Conservação de vacinas: o olhar da equipe de enfermagem
Vaccine conservation: The view of nursing teams
Conservación de vacunas: la mirada del equipo de enfermería
Keywords:
Equipe de Enfermagem, Vacinas, Refrigeração, Pesquisa Qualitativa, Atenção Primária à Saúde (pt)Grupo de Enfermería, Vacunas, Refrigeración, Investigación Cualitativa, Atención Primaria de Salud (es)
Nursing Team, Vaccines, Refrigeration, Qualitative Research, Primary Health Care (en)
Objetivo: compreender o significado da conservação de vacinas e do cuidado na sala de vacinação para a equipe de enfermagem de unidades de atenção primária à saúde.
Materiais e métodos: estudo qualitativo, sob o olhar e a perspectiva da fenomenologia social de Alfred Schütz, realizado em março de 2018, por meio de entrevista aberta com profissionais de enfermagem atuantes na sala de vacinação.
Resultados: com base na análise das entrevistas, os resultados foram organizados em três categorias: Manter a conservação de vacinas é cuidar da qualidade e da segurança, Agir no presente e pensar no futuro e Sala de vacinação ideal. Os profissionais compreendem a importância da conservação de vacinas pautada na qualidade, na segurança e na demanda por melhorias na estruturação das salas de vacinação.
Conclusões: a equipe de enfermagem percebe a necessidade de manter a cadeia de frio de conservação dos imunobiológicos em todas as instâncias, com expectativas e desejos de aquisição de equipamentos, para melhorar a estrutura física e a oferta de cuidado empático a fim de prevenir doenças.
Objective: To understand the meaning of vaccine conservation and vaccination room care for the nursing staff of primary health care units.
Materials and methods: Qualitative study, under the perspective of Alfred Schütz’s social phenomenology, conducted in March 2018 through an open interview with nursing professionals working at a vaccination room.
Results: Based on the analysis of the interviews, results were organized in three categories: Maintaining vaccine conservation is taking care of quality and safety, Acting in the present and thinking about the future and Ideal vaccination room. The professionals understand the importance of vaccine conservation based on quality and safety standards, and thus demand improvements in the structure of vaccination rooms.
Conclusions: Nursing teams perceive the need to maintain the cold chain of conservation of immunobiologicals in all instances, with expectations and desires towards the acquisition of equipment, improvements in the physical structure of vaccination rooms, and, therefore, offering a more empathic care in order to prevent diseases.
Objetivo: comprender el significado de la conservación de las vacunas y los cuidados en la sala de vacunación para el personal de enfermería de las unidades de atención primaria.
Materiales y métodos: estudio cualitativo, desde la perspectiva de la fenomenología social de Alfred Schütz, realizado en marzo de 2018 mediante entrevistas abiertas a profesionales de enfermería que trabajan en salas de vacunación.
Resultados: a partir del análisis de las entrevistas, los resultados se organizaron en tres categorías: Mantener la conservación de las vacunas es cuidar la calidad y la seguridad, Actuar en el presente y pensar en el futuro y Sala de vacunación ideal. Los profesionales comprenden la importancia de la conservación de las vacunas en función de la calidad, la seguridad y la demanda por mejoras en la estructura de las salas de vacunación.
Conclusiones: el equipo de enfermería percibe la necesidad de mantener la cadena de frío de la conservación inmunobiológica en todas las instancias, con expectativas y deseos de adquirir equipos, mejorar la estructura física y ofrecer cuidados empáticos para prevenir enfermedades.
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References
(1) Lloyd J; Lydon P; Ouhichi R; Zaffran M. Reducing the loss of vaccines from accidental freezing in the cold chain: The experience of continuous temperature monitoring in Tunisia. Vaccine. 2015;33(7):902-907. http://doi.org/10.1016/j.vaccine.2014.10.080
(2) Ministério da Saúde do Brasil. Manual de Rede de Frio do Programa Nacional de Imunizações. Ministério da Saúde, Secretaria de Vigilância em Saúde. 5. ed. Brasília: Ministério da Saúde; 2017. https://bit.ly/3ckYpQn
(3) Ramírez R; Sanz AI; Bach P; Alseda M; Godoy P. Cadena del frío de las vacunas y conocimientos de los profesionales: análisis de la situación en la Región Sanitaria de Lleida. Vacunas. 2016;17(1):11-17. http://doi.org/10.1016/j.vacun.2016.03.006
(4) Cavallaro KF; Francois J; Jacques R; Mentor D; Yalcouye I; Wilkins K et al. Demonstration of the use of remote temperature monitoring devices in vaccine refrigerators in Haiti. Public Health Rep. 2018;133(1):39-44. https://doi.org/10.1177/0033354917742119
(5) Bisetto LHL; Ciosak SI. Análise da ocorrência de evento adverso pós-vacinação decorrente de erro de imunização. Rev Bras Enferm. 2017;70(1):87-95. http://doi.org/10.1590/0034-7167-2016-0034
(6) Hibbs BF; Miller E; Shi J; Smith K; Lewis P; Shimabukuro TT. Safety of vaccines that have been kept outside of recommended temperatures: Reports to the Vaccine Adverse Event Reporting System (VAERS), 2008-2012. Vaccine. 2018;36(4):553-558. http://doi.org/10.1016/j.vaccine.2017.11.083
(7) Brooks A; Habimana D; Huckerby G. Making the leap into the next generation: A commentary on how Gavi, the Vaccine Alliance is supporting countries’ supply chain transformations in 2016-2020. Vaccine. 2017;35(17):2110-2114. http://doi.org/10.1016/j.vaccine.2016.12.072
(8) Ogboghodo EO; Omuemu VO; Odijie O; Odaman OJ. Cold chain management practices of health care workers in primary health care facilities in Southern Nigeria. Pan Afri Med J. 2017;27(34):1-12. http://doi.org/10.11604/pamj.2017.27.34.11946
(9) Amaral GG; Oliveira VC; Guimarães EAA; Reis IA; Viegas SMF; Pinto IC; Oliveira MM. Evaluation of the psychometric properties of the Immunobiological Agent Conservation Assessment Scale. J Nurs Meas. 2020;28(3):1-18. http://doi.org/10.1891/JNM-D-20-00032
(10) Deus SRM; Marques ADB; Texeira JCL; Deus PRM; Moraes MEA; Macêdo DS. Study of the procedures for conservation of vaccines of the National Immunization Program. J Nurs UFPE. 2016;10(3):1038-1046. http://doi.org/10.5205/reuol.8702-76273-4-SM.1003201613
(11) Oliveira VC; Serrano GMDP; Cavalcante RB; Arcêncio RA; Pinto IC. Weaknesses of vaccine storage in Primary Healthcare Centers. Rev Bras Enferm. 2015;68(2):265-270. http://doi.org/10.1590/0034-7167.2015680215i
(12) Oliveira VC; Rennó HMS; Santos YR; Rabelo AFG; Serrano GMP; Pinto IC. Educação dos trabalhadores para o cuidado em sala de vacina: necessidade ou realidade? Rev Enferm do Centro-Oeste Min. 2016;6(3):2331-2341. http://doi.org/10.19175/recom.v6i3.1180
(13) Guimarães EAA; Oliveira VC; Oliveira MM; Viegas SMF; Ferreira AP; Dias FCS. Critical events in the maintenance of vaccine conservation. Rev Enferm. UFPE. 2018;12(6):1781-1789. https://doi.org/10.5205/1981-8963-v12i6a230909p1781-1789-2018
(14) Martins JRT; Alexandre BGP; Oliveira VC; Viegas SMF. Permanent education in the vaccination room: What is the reality? Rev Bras Enferm. 2018;71(suppl 1):668-676. http://doi.org/10.1590/0034-7167-2017-0560
(15) Guimarães AC. Uma aproximação aos conceitos básicos da fenomenologia. Fenomenol e Psicol. 2013;1(1):138-148. https://bit.ly/2OC LOjE
(16) Schütz A. Phenomenology of the social world. Northwestern University Press; 1967.
(17) Wagner HTR, organizador. Sobre fenomenologia e relações sociais. Rio de Janeiro: Vozes; 2012.
(18) Schütz A; Luckmann T. Las estructuras del mundo de la vida. Amorrortu; 2009.
(19) Schütz A. Sobre fenomenologia e relações sociais. Vozes; 2012.
(20) Zeferino MT; Carraro TE. Alfred Schütz: do referencial teórico-filosófico aos princípios metodológicos de pesquisa fenomenológica. Texto Contexto - Enferm. 2013;22(3):826-834. http://doi.org/10.1590/S0104-07072013000300032
(21) Minayo MCS. Sampling and saturation in qualitative research: Consensuses and controversies. Rev Pesqui Qual. 2017;5(7):1-12. https://bit.ly/3es9OAK
(22) Hanson CM; George AM; Sawadogo A; Schreiber B. Is freezing in the vaccine cold chain an ongoing issue? A literature review. Vaccine. 2017;35(17):2127-2133. https://doi.org/10.1016/j.vaccine.2016.09.070
(23) Centers for Disease Control and Prevention. Vaccine storage and handling toolkit. 2019. https://bit.ly/3bAem64
(24) Das MK; Arora NK; Mathew T; Vyas B; Sindhu M; Yadav A. Temperature integrity and exposure to freezing temperature during vaccine transfer under the universal immunization program in Three States of India. Indian J Public Health. 2019;63(2):139-142. http://doi.org/10.4103/ijph.IJPH_123_18
(25) Jesus MCP; Capalbo C; Merighi MAB; Oliveira DM; Tocantins FR; Rodrigues BMRD; Ciuffo LL. A fenomenologia social de Alfred Schütz e sua contribuição para a enfermagem. Rev Esc Enferm USP. 2013;47(3):736-741. http://doi.org/10.1590/S0080-623420130000300030
(26) World Health Organization. Aide-memoire for prevention of freeze damage to vaccines. 2019. https://bit.ly/3bzpH6M
(27) Lefebvre CDS; Terlinden A; Standaert B. Dissecting the indirect effects caused by vaccines into the basic elements. Hum Vaccin Immunother. 2015;11(9):2142-2157. http://doi.org/10.1080/21645515.2015.1052196
(28) Ashok A; Brison M; LeTallec Y. Improving cold chain systems: Challenges and solutions. Vaccine. 2017;35(17):2217-2223. https://doi.org/10.1016/j.vaccine.2016.08.045
(29) World Health Organization. How to develop a repair and maintenance system for cold chain equipment — Setting a standard for the vaccine supply chain. 2017. https://bit.ly/3ry1AuC
(30) Thielmann A; Viehmann A; Weltermann BM. Effectiveness of a web-based education program to improve vaccine storage conditions in primary care (Keep Cool): Study protocol for a randomized controlled trial. Trials. 2015;16:301. http://doi.org/10.1186/s13063-015-0824-9
(31) Bogale HA; Amhare AF; Bogale AA. Assessment of factors affecting vaccine cold chain management practice in public health institutions in east Gojam zone of Amhara region. BMC Public Health. 2019;19:1433. https://doi.org/10.1186/s12889-019-7786-x
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