Proposta de um algorítmo para seleção de coberturas, segundo o tipo de lesão aberta em crianças

Abstract

OBJETIVOS: Este estudo descritivo teve por objetivos elaborar um algoritmo para apoiar a decisão da enfermeira na seleção de coberturas segundo o tipo de lesão aberta em crianças e avaliar sua aplicabilidade, segundo a opinião de enfermeiras pediátricas. MÉTODOS: O algoritmo desenvolvido é composto por determinantes relativos à avaliação do tecido e estágio de cicatrização, limpeza da ferida e tipo de cobertura primária e secundária utilizado. RESULTADOS: Entre as 24 enfermeiras que participaram da avaliação do algoritmo, o tempo de formadas e de trabalho em pediatria apresentou mediana de dois anos; 87,5% eram pós-graduandas e 100% cuidavam de uma a quatro crianças com feridas abertas por mês. Quanto a avaliação do algoritmo, na maioria das variáveis verificadas, o instrumento foi considerado ótimo. CONCLUSÃO: Após a utilização do algoritmo proposto, 95,8% das enfermeiras consideraram um importante instrumento para aplicação na prática assistencial.

Development and validation of an algorithm for laser application in wound treatment

“…In the present study, the proposed algorithm was evaluated by means of a questionnaire developed by the researchers, based on another study with the same purpose, published in the literature 34 . Most participants’ responses were considered positive, with “excellent” and “good” responses.…”

“…These corrections contribute to better understanding, effectiveness and integration of the algorithm in the institution, allowing the professional to choose the most appropriate dressing for wound healing, resulting in patient safety and cost reduction 33 . In a study whose objective was to develop an algorithm to support the nursing decision in wound dressing selection, according to the type of injury in children, 95.8% of the nurses considered it important to apply this instrument to support their decision-making for selection of the appropriate dressing in children with wounds ( 34 .…”

“…In studies validated by scientific evidence, guidelines have a technical, organizational, and political nature. They are also focused on the standardization of clinical, surgical, and preventive procedures 7 , 10 , 33 - 34 . The development of new tools requires the incorporation of new technologies that meet the treatment needs, as well as the needs of the organizations that provide health care.…”

Construção e confiabilidade interna de um algoritmo para escolha da limpeza e terapia tópica em feridas

“…It is important that the instrument be validated by professionals in the area of knowledge of the subject. 14,21,28 Caregivers should seek new knowledge regarding the healing phase, the factors that interfere with wound healing, and the innovative technologies used in prevention and treatment, always with the objective of improving the quality of life of these individuals through choice of coverage that promotes healing quickly, reducing risks and damages, complications and suffering, and improving the cost-benefit of treatment. [29][30][31] The algorithm for choice of cleaning and topical wound therapy initially proposes wound analysis to define the cleaning technique and the type of debridement or product most indicated, according to the type of tissue and exudate present in the lesion.…”