Nursing team knowledge assessment instruments about pressure injury: integrative review
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Published:
Jun 26, 2022
Keywords:
evaluation studies, knowledge, nurse practitioners, pressure ulcer
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Abstract
Objectives: to identify in the scientific literature how the assessment of knowledge of the nursing team about pressure injuries is conducted, which instruments are used, and their psychometric properties. Methods: integrative review conducted with 44 scientific articles. The search was conducted between October and December 2021 in the following data sources: BDENF, Cinahl, Lilacs, MEDLINE, Scopus, Google Scholar, and Web of Science, using the strategy in Portuguese: ("lesão por pressão" OR "úlcera por pressão" OR "úlcera de decúbito" OR "escara de decúbito") AND enfermagem AND conhecimento, and, in English, ("pressure ulcer" OR "bed sore" OR "bed sores" OR bedsore OR bedsores) AND nursing AND knowledge. Articles published between 2012 and November 2021 were included, with text available in full, in open access, in English, Portuguese, or Spanish, resulting from original research related to care in the hospital area. Results: The most used knowledge assessment instrument was the P-PUKT and its versions, used in 50% of the studies, followed by the PUKAT and its versions. Three studies also used instruments constructed and validated by the authors, five qualitative studies, and four studies used non-validated instruments. Conclusion: Valid instruments to assess knowledge are essential to identify possible failures in patient care. Heterogeneity in the samples and in the classification criteria of the participants' level of knowledge made it impossible to compare the results obtained in the studies, constituting a limitation.
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Carreiro GSP, Soares MJOG, Oliveira SHS, Mendonça AEO. Nursing team knowledge assessment instruments about pressure injury: integrative review. Health Sci J [Internet]. 2022Jun.26 [cited 2024Apr.28];12(2):43-0. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1274
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2. Ferreira DL, Souza ABF, Rodrigues R, Vituri DW, Meier DAP. Incidência de lesão por pressão e medidas preventivas em pacientes críticos. Cienc Cuid Saude. 2018;17(2):1-7. https://doi.org/10.4025/cienccuidsaude.v17i2.41041
3. Rocha DM, Bezerra SMG, Oliveira AC, Silva JS, Ribeiro IAP, Nogueira LT. Custo da terapia tópica em pacientes com lesão por pressão. Rev Enferm UFPE. 2018;12(10):2555-63. https://doi.org/10.5205/1981-8963-v12i10a237569p2555-2563-2018
4. Ferreira BEM, Santos DM, Silveira AP, Souza WF, Carniel F. Adesão dos profissionais de enfermagem as metas de segurança da OMS: uma revisão de literatura. REAEnf. 2021;8:e5967. https://doi.org/10.25248/reaenf.e5967.2021
5. Brasil, Agência Nacional de Vigilância Sanitária. Boletim Segurança do Paciente e Qualidade em Serviços de Saúde nº 20. Brasília, DF: ANVISA; 2018.
6. Teixeira AKS, Nascimento TS, Sousa ITL, Sampaio LRL, Pinheiro ARM. Incidência de lesões por pressão em Unidade de Terapia Intensiva em hospital com acreditação. ESTIMA. 2017;15(3):152-60. https://doi.org/10.5327/Z1806-3144201700030006
7. Carvalho F, Donoso MTV, Couto BRGM, Matos SS, Lima LKB, et al. Prevalência de lesão por pressão em pacientes internados em hospital privado do estado de Minas Gerais. Enferm Foco. 2020;10(4):159-64. https://doi.org/10.21675/2357-707X.2019.v10.n4.2269
8. Zarei E, Madarshahian E, Nikkhah A, Khodakarim S. Incidence of pressure ulcers in intensive care units and direct costs of treatment: Evidence from Iran. J Tissue Viability. 2019;28(2):70-74. https://doi.org/10.1016/j.jtv.2019.02.001
9. Candaten AE, Boeira YB, Barcellos RA. Incidência de lesões por pressão em pacientes internados em unidades de terapia intensiva. Rev Uningá [Internet]. 2019 [cited 2022 Jun 1];56(S2):30-40. Available from: https://revista.uninga.br/uninga/article/view/1455
10. Medeiros LNB, Silva DR, Guedes CDFS, Souza TKC, Araújo Neta BPA. Prevalência de úlceras por pressão em unidades de terapia intensiva. Rev Enferm UFPE [Internet]. 2017 [cited 2022 Jun 1];11(7):2697-703. Available from: https://bit.ly/3x5rgE6
11. Jesus MAP, Pires PS, Biondo CS, Matos RM. Incidência de lesão por pressão em pacientes internados e fatores de risco associados. Rev Baiana Enferm. 2020;34:e36587. https://doi.org/10.18471/rbe.v34.36587
12. Santos JBS, Souza MAO, Silva APA, Silva MB, Silva VMC, Nogueira RM. Incidência de lesão por pressão em pacientes na unidade de terapia intensiva de um hospital filantrópico. Nursing. 2020;23(265):4233-44. https://doi.org/10.36489/nursing.2020v23i265p4233-4244
13. Azevedo RF, Garcia RMP, Calasans MT. Knowledge on therapies for pressure ulcer: an integrative review. Rev Rene. 2021;22:e60265. https://doi.org/10.15253/2175-6783.20212260265
14. Sousa LMM, Marques-Vieira CMA, Severino SSP, Antunes AV. A metodologia da revisão integrativa da literatura em enfermagem. Rev Invest Enferm. 2017 Nov:17-26. Available from: https://bit.ly/3aCuYwb
15. Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implication for nurse's leaders and educators. J Nurs Adm. 2012;42(9):410-17. https://doi.org/10.1097/NNA.0b013e3182664e0a
16. Araújo TM, Araújo MFM, Barros LM, Oliveira FJG, Silva LA, Caetano JA. Intervenção educativa para avaliação do conhecimento de enfermeiros intensivistas sobre lesão por pressão. Rev Rene. 2019;20:e41359. https://doi.org/10.15253/2175-6783.20192041359
17. Gul A, Andsoy II, Ozkaya B, Zeydan A. A descriptive, cross-sectional survey of Turkish nurses' knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Manage. 2017;63(6):40-46. PMID: 28657899
18. Khojastehfar S, Najafi GT, Haghani S. Factors related to knowledge, attitude, and practice of nurses in intensive care unit in the area of pressure ulcer prevention: A multicenter study. J Tissue Viability. 2020;29(2):76-81. https://doi.org/10.1016/j.jtv.2020.02.002
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