Pressure injury prevention in an intensive care unit: implementing the best practices
ABSTRACT Objective: to implement the best evidence in preventing pressure injuries in patients in the intensive care unit of a university hospital in the city of São Paulo/Brazil. Method: a quasi-experimental study whose intervention was implementing evidence based on the Joanna Briggs Institute m...
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Universidade Federal do Rio Grande do Sul
2024-12-01
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| Series: | Revista Gaúcha de Enfermagem |
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| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200413&lng=en&tlng=en |
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| _version_ | 1846119219300663296 |
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| author | Karina Sichieri Tatiane Martins De Matos Talita Raquel Santos Sílvia Regina Secoli |
| author_facet | Karina Sichieri Tatiane Martins De Matos Talita Raquel Santos Sílvia Regina Secoli |
| author_sort | Karina Sichieri |
| collection | DOAJ |
| description | ABSTRACT Objective: to implement the best evidence in preventing pressure injuries in patients in the intensive care unit of a university hospital in the city of São Paulo/Brazil. Method: a quasi-experimental study whose intervention was implementing evidence based on the Joanna Briggs Institute methodology, which includes auditing and feedback. Ten audit criteria were used, which were verified in patient records and training records of the teaching and quality service. The intervention was assessed by comparing the percentage of compliance with audited criteria before and after implementing the best practices. Pearson's chi-squared test was used. Results: 2,677 days of baseline and follow-up audit records were evaluated, regarding 340 patients. Compliance baseline and follow-up audits differed for most criteria (p-value <0.001). The main barriers were the lack of records of essential information on pressure injuries in the medical records, and strategies for overcoming these barriers included a review of the pressure injury prevention protocol and training of the nursing team. Conclusion: the intervention adopted contributed to improving practices regarding the prevention of pressure injuries, expressed by the increase in the rate of compliance with the criteria and the proposal of improvement strategies to overcome barriers. |
| format | Article |
| id | doaj-art-ec006340fcb34665a01a10c50848c6d1 |
| institution | Kabale University |
| issn | 1983-1447 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Universidade Federal do Rio Grande do Sul |
| record_format | Article |
| series | Revista Gaúcha de Enfermagem |
| spelling | doaj-art-ec006340fcb34665a01a10c50848c6d12024-12-17T07:44:21ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472024-12-0145spe110.1590/1983-1447.2024.20240166.enPressure injury prevention in an intensive care unit: implementing the best practicesKarina Sichierihttps://orcid.org/0000-0002-5074-4636Tatiane Martins De Matoshttps://orcid.org/0000-0001-6451-9280Talita Raquel Santoshttps://orcid.org/0000-0003-2899-1312Sílvia Regina Secolihttps://orcid.org/0000-0003-4135-6241ABSTRACT Objective: to implement the best evidence in preventing pressure injuries in patients in the intensive care unit of a university hospital in the city of São Paulo/Brazil. Method: a quasi-experimental study whose intervention was implementing evidence based on the Joanna Briggs Institute methodology, which includes auditing and feedback. Ten audit criteria were used, which were verified in patient records and training records of the teaching and quality service. The intervention was assessed by comparing the percentage of compliance with audited criteria before and after implementing the best practices. Pearson's chi-squared test was used. Results: 2,677 days of baseline and follow-up audit records were evaluated, regarding 340 patients. Compliance baseline and follow-up audits differed for most criteria (p-value <0.001). The main barriers were the lack of records of essential information on pressure injuries in the medical records, and strategies for overcoming these barriers included a review of the pressure injury prevention protocol and training of the nursing team. Conclusion: the intervention adopted contributed to improving practices regarding the prevention of pressure injuries, expressed by the increase in the rate of compliance with the criteria and the proposal of improvement strategies to overcome barriers.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200413&lng=en&tlng=enPressure InjuryEvidence-Based NursingPatient SafetyCritical Care |
| spellingShingle | Karina Sichieri Tatiane Martins De Matos Talita Raquel Santos Sílvia Regina Secoli Pressure injury prevention in an intensive care unit: implementing the best practices Revista Gaúcha de Enfermagem Pressure Injury Evidence-Based Nursing Patient Safety Critical Care |
| title | Pressure injury prevention in an intensive care unit: implementing the best practices |
| title_full | Pressure injury prevention in an intensive care unit: implementing the best practices |
| title_fullStr | Pressure injury prevention in an intensive care unit: implementing the best practices |
| title_full_unstemmed | Pressure injury prevention in an intensive care unit: implementing the best practices |
| title_short | Pressure injury prevention in an intensive care unit: implementing the best practices |
| title_sort | pressure injury prevention in an intensive care unit implementing the best practices |
| topic | Pressure Injury Evidence-Based Nursing Patient Safety Critical Care |
| url | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200413&lng=en&tlng=en |
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