Barreiras à adesão dos profissionais de saúde às recomendações do bundle de prevenção de Infecção do trato urinário: uma revisão integrativa

Abstract

Objective: investigate in the literature the barriers to the adherence of health professionals to the urinary tract infection prevention bundle in hospital care. Method: This is an integrative review that used the mnemonic PICo (population, interest and context) to prepare the research question and the guidelines Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) to describe the selection process of the studies and ensure transparency in the report. The searches were carried out in the Latin American and Caribbean Literature in Health Sciences (LILACS) and PubMed databases via MedLine. Thus, articles published in the last five years (from 2021 to 2025) were included, in Portuguese, English and Spanish, with full text available and related to the objective of the study. No exclusion criteria were applied. Result: 674 studies were identified in the databases surveyed.Of these, 154 were excluded because they were in duplicity or because they were not available in full. Next,462 were excluded according to considering the inclusion criteria. After reading the titles and abstracts, 54 articles were excluded for not answering the guiding question. At the end, 4 articles were considered potentially eligible to compose the final analysis. The main barriers identified in the bundle implementation process were: prior absence of standardized instruments, resistance to adherence by professionals, high demand for procedures, lack of continuous training and need for prior training, insufficient or deficient knowledge about patient safety measures. The findings were organized into four categories: impact of protocols and checklists on the reduction of urinary tract infection, adherence of the team to protocols, permanent education and training and factors related to patient safety. Conclusion:Adherence to urinary tract infection prevention bundles is mainly influenced by barriers related to organizational factors and the knowledge and engagement of professionals. Strategies such as investment in training and training, institutional support and strengthening the safety culture favor adherence to protocols and qualify assistance.