Device‐related pressure injury (DRPI) is a serious problem that is affecting professionals working on the front lines against COVID‐19 due to the prolonged use of personal protective equipment (PPE). In addition to the physical and psychological integrity of professionals, these injuries can compromise the quality of care. Therefore, using technologies to prevent this adverse effect is an urgent matter. This is a parallel two‐arm randomized clinical trial without the use of a control group to compare the use of foam and extra‐thin hydrocolloid in preventing DRPI associated with the use of PPE by health professionals working on the front lines against coronavirus. In total, 88 professionals were divided into two groups: foam and hydrocolloid. Data were collected using two instruments and related to demographic and professional characteristics and skin evaluation. Each volunteer received one of the dressings, both with the same dimensions and arranged over similar regions, and data were gathered at baseline and after 6 or 12 hours. Descriptive and inferential analytic statistical methods were used; the significance level adopted was 5%. No participant developed DRPI, but four areas with hyperemia were observed in the foam group (two in the forehead, one in the cheeks, and one in the nose bridge), as well as four areas with hyperemia in the hydrocolloid group (two in the nose bridge, one in the right ear, and one in the left ear). There was no difference between the groups regarding skin conditions and discomfort (P > .05). The average cost obtained was $ 5.8/person and $ 4.4/person in the foam group and the hydrocolloid group, respectively, considering the dressing measurements. The results show that foam and extra‐thin hydrocolloid were effective in preventing DRPI associated with the use of PPE.
Agradecimentos: Aos técnicos de enfermagem que participaram das oficinas, às lideranças que otimizaram a participação das equipes, e ao Departamento de Enfermagem /HC pelo apoio e divulgação.
BACKGROUND
The Nursing team is usually the first to identify clinical changes in patients. However, although we know that early recognition of clinical deterioration is the key to early intervention and that early intervention leads to better results, we do not always obtain the most appropriate intervention.
OBJECTIVE
To describe a study protocol of a professional training program developed for nurses to implement early clinical deterioration risk assessment.
METHODS
This is an intervention protocol structured according to the recommendations of the SPIRIT Declaration 2013.
RESULTS
This paper presents the layout of a nurse-driven intervention, which will allow other people to reply to it. A systematically mapped intervention will subsidize better allocation of resources and optimization of results, improving the performance of nurses in detecting clinical deterioration.
CONCLUSIONS
It is hoped that this study will help health professionals improve their approach to patients who present clinical deterioration early.
CLINICALTRIAL
This Study Protocol was forwarded to the Brazilian Registry of Clinical Trials (ReBEC) with the number RBR-5hq9y3k.
Introdução:A terapia dialítica promove a regulação do equilíbrio, bem como o manejo do líquido extracelular e balanços influenciados pelos rins, cerca de 5 a 8% dos pacientes graves com insuficiência renal aguda precisam desta terapia em Unidade de Terapia Intensiva (UTI)¹. A Terapia de Substituição Renal Contínua (TSRC) pode ser realizada por vários dias dependendo da evolução clínica do paciente. Trata-se de uma terapia complexa e deve ser assistida por uma equipe de enfermagem capacitada. Na UTI adulto identificou-se a necessidade da realização de um programa de capacitação da equipe de enfermagem, sendo assim, o objetivo deste trabalho foi descrever como foi elaborado o programa e os resultados obtidos.
Metodologia:Referências: 1.Schneider AG, Bagshaw SM. Effects of renal replacement therapy on renal recovery after acute kidney injury. Nephron Clin Pract. 2014;127(1-4):35-41. 2. Soares Branda?o CFS, Carvalho-Filho MA, Cecilio-Fernandes C. Centros de simulação e projeto pedagógico: dois lados da mesma moeda. Sci Med. 2018;28(1). 3. McGaghie WC, Issenberg SB, Barsuk JH, Wayne DB. A critical review of simulation-based mastery learning with translational outcomes. Med Educ. 2014 04;48(4):375-85. http://doi.org/10.1111/medu.12391. 4,. Lazzari DD, Schmidt N, Jung W. Educação continuada em unidade de terapia intensiva na percepção de enfermeiras Rev. Enferm. UFSM. 2012;2(1):88-96.
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