Análise institucional das práticas do enfermeiro na prevenção de lesão por pressão

Abstract

Pressure injuries are strong indicators of the quality of health care provided by nurses. Institutional analysis allows access to contradictions and possibilities for changes in practices. This study had the following guiding question: What are the practices of the nurse related to the prevention of pressure injury in a University Hospital at Natal/RN? The aim of this study was to analyze nurses' practices related to the prevention of pressure injury in a university hospital at Natal/RN. It is a quantitative and cross-sectional study, and it were participated 48 nurses at the Intensive Care Unit and Surgical Center of the university hospital. The data collection was done through a questionnaire after the approval of the Ethics and Research Committee of the University Hospital Onofre Lopes. The data obtained were entered in a database of the Statistical Package for the Social Sciences, version 20.0, for treatment of the results with inferential statistical analysis. As a result, nurses were questioned about their practice in the prevention and treatment of pressure injuries in the sector where they work. The errors and correctness in the questions about prevention of pressure injury represented a quantitative greater than 50% of the errors to the questions. We also analyzed questions about the applicability of preventive measures, whose answers showed little applicability in clinical practice. The nurses' practice in skin care with a view to preventing pressure injury is relevant for the evaluation of the exposure of risks and damages related to adequate health care in the hospital. The research concluded the use of care practices in the prevention of pressure injury by nurses support to develop a safety culture, with improvements in the quality of care in health and nursing services. Thus, nurses' ongoing training strategies in patient safety with pressure injury prevention approaches represents a management tool to minimize or to mitigate the occurrence of these injuries.