Diferenciación entre lesiones cutáneas asociadas a la humedad y úlceras por presión mediante el uso de fotografías en un área de críticos

Valls-Matarín, J.; Cotillo-Fuente, M. del; Pujol-Vila, M.; Ribal-Prior, R.; Sandalinas-Mulero, I.

doi:10.1016/j.enfcli.2016.06.008

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…However, the degree of agreement was substantially higher for nurses who had received formal training in wound care. Similar findings were noted in a more recently conducted study in 2016 in Spain by Valls-Matarín and colleagues,17 with nurses working in critical care showing a low degree of total agreement ( K = 0.38). In the Valls-Matarín study, 33% of the skin lesions were classified incorrectly and 35.2% of MASD cases were classified as PIs.…”

Section: Introductionsupporting

confidence: 89%

“…Due to confusion over similarities among some skin conditions and PIs, the importance of PI training and ongoing education for health care professionals is warranted 16–18. One method to provide initial and continuing education is the use of photographs, which have been widely used in the study and monitoring of wounds and skin lesions, including the assessment of PIs, for practicing health care professionals and for nursing and health professions students 19,20…”

Section: Introductionmentioning

confidence: 99%

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Classification of Pressure Injury Stages and Skin Damage Photographs by RNs and Nursing Students in Spain

Rodríguez-Calero

Fullana-Matas

Bonet

2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:The purpose of this study was to evaluate and classify pressure injuries (PIs) and other skin lesions according to the judgment of hospital-based RNs and nursing students who recently trained in wound care using photographs and comparing findings to those of wound care experts. DESIGN: Cross-sectional observational survey. SUBJECT AND SETTING: RNs working at Manacor Hospital, Mallorca, Spain, and third-year nursing students from the University of the Balearic Islands. Data were collected in June 2017. METHODS:The survey instrument was accompanied by a set of 24 photographs in 7 categories of skin lesions, such as PIs or moisture-associated skin damage, which the respondents were asked to classify. Descriptive analysis of the classifications was carried out, and levels of agreement using the chi-square test were compared with evaluations/classifications of a panel of experts. RESULTS: In total, 314 surveys (199 RNs and 115 students) were included in the analyses. Findings showed a wide variability among participants with levels of agreement, with expert opinion ranging from 91.4% to 15.61%. The levels of agreement were substantially lower for unstageable PIs (47.92%), those caused by moisture (53.50%), and mixed etiology (38.37%) than for stages 1-4 PIs. Of note, 62.12% of RNs had not received PI training or continuing education during the previous 2 years. This lack of education was statistically significantly associated with the accuracy of the classification made by the RNs for some of the photographs evaluated such as moisture-associated skin damage. CONCLUSIONS: We found discrepancies in the classification of PIs and other wounds/lesions among experts, RNs, and students. The regular provision of up-to-date information in training and continuing education programs is imperative to maintain nurses' abilities to identify and classify PIs and other skin-related damage.

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Section: Introductionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Classification of Pressure Injury Stages and Skin Damage Photographs by RNs and Nursing Students in Spain

Rodríguez-Calero

Fullana-Matas

Bonet

2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…El uso de fotografías médicas para realizar diagnósticos a distancia o formación continua al personal sanitario, ha sido utilizada en diversos campos como las heridas quirúrgicas o lesiones cutáneas asociadas a la dependencia, con muy buenos resultados 6,7 . Por esta razón y aunque su uso en el análisis del circuito extracorpóreo no ha sido reportado en TCDE, su utilización puede ayudar a una correcta interpretación de las presiones de los monitores durante el tratamiento, siendo un aspecto clave para mejorar la eficacia del tratamiento, prevenir potenciales complicaciones y contribuir a la seguridad del paciente.…”

Section: Introductionunclassified

Utilidad de la fotografía como herramienta evaluadora para la interpretación de las presiones del circuito de terapia de depuración extracorpórea renal en una unidad de cuidados intensivos

Valls-Matarín¹

2022

Enferm Nefrol

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Objetivo: Identificar las dificultades del personal sanitario de una unidad de cuidados intensivos (UCI) en la interpretación de las presiones del circuito extracorpóreo renal mediante el uso de fotografías.Metodología: Estudio descriptivo-transversal, en dos UCI polivalentes de 20 camas y 82 profesionales sanitarios (médicos/ enfermeras) en noviembre de 2020.Se utilizaron 15 fotografías validadas por dos expertos de la pantalla de Prismaflex®, con cuatro opciones de respuesta: problemas línea entrada, problemas línea retorno, coagulación, filtro y funcionamiento correcto. Una era la correcta.Resultados: Participaron 66 profesionales (80,5% muestra). Se clasificaron correctamente el 71,7% (IC95% 68,8-74,4) de las fotografías. La media de respuestas correctas fue de 9,9 (DE=2,4). Las fotografías interpretadas con más dificultad fueron las de la línea de retorno con porcentajes de aciertos del 50%.Los profesionales con formación obtuvieron una media de aciertos de 10,8 (DE=2,5) frente al 9,1 (DE=2,1) de los sin formación (p<0,01).Se estableció una asociación lineal positiva entre años de experiencia profesional y aciertos r= 0,5 p= 0,01.La media de aciertos de las enfermeras fue de 10,1 (DE=2,2), frente al 9,4 (DE= 3) de los médicos (p=0,4).Conclusiones: Una cuarta parte de las fotografías son clasificadas erróneamente, especialmente las referentes al acceso venoso. Los profesionales con formación y más experiencia tienen menos dificultades. Aunque la enfermera es la encargada del control del circuito no existen diferencias entre médicos y enfermeras.Es necesario formar especialmente a las nuevas incorporaciones ya que conocer la hemodinamia del circuito contribuye a mejorar la eficacia del tratamiento.

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“…(14) Limitations in care and in research related with the appearance of PL are related with the lack of a process that validates the events (PL yes; PL No) and the degree of the lesion, bearing in mind the existence of a guide that defines the degrees of the lesions. (14) Using the photographic record to evaluate the evidence of events in health has been used in identifying PL, (12,16) but its implementation and standardized use accompanied by a methodological plan to validate the reproducibility of the events has presented methodological limitations. (12,16) The aim of this study was to evaluate inter-observer agreement among experts in identifying PL and the degree of lesions in adult patients hospitalized with risk of PL, using photographic records.…”

mentioning

confidence: 99%

“…(14) Using the photographic record to evaluate the evidence of events in health has been used in identifying PL, (12,16) but its implementation and standardized use accompanied by a methodological plan to validate the reproducibility of the events has presented methodological limitations. (12,16) The aim of this study was to evaluate inter-observer agreement among experts in identifying PL and the degree of lesions in adult patients hospitalized with risk of PL, using photographic records. Likewise, agreement was assessed between expert evaluators and the record and degree of PL described in the nursing registry in the electronic clinical record.…”

mentioning

confidence: 99%

Digital Photography: a Tool for Nursing on the Assessment of Pressure Lesions

et al. 2018

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Diferenciación entre lesiones cutáneas asociadas a la humedad y úlceras por presión mediante el uso de fotografías en un área de críticos

Cited by 8 publications

References 10 publications

Classification of Pressure Injury Stages and Skin Damage Photographs by RNs and Nursing Students in Spain

Classification of Pressure Injury Stages and Skin Damage Photographs by RNs and Nursing Students in Spain

Utilidad de la fotografía como herramienta evaluadora para la interpretación de las presiones del circuito de terapia de depuración extracorpórea renal en una unidad de cuidados intensivos

Digital Photography: a Tool for Nursing on the Assessment of Pressure Lesions

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