Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil
Background: Injuries resulting from surgical positioning are preventable, yet they remain prevalent, causing temporary or permanent harm, extending hospital stays, and increasing the risk of hospital-acquired infections. Identifying patients at risk for these injuries is critical. This study aimed t...
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| Format: | Article |
| Language: | English |
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Golestan University of Medical Sciences
2024-10-01
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| Series: | Journal of Research Development in Nursing and Midwifery |
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| Online Access: | http://nmj.goums.ac.ir/article-1-1704-en.pdf |
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| author | Luana Bastos Araújo Maria Zélia de Araújo Madeira Ana Maria Ribeiro dos Santos Odinéa Maria Amorim Batista Pedro Venicius de Sousa Batista Sandra Valéria Nunes Barbosa Liliane Moretti Carneiro André Luiz Silva Alvim |
| author_facet | Luana Bastos Araújo Maria Zélia de Araújo Madeira Ana Maria Ribeiro dos Santos Odinéa Maria Amorim Batista Pedro Venicius de Sousa Batista Sandra Valéria Nunes Barbosa Liliane Moretti Carneiro André Luiz Silva Alvim |
| author_sort | Luana Bastos Araújo |
| collection | DOAJ |
| description | Background: Injuries resulting from surgical positioning are preventable, yet they remain prevalent, causing temporary or permanent harm, extending hospital stays, and increasing the risk of hospital-acquired infections. Identifying patients at risk for these injuries is critical. This study aimed to assess the risk of developing surgical positioning injuries in orthopedic surgeries within teaching hospitals.
Methods: This cross-sectional study was conducted between February and July 2023 in two teaching hospitals in Brazil. It involved a convenience sample of 147 patients who underwent orthopedic surgery. The study used the Risk Assessment Scale for the Development of Injuries Due to Surgical Positioning. Data analysis was performed using SPSS software, version 21, with the Chi-squared test applied to assess significance at the 0.05 level.
Results: Most participants were male (51.70%), with a mean (±SD) age of 54.52±20.34 years. Of the total sample, 85% were at low risk of developing injuries. Women were three times more likely to be at high risk (OR=3.39, 95% CI=1.24 to 9.24). The presence of comorbidities increased the likelihood of high risk approximately sixfold (OR=5.56, 95% CI=2.06 to 15.57). Spinal anesthesia increased the likelihood of high risk fourfold (OR=4.08, 95% CI=1.14 to 14.53).
Conclusion: Identifying risk factors allows for a more targeted approach to preventing surgical positioning injuries. Incorporating this knowledge into the development of institutional protocols is essential for improving patient safety and outcomes. |
| format | Article |
| id | doaj-art-df786842d96b45daaa05c0bbcb5ab23e |
| institution | Kabale University |
| issn | 2588-3038 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Golestan University of Medical Sciences |
| record_format | Article |
| series | Journal of Research Development in Nursing and Midwifery |
| spelling | doaj-art-df786842d96b45daaa05c0bbcb5ab23e2024-11-24T06:37:51ZengGolestan University of Medical SciencesJournal of Research Development in Nursing and Midwifery2588-30382024-10-012133437Risk assessment for the development of surgical positioning injuries in teaching hospitals in BrazilLuana Bastos Araújo0Maria Zélia de Araújo Madeira1Ana Maria Ribeiro dos Santos2Odinéa Maria Amorim Batista3Pedro Venicius de Sousa Batista4Sandra Valéria Nunes Barbosa5Liliane Moretti Carneiro6André Luiz Silva Alvim7 Graduate Program in Nursing, Federal University of Piauí, Teresina, Brazil Graduate Program in Nursing, Federal University of Piauí, Teresina, Brazil Graduate Program in Nursing, Federal University of Piauí, Teresina, Brazil Graduate Program in Nursing, Federal University of Piauí, Teresina, Brazil Graduate Program in Nursing, Federal University of Piauí, Teresina, Brazil Graduate Program in Nursing, Federal University of Piauí, Teresina, Brazil Graduate Program in Health and Development in the Central-West Region, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, MS, Brazil Graduate Program in Nursing, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil Background: Injuries resulting from surgical positioning are preventable, yet they remain prevalent, causing temporary or permanent harm, extending hospital stays, and increasing the risk of hospital-acquired infections. Identifying patients at risk for these injuries is critical. This study aimed to assess the risk of developing surgical positioning injuries in orthopedic surgeries within teaching hospitals. Methods: This cross-sectional study was conducted between February and July 2023 in two teaching hospitals in Brazil. It involved a convenience sample of 147 patients who underwent orthopedic surgery. The study used the Risk Assessment Scale for the Development of Injuries Due to Surgical Positioning. Data analysis was performed using SPSS software, version 21, with the Chi-squared test applied to assess significance at the 0.05 level. Results: Most participants were male (51.70%), with a mean (±SD) age of 54.52±20.34 years. Of the total sample, 85% were at low risk of developing injuries. Women were three times more likely to be at high risk (OR=3.39, 95% CI=1.24 to 9.24). The presence of comorbidities increased the likelihood of high risk approximately sixfold (OR=5.56, 95% CI=2.06 to 15.57). Spinal anesthesia increased the likelihood of high risk fourfold (OR=4.08, 95% CI=1.14 to 14.53). Conclusion: Identifying risk factors allows for a more targeted approach to preventing surgical positioning injuries. Incorporating this knowledge into the development of institutional protocols is essential for improving patient safety and outcomes.http://nmj.goums.ac.ir/article-1-1704-en.pdfwounds and injuriespressure ulcerperioperative nursingevaluation studypatient positioning |
| spellingShingle | Luana Bastos Araújo Maria Zélia de Araújo Madeira Ana Maria Ribeiro dos Santos Odinéa Maria Amorim Batista Pedro Venicius de Sousa Batista Sandra Valéria Nunes Barbosa Liliane Moretti Carneiro André Luiz Silva Alvim Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil Journal of Research Development in Nursing and Midwifery wounds and injuries pressure ulcer perioperative nursing evaluation study patient positioning |
| title | Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil |
| title_full | Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil |
| title_fullStr | Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil |
| title_full_unstemmed | Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil |
| title_short | Risk assessment for the development of surgical positioning injuries in teaching hospitals in Brazil |
| title_sort | risk assessment for the development of surgical positioning injuries in teaching hospitals in brazil |
| topic | wounds and injuries pressure ulcer perioperative nursing evaluation study patient positioning |
| url | http://nmj.goums.ac.ir/article-1-1704-en.pdf |
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