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Hospital-acquired pressure ulcers prevention : what is needed for patient safety? The perceptions of nurse stakeholders

2021-06-09Artigo científico Acesso restrito
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dc.contributor.authorGaspar, Susana
dc.contributor.authorGuedes, Fábio Botelho
dc.contributor.authorVitoriano Budri, Aglécia Moda
dc.contributor.authorFerreira, Carlos
dc.contributor.authorMatos, Margarida Gaspar de
dc.date.accessioned2021-06-14T15:02:55Z
dc.date.available2021-06-14T15:02:55Z
dc.date.issued2021-06-09
dc.description© 2021 Nordic College of Caring Sciencept_PT
dc.description.abstractAim: The aim of this study was to understand the perceptions of 11 Portuguese nurses' stakeholders regarding pressure ulcers prevention practice and reality in the hospital setting. Methods: Convenience sampling was used to recruit nursing stakeholders for a heterogeneous focus group. A semi-structured interview was conducted with 11 nursing stakeholders involved in pressure ulcers prevention and/or patient safety. MaxQda 2020 qualitative analysis software was used in the content analysis and data processing. Informed consent was obtained, and anonymity was guaranteed. Results: Four themes were approached in the interview: (1) Pressure ulcer risk assessment; (2) Nurses and doctors pressure ulcers monitoring; (3) Pressure ulcer risk profiles; and (4) Effective interventions to improve patient safety. The categorisation of the four themes was created aposteriori based on the 'Awareness/Knowledge/Competence, Opportunity, and Motivation - Behaviour Change Wheel' (adapted COM-B system). Interest, responsibility, autonomy, leadership and prioritisation for decision-making were some categories linked to motivation. Braden scale operationalisation, education given during undergraduate degree continued professional health education, missing care, reliability of the records and patients' clinical characteristics emerged as categories associated with awareness/knowledge/competence. Understaffing/nursing hours, health policies, electronic health records systems and clinical language used, access to appropriate equipment and resources, teamwork and clinical support specialist on tissue viability/wound care were some categories related to opportunity. Conclusions: Pressure ulcer prevention is complex and requires a focussed attitude, robust evidenced-based knowledge and enhanced skills in risk assessment, communication and team collaboration. The highlighted categories could be further analysed at an organisational level to develop tailored strategies that could contribute to successful evidence-based practice implementation. Relevance to clinical practice: The findings provide directions for behavioural change in the hospital context related to pressure ulcers prevention through awareness/knowledge/competence, motivation and opportunity to improve care delivered.pt_PT
dc.description.sponsorshipSusana Gaspar had a scholarship from University of Lisbon (BD2016/609). Fábio Botelho Guedes had a scholarship from Foundation for Science and Technology (SFRH/BD/148299/2019).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationScand J Caring Sci. 2021 Jun 9pt_PT
dc.identifier.doi10.1111/scs.12995pt_PT
dc.identifier.eissn1471-6712
dc.identifier.issn0283-9318
dc.identifier.urihttp://hdl.handle.net/10451/48536
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJohn Wiley & Sons, Inc.pt_PT
dc.relationBD2016/609pt_PT
dc.relationPais na Escola: Promoção de ambientes favoráveis ao bem-estar e ao desenvolvimento pessoal, social e académico dos alunos através do aumento das sinergias professores-pais-alunos
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/journal/14716712pt_PT
dc.subjectComputer-assisted qualitative data analysispt_PT
dc.subjectPressure injurypt_PT
dc.subjectPressure ulcerpt_PT
dc.subjectQualitative researchpt_PT
dc.subjectStakeholderspt_PT
dc.titleHospital-acquired pressure ulcers prevention : what is needed for patient safety? The perceptions of nurse stakeholderspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberSFRH/BD/148299/2019
oaire.awardTitlePais na Escola: Promoção de ambientes favoráveis ao bem-estar e ao desenvolvimento pessoal, social e académico dos alunos através do aumento das sinergias professores-pais-alunos
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F148299%2F2019/PT
oaire.citation.titleScandinavian Journal of Caring Sciencespt_PT
oaire.fundingStreamOE
person.familyNameGaspar
person.familyNameBotelho Guedes
person.familyNameFerreira
person.familyNameGaspar de Matos
person.givenNameSusana
person.givenNameFábio
person.givenNameCarlos
person.givenNameMargarida
person.identifierH-3824-2012
person.identifier.ciencia-id221A-FA08-5019
person.identifier.ciencia-id6F1A-412C-1E8D
person.identifier.ciencia-id0315-A52D-4231
person.identifier.ciencia-idC319-629F-67E9
person.identifier.orcid0000-0002-0494-6771
person.identifier.orcid0000-0001-8291-1921
person.identifier.orcid0000-0003-2609-823X
person.identifier.orcid0000-0003-2114-2350
person.identifier.ridD-6370-2017
person.identifier.ridB-4961-2010
person.identifier.scopus-author-id15076750500
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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