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ORIGINAL ARTICLE
Management tools in nursing care for children with pressure injury
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20180999
08-05-2020
Abstract
ORIGINAL ARTICLEManagement tools in nursing care for children with pressure injury
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20180999
08-05-2020DOI 10.1590/0034-7167-2018-0999
Views0See moreABSTRACT
Objectives:
to develop and validate management tools for the systematization of nursing care for children with pressure injuries.
Methods:
methodological study in which the focus group technique was used for validation of tools in three different groups of 17 nurses. Conducted in April and May 2018 at a large pediatric hospital.
Results:
two management tools were developed. The first was the Nursing care systematization instrument for children with pressure injury with three parts: a) risk factors; b) Psychobiological Basic Human Needs; c) signs of wound infection. The second was the Flowchart of pressure injury risk and prevention in pediatric patients with three categories: a) risk factors; b) Braden Q scale; c) nursing care.
Final Considerations:
the tools will support nurses in the care of children with pressure injuries by aiming at an individualized and systematized assessment based on a theoretical framework.
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ORIGINAL ARTICLE
Organizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
04-03-2020
Abstract
ORIGINAL ARTICLEOrganizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
04-03-2020DOI 10.1590/0034-7167-2018-0510
Views0See moreABSTRACT
Objectives:
To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care.
Methods:
This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals.
Results:
Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians.
Conclusions:
We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.