scholarly journals Instruments for the care of pressure injury in pediatrics and hebiatrics: an integrative review of the literature

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Mayara Kelly Moura Ferreira ◽  
Sabrina de Souza Gurgel ◽  
Francisca Elisângela Teixeira Lima ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Viviane Martins da Silva
Keyword(s):  
Pressure Ulcer ◽  
Injury Risk ◽  
Scientific Literature ◽  
Descriptive Analysis ◽  
Decubitus Ulcer ◽  
Integrative Review ◽  
Care Practice ◽  
Advisory Panel ◽  
Curative Care ◽  
Pressure Injury

ABSTRACT Objective: to identify existing instruments in the scientific literature about the care of pressure injuries in pediatric and hebiatric patients. Method: an integrative review that selected 32 articles from the PubMed/Medline, LILACS, Scopus and CINAHL databases using the descriptors pressure ulcer, decubitus ulcer, pediatrics, adolescent and protocols and their equivalent terms in Portuguese and Spanish. Inclusion criteria: research articles in full, in Portuguese, English or Spanish without any temporal cut-off. The descriptive analysis was adopted to categorize the instruments found into the three domains of care: evaluative, preventive and curative. Results: 25 instruments for the care of pressure injuries in pediatric and hebiatric patients were found, with an emphasis on the Braden Q Scale being the most commonly used to assess pressure injury risk, and the protocols containing pressure injury staging guidelines developed by the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP). Conclusion: the scientific literature has valid and reliable instruments that can be used in nursing care practice aimed at the evaluative, preventive and curative care of pressure injuries in pediatric and hebiatric patients.

Pressure Ulcers Prevalence in the Acute Care Setting: A Systematic Review, 2000-2015

2017 ◽  
Vol 27 (6) ◽  
pp. 643-659 ◽  
Author(s):  
Ahmad Tubaishat ◽  
Panos Papanikolaou ◽  
Denis Anthony ◽  
Laila Habiballah
Keyword(s):  
Acute Care ◽  
Pressure Ulcer ◽  
Prevalence Rate ◽  
Methodological Quality ◽  
Decubitus Ulcer ◽  
Pressure Sore ◽  
Advisory Panel ◽  
Pressure Injury ◽  
Acute Care Settings

Little is known about the prevalence of pressure ulcer (PrU) in acute care settings. The aim of this study is to determine the prevalence rate of PrU in acute care settings and to assess the methodological quality of the reviewed publications. The Cumulative Index to Nursing and Allied Health Literature, British Nursing Index, MEDLINE, and Cochrane Database of Systematic Reviews were searched using the keywords pressure ulcer or decubitus ulcer or bed sore or pressure sore or pressure injury, with prevalence and acute care, for studies published between January 2000 and December 2015. Nineteen publications met our criteria. These reported a prevalence range of between 7.8% and 54% for those using European Pressure Ulcer Advisory Panel methodology, 6% and 22% for those using National Pressure Ulcer Advisory Panel methodology, and 4.94% for the study that employed the Torrance system. The likely worldwide PrU prevalence rate range in acute care settings is between 6% and 18.5%. Prevalence rate varies between studies depending on the methodology of data collection. Moreover, the methodological quality of the included studies in the review was variable; therefore, it was difficult to compare the prevalence rate between the studies, settings, and countries.

scholarly journals Prevention and treatment of pressure sore following spinal cord injury

2020 ◽  
Vol 63 (10) ◽  
pp. 623-632
Author(s):  
Myeong Ok Kim
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pressure Ulcer ◽  
Wound Care ◽  
Pressure Sore ◽  
Therapeutic Interventions ◽  
Advisory Panel ◽  
Pressure Sores ◽  
Cord Injury ◽  
Pressure Injury

Pressure sores or pressure injury is a serious complication of a spinal cord injury (SCI), representing a challenging problem for patients, their caregivers, and their physicians. Persons with SCI are vulnerable to pressure sores throughout their life. Pressure sores can potentially interfere with the physical, psychosocial, and overall quality of life. Outcomes directly depend on education and prevention along with conservative and surgical management. Therefore, it is very important to understand everything about pressure sores following SCI. This review covers epidemiology, cost, pathophysiology, risk factors, staging, evaluation tools, prevention, education, conservative wound care methods, surgical treatment, and future trends in wound healing related to post-SCI pressure sores. A change in nomenclature was adopted by the National Pressure Ulcer Advisory Panel in 2016, replacing “pressure ulcer”with “pressure injury.” New concepts of pressure injury staging, such as suspected deep tissue injuries and unstageable pressure injuries, were also introduced. A systematic evidence-based review of the prevention of and therapeutic interventions for pressure sores was also discussed.

scholarly journals Educação permanente em enfermagem no centro de tratamento intensivo

2020 ◽  
Vol 14 ◽  
Author(s):  
Jacqueline Aparecida De Oliveira ◽  
Carla Aparecida Spagnol ◽  
Anadias Trajano Camargos ◽  
Selme Silqueira de Matos ◽  
Soleane Franciele Da Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuing Education ◽  
Scientific Literature ◽  
Descriptive Analysis ◽  
Integrative Review ◽  
Final Sample ◽  
Nursing Team ◽  
Terapia Intensiva ◽  
Education Nursing

Objetivo: analisar na literatura científica como tem sido desenvolvida a educação permanente da equipe de enfermagem no Centro de Tratamento Intensivo. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa em que se buscou por artigos entre 2007 a 2017 no idioma português, nas bases de dados, LILACS, MEDLINE, BDENF e na Biblioteca Virtual de Saúde. Realizou-se a análise descritiva dos resultados a partir dos dados existentes na figura síntese dos artigos, com respaldo na literatura científica. Resultados: encontraram-se 583 artigos e cinco compuseram a amostra final. Considera-se, de modo geral, que os resultados decorrentes das capacitações realizadas foram satisfatórios, o que mostra a importância de um programa permanente de capacitação da equipe de enfermagem na Terapia Intensiva. Conclusão: pode-se dizer que, apesar de existirem ações de educação permanente no Centro de Terapia Intensiva, essa é uma política que ainda precisa se fortalecer e se consolidar nos hospitais brasileiros, visto que, neste estudo, encontrou-se um número reduzido de artigos relacionados ao tema, o que responde, em parte, aos pressupostos das autoras relativos a esta revisão integrativa. Descritores: Ensino; Educação Continuada; Enfermagem; Terapia Intensiva; Metodologia; Hospitais.AbstractObjective: to analyze in the scientific literature how the continuing education of the nursing team at the Intensive Care Unit has been developed. Method: this is a bibliographic, descriptive, integrative review type study that searched for articles between 2007 and 2017 in Portuguese, in the databases, LILACS, MEDLINE, BDENF and in the Virtual Health Library. A descriptive analysis of the results was carried out based on the existing data in the synthesis figure of the articles, supported by the scientific literature. Results: 583 articles were found and five made up the final sample. It is considered, in general, that the results resulting from the training carried out were satisfactory, which shows the importance of a permanent training program for the nursing team in Intensive Care. Conclusion: it can be said that, although there are permanent education actions in the Intensive Care Unit, this is a policy that still needs to be strengthened and consolidated in Brazilian hospitals, since, in this study, a small number of articles related to the theme, which responds, in part, to the assumptions of the authors regarding this integrative review. Descriptors: Teaching; Continuing Education, Nursing; Intensive Care; Methodology; Hospitals.ResumenObjetivo: analizar la literatura científica tal como se ha desarrollado la educación permanente del equipo de enfermería en el Centro de Cuidados Intensivos. Método: se trata de un estudio de tipo de revisión bibliográfica, descriptiva e integradora que buscó artículos entre 2007 y 2017 en portugués, en las bases de datos, LILACS, MEDLINE, BDENF y en la Biblioteca Virtual en Salud. Se realizó un análisis descriptivo de los resultados con base en los datos existentes en la figura de síntesis de los artículos, respaldados por la literatura científica. Resultados: se encontraron 583 artículos y cinco constituyeron la muestra final. Se considera, en general, que los resultados resultantes de la capacitación realizada fueron satisfactorios, lo que demuestra la importancia de un programa de capacitación permanente para el equipo de enfermería en Cuidados Intensivos. Conclusión: se puede decir que, aunque existen acciones de educación permanente en el Centro de Cuidados Intensivos, esta es una política que aún debe fortalecerse y consolidarse en los hospitales brasileños, ya que, en este estudio, se encontró un pequeño número de artículos relacionados con el tema, que responde, en parte, a los supuestos de los autores con respecto a esta revisión integradora. Descriptores: Enseñanza; Educación continuada; Enfermería; Terapia intensiva; Metodología; Hospitales.

scholarly journals Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System

2016 ◽  
Vol 43 (6) ◽  
pp. 585-597 ◽  
Author(s):  
Laura E. Edsberg ◽  
Joyce M. Black ◽  
Margaret Goldberg ◽  
Laurie McNichol ◽  
Lynn Moore ◽  
...  
Keyword(s):  
Pressure Ulcer ◽  
Staging System ◽  
Advisory Panel ◽  
Pressure Injury

scholarly journals Deep tissue injury: a narrative review on the aetiology of a controversial wound

2021 ◽  
Vol 30 (5) ◽  
pp. S32-S37
Author(s):  
Matthew Wynn
Keyword(s):  
Pressure Ulcer ◽  
Tissue Injury ◽  
Human Subjects ◽  
Healthcare Services ◽  
Narrative Review ◽  
Advisory Panel ◽  
Deep Tissue ◽  
Deep Tissue Injury ◽  
Pressure Injury ◽  
Governance Processes

Deep tissue injuries (DTIs) were added to pressure ulcer grading systems in 2009. Since then, they have been associated with the same aetiological processes as other forms of pressure injury (PI). This is despite notable clinical differences in their presentation along with variations in natural history that suggest they are the consequence of processes distinct from those that cause other PIs. Understanding the aetiology of DTIs is essential to guide prevention and treatment in addition to ensuring healthcare governance processes deeply tied to pressure injury are effective and efficient. Current understanding of the aetiology of DTI has significant gaps, with several key challenges impeding progress in this area of PI research, including inconsistent reporting by healthcare services and the limitations of animal and computer models in addition to the ethical barriers to conducting studies on human subjects. Synthesis of early studies with studies undertaken before 2009 is also limited by the variety in definitions of DTI used before that published by the European Pressure Ulcer Advisory Panel, the National Pressure Injury Advisory Panel and the Pan Pacific Pressure Injury Alliance in 2009. To date, few prospective clinical studies have been conducted. This article presents a narrative review on the clinical and animal study evidence indicating contemporary understanding of DTI.

Pressure ulcer incidence in acute care settings: a multicentre prospective study

2021 ◽  
Vol 30 (11) ◽  
pp. 930-938
Author(s):  
Ma'en Aljezawi
Keyword(s):  
Risk Factors ◽  
Acute Care ◽  
Pressure Ulcer ◽  
Conflicts Of Interest ◽  
White Blood Cells ◽  
Albumin Level ◽  
Advisory Panel ◽  
Hospitalised Patients ◽  
Acute Care Settings ◽  
Associated Risk Factors

Objective: Pressure ulcers (PUs) are one of the most commonly occurring complications in hospitalised patients. Knowing the size of the problem and its risk factors will help in preventing it. The aim of this study is to measure the incidence of PUs in acute care settings in Jordan and to explore associated risk factors. Method: A prospective incidence study for hospitalised patients in Jordan according to the European Pressure Ulcer Advisory Panel methodology. All patients admitted into four Jordanian hospitals over a period of six months were included. Results: The cumulative incidence rate was 0.48%. Using multivariate analysis, a low albumin level, elevated white blood cells, incontinence and having more chronic illnesses were significantly associated with acquiring PUs. Conclusion: Incidence of PUs in Jordan is lower when compared with other parts of the world; this could be related to the relatively younger Jordanian population compared with other populations. Declaration of interest: The author has no conflicts of interest to declare.

Assessing Pressure Injury Knowledge Using the Pieper-Zulkowski Pressure Ulcer Knowledge Test

2018 ◽  
Vol 31 (9) ◽  
pp. 406-412 ◽  
Author(s):  
Barbara Delmore ◽  
Elizabeth A. Ayello ◽  
Hiske Smart ◽  
R. Gary Sibbald
Keyword(s):  
Pressure Ulcer ◽  
Knowledge Test ◽  
Pressure Injury

scholarly journals Preventing violence by intimate partners in adolescence: an integrative review

2016 ◽  
Vol 50 (1) ◽  
pp. 134-143 ◽  
Author(s):  
Rebeca Nunes Guedes De Oliveira ◽  
Rafaela Gessner ◽  
Bianca de Cássia Alvarez Brancaglioni ◽  
Rosa Maria Godoy Serpa da Fonseca ◽  
Emiko Yoshikawa Egry
Keyword(s):  
Intimate Partner Violence ◽  
Violence Prevention ◽  
Partner Violence ◽  
Quantitative Methods ◽  
Scientific Literature ◽  
Intimate Partner ◽  
Integrative Review ◽  
Public Healthcare ◽  
Healthcare Model ◽  
Psychology And Medicine

Abstract OBJECTIVE To analyze the scientific literature on preventing intimate partner violence among adolescents in the field of health based on gender and generational categories. METHOD This was an integrative review. We searched for articles using LILACS, PubMed/MEDLINE, and SciELO databases. RESULTS Thirty articles were selected. The results indicate that most studies assessed interventions conducted by programs for intimate partner violence prevention. These studies adopted quantitative methods, and most were in the area of nursing, psychology, and medicine. Furthermore, most research contexts involved schools, followed by households, a hospital, a health center, and an indigenous tribe. CONCLUSION The analyses were not conducted from a gender- and generation-based perspective. Instead, the scientific literature was based on positivist research models, intimately connected to the classic public healthcare model and centered on a singular dimension.

scholarly journals Inter-Rater Reliability of a Pressure Injury Risk Assessment Scale for Home Care: A Multicenter Cross-Sectional Study

2020 ◽  
Vol Volume 13 ◽  
pp. 2031-2041
Author(s):  
Masushi Kohta ◽  
Takehiko Ohura ◽  
Kunio Tsukada ◽  
Yoshinori Nakamura ◽  
Mishiho Sukegawa ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Home Care ◽  
Injury Risk ◽  
Cross Sectional Study ◽  
Assessment Scale ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rater Reliability ◽  
Pressure Injury
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