Navegando por Assunto "Pressure injury"

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Acesso aberto (Open Access)
Protocolo assistencial sobre prevenção e manejo com lesão por pressão de pacientes oncológicos em cuidados paliativos
(Universidade Federal do Pará, 2022-07-25) MACÊDO, Winnie Taíse Pena; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932
Introduction: When faced with a patient with skin lesions at the end of life, decision-making by nurses can be challenging, either because of the uncertainty of the goals of care, or because of concerns about generating anguish and discomfort for the patient and their families. It is not uncommon to find behaviors that diverge regarding skin care at the end of life, thus, there is a need to equip health professionals and thus harmonize the conduct of their care. Objectives: To analyze the information on prevention and care of pressure injuries, necessary for patients in oncological palliative care in the hospital context, which can compose a care protocol to be constructed and validated. Method: this is a methodological study developed in three stages: literature review; technological production and semantic validation, with a qualitative quantitative approach. It was performed at Ophir Loyola Hospital. The sample was intentional and the population consisted of nurses who met the eligibility criteria. The nurses were introduced to the protocol, so that they could handle it and describe their impressions, in addition to the assessment instrument, which aimed to verify the agreement between the participants using the Likert Scale, and for quantitative validation, the CVI was used. Results: The first stage of the results was the construction of an Integrative Literature Review. The second step was the construction of the protocol, based on evidence from the RIL, as well as supporting its recommendations through a guideline. The third step was the semantic validation, which aimed to verify the understanding, relevance and possible need to modify the protocol items. The population consisted of 9 nurses, most aged between 35-45 years, lato sensu postgraduate, worked in care, had experience in pressure injuries in the palliative care scenario for more than 10 years. As for semantic validation, the protocol presented a CVI of 0.97, being considered validated by the target audience, according to the proposed methodology. Discussion: It is noteworthy that the target audience of this study validated the protocol with high values, with most subitems having maximum agreement, which reflects an excellent level of protocol acceptability. Thus, a new round of validation was not necessary, as the individual CVI of each subitem was greater than 0.80. Conclusion: It is expected that this protocol can be used in different scenarios that provide health care for this fragile and vulnerable population. It is also expected that this instrument can provide tools for nursing professionals and positively impact the quality of life of cancer patients in palliative care with pressure injuries, especially those who go through their final stage of life
Acesso aberto (Open Access)
Simulador em realidade virtual para o manejo de lesão por pressão para discentes do curso de graduação em enfermagem
(Universidade Federal do Pará, 2025-06-03) TEIXEIRA, Niceane dos Santos Figueiredo; MONTEIRO, Dionne Cavalcante; http://lattes.cnpq.br/4423219093583221
This dissertation investigated the elaboration, development, testing, and outcomes of a simulator within a virtual reality environment as an innovative pedagogical approach for the teaching-learning process of pressure injury management in an undergraduate nursing program. To substantiate this research, the contributions of active methodologies are highlighted. These have emerged as pedagogical strategies focused on promoting active student learning. In this context, virtual reality (VR) is employed as an innovative technological resource for teaching and improvement in the healthcare field, with a particular focus on nursing. The methodology was applied research, employing a quantitative-qualitative, exploratory, and descriptive approach. For theoretical grounding and contextualization, an integrative literature review and data collection were conducted. The simulator software was developed by a multidisciplinary team, utilizing the 3D modeling system Blender 3.5 for the creation of virtual elements. The integration of these models into the immersive virtual reality environment was executed through the Unity 3D game development engine. Product testing involved the utilization of virtual reality resources, such as the Oculus Rift, consoles, and motion sensors, in conjunction with a monitor and computer, thereby providing students with an interactive and immersive experience within the simulated pressure injury management scenario. The research involved the participation of nursing specialists and undergraduate students and was conducted at the Laboratory of Applied Artificial Intelligence (LAAI) of the Federal University of Pará (UFPA), located in Belém. Data collection at each stage of the development and testing process employed specific instruments. The analysis of the obtained data encompassed content analysis of discursive and objective responses, and the interpretation of quantitative data presented in graphs, aiming to understand the participants' perception of the simulator. The results and discussions presented in this dissertation demonstrate that the developed virtual simulator possesses significant potential as an empowering and facilitating tool for the teaching-learning process of pressure injury management in nursing education.