Tecnologia digital para sistematizar o cuidado de enfermagem com as lesões por pressão em pacientes de Unidade de Terapia Intensiva
Pressure injuries are an important health problem worldwide, being a significant cause of morbidity and mortality for patients admitted to the intensive care unit. This damage represents a challenge for health services, which have found in technology a promising alternative to optimize their work pr...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/46594 |
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| Resumo: | Pressure injuries are an important health problem worldwide, being a significant cause of
morbidity and mortality for patients admitted to the intensive care unit. This damage represents
a challenge for health services, which have found in technology a promising alternative to
optimize their work processes and resolve the complications related to these events. Given this
reality, the objective was to build and validate a digital technology to systematize nursing care
with pressure injuries in intensive care unit patients. It is a methodological development
research, with a quantitative approach, which had Design Science Research as a methodological
reference, being operationalized through five steps. In the first one, the problem was identified
through an integrative literature review, which aimed to verify whether the use of technologies
reduces the incidence or worsening of pressure injuries. The second step, called suggestion,
sought to build the domains, items and appearance of digital technology, using the Nursing
Process as a theoretical framework. The third step, development, referred to the construction of
digital technology, with the collaboration of specialists in the field of information technology,
using the Model-View-Controller (MVC) as an architectural model. The fourth step focused on
validating the content and appearance of the technology with eight nurses experienced in care
or research involving patients with skin lesions or the Nursing Process. The research followed
all ethical and legal aspects of research on human beings, obtaining the Opinion of the Research
Ethics Committee under No. 4,891,206. The selected studies showed that the use of technology
helps Nursing care with pressure injuries, reducing their incidence by up to 20%. Initially, the
technology content comprised the five domains referring to the phases of the Nursing Process
and 51 items. The technology interface and architecture were developed according to the
aforementioned items and domains. Then, the validation of the content and appearance of the
technology was carried out through two Delphi rounds, and in Round I, seven items obtained
an agreement rate below the cutoff point (<0.70). At the end of Round II, the technology was
described by the title “Nursing process for patients with pressure injuries in the ICU (PELeICU)”, comprising five domains, corresponding to the stages of the Nursing Process, and 89
items. Of the five domains, three obtained maximum agreement in all items evaluated. Only
one item from domain II had a moderate agreement rate. The appearance of the technology also
obtained maximum agreement. In accordance with what has been exposed, it is believed that
the use of the technological product constructed and validated in this study can contribute to
the optimization of the time spent on nursing care, as well as favoring an effective articulation
between the multiprofessional team, an adequate support for pressure injury management and
management of indicators related to these conditions. |
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