Conhecimento e prática em UTI neonatais Brasileiras: A perspectiva de seus gestores sobre a implementação de diretrizes clínicas

Abstract

Overcoming the gap between the established and systematized knowledge in clinical guidelines and practice of health services is a challenge to the quality of care. Clinical guidelines are tools that systematize the scientific evidence, helping to identify those relevant to the proper care. Several strategies to expand the use of clinical guidelines were identified in the literature: distribution of educational materials; meetings for training; review of practices; visits of experts; and reminders. The analysis of such strategies from the perspective of NICU managers was the object of study, developed in public NICU's through the application of semi-structured questionnaire with 53 managers (medical and nursing). Respondents reported the concomitant use of various activities / strategies, agreeing with placements in the literature. About 40% of heads felt that the distribution of written material encourages professional adhesion. Most managers reported that often uses the meetings to discuss clinical guidelines, which is a recommended activity for more than 95% of them. In the context studied, it was found that strategies to expand the dissemination of knowledge depend on the professionals themselves and services, with no formal institutional support for their financing, which reduces the consistency of its use.