Resumen
Marco contextual: las lesiones por presión son una complicación multifactorial que afecta significativamente la calidad de vida de los pacientes y aumenta los costos de salud. Debido a la complejidad del problema, se requiere un enfoque sistematizado basado en modelos teóricos estructurados para su prevención eficaz. Objetivo: analizar el desarrollo de las lesiones por presión en unidades de cuidados intensivos a la luz del Nursing Role Effectiveness Model, destacando la importancia de los roles de los enfermeros en su prevención. Metodología: ensayo teórico narrativo que documenta un proceso reflexivo de aplicación del modelo conceptual Nursing Role Effectiveness Model como marco teórico para analizar el papel del enfermero en la prevención de lesiones por presión en unidades de cuidados intensivos. Resultados: la aplicación de un modelo conceptual de enfermería permite comprender y explicar las relaciones entre las múltiples variables involucradas en el desarrollo de las lesiones por presión. Conclusión: el uso del modelo conceptual Nursing Role Effectiveness Model puede permitir un enfoque sistematizado para comprender las lesiones por presión en unidades de cuidados intensivos, destacando la importancia de los roles independientes, interdependientes y dependientes del enfermero, así como las variables que influyen en los resultados sensibles a los cuidados de enfermería.
Citas
Al Mutairi, K. B., & Hendrie, D. (2018). Global incidence and prevalence of pressure injuries in public hospitals: A systematic review. Wound Medicine, 22, 23–31. https://doi.org/10.1016/j.wndm.2018.05.004
Amaral, A., Ferreira, P., Cardoso, M., & Vidinha, T. (2014). Implementation of the nursing role effectiveness model. International Journal of Caring Sciences, 7(3), 757–770. https://internationaljournalofcaringsciences.org/docs/9.%20AMARAL%20ORIGINAL.pdf
Chaboyer, W. P., Thalib, L., Harbeck, E. L., Coyer, F. M., Blot, S., Bull, C. F., Nogueira, P. C., & Lin, F. F. (2018). Incidence and prevalence of pressure injuries in adult intensive care patients: a systematic review and meta-analysis. Critical Care Medicine, 46(11), e1074–e1081. https://doi.org/10.1097/CCM.0000000000003366
Coleman, S., Gorecki, C., Nelson, E. A., Closs, S. J., Defloor, T., Halfens, R., Farrin, A., Brown, J., Schoonhoven, L., & Nixon, J. (2013). Patient risk factors for pressure ulcer development: Systematic review. International Journal of Nursing Studies, 50(7), 974–1003. https://doi.org/10.1016/j.ijnurstu.2012.11.019
Cooper, K. L. (2013). Evidence-based prevention of pressure ulcers in the intensive care unit. Critical Care Nurse, 33 (6), 57–66. https://doi.org/10.4037/ccn2013985
Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly, 83(4), 691–729. https://doi.org/10.1111/j.1468-0009.2005.00397.x
Doran, D. (Ed.). (2011). Nursing outcomes: The state of the science (2nd ed). Jones & Bartlett Learning.
Doran, D., Sidani, S., Keatings, M., & Doidge, D. (2002). An empirical test of the nursing role effectiveness model. Journal of Advanced Nursing, 38(1), 29–39. https://doi.org/10.1046/j.1365-2648.2002.02143.x
European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance (Ed.). (2019). Prevention and treatment of pressure ulcers/injuries: clinical practice guideline: the international guideline (3.a ed.). https://static1.squarespace.com/static/6479484083027f25a6246fcb/t/6553d3440e18d57a550c4e7e/1699992399539/CPG2019edition-digital-Nov2023version.pdf
Fawcett, J. (1988). Conceptual models and theory development. Journal of Obstetric, Gynecologic & Neonatal Nursing, 17(6), 400–403. https://doi.org/10.1111/j.1552-6909.1988.tb00465.x
Fawcett, J. (2005). Contemporary nursing knowledge: analysis and evaluation of nursing models and theories (2. ed). F.A. Davis Co.
Fulbrook, P., Lovegrove, J., Hay, K., & Coyer, F. (2023). State-wide prevalence of pressure injury in intensive care versus acute general patients: a five-year analysis. Journal of Clinical Nursing, 32(15–16), 4947–4961. https://doi.org/10.1111/jocn.16687
Irvine, D., Sidani, S., & Hall, L. M. (1998a). Finding value in nursing care: a framework for quality improvement and clinical evaluation. Nursing Economic$, 16(3), 110–116, 131. https://pubmed.ncbi.nlm.nih.gov/9748972
Irvine, D., Sidani, S., & Hall, L. M. (1998b). Linking outcomes to nurses’ roles in health care. Nursing Economic$, 16(2), 58–87. https://pubmed.ncbi.nlm.nih.gov/9592519
Jackson, M., & Cairns, T. (2021). Care of the critically ill patient. Surgery - Oxford International Edition, 39(1), 29–36. https://doi.org/10.1016/j.mpsur.2020.11.002
Labeau, S. O., Afonso, E., Benbenishty, J., Blackwood, B., Boulanger, C., Brett, S. J., Calvino-Gunther, S., Chaboyer, W., Coyer, F., Deschepper, M., François, G., Honore, P. M., Jankovic, R., Khanna, A. K., Llaurado-Serra, M., Lin, F., Rose, L., Rubulotta, F., Saager, L., … Stijn, B. (2021). Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Medicine, 47(2), 160–169. https://doi.org/10.1007/s00134-020-06234-9
Lin, F., Wu, Z., Song, B., Coyer, F., & Chaboyer, W. (2020). The effectiveness of multicomponent pressure injury prevention programs in adult intensive care patients: a systematic review. International Journal of Nursing Studies, 102, 103483. https://doi.org/10.1016/j.ijnurstu.2019.103483
Manojlovich, M., Antonakos, C., & Ronis, D. (2009). Intensive care units, communication between nurses and physicians, and patients’ outcomes. American Journal of Critical Care, 18(1), 21–30. https://doi.org/10.4037/ajcc2009353
Nightingale, F. (1969). Notes on Nursing—What it is, and what it is not. Dover Publications, Inc.
Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: a systematic review (1997–2017). Nursing Open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654
Strand, T., & Lindgren, M. (2010). Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: a descriptive cross-sectional study. Intensive & Critical Care Nursing, 26(6), 335–342. https://doi.org/10.1016/j.iccn.2010.08.006
Tschannen, D., & Anderson, C. (2020). The pressure injury predictive model: a framework for hospital‐acquired pressure injuries. Journal of Clinical Nursing, 29(7–8), 1398–1421. https://doi.org/10.1111/jocn.15171
Wu, J., Wang, B., Zhu, L., & Jia, X. (2022). Nurses’ knowledge on pressure ulcer prevention: an updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Frontiers in Public Health, 10, 964680. https://doi.org/10.3389/fpubh.2022.964680
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2024 José Alves