{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:08:50Z","timestamp":1753888130459,"version":"3.41.2"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>RESUMO  Objetivo: elaborar, com base na avalia\u00e7\u00e3o da pr\u00e1tica do flushing da equipe de enfermagem, um prot\u00f3tipo de tecnologia de cuidado voltado a promover as boas pr\u00e1ticas na manuten\u00e7\u00e3o dos cateteres intravenosos em terapia intensiva.  M\u00e9todo:  estudo de elabora\u00e7\u00e3o de tecnologia, desenvolvido em tr\u00eas etapas: avalia\u00e7\u00e3o da pr\u00e1tica do flushing atrav\u00e9s de question\u00e1rio preenchido por 108 profissionais de enfermagem atuantes na manuten\u00e7\u00e3o dos cateteres intravenosos em cen\u00e1rios de terapia intensiva de um hospital p\u00fablico localizado no munic\u00edpio do Rio de Janeiro, Brasil. A coleta de dados ocorreu de novembro de 2019 a janeiro de 2020, com an\u00e1lise descritiva e inferencial dos dados; an\u00e1lise dessa pr\u00e1tica quanto \u00e0 exist\u00eancia de erros segundo as principais diretrizes e evid\u00eancias cient\u00edficas, com classifica\u00e7\u00e3o dos tipos de erros \u00e0 luz do referencial conceitual da seguran\u00e7a do paciente; e elabora\u00e7\u00e3o do prot\u00f3tipo da tecnologia.  Resultados:  88% dos participantes realizam o flushing na sua pr\u00e1tica; 49,5% aplicam a t\u00e9cnica de press\u00e3o cont\u00ednua no \u00eambolo da seringa; 22% realizam o flushing antes, entre e ap\u00f3s a administra\u00e7\u00e3o de medicamentos; predom\u00ednio da utiliza\u00e7\u00e3o do volume e de seringas com calibres de 5 ml e 10 ml. Vari\u00e1veis relacionadas ao conhecimento associaram-se \u00e0 n\u00e3o realiza\u00e7\u00e3o do flushing. Houve erros ativos e latentes que orientaram a constru\u00e7\u00e3o do prot\u00f3tipo da tecnologia.  Conclus\u00e3o:  construiu-se um Guia de Cuidado que objetiva ampliar o conhecimento da equipe de enfermagem sobre as boas pr\u00e1ticas do flushing e se configura como uma barreira \u00e0 recorr\u00eancia dos erros.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2022-0302pt","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T11:45:40Z","timestamp":1688125540000},"source":"Crossref","is-referenced-by-count":0,"title":["PROT\u00d3TIPO DE TECNOLOGIA DE CUIDADO PARA PR\u00c1TICA DO FLUSHING NA MANUTEN\u00c7\u00c3O DE CATETERES INTRAVENOSOS"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0224-5944","authenticated-orcid":false,"given":"Gabriella da Silva Rangel","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7254-5251","authenticated-orcid":false,"given":"Juliana Faria","family":"Campos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3880-6590","authenticated-orcid":false,"given":"Pedro Miguel Santos Dinis","family":"Parreira","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5211-9586","authenticated-orcid":false,"given":"Rafael Celestino da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","first-page":"S1","article-title":"Infusion therapy standards of practice","volume":"39","author":"Gorski L","year":"2016","journal-title":"J Infus Nurs"},{"key":"ref2","series-title":"Vessel Health and Preservation: The Right Approach for Vascular Access","first-page":"243","volume-title":"Right Management and Flushing","author":"Cullinane C","year":"2019"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0168637","article-title":"Peripheral venous cateter related adverse events: evaluation from a multicentre epidemiological study in France (the CATHEVAL Project)","volume":"12","author":"Miliani K","year":"2017","journal-title":"PLoS One"},{"issue":"23-24","key":"ref4","doi-asserted-by":"crossref","first-page":"4488","DOI":"10.1111\/jocn.15035","article-title":"Catheter dwell time and risk of catheter failure in adult patients with peripheral venous catheters","volume":"28","author":"Wei T","year":"2019","journal-title":"J Clin Nurs"},{"year":"2017","series-title":"Medidas de preven\u00e7\u00e3o de infec\u00e7\u00e3o relacionada \u00e0 assist\u00eancia \u00e0 sa\u00fade","key":"ref5"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/NAN.0000000000000396","article-title":"Infusion therapy standards of practice","volume":"44","author":"Gorski LA","year":"2021","journal-title":"J Infus Nurs"},{"issue":"4","key":"ref7","article-title":"Incidence rate and the use of flushing in the prevention of obstructions of the peripheral venous catheter","volume":"27","author":"Braga LM","year":"2018","journal-title":"Texto Contexto Enferm"},{"key":"ref8","article-title":"Flushing and locking of venous catheters: available evidence and evidence deficit","volume":"2015","author":"Goosens GA","year":"2015","journal-title":"Nurs Res Pract"},{"year":"2017","series-title":"Medication without harm: WHO global patient safety challenge","key":"ref9"},{"issue":"5","key":"ref10","article-title":"What do we know about flushing for intravenous catheter maintenance in hospitalized adults?","volume":"75","author":"Ribeiro GSR","year":"2022","journal-title":"Rev Bras Enferm"},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1136\/ewjm.172.6.393","article-title":"Human error: models and management","volume":"172","author":"Reason J","year":"2000","journal-title":"West J Med"},{"year":"2017","series-title":"Desenvolvimento de tecnologias cuidativo-educacionais","author":"Teixeira E","key":"ref12"},{"issue":"8","key":"ref13","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2020.e04579","article-title":"The flushing procedure in nursing practices: a cross-sectional study with Portuguese and Brazilian nurses","volume":"6","author":"Parreira P","year":"2020","journal-title":"Heliyon"},{"key":"ref14","series-title":"Human error","author":"Reason J","year":"2009","edition":"20"},{"issue":"1","key":"ref15","doi-asserted-by":"crossref","DOI":"10.1186\/s13063-016-1470-6","article-title":"Varied flushing frequency and volume to prevent peripheral intravenous cateter failure: a pilot, factorial randomised controlled trial in adult medical-surgical hospital patients","volume":"17","author":"Keogh S","year":"2016","journal-title":"Trials"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1188\/18.CJON.199-202","article-title":"Heparin versus normal saline: flushing effectiveness in managing Central Venous Catheters in patients undergoing Blood and marrow transplantation","volume":"22","author":"Klein J","year":"2018","journal-title":"Clin J Oncol Nurs"},{"issue":"1","key":"ref17","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5455\/msm.2020.32.29-34","article-title":"The efficacy of normal saline (N\/S 0.9%) versus heparin solution in maintaining patency of peripheral venous cateter and avoiding complications: a systematic reviews","volume":"32","author":"Sotnikova C","year":"2020","journal-title":"Mater Sociomed"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/NAN.0000000000000276","article-title":"Maintaining short peripheral catheter patency: a comparison of saline lock versus continuous infusion in the acute care setting","volume":"41","author":"Roszell SS","year":"2018","journal-title":"J Infus Nurs"},{"issue":"5","key":"ref19","doi-asserted-by":"crossref","first-page":"461\u201070","DOI":"10.1177\/1129729818820200","article-title":"Implications for maintaining vascular access device patency and performance: application of science to practice","volume":"20","author":"Hawthorn A","year":"2019","journal-title":"J Vasc Access"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/NAN.0000000000000311","article-title":"Pulsatile Flushing: a review of the literature","volume":"42","author":"Boord C","year":"2019","journal-title":"J Infus Nurs"},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","DOI":"10.1590\/2177-9465-ean-2019-0153","article-title":"Contributive factors for the consolidation of patient safety culture in the hospital environment","volume":"24","author":"Heidmann A","year":"2019","journal-title":"Esc Anna Nery"},{"issue":"1","key":"ref22","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-020-01728-1","article-title":"Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: a stepped wedge cluster randomised trial","volume":"18","author":"Keogh S","year":"2020","journal-title":"BMC Med"}],"container-title":["Texto &amp; Contexto - Enfermagem"],"original-title":["CARE TECHNOLOGY PROTOTYPE FOR FLUSHING PRACTICE IN INTRAVENOUS CATHETER MAINTENANCE"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-07072023000100328&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T11:46:16Z","timestamp":1688125576000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-07072023000100328&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":22,"alternative-id":["S0104-07072023000100328"],"URL":"https:\/\/doi.org\/10.1590\/1980-265x-tce-2022-0302pt","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1980-265x-tce-2022-0302en","asserted-by":"subject"}]},"ISSN":["1980-265X","0104-0707"],"issn-type":[{"type":"electronic","value":"1980-265X"},{"type":"print","value":"0104-0707"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e20220302"}}