Conhecimento das recomendações para a prevenção da úlcera por pressão pela equipe de enfermagem de um hospital universitário / Knowledge of pressure ulcer prevention recommendations by nursing team members at a university hospital.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

In the search for health service care quality, nursing professionals need for scientific knowledge on pressure ulcer (PU) prevention is emphasized, as practice frequently is not based on evidence, but on myths, traditions and experiences. In the international context, various guidelines for clinical practice present recommendations. This study aimed to examine the knowledge of nursing team members who deliver direct care to adult and elderly patients at a university hospital about pressure ulcer prevention, and to explore the relation between knowledge test scores, sociodemographic variables and scientific information search strategies.This descriptive-exploratory research used quantitative methods. The research project was approved by the ethics committee at the institution and data were collected through a structured and validated instrument. In total, there were 386 participants, 64.8% of whom were nursing auxiliaries/technicians and 35.2% nurses. The mean percentage of correct answers on the knowledge test was 79.4% (SD 8.3) for nurses and 73.6% (SD 9.8) for nursing auxiliaries/technicians. Among the participants, 92 (23.9%) gave less than 70% of correct answers on the test. As to PU assessment and classification, items answered correctly by less than 60% were related to PU classification in stage II (29.5%) and III (37%) and the presence of pain in stage II PU (56.5%). Items on prevention with less than 50% of correct answers referred to the use of massage (39.6%), water or air-filled cushions (35.2%), water or air-filled gloves (47,9%), patients positioning in terms of bed head elevation (27.7%), and to the period of time for repositioning when seated in a chair (28%) and in lateral decubitus (37.3%). The percentage of correct answers among nursing auxiliaries/technicians decreased with time since graduation and service time (p<0.05). Nurses with a Specialty degree gave more correct answers (80.6%) than nurses without this degree (77.6%), and nurses with a Masters degree scored higher (83.1%) than nurses without this degree (79.1%). Nurses who participated in research during their undergraduate program scored higher than those who did not participate (p<0.05). Correct answer percentages for participants who took part in scientific events, committee or study groups and in educational activities at the institution were higher than for those who did not (p<0.05). Nurses who subscribed to scientific journals and read scientific publications scored higher (p<0.05). The same was true for participants who used the library and internet to seek scientific information (p<0.05). As to strategies to seek scientific information from other professionals, participants who affirmed using any possible form scored higher. The obtained results can help to identify preceding factors interfering in nursing team members knowledge and guide the planning of dissemination strategies and the adoption of prevention measures considered innovative in the study context.

ASSUNTO(S)

medicina baseada em evidências/educação Úlcera de pressão pressure ulcer nursing team. evidence-based medicine/education equipe de enfermagem

ACESSO AO ARTIGO

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