Pressure injury prevention measures in pediatric wards: nursing professionals' actions

Mayara Kelly Moura  Ferreira; Francisca Elisângela Teixeira Lima; Mariana da Silva Diógenes; Sabrina de Souza Gurgel Florencio; Patrícia Rebouças Araújo; Paulo César de Almeida; Cristina Oliveira da Costa

doi:10.15253/2175-6783.20232483237

Autores

Mayara Kelly Moura Ferreira Universidade Federal do Ceará https://orcid.org/0000-0001-7823-1843
Francisca Elisângela Teixeira Lima Universidade Federal do Ceará https://orcid.org/0000-0002-7543-6947
Mariana da Silva Diógenes Universidade Federal do Ceará https://orcid.org/0000-0002-0893-4049
Sabrina de Souza Gurgel Florencio Universidade Federal do Ceará https://orcid.org/0000-0002-2180-5946
Patrícia Rebouças Araújo Universidade Federal do Ceará https://orcid.org/0000-0003-0165-8544
Paulo César de Almeida Universidade Estadual do Ceará https://orcid.org/0000-0002-2867-802X
Cristina Oliveira da Costa Universidade Federal do Ceará https://orcid.org/0000-0002-2183-6224

DOI:

https://doi.org/10.15253/2175-6783.20232483237

Palavras-chave:

Segurança do Paciente; Qualidade da Assistência à Saúde; Lesão por Pressão; Pediatria; Enfermagem.

Resumo

Objetivo: classificar a qualidade da assistência de enfermagem e analisar a associação entre as caraterísticas dos profissionais e a execução de medidas preventivas de lesão por pressão em crianças hospitalizadas. Métodos: estudo observacional, transversal, realizado com 235 profissionais de enfermagem. O instrumento de Prevenção de Lesão por Pressão possui três domínios, com 23 itens: Medidas preventivas e detecção precoce de lesão por pressão (9); Medidas de alívio de pressão (8) e Avaliação e notificação (6), analisados pelo Índice de Positividade para Qualidade da Assistência. Resultados: predominou sexo feminino (98,7%), com idade média de 38,83 ± 9,94 anos, técnicos de enfermagem (57,4%) e com tempo de experiência profissional superior a cinco anos (77,1%). Constatou‑se assistência predominantemente sofrível nos três domínios, em 82,6% das ações. Encontrou‑se associação significante com as variáveis “participação em cursos” e “desgaste no trabalho” e uma tendência mais frequente de realização das medidas na faixa etária 31-40 anos. Conclusão: a assistência de enfermagem foi predominantemente sofrível; a assistência associou-se à participação em cursos de aperfeiçoamento e desgaste no trabalho. Contribuições para a prática: evidenciou-se a necessidade do investimento em capacitação profissional e oferta de insumos considerados indispensáveis para viabilizar uma assistência qualificada e segura.

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