administration of intravenous medications, both in observed and in self-reported behavior.

Highlights

OBJECTIVESTo promote the knowledge and skill of an individual or group, it is necessary to train with the purpose of improving knowledge, skills, and attitudes, in such a way as to make him/them competent(1)
Most of the nurses replied that they took an intravenous medication system course (78.9%), and only 47.4% took this course for pediatric patients with heart disease
When evaluating the 39 actions related to the process of administering intravenous drugs, an adequate performance of the nursing team was observed in the actions of reading the medical prescription, since 100% of the professionals performed it before and after the training

Summary

Introduction

OBJECTIVESTo promote the knowledge and skill of an individual or group, it is necessary to train with the purpose of improving knowledge, skills, and attitudes, in such a way as to make him/them competent(1). The development of competencies for health promotion allows reflection on practices and contributes to the process of permanent change, in which one learns by doing, continuously and daily, which favors learning through the approximation to the population and the development of autonomy and a critical vision(2). To consider an effective training program, it is necessary to evaluate it, as this provides the organizers with guidance on the importance of training in reaching knowledge, changing behavior, and results generated at work; and this assessment can be carried out at four levels: Level 1 - Reaction; Level 2 - Learning; Level 3 - Behavior; and Level 4 - Results(1). Behavioral assessment is perceived when participants change their own behavior as a result of participating in training(1), and it is necessary to confirm that knowledge, skills, and attitudes have been learned and implemented in the work environment(3). The assessment carried out at the end of training is relevant to verify whether the desired results are achieved for both the professionals and organization(1)

Objectives

Results

Discussion

Conclusion