COVID-19: Desafios e oportunidades da enfermagem brasileira

Wender Antonio Oliveira

Resumo


Desde dezembro de 2019, o coronavírus tem se propagando em todo o mundo e até o momento, existem mais de 13.000.000 de pessoas infectadas em 196 países e mais de 580 900 mortes. A maior parte do trabalho dos enfermeiros envolve contato direto com os pacientes e, portanto, estes profissionais apresentam alta vulnerabilidade ao COVID-19, sendo necessário estabelecer protocolos específicos cujo objetivo é reduzir o risco de infecção nas interações com pacientes com COVID-19.Dentro deste contexto, o objetivo do presente trabalho foi discutir os principais desafios e oportunidades que a pandemia de COVID-19 tem imposto aos profissionais de enfermagem. Para isso, foi realizada uma revisão bibliográfica por meio da busca ativa de trabalhos acadêmicos relevantes sobre o tema e que permitisse a construção de um texto acessível à comunidade acadêmica brasileira. Com o trabalho, foi possível concluir que os profissionais de Enfermagem estão na linha de frente e, considerando que até o presente momento ainda não existe vacina ou remédios eficazes, a forma mais eficiente de evitar contaminação e proteger profissionais e pacientes é usar de forma correta equipamentos de proteção individual (EPIs), como touca descartáveis, máscara/respirador N95, luvas internas, máscara protetora para os olhos, roupas de proteção, capas impermeáveis descartáveis de sapatos, aventais de isolamento descartáveis, luvas externas e proteção para o rosto. Desta forma, os enfermeiros podem atender seus pacientes com eficiência, qualidade e segurança.

 


Palavras-chave


Coronavírus, Enfermagem, EPIs, Pandemia.

Texto completo:

PDF

Referências


AIKEN, L. H. et al. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Jama, v. 288, n. 16, p. 1987–1993, 2002.

BAO, Y. et al. 2019-nCoV epidemic: address mental health care to empower society. The Lancet, v. 395, n. 10224, p. e37–e38, 2020.

CAMACHO, A. C. L. F. et al. Tutoring in distance education in times of COVID-19: relevant guidelines. Research, Society and Development, v. 9, n. 5, p. 30953151, 2020.

CHAN, J. F.-W. et al. Interspecies transmission and emergence of novel viruses: lessons from bats and birds. Trends in microbiology, v. 21, n. 10, p. 544–555, 2013.

CHEN, C. et al. The prevalence and related factors of depressive symptoms among junior college nursing students: a cross‐sectional study. Journal of psychiatric and mental health nursing, v. 22, n. 8, p. 590–598, 2015.

CHEN, J. et al. A pilot study of hydroxychloroquine in treatment of patients with common coronavirus disease-19 (COVID-19). Journal of Zhejiang University (Medical Science), v. 49, n. 1, p. 0, 2020a.

CHEN, N. et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, v. 395, n. 10223, p. 507–513, 2020b.

CHENG, V. C. C. et al. Preparedness and proactive infection control measures against the emerging novel coronavirus in China. Journal of Hospital Infection, v. 104, n. 3, p. 254–255, 2020.

CONRAD, R.-M.; DONALDSON, J. A. Continuing to engage the online learner: More activities and resources for creative instruction. [s.l.] John Wiley & Sons, 2012. v. 35

DE HUMEREZ, D. C.; OHL, R. I. B.; DA SILVA, M. C. N. Saúde mental dos profissionais de enfermagem do brasil no contexto da pandemia covid-19: ação do conselho federal de enfermagem. Cogitare Enfermagem, v. 25, 2020.

DEJOY, D. M. et al. Effects of organizational safety practices and perceived safety climate on PPE usage, engineering controls, and adverse events involving liquid antineoplastic drugs among nurses. Journal of occupational and environmental hygiene, v. 14, n. 7, p. 485–493, 2017.

ELRGGAL, M. E. et al. Evaluation of preparedness of healthcare student volunteers against Middle East respiratory syndrome coronavirus (MERS-CoV) in Makkah, Saudi Arabia: a cross-sectional study. Journal of Public Health, v. 26, n. 6, p. 607–612, 2018.

GOODRIDGE, D. et al. Assessing the implementation processes of a large-scale, multi-year quality improvement initiative: survey of health care providers. BMC health services research, v. 18, n. 1, p. 237, 2018.

GUAN, W. et al. Clinical characteristics of 2019 novel coronavirus infection in China. MedRxiv, 2020.

HEYMANN, D. L.; SHINDO, N. COVID-19: what is next for public health? The Lancet, v. 395, n. 10224, p. 542–545, 2020.

HONG, H. et al. Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns, infants and children. Pediatrics & Neonatology, 2020.

HUANG, C. et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, v. 395, n. 10223, p. 497–506, 2020.

JI, C.; FAN, Y.; ZHAO, L. Review on biological degradation of mycotoxins. Animal Nutrition, v. 2, n. 3, p. 127–133, 2016.

KANG, H. S. et al. Working experiences of nurses during the Middle East respiratory syndrome outbreak. International journal of nursing practice, v. 24, n. 5, p. e12664, 2018.

KIDNEY, G.; CUMMINGS, L.; BOEHM, A. Toward a quality assurance approach to e-learning courses. International Journal on E-learning, v. 6, n. 1, p. 17–30, 2007.

KNOWLES, M. S.; HOLTON III, E. F.; SWANSON, R. A. Herder and Herder. Garrison, DR, & Anderson, T.(2003). E-learning in the 27st. Performance Improvement Quarterly, v. 20, n. 2, p. 21–42, [s.d.].

LI, Q. et al. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. New England Journal of Medicine, 2020.

LIPSITCH, M.; SWERDLOW, D. L.; FINELLI, L. Defining the epidemiology of Covid-19—studies needed. New England Journal of Medicine, 2020.

LIU, K. et al. Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. Journal of Infection, 2020.

MACHADO, K. M.; MOURA, L. S. S. DE; CONTI, T. K. DE F. Medidas preventivas da equipe de enfermagem frente aos riscos biológicos no ambiente hospitalar. Rev Científ ITPAC, v. 6, n. 3, p. 1–11, 2013.

MIZUMOTO, K.; CHOWELL, G. Estimating Risk for Death from Coronavirus Disease, China, January–February 2020. Emerging infectious diseases, v. 26, n. 6, p. 1251, 2020.

MUELLER, A. L.; MCNAMARA, M. S.; SINCLAIR, D. A. Why does COVID-19 disproportionately affect the elderly? 2020.

ORGANIZATION, W. H. Infection prevention and control during health care for probable or confirmed cases of Middle East respiratory syndrome coronavirus (‎‎ MERS-CoV)‎‎ infection: interim guidance: updated October 2019. [s.l.] World Health Organization, 2019.

PENG, X. et al. Transmission routes of 2019-nCoV and controls in dental practice. International Journal of Oral Science, v. 12, n. 1, p. 1–6, 2020.

PERLMAN, S.; NETLAND, J. Coronaviruses post-SARS: update on replication and pathogenesis. Nature reviews microbiology, v. 7, n. 6, p. 439–450, 2009.

PORTUGAL, J. K. A. et al. Percepção do impacto emocional da equipe de enfermagem diante da pandemia de COVID-19: relato de experiência. Revista Eletrônica Acervo Saúde, n. 46, p. e3794–e3794, 2020.

ROTHAN, H. A.; BYRAREDDY, S. N. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of autoimmunity, p. 102433, 2020.

SANAD, H. M. Stress and anxiety among junior nursing students during the initial clinical Training: a descriptive study at college of health sciences. Am. J. Nurse. Res, v. 7, n. 6, p. 995–999, 2019.

SANCAR, B.; YALCIN, A. S.; ACIKGOZ, I. An examination of anxiety levels of nursing students caring for patients in terminal period. Pakistan journal of medical sciences, v. 34, n. 1, p. 94, 2018.

SUARTE, H. DEARAÚJO M.; TEIXEIRA, P. L.; RIBEIRO, M. S. O uso dos equipamentos de proteção individual e a prática da equipe de enfermagem no centro cirúrgico. Revista Científica do ITPAC, v. 6, n. 2, p. 1–8, 2013.

TRAXLER, J. Distance learning—Predictions and possibilities. Education Sciences, v. 8, n. 1, p. 35, 2018.

UEDA, M. et al. Managing cancer care during the COVID-19 pandemic: agility and collaboration toward a common goal. Journal of the National Comprehensive Cancer Network, v. 1, n. aop, p. 1–4, 2020.

WANG, C. et al. A novel coronavirus outbreak of global health concern. The Lancet, v. 395, n. 10223, p. 470–473, 2020.

WANG, H.; ZHANG, L. Risk of COVID-19 for patients with cancer. The Lancet Oncology, v. 21, n. 4, p. e181, 2020.

WONG, H. Y. F. et al. Frequency and Distribution of Chest Radiographic Findings in COVID-19 Positive Patients. Radiology, p. 201160, 2020.

WONG, J. G. W. S. et al. Psychological responses to the SARS outbreak in healthcare students in Hong Kong. Medical teacher, v. 26, n. 7, p. 657–659, 2004.

XIA, Y. et al. Risk of COVID-19 for cancer patients. Lancet Oncol, v. 21, n. 4, 2020.

ZHAO, S. et al. Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak. International journal of infectious diseases, v. 92, p. 214–217, 2020.

ZHU, N. et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine, 2020a.

ZHU, Z. et al. COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers. MedRxiv, 2020b.

ZU, Z. Y. et al. Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology, p. 200490, 2020.


Apontamentos

  • Não há apontamentos.


 

Revista de Saúde - RSF                                                                

Brasília, v. 7, n.3, Jul-Dez, 2020

ISSN 2447-0309