A carregar...
Publicação
Utilização da Neonatal Skin Risk Assessment Scale : Uma análise descritivo-retrospetiva
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.84 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Enquadramento: Ao longo do percurso formativo, foram desenvolvidas competências fundamentais em Enfermagem de Saúde Infantil e Pediátrica, com foco na qualidade dos cuidados e na prática baseada em evidência. Destaca-se a realização de um estudo sobre a Neonatal Skin Risk Assessment Scale, relevante na prevenção de lesões por pressão em neonatos, um problema associado à imaturidade cutânea e ao uso de dispositivos médicos.
Objetivos: Descrever e analisar criticamente o percurso formativo, promovendo a consolidação de competências do Enfermeiro Especialista, e identificar fatores de risco para lesões por pressão em neonatos internados.
Metodologia: Abordagem descritiva e reflexiva do percurso formativo e estudo quantitativo, exploratório, descritivo, correlacional e retrospetivo, com base em dados clínicos informatizados de recém-nascidos internados numa Unidade Local de Saúde da região centro de Portugal. A recolha baseou-se nos registos de enfermagem no SClínico.
Resultados: A amostra incluiu 50 recém-nascidos, com distribuição equitativa por sexo, maioritariamente de termo e com peso normal. Observou-se diminuição dos scores da Neonatal Skin Risk Assessment Scale entre a avaliação inicial e final, sugerindo redução do risco de lesões por pressão ao longo internamento. Não se observaram diferenças entre sexos. Menor idade gestacional e menor peso ao nascer, associam-se a um maior risco.
Conclusão: O estudo reforça a importância da Neonatal Skin Risk Assessment Scale e do papel do enfermeiro na prevenção de lesões por pressão. A realização dos estágios traduziu-se no desenvolvimento de competências que sustentam uma prática de cuidados pediátricos avançados, para a obtenção do título de especialista e mestre.
Palavras-chave: recém-nascido; úlcera por pressão; enfermagem neonatal; avaliação de risco; segurança do paciente.
Abstract Background: Throughout the training pathway, key competencies in Pediatric and Child Health Nursing were developed, with a focus on quality of care and evidence-based practice. A study on the Neonatal Skin Risk Assessment Scale (NSRAS) is highlighted, given its relevance in preventing pressure injuries (PIs) in neonates, a problem associated with skin immaturity and the use of medical devices. Objectives: To describe and critically analyse the training pathway, promoting the consolidation of Specialist Nurse competencies, and to identify risk factors for pressure injuries in neonates admitted to a neonatal unit. Methods: A descriptive and reflective approach to the training pathway, combined with a quantitative, exploratory, descriptive, correlational, and retrospective study, based on computerized clinical data from newborns admitted to a Local Health Unit in the central region. Data collection was based on nursing records from the SClínico system. Results: The sample included 50 newborns, with an equal sex distribution, mostly full-term and with normal birth weight. A decrease in NSRAS scores was observed between initial and final assessments, suggesting a reduced risk of pressure injuries. No statistically significant differences were found between sexes. Lower gestational age and lower birth weight are associated with a higher risk. Conclusion: This study highlights the importance of the NSRAS and the nurse’s role in preventing pressure injuries. The completion of the internships resulted in the development of competencies that support an advanced pediatric care practice, contributing to the attainment of the specialist and master’s degrees. Keywords: newborn; pressure ulcer; neonatal nursing; risk assessment; patient safety.
Abstract Background: Throughout the training pathway, key competencies in Pediatric and Child Health Nursing were developed, with a focus on quality of care and evidence-based practice. A study on the Neonatal Skin Risk Assessment Scale (NSRAS) is highlighted, given its relevance in preventing pressure injuries (PIs) in neonates, a problem associated with skin immaturity and the use of medical devices. Objectives: To describe and critically analyse the training pathway, promoting the consolidation of Specialist Nurse competencies, and to identify risk factors for pressure injuries in neonates admitted to a neonatal unit. Methods: A descriptive and reflective approach to the training pathway, combined with a quantitative, exploratory, descriptive, correlational, and retrospective study, based on computerized clinical data from newborns admitted to a Local Health Unit in the central region. Data collection was based on nursing records from the SClínico system. Results: The sample included 50 newborns, with an equal sex distribution, mostly full-term and with normal birth weight. A decrease in NSRAS scores was observed between initial and final assessments, suggesting a reduced risk of pressure injuries. No statistically significant differences were found between sexes. Lower gestational age and lower birth weight are associated with a higher risk. Conclusion: This study highlights the importance of the NSRAS and the nurse’s role in preventing pressure injuries. The completion of the internships resulted in the development of competencies that support an advanced pediatric care practice, contributing to the attainment of the specialist and master’s degrees. Keywords: newborn; pressure ulcer; neonatal nursing; risk assessment; patient safety.
Descrição
Palavras-chave
Avaliação de risco Enfermagem neonatal Fatores de risco Hospitalização Recém nascido Úlcera de decúbito - prevenção e controle Unidades de cuidados intensivos neonatais Hospitalization Infant newborn Intensive care units neonatal Neonatal nursing Pressure ulcer - prevention and control Risk assessment Risk factors