Organizational culture: prevention, treatment, and risk management of pressure injury

Rev Bras Enferm. 2020 Apr 3;73(3):e20180510. doi: 10.1590/0034-7167-2018-0510. eCollection 2020.
[Article in English, Portuguese]

Abstract

Objectives: To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care.

Methods: This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals.

Results: Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians.

Conclusions: We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.

MeSH terms

  • Adult
  • Brazil
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Organizational Culture
  • Pressure Ulcer / nursing*
  • Pressure Ulcer / prevention & control*
  • Risk Management / methods*