Prevention of Pressure Injuries in the Pronation of COVID-19 Patients: Construction of a Graphic Narrative (original) (raw)
Related papers
Revista Brasileira de Enfermagem, 2021
Objective: to perform the content and face validation of a checklist and a banner on pressure injury prevention in patients in prone position. Method: this is a methodological study of content and face validation with 26 nurses with specialization. Professionals assessed the checklist and the banner in relation to clarity, theoretical relevance, practical relevance, relation of the figures to the text and font size. The Content Validity Index was calculated for each item, considering one with a value equal to or greater than 0.8 as valid. Results: all the actions described in the checklist and in the banner had a Content Validity Index greater than 0.80, with standardization of verbal time and esthetic adjustments in the banner’s layout, as suggested. Conclusions: the checklist and the banner were validated and can be used in clinical practice to facilitate pressure injury preventions in patients in prone position.
Reflections on recommendations for the prevention of pressure injuries during the COVID-19 pandemic
2020
Objective: To reflect on specific recommendations for the prevention of pressure injuries in patients affected by the new coronavirus (COVID-19) in intensive care. Method: theoretical reflection study based on the concept of pressure injury defined by the National Pressure Injury Advisory Panel. Results: the contents were categorized into three thematic axes: specific risk factors for the development of pressure injuries for patients with COVID-19; international recommendations on pressure injuries in patients with COVID-19 and challenges for implementing recommendations for preventing pressure injuries in the face of the COVID-19 pandemic in the Brazilian scenario. Conclusion: to promote the prevention of pressure injuries in intensive care patients with COVID-19 it is essential that health professionals are able to implement advanced interventions, in order to mitigate the intrinsic and extrinsic risks specific to that patient. However, it is essential to recognize potentially preventable lesions, differentiating them from possible inevitable ones, as well as making a differential diagnosis of lesions resulting from the pathogenesis of the virus itself. DESCRIPTORS: Pressure injury; Coronavirus infections; Critical care; Wounds and injuries; Nursing; Stomatherapy.
PRESSURE INJURY DUE TO PRONE POSITION IN TIMES OF COVID-19: AN INTEGRATIVE REVIEW (Atena Editora)
PRESSURE INJURY DUE TO PRONE POSITION IN TIMES OF COVID-19: AN INTEGRATIVE REVIEW (Atena Editora), 2022
Deals with a study related to the fundamentals related to Pressure Injury (PPL) due to the long stay in the prone position in patients with respiratory pattern compromised by the Sars-cov 2 virus, in the severe evolution of the disease, hospitalized for a long period in the Therapy Unit intensive care unit (ICU). Goal: to gather evidence for the prevention and treatment of pressure injuries in times of a pandemic due to Covid-19. Method: This is an integrative review (IR), with searches carried out on the Health portal VHL, CAPES, SciELO databases, and complementary studies in the form of scientific articles, with combinations between the descriptors: pressure injury "AND" Covid-19 “OR” "sars cov-2", prone "AND" burned; pressure injury "AND" prone; covid "AND" adult ICU. Results: The approach of the studies mostly consisted of studies and case reports, aiming at the prevention and care of patients affected by Sars-Cov 2 who needed the prone position for a positive response to acute respiratory syndrome. serious (SARG).Conclusion: This study corroborates the synthesis of the knowledge confirmed by the literature on the results obtained. The importance of prophylactic measures to prevent these injuries in prone patients is perceived, namely: daily skin assessment with identification of risk factors, humidity control, pressure redistribution with the help of cushions, pillows, skin hydration, rotation of the head and upper limbs every two hours, as well as the use of an informative banner and list to check the procedure, the latter being a step by step of the steps to be followed in order to minimize possible risks and as a guarantee to remedy possible failures in the service provided.
Revista de Pesquisa: Cuidado é Fundamental Online, 2019
Objetivo: Identificar o conhecimento dos enfermeiros assistenciais quanto à prevenção e cuidados com lesões por pressão (LPP) em unidades de clínica médica e cirúrgica de um hospital universitário de Brasília. Métodos: Trata-se de estudo descritivo, transversal com análise quantitativa. Os dados foram coletados por meio da aplicação de um instrumento com informações acerca da formação e conhecimento do enfermeiro acerca da LPP. Resultados: A amostra foi de 38 enfermeiros, onde 78.9%, acertaram entre 70 a 89% do instrumento, e somente 2 enfermeiros (5,2%) obtiveram nota igual ou maior a 90% de acerto. Os itens de menor acerto estão relacionados ao uso de dispositivos, como luva d’agua (23,6%), almofadas (23,6%), e em relação ao posicionamento e reposicionamento, além da massagem em proeminência ósseas. Conclusão: Conclui-se que há um déficit do conhecimento da equipe de enfermagem deste hospital, o que pode comprometer diretamente na assistência principalmente do paciente em risco p...
Resources for Preventing Pressure Injuries: Methodological Study to Develop and Validate a Scale*
Cogitare Enfermagem
Objective: To develop and validate a scale for evaluating human and material resources from the perspective of preventing pressure injuries in medical and surgical wards. Method: Methodological study was conducted in three stages: integrative review, elaboration, and validation using the Delphi technique, with eight nurses specializing in dermatology from different states in Brazil from November 2018 to January 2019. They assessed 32 items relating to human and material resources in intermediate care and high-dependency patients. A minimum content validity index of 0.80 was used for validation. Results: In the intermediate care scenario, all items reached 0.77 in the first phase and 0.93 in the second phase. In high dependency, they reached 0.74 in the first phase and 0.84 in the second phase. Conclusion: The scale will allow the assessment of the situational diagnosis of the wards from the perspective of pressure injury prevention.
NURSING TEAM KNOWLEDGE ABOUT PRESSURE INJURIES
ESTIMA, Braz. J. Enterostomal Ther., 2021
Objective: to assess the level of knowledge of the nursing staff of the medical clinic of a university hospital about pressure injuries. Method: descriptive-exploratory study, approved by the Research Ethics Committee. Data were collected through a validated questionnaire. Fifty individuals participated, 35 nursing technicians and 15 nurses. Results: nursing technicians had an average of 83.5% and nurses had an average of 89.9%. A regression model was carried out to verify variables that influence the level of knowledge, and it was identified that having more than 5 years in the profession increases 1.61 times the chance that the professional has adequate knowledge. Conclusion: a weakness in knowledge about pressure injuries was identified. In view of the costs involved in the treatment and complications arising from these injuries, health institutions must implement educational actions about this condition. DESCRIPTORS: Pressure injury. Nursing care. Patient safety. Stomatherapy. CONHECIMENTO DA EQUIPE DE ENFERMAGEM SOBRE LESÃO POR PRESSÃO RESUMO Objetivo: avaliar o nível de conhecimentos da equipe de enfermagem da clínica médica de um hospital universitário sobre lesão por pressão. Método: estudo descritivo-exploratório, aprovado por Comitê de Ética em Pesquisa. Os dados foram coletados através de questionário validado. Participaram 50 indivíduos, sendo 35 técnicos de enfermagem e 15 enfermeiros. Resultados: os técnicos em enfermagem obtiveram média de 83,5% e os enfermeiros obtiveram média de 89,9%. Realizou-se um modelo de regressão para verificar variáveis que influenciam no nível de conhecimento, sendo identificado que possuir mais de 5 anos na profissão aumenta 1,61 vezes a chance de o profissional apresentar um conhecimento adequado. Conclusão: foi identificada uma fragilidade no conhecimento sobre lesão por pressão. Tendo em vista os custos envolvidos no tratamento e as complicações advindas dessas lesões, as instituições de saúde devem implementar ações educativas sobre esse agravo. DESCRITORES: Lesão por pressão. Cuidados de enfermagem. Segurança do paciente. Estomaterapia.
Variables associated with pressure injury prevention: knowledge for nursing care
Revista de Pesquisa Cuidado é Fundamental Online, 2020
Objetivo: Identificar na literatura científica as variáveis associadas à prevenção da LPP para subsidiar o cuidado de enfermagem. Método: Trata-se de uma revisão integrativa da literatura. Resultados: Foram analisados 18 artigos analisados, destes, 13 eram exclusivamente elaborados por enfermeiros. A análise possibilitou a identificação de 39 variáveis associadas as três dimensões emanadas do termo “conhecimento”. Foi possível observar uma predominância de valorização da literatura daquelas associadas a dimensão técnico-cientifica com um quantitativo de 35 variáveis. Nesta dimensão pode-se notar que as medidas de prevenção estão associadas à utilização de procedimentos para alívio de pressão. Conclusão: A revisão integrativa permitiu verificar que os cuidados voltados a medidas de prevenção se constituem como um tema que demanda preocupação por parte da equipe multiprofissional, principalmente, pelos enfermeiros que tem investido de forma expressiva no melhor entendimento do problem...
THE NEED TO IMPLEMENT A SPECIFIC PROTOCOL FOR THE PREVENTION OF PRESSURE INJURY IN PATIENTS UNDER MECHANICAL VENTILATION AFFECTED WITH COVID-19 (Atena Editora), 2023
Mechanical ventilation is a medical resource used to improve the survival of patients with acute respiratory failure. In the context of COVID-19, this mechanism is extremely important, given the severity of the pulmonary impairment inherent to the disease. Considering the pathophysiological aspects of COVID-19, such as clinical and hemodynamic instability, nutritional deficit, oxygenation deficit, need for multiple health care devices, prone position, among others, these patients are also subject to other damages resulting from the difficulty of handling and the complexity of the disease, such as pressure ulcers, which have been cited in scientific papers as one of the complications resulting from COVID-19. The importance of efficient multidisciplinary work and health education is highlighted, with the aim of seeking measures to prevent this damage, thus improving the quality of care provided, as well as the survival of these patients.
WCET Journal, 2020
OBJECTIVE: To determine if a repurposed silicone-based dressing used underneath a N95 mask is a safe and beneficial option for facial skin injury prevention without compromising the mask's seal. METHODS: Since February 21, 2020, staff in high risk areas such as the ED and ICU of King Hamad University Hospital have worn N95 masks when doing aerosol-generating procedures to protect against the novel coronavirus 2019. At that time, without education enablers or resources that could be directly translated into practice, the hospital's Pressure Injury Prevention Committee explored and created a stepwise process to protect the skin under these masks. This procedure was developed over time and tested to make sure that it did not interfere with the effectiveness of the N95 mask seal. RESULTS: Skin protection was achieved by repurposing a readily available silicone border dressing cut into strips. This was tested on 10 volunteer staff members of various skin types and both sexes who became part of this evidence generation project. Oxygen saturation values taken before and after the 4-hour wear test confirmed that well-fitted facial protection did not compromise the mask seal, but rather improved it. An added advantage was increased comfort with less friction as self-reported by the staff. An educational enabler to prevent MDRPI from N95 mask wear was an important additional resource for the staff. CONCLUSIONS: This creative and novel stepwise process of developing a safe skin protection method by which staff could apply a repurposed silicone border dressing beneath an N95 mask was largely effective and aided by the creation of the enabler.
Care Bundle for Medical Device-Related Pressure Injuries in Covid-19 times
2020
Objective: To validate the content of the Nursing Care Bundle for the prevention, diagnosis and treatment of Medical device-related Pressure Injuries. Method: Methodological study, with a quantitative approach, conducted in May and June 2019, with a sample of 20 nurses specialized in stomatherapy, using an electronic form, consisting of prevention actions, nursing diagnoses and treatments for Medical device-related Pressure Injuries. For data analysis, the content validity index (≥0.8) was used. Results: The Bundle was validated in its final version with care aimed at prevention, nursing diagnosis and treatment of Medical device-related Pressure Injuries, with CVI of 0.93. Conclusions: The validated Bundle contributes to reducing the occurrence of Medical device-related Pressure Injuries by qualifying the nursing care provided, envisioning patient safety in Covid-19 times.