TO EVALUATE THE PERCEPTION OF NURSING PROFESSIONALS IN THE USE OF A MONITORING INSTRUMENT IN THE HEMOTHERAPY PROCESS IN AN ONCOLOGY HOSPITAL IN THE STATE OF SÃO PAULO

Abstract

Introduction: A specific instrument for monitoring the transfusion process was designed with the aim of managing, monitoring and tracking all stages of the transfusion process, in the Hemotherapy Service of the Cancer Institute of the State of São Paulo (ICESP) and improving the reliability of notification of transfusion reactions. The management of indicators through this instrument makes it possible to support decision-making and the reorganization of processes in real time, contributing to maintaining the standard of excellence and safety of hemotherapy care. Therefore, the objective of this study was to evaluate the perception of nursing professionals in the use of an instrument for managing the transfusion process in the Hemotherapy Service of (ICESP). Methods: Therefore, a prospective interventional study was conducted in which a questionnaire consisting of six questions was applied regarding the use of the instrument for recording the stages of the transfusion process. This study consisted of 200 participants, divided into five groups, according to the area of activity, being: hemotherapy (n = 40), ICU (n = 40), hematology (n = 40), day hospital (n = 40) and outpatient clinic (n = 40). The outpatient group was evaluated as a control in data analyses. Results: After applying the questionnaire, it was observed that regarding question 1 about Understanding the information in the instrument, all hemotherapy and ICU participants responded that they completely agreed with the presentation of the content present in the instrument. Regarding the difficulty in filling out the instrument, of the groups evaluated, hemotherapy (75%), HD (65%), hematology (57.5%), outpatient clinics (37.5%), ICU (30%) responded that the instrument It is easy to fill out. For the majority of participants (70.5%) there is a positive impact on the time spent filling out the instrument. The hemotherapy (97.5%), ICU (62.5%), HD (90%) and outpatient (90%) groups fully agreed that the information contained in the instrument contributes to continuous improvement in transfusion therapy. In the fifth question in which the ease of the steps to be followed was evaluated, it was evidenced that for hemotherapy (82.5%), ICU (95%), HD (92.5%), hematology (90%) and outpatient clinic ( 80%), completing the instrument makes it easier to understand all the steps that must be followed. Finally, hemotherapy (82.5%), ICU (90%), HD (85%), Hematology (92.5%) and Outpatient Clinic (72.5%) are satisfied with using the instrument during the transfusion process. Conclusion: Based on the results obtained, it was observed that in the perception of professionals working in the hemotherapy service, the instrument helps in control, monitoring and traceability at all stages of the transfusion process.