Perception of Nursing professionals on medical device-related pressure injuries

Galetto, Sabrina Guterres da Silva; Nascimento, Eliane Regina Pereira do; Hermida, Patricia Madalena Vieira; Lazzari, Daniele Delacanal; Reisdorfer, Nara; Busanello, Josefine

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Sumário

RESEARCH • Esc. Anna. Nery 25 (2) • 2021 • https://doi.org/10.1590/2177-9465-EAN-2020-0225 copy

Perception of Nursing professionals on medical device-related pressure injuries

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To know the perception of Nursing professionals working in intensive care units regarding medical device-related pressure injuries related.

Method

A qualitative and descriptive research, carried out with 12 Nursing professionals from a public teaching hospital in Santa Catarina. Data collection took place through semi-structured interviews, and the analysis was performed using the collective subject discourse technique by means of the QualiQuantiSoft® Software.

Results

Five Central Ideas emerged: types of devices and the occurrence of medical device-related pressure injuries; (in)visibility and (de)valuation of these injuries in the care of critical patients; medical device-related pressure injuries can be inevitable; critical patient profile and risk to develop the injury; and (lack of) professional knowledge about the impact of the injury on people's lives after discharge from intensive care.

Conclusion and implications for the practice

The perception of Nursing about medical device-related pressure injuries is linked to the types of devices, the occurrence of injuries in intensive care, the care offered and the impact of injuries on people's lives.

Keywords:
Nursing; Pressure injury; Critical care; Nursing Care; Patient Safety

Central Ideas	DSC	Perceptions of the professionals
Types of device and occurrence of MDR PIs in the ICU	DSC1	- They believe that patients in the ICU are more susceptible to MDR PIs.
		- They define MDR PI as secondary damage to a therapeutic procedure for the critically ill patient (e.g.: intubation, probing).
		- They notice cases of MDR PIs daily, including more than one in the same patient.
		- They use the bed bath to identify MDR PIs.
Profile of the critically ill patient and risk to develop MDR PIs	DSC2	- The use of devices, length of stay, severity, isolation from contact, use of vasoactive drugs, edema, advanced age, psychomotor agitation are mentioned as risk factors.
(In)visibility and (de)valuation of MDR PIs in the care of the critically ill patient	DSC3	- They usually pay more attention to traditional pressure injuries that affect bone prominences.
	DSC3	- They recognize a (de)valuation of MDR PIs in the context of critical care.
MDR PIs can be inevitable	DSC4	- They understand that, in some cases, even with care, MDR PIs are inevitable.
MDR PIs can be inevitable	DSC4	- They mention the permanent need for the device, clinical condition and characteristics inherent to the patient as factors that interfere with prevention.
(Lack of) knowledge of the professional about the impact of MDR PIs on the lives of people after discharge from the ICU	DSC5	- They report difficulty in measuring the impact that MDR PIs have on the patients' lives after discharge.
	DSC5	- They reflect on the suffering of patients and their families and on the possible need for additional treatments to repair the damage caused by the MDR PIs.

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[1] Corresponding author:
Sabrina Guterres da Silva Galetto. E-mail: sabrinaguterres@gmail.com