Name: Carla Braga Oliveira Rodrigues
Type: MSc dissertation
Publication date: 15/08/2018
Advisor:
Name |
Role |
|---|---|
| Maria Edla de Oliveira Bringuente | Advisor * |
| Thiago Nascimento do Prado | Co-advisor * |
Examining board:
| Name |
Role |
|---|---|
| Cândida Caniçali Primo | Internal Examiner * |
| Leila Massaroni | Internal Alternate * |
| LUCIANA DE CASSIA NUNES NASCIMENTO | External Examiner * |
| Maria Edla de Oliveira Bringuente | Advisor * |
| Mariana Rabello Laignier | External Alternate * |
| Thiago Nascimento do Prado | Co advisor * |
Summary: Introduction: The occurrence of pressure injury in children promotes pain and suffering, affects the life quality due to the psychosocial implications, represents greater hospital expenditure, increasing the length of hospital stay and the morbidity and mortality of pediatric patients. Thus, aiming to meet an institutional demand for improvements and advances in which the researcher is inserted, instigated the implantation of a tool to organize the performance of nursing in a systematic way through instruments that contribute to the promotion of prevention and the evaluation of children with pressure enabling safety and improving the quality of care. This project is aligned with the research line organization and evaluation of health care systems, and was developed in partnership with the team of the institution´s Pediatric Intensive Care Unit. Objectives: To elaborate a risk flow chart and pressure ulcer prevention in pediatric patients; to develop an instrument for the systematization of nursing care for children with pressure ulcer based on Wanda Horta´s Theory of Basic Human Needs and to validate the flow chart and the instrument with the nurses of a Public Hospital. Methodology: This is a validation study of technology, with a qualitative approach. The process took place in the following stages: 1) Identification of the phenomenon under study and clinical evidences, through the bibliographic review. 2) Elaboration of the risk flow chart and pressure ulcer prevention, and the instrument for Systematization of nursing care for this child. The structuring of these results used the content analysis of Bardin (2016). 3) Validation of contents by consensus among nurses through focal group technique. Results: The flowchart was validated and reconstructed through three categories: patient skin evaluation at admission; risk assessment: the Braden Q scale and the nursing prevention care according to the risk assessment; and the instrument through the content of risk factors and the basic human psychobiological requirements of oxygenation, hydration and electrolytic regulation, nutrition, elimination, sleep and rest, immobilization, locomotion, body mechanics and motility, cutaneous mucosal integrity, thermal regulation, neurological , vascular, painful, therapeutic and signs of wound infection. Products: pressure ulcer prevention flowchart for pediatric patients and Instrument of systematization of child care with pressure ulcer. The products are unpublished for the organization of the work process using the Theory of Wanda Horta. Conclusion: This research has the potential to generate impact and be applied at local, regional and national level, as it systematically describes the steps and resources necessary for the implantation and implementation of systematization to pediatric patients with pressure injuries, having current content and made it possible the collective construction of a flowchart and an assessment tool for children with pressure injuries, based on the Basic Human Needs of Horta, which will subsidize the nurses in the prevention of pressure ulcer, as well as organize the work process with the pediatric patient.
