Prevention of newborn skin lesions: knowledge of the nursing team

Abstract

A qualitative study was conducted using a convergent care approach, whose aim was to identify the knowledge of the neonatal nursing team about the prevention of skin lesions in hospitalized newborns. This study was conducted in the neonatal unit of a hospital in southern Brazil with 14 nursing professionals. Data were obtained through semi-structured interviews performed in November and December 2012. Data analysis was through apprehension, synthesis, theorization and a recontextualization processes. The results show nursing professionals are aware of newborn skin particularities, recognizing the need for skin protection, body temperature regulation, transepidermal water loss, and proper hygiene. The team also recognized the need for hydration and proper handling, as well as the need for precautions in invasive procedures, prevention of pressure and puncture lesions, care in device fixation and use of antiseptics. The results of this study demonstrated the need for providing sensitive and risk-free care, thus promoting comfort and safety for these patients.

Dificuldades No Transporte Inter-Hospitalar De Recém-Nascido Crítico Realizado Pelas Equipes Do Serviço De Atendimento Móvel De Urgência

“…1 Nevertheless, caution is important regarding the proper selection of the pulse oximetry sensor, in agreement with age, and the rotation of the device in order to avoid injury to the newborn skin, especially in premature infants whose skin is extremely thin. 15 Thus, appropriate devices are important for the neonatal public in order to avoid iatrogenies.…”

Patient safety in the prevention and care of skin lesions in newborns: integrative review

“…Use of superabsorbent disposable diapers with changes every three to four hours or when soiling occurs (14) . 6…”

“…Essential fatty acid (EFA) emollients should be applied immediately after bathing, and fragrant products should be avoided because of the risk of sensitization and irritation (14) . 6…”

“…The premature baby should be washed only with water, two to three times a week, discouraging daily bathing and the use of soaps (14) . 6…”

Efeito De Duas Técnicas De Banho De Imersão Na Temperatura Axilar De Recém-Nascidos Pré-Termos: Estudo Piloto

“…1 Unlike term infants, the maintenance of preterm newborns' temperature is a critical aspect due to their greater risk of developing hypothermia episodes; this is a result of changes in heat regulation caused by a combination of factors such as lack of brown adipose tissue for thermogenesis, (skin) surface and body mass ratio, thinning of the skin, and inability to maintain flexion of the extremities, in addition to the immaturity of the central thermoregulatory control. [2][3][4] It is recommended that the body temperature of the neonate is maintained between 36.5°C and 37.5°C, and that its measurement is performed using a thermometer in the axillary region. [5][6][7] Temperature maintenance is essential for the recovery, growth and development of preterm newborns with health problems.…”