Bundle for the prevention of pressure injuries related to medical devices in critically ill patients

• Autor(a) principal: Silveira, Natália Pinto
• Data de Publicação: 2021
• Outros Autores: Busanello, Josefine, Garcia, Raquel Potter, Galetto, Sabrina Guterres da Silva, Carvalho, Carla Caroline Ribeiro, Siqueira, Lucas Moreira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1103
• topic: Pacotes de assistência ao paciente; Unidades de terapia intensiva; Equipamentos e provisões; Lesão por pressão; Patient care bundles; Intensive care units; Equipment and supplies; Pressure Ulcer

Introduction: The critically ill patient needs advanced support, instituted through medical devices, and may develop Medical Device Related Pressure Injuries. These injuries are common in healthcare settings, and require attention because of the implications to the patient. This is justified by the high incidence and prevalence of these injuries in critically ill patients, the aggravation of the problem in the face of the pandemic, and the fact that medical devices are indispensable in the context of the Intensive Care Unit. Objective: To develop and validate a set of measures for the prevention of medical device-related pressure injuries in critically ill adult patients. Methods: The Delphi technique was used, analysis by expert judges. It was structured in four stages: Composition of the expert committee; Preparation of the package; Validation of content and appearance; and Validation index of content and appearance. The Statistical Package for the Social Sciences 20.0 was used for the calculation. Results: A package was developed from 21 care. The orotracheal tube, catheters, and noninvasive ventilation masks were identified as causing the most injury. The overall validation rate of the package was 91.83%. Conclusion: It is expected that the package will contribute to reducing the incidence of these injuries by increasing the quality of services. In addition, it should be used as a tool for teaching and guidance, as it is a digital material that is easily accessible and can be shared with the team.