Construction and validity of a bundle to prevent skin infections due to burns: a methodological study
DOI:
https://doi.org/10.17058/reci.v15i1.19599Keywords:
Burn units, Hospital infection control program, Patient care packages, BurnsAbstract
Background and Objectives: skin infections can occur in burn patients due to the loss of the main protective and immunological barrier. Although there are general protocols for treating burns and preventing infection, few are suitable exclusively for children and adolescents. Aiming to prevent and improve routine care, this study aimed to build and validate a bundle for the management and prevention of skin infections due to burns in children and adolescents. Methods: a methodological study developed at a Burn Treatment Center in northern Paraná from March 2021 to December 2023. The research was developed in three phases, theoretical, empirical and analytical, through statistical analysis in the Statistical Package for the Social Sciences. Results: bundle content validity was performed by seven professionals who were experts in the subject. Regarding the bundle content validity, there was 100% agreement among all participants regarding the dimensions assessed: objectivity; layout; simplicity; clarity; relevance; variety; breadth; credibility; and balance. The Content Validity Index was used to verify the bundle content validity. Of the nine items in validity with judges, the Content Validity Index was equal to 1.0. In accordance with the results and minimal suggestions in the bundle, only one round of validity with judges was carried out. Conclusion: the bundle was validated to support the treatment of severe burns given the complexity of careful and multidisciplinary management.
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References
World Health Organization. The Global Burden of Disease: 2004 Update. Geneva: World Health Organization; 2008. Disponível em: http://www. who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf.
Ministério da Saúde (BR). Departamento de Informação e Informática do Sistema Único de Saúde: Morbidade hospitalar do SUS. Brasília: Ministério da Saúde. 2021. https://datasus.saude.gov.br/acesso-a-informacao/morbidade-hospitalar-do-sus-sih-sus/
Prestes IHM, Daga H, Alberto M. Crianças queimadas atendidas no Hospital Universitário Evangélico de Curitiba: perfil epidemiológico. Revista Brasileira de Queimaduras. 2016 Rev Bras Queimaduras2016;15(4):256-260. https://www.rbqueimaduras.com.br/details/323/pt-BR/criancas-queimadas-atendidas-no-hospital-universitario-evangelico-de-curitiba--perfil-epidemiologico.
Gonçalves TSO, Moreira KFA, Albuquerque T. Assistência de enfermagem com pacientes queimados. Revista Brasileira de Queimaduras. 2012;11(1):31–7. https://www.rbqueimaduras.com.br/details/97/pt-BR.
Silva RIM, Oliveira ES, Rocha RRA, et al. Assistência de enfermagem no atendimento pré-hospitalar a vítimas de queimaduras: scoping review. Revista Enfermagem UERJ, 29(1), e51316. https://doi.org/10.12957/reuerj.2021.51316.
Faraji A, Karimi M, Azizi SM, et al. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study. International Journal of Nursing Sciences. 2019 Oct;6(4):421–5. https://doi.org/10.1016/j.ijnss.2019.09.007.
Meschial WC, Ciccheto JRM, Lima MF de, et al. Active teaching strategies improve nursing knowledge and skills to assist burn victims. Rev Bras Enferm. 2021;74:e20200235. https://doi.org/10.1590/0034-7167-2020-0235.
Baruffi NGV. Análise da utilização dos bundles para prevenção de infecções em pacientes queimados. Repositório UNESP. 2018. https://repositorio.unesp.br/items/575e5bbd-6cff-4a30-b63e-576119c410ae.
Benevides JL, Coutinho JFV, Pascoal LC, et al.. Development and validation of educational technology for venous ulcer care. Rev esc enferm USP. 2016;50(2):0309–16. https://doi.org/10.1590/S0080-623420160000200018.
Vinaik R, Barayan D, Shahrokhi S, et al. Management and prevention of drug resistant infections in burn patients. Expert Review of Anti-infective Therapy. 2019 Aug 3;17(8):607–19. https://doi.org/10.1080/14787210.2019.1648208.
Brasil. Agência Nacional de Vigilância Sanitária. Segurança do paciente em serviços de saúde: limpeza e desinfecção de superfícies. Brasília, 2010. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/manual-de-limpeza-e-desinfeccao-de-superficies.pdf/view.
Brasil. Agência nacional de vigilância sanitária - ANVISA. Segurança do paciente: Higienização das mãos. Brasília. 2022. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_servicos_saude_higienizacao_maos.pdf.
Brasil. Agência nacional de vigilância sanitária – ANVISA. Critérios Diagnósticos de Infecção Relacionada à Assistência à Saúde: Segurança do Paciente e Qualidade em Serviços de Saúde. 2ªed. Brasília. 2017. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/criterios_diagnosticos_infeccoes_assistencia_saude.pdf.
Possamai L, Bruxel CL, Pires FS, et al. Queimaduras – manejo cirúrgico. Biblioteca Virtual de Saúde. 2018. Disponível em: https://docs.bvsalud.org/biblioref/2018/02/879485/queimaduras-manejo-cirurgico.pdf.
Jeschke M, Williams FN, Gauglitz GG, et al. Queimaduras. In: TOWNSEND, C.M.; BEAUCHAMP, R.D.; EVERS, B.M. Sabiston Tratado de Cirurgia. Rio de Janeiro: Elsevier, p. 930-977, 2015. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-870503.
Bonfim RM, Cabral V de C, Cavallini TC, et al. Sepsis in burn patients: analysis of etiology, risk factors and morbimortality of burn patients admitted to Hospital Regional da Asa Norte (HRAN). Braz. J. Develop. 2021 Jun. 21;7(6):61514-36. https://doi.org/10.34117/bjdv7n6-497.
Duarte RT, Oliveira APA de, Moretti MMS, Urbanetto J de S. Associação dos fatores demográficos, clínicos e do manejo terapêutico no desfecho de pacientes sépticos atendidos em uma emergência hospitalar. Revista De Enfermagem Da UFSM, 9, e43. https://doi.org/10.5902/2179769234413.
Fidalgo TL, Pereira EMA, Fiori EF, et al. Sepse choque séptico: uma análise sobre a realidade dos hospitais públicos e privados brasileiros. Revista científica UNISMG. 2020; 8(2):01-11. https://revista.smg.edu.br/index.php/cientifica/article/view/53.
Ramos FMF, Lima FE de S, Macário FN, et al. Nurse knowledge in early sepse detection in critical patients. Braz. J. Develop. 2020;6(12):102690-702. https://doi.org/10.34117/bjdv6n12-675.
Clementino KM de F, Bezerra GD, Gonçalves GAA, et al. Technologies used in the treatment of burn victims in intensive care: a scope review. Rev Bras Enferm. 2024;77(1):e20220738. https://doi.org/10.1590/0034-7167-2022-0738.
Morais VSP de. Controle de infecções em tratamento de queimaduras: uma revisão da literatura. Repositório PUC Goiás. 2022. Disponível em: https://repositorio.pucgoias.edu.br/jspui/bitstream/123456789/2519/1/TCC%20Adrielly_finalizado.pdf.
Rosa Z, de Lima TH. Epidemiological profile of patients victims of burns. Braz. J. Hea. Rev. 2021; 4(5):19832-53. https://doi.org/10.34119/bjhrv4n5-112.
Sena JF de, Silva IP da, Lucena SKP, et al. Validation of educational material for the care of people with intestinal stoma. Rev Latino-Am Enfermagem. 2020; 28: e3269. https://doi.org/10.1590/1518-8345.3179.3269.
Carvalho KM de, Figueiredo M do LF, Galindo NM, et al. Construction and validation of a sleep hygiene booklet for the elderly. Rev Bras Enferm. 2019; 72:214–20. https://doi.org/10.1590/0034-7167-2018-0603.
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