Nursing actions before and after a protocol for preventing pressure
                        injury in intensive care

Vasconcelos, Josilene de Melo Buriti; Caliri, María Helena Larcher

doi:10.5935/1414-8145.20170001

Cited by 48 publications

(61 citation statements)

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“…Thus, nurse need training in related evidence-based practices through evidence-linked educational programs focused on the pediatric population. [15,16] This study is an attempt to provide such training to intensive care pediatric nurses in the study setting.…”

Section: Introductionmentioning

confidence: 99%

Impact of educational guidelines about prevention of pressure injuries among infants in Intensive Care UnitImpact of educational guidelines about prevention of pressure injuries among infants in intensive care unit

Hassan

2018

CNS

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Most pressure injuries are preventable. Nurses have an essential role in their prevention, but they need to acquire related evidence-based knowledge and skills. The study aim was to evaluate the effectiveness of educational guidelines for pediatric nurses on the prevention of pressure injury (PI) among infants in intensive care unit (ICU). The study was carried out in ICU at El-Monira Children Hospital, affiliated to Cairo University hospitals using quasi-experimental design with pre-post evaluation. It involved 50 pediatric nurses and 50 infants under their care. Infants were 1-12 months old, newly admitted in pediatric intensive care unit (PICU), and connected to a mechanical ventilator. A self-administered questionnaire was used for nurse's knowledge, an observation checklist for practice, and the PI risk assessment scale. The educational guidelines prepared by the researcher based on assessment information and pertinent literature, and implemented it in small group sessions, and its effects evaluated immediately after, and one-month later. Two-thirds of the infants (64%) were not at risk of PI at the admission and first follow-up days. This was reduced to 56% on day 4. Nurses' knowledge was deficient in all aspects. In total, only one (2.0%) nurse had satisfactory knowledge before the intervention; this increased to 92.0% at the post-intervention phase, and 78% at follow-up. Moreover, none of the nurses had adequate total practice before the intervention; this rose to 74.0% at the post-intervention and follow-up phases. A higher admission risk score was a protective factor with Odds Ratio (OR) 0.87 for the incidence of pressure injuries, while a higher injury risk score on day 3 was a significant risk factor with OR 1.20. Thus, nurses in PICUs can gain evidence-based knowledge and skills related to PI prevention through simple educational guidelines associated with practical training.

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Section: Introductionmentioning

confidence: 99%

Impact of educational guidelines about prevention of pressure injuries among infants in Intensive Care UnitImpact of educational guidelines about prevention of pressure injuries among infants in intensive care unit

Hassan

2018

CNS

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“…It is commercially available in form of ointment or cream and has the function of removing cellular debris from necrotic tissue, thus performing chemical debridement and indirectly stimulating the formation of granulation tissue and re-epithelialization. 6 Collagenase is one of the most widely used substances for the treatment of wounds, including PI, and is routinely used by professionals seeking improvement of the injury, but often inadequately, without the possible scientific ground for its clinical application, and this situation can delay the cicatrization. [4][5][6][7][8] It is imperative to demonstrate that aggravating factors contributing for patients developing PIs can be previously detected by the nursing team, thus avoiding the prolongation of the stay of patients in the hospital environment, as well as reducing the risk for the appearance or appearance of complications of these wounds through alternative means.…”

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confidence: 99%

“…6 Collagenase is one of the most widely used substances for the treatment of wounds, including PI, and is routinely used by professionals seeking improvement of the injury, but often inadequately, without the possible scientific ground for its clinical application, and this situation can delay the cicatrization. [4][5][6][7][8] It is imperative to demonstrate that aggravating factors contributing for patients developing PIs can be previously detected by the nursing team, thus avoiding the prolongation of the stay of patients in the hospital environment, as well as reducing the risk for the appearance or appearance of complications of these wounds through alternative means. 1 It is important to know the products available and make proper use of them, since there is a range of coverings and topical agents that can be used, and it is up to nurses to critically analyze the cost/benefit of their actions aiming at successful treatment and at adequate therapies.…”

mentioning

confidence: 99%

“…Such Resolution regulates the competencies of the nursing team aiming at effective care and patient safety, including the performance of dressings, coordination and supervision of the team for wound prevention and care. [6][7] It should be noted that the success of the treatment depends, among other factors, on judicious choice, as well as on the appropriate use of selected products. 6 Thus, several are the options of products and dressings that professionals can select to treat wounds.…”

mentioning

confidence: 99%

“…[6][7] It should be noted that the success of the treatment depends, among other factors, on judicious choice, as well as on the appropriate use of selected products. 6 Thus, several are the options of products and dressings that professionals can select to treat wounds. Among them is collagenase, an enzymatic covering that has native and denatured collagen as substrate.…”

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confidence: 99%

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Conhecimento de enfermeiros sobre o uso da colagenase em lesões por pressão

Ferreira

Lima

Ferreira

et al. 2018

Rev enferm UFPE on line.

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Ferreira TMC, Lima CLJ de, Ferreira JDL et al.Nurses' knowledge on use of colagenase... English/Portuguese J Nurs UFPE on line., Recife, 12(1):128-36, Jan., 2018 128 ISSN: 1981-8963 ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v12i01a23190p128-136-2018 NURSES' KNOWLEDGE ON USE OF COLAGENASE IN PRESSURE ULCERS CONHECIMENTO DE ENFERMEIROS SOBRE O USO DA COLAGENASE EM LESÕES POR PRESSÃO CONOCIMIENTO DE ENFERMEROS SOBRE EL USO DE LA COLAGENASIS EN LESIONES POR PRESIÓN ABSTRACTObjective: to verify the nurses' knowledge about the use of collagenase in pressure injuries. Method: qualitative, exploratory, descriptive study performed in two hospital institutions with 20 nurses working in medical clinics. Data were collected through semi-structured interviews and analyzed by the Content Analysis technique in the Thematic Categorical modality. Results: the nurses' knowledge about collagenase in the treatment of pressure injuries was satisfactory; however, improvements pertinent to the inherent peculiarities of the evaluation criteria of the injuries and the use of the enzymatic substance are evidently necessary to achieve a more skilled assistance. Conclusion: technical and scientific knowledge is of paramount importance as it favors the elaboration of treatment and care strategies for the evolution of pressure injuries, including the use of the enzyme under study. Descriptors: Nursing; Pressure ulcer; Knowledge; Treatment. RESUMOObjetivo: verificar o conhecimento de enfermeiros sobre a utilização da colagenase em lesões por pressão. Método: estudo qualitativo, exploratório, descritivo, realizado em duas instituições hospitalares com 20 enfermeiros atuantes nos setores de clínica médica. Os dados foram coletados por intermédio de entrevista semiestruturada e analisados pela técnica de Análise de Conteúdo na modalidade Análise Categorial Temática. Resultados: o conhecimento dos enfermeiros acerca da colagenase no tratamento das lesões por pressão demonstrou-se satisfatório, no entanto melhorias pertinentes às peculiaridades inerentes aos critérios avaliativos da lesão e do uso da substância enzimática são evidentes e necessárias para que o alcance de uma assistência exímia seja concretizado. Conclusão: o conhecimento técnico e científico torna-se de suma importância, pois favorece a elaboração das estratégias de tratamento e cuidado destinadas à evolução das lesões por pressão, incluindo o uso do enzimático em estudo. Descritores: Enfermagem; Úlcera por Pressão; Conhecimento; Tratamento. RESUMENObjetivo: verificar el conocimiento de enfermeros sobre la utilización de la colagenasis en lesiones por presión. Método: estudio cualitativo, exploratorio, descriptivo, realizado en dos instituciones hospitalares con 20 enfermeros actuantes en los sectores de clínica médica. Los datos fueron recogidos por intermedio de entrevista semi-estructurada y analizados por la técnica de Análisis de Contenido en la modalidad Análisis Categorial Temático. Resultados: el conocimiento de los enfermeros acerca de la colagenasis en el tra...

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Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit

Mohamed¹,

Elaziz²,

Elaasar³

2019

AJNS

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Pressure ulcers are a common and highly relevant professional care issues in pediatric intensive care units. The aim of this study was to evaluate the effect of preventive bundle guidelines on nurses' knowledge and compliance regarding pressure ulcer among critically ill children at Pediatric intensive care unit. Research design: A quasi-experimental design was used. Settings: This study was conducted at the pediatric intensive care unit in Benha Specialized Pediatric Hospital. Sample: A Convenient sample of nurses (n=43) and purposive sample of critically ill children (n=70) were included from the above mentioned setting. Those children were divided equally into two groups (study and control). Tools of data collection: Three tools were used namely; a structured interviewing questionnaire format, pressure ulcer preventive bundle compliance checklist and Braden Q Risk Assessment Scale. Results: Most children in the study group were not at risk of pressure ulcer in the first and second week of admission as well as before discharge than children in the control group. Moreover, the results revealed that there was significant improvement in nurses' knowledge regarding pressure ulcer as well as their compliance with preventive bundle guideline after bundle implementation. Conclusion: The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impact on the incidence of pressure ulcer among critically ill children. Recommendation: Preventive bundle guidelines should be implemented in pediatric intensive care units to reduce the harm associated with hospital-acquired pressure ulcer.

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Nursing actions before and after a protocol for preventing pressure injury in intensive care

Cited by 48 publications

References 0 publications

Impact of educational guidelines about prevention of pressure injuries among infants in Intensive Care UnitImpact of educational guidelines about prevention of pressure injuries among infants in intensive care unit

Impact of educational guidelines about prevention of pressure injuries among infants in Intensive Care UnitImpact of educational guidelines about prevention of pressure injuries among infants in intensive care unit

Conhecimento de enfermeiros sobre o uso da colagenase em lesões por pressão

Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit

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