Perception of Nursing professionals on medical device-related pressure injuries
Percepción de los profesionales de enfermería sobre la evidencia por áreas relacionadas con dispositivos médicos
Percepção de profissionais de enfermagem sobre lesões por pressão relacionadas a dispositivos médicos
Sabrina Guterres da Silva Galetto; Eliane Regina Pereira do Nascimento; Patricia Madalena Vieira Hermida; Daniele Delacanal Lazzari; Nara Reisdorfer; Josefine Busanello
Abstract
Objective: To know the perception of Nursing professionals working in intensive care units regarding medical device-related pressure injuries related.
Method: A qualitative and descriptive research, carried out with 12 Nursing professionals from a public teaching hospital in Santa Catarina. Data collection took place through semi-structured interviews, and the analysis was performed using the collective subject discourse technique by means of the QualiQuantiSoft® Software.
Results: Five Central Ideas emerged: types of devices and the occurrence of medical device-related pressure injuries; (in)visibility and (de)valuation of these injuries in the care of critical patients; medical device-related pressure injuries can be inevitable; critical patient profile and risk to develop the injury; and (lack of) professional knowledge about the impact of the injury on people's lives after discharge from intensive care.
Conclusion and implications for the practice: The perception of Nursing about medical device-related pressure injuries is linked to the types of devices, the occurrence of injuries in intensive care, the care offered and the impact of injuries on people's lives.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: Conhecer a percepção de profissionais de enfermagem atuantes em unidade de terapia intensiva acerca das lesões por pressão relacionadas a dispositivos médicos.
Método: Pesquisa qualitativa, descritiva, realizada com 12 profissionais de enfermagem de um hospital público de ensino de Santa Catarina. A coleta de dados se deu por entrevista semiestruturada, e análise pela técnica do discurso do sujeito coletivo com o emprego do software QualiQuantiSoft®.
Resultados: Emergiram cinco Ideias Centrais: tipos de dispositivos e ocorrência das lesões por pressão relacionadas a dispositivos médicos; (in)visibilidade e (des)valorização destas lesões no cuidado ao paciente crítico; lesões por pressão relacionadas a dispositivos médicos podem ser inevitáveis; perfil do paciente crítico e risco para desenvolver a lesão; e (des)conhecimento profissional sobre o impacto da lesão na vida das pessoas após alta da terapia intensiva.
Conclusão e implicações para a prática: A percepção da enfermagem acerca das lesões por pressão relacionadas a dispositivos médicos está vinculada aos tipos de dispositivos, a ocorrência das lesões na terapia intensiva, ao cuidado ofertado e ao impacto das lesões na vida das pessoas.
Palavras-chave
Referencias
1 Hampson J, Green C, Stewart J, Armitstead L, Degan G, Aubrey A et al. Impact of the introduction of an endotracheal tube attachment device on the incidence and severity of oral pressure injuries in the intensive care unit: a retrospective observational study. BMC Nurs. 2018;17(4):1-8.
2 Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised national pressure ulcer advisory panel pressure injury staging system: revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016;43(6):585-97.
3 Ham WH, Schoonhoven L, Schuurmans MJ, Leenen LPH. Pressure ulcers in trauma patients with suspected spine injury: a prospective cohort study with emphasis on device-related pressure ulcers. Int Wound J. 2017;14(1):104-11.
4 Coyer F, Miles S, Gosley S, Fulbrook S, Sketcher-Baker K, Cook JL et al. Pressure injury prevalence in intensive care versus non-intensive care patients: a state-wide comparison. Aust Crit Care. 2017;30(5):244-50.
5 Barakat-Johnson M, Barnett C, Wand T, White K. Medical device-related pressure injuries: an exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability. 2017;26(4):246-53.
6 Karadag A, Hanönü SC, Eyikara EA. Prospective, descriptive study to assess nursing staff perceptions of and interventions to prevent medical device-related pressure injury. Ostomy Wound Manage. 2017;63(10):34-41. PMid:29091036.
7 Delmore B, Ayello EA. Pressure injuries caused by medical devices and other objects: a clinical update. Am J Nurs. 2017;117(12):36-45. PMid:29120893.
8 Galetto SGS, Nascimento ERP, Hermida PMV, Malfussi LBH. Medical device-related pressure injuries: an integrative literature review. Rev Bras Enferm. 2019;72(2):505-12.
9 Fontanella BJB, Luchesi BM, Saidel MGB, Ricas J, Turato ER, Melo DG. Amostragem em pesquisas qualitativas: proposta de procedimentos para constatar saturação teórica. Cad Saude Publica. 2011;27(2):389-94.
10 Lefevre F, Lefevre AMC.
11 Souza No RA, Dias GF, Silva RR, Ramos ASM. Efeitos dos
12 Moreira H. Critérios e estratégias para garantir o rigor na pesquisa qualitativa. R Bras Ens Ci Tecnol. 2018;11(1):405-24.
13 Faisal AM, Rasheed AM, Parameaswari PJ, Numan OS, Muteb M. A cross-sectional study on medical device-related pressure injuries among critically ill patients in Riyadh, Kingdom of Saudi Arabia. WCET Journal [Internet]. 2017; [citado 2020 jun 6]; 37(1):8-11. Disponível em:
14 Cavalcanti EC, Kamada I. Medical-device-related pressure injury on adults: an integrative review. Texto Contexto Enferm. 2020;29:e20180371.
15 Kim JY, Lee YJ. Medical device‐related pressure ulcer (MDRPU) in acute care hospitals and its perceived importance and prevention performance by clinical nurses. Int Wound J. 2019;16(Supl. 1):51-61.
16 Nedergaard HK, Haberlandt T, Toft P, Jensen HI. Pressure ulcers in critically ill patients–Preventable by non-sedation? A substudy of the NONSEDA-trial. Intensive Crit Care Nurs. 2018;44:31-5.
17 Baharestani M. Medical device related pressure ulcers: the hidden epidemic across the life span [Internet]. Westford: National Pressure Ulcer Advisory Panel; 2013 [citado 2020 jun 6]. Disponível em:
18 Mirshekari L, Tirgari B, Forouzi MA. Intensive care unit nurses’ perceived barriers towards pressure ulcer prevention in south east Iran. J Wound Care. 2017;26(3):145-51.
19 Shenhar C, Mansvetov M, Baniel J, Golan S, Aharony S. Catheter-associated meatal pressure injury in hospitalized males. Neurourol Urodyn. 2020;39(5):1456-63.
20 Bell MA. Severe indwelling urinary catheter-associated urethral erosion in four elderly men. Ostomy Wound Manage. 2010;56(12):36-9. PMid:21205992.
Submitted date:
07/07/2020
Accepted date:
12/09/2020
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email