Uniformização do registo na área das feridas

: um cenário a melhorar

Abstract

Introduction: According to the World Health Organization, wounds are considered a hidden epidemic that affects a large number of people around the world. The increase in average life expectancy and the aging of the population, along with the increase in cases of chronic diseases, have contributed to the increasing incidence and prevalence of wounds. Thus, it is essential that primary health care plays a fundamental role in preventing this phenomenon. However, in order to understand the existing reality in Portugal about this epidemic and to be able to assess the impact of the nurses' work with the injured person, it is necessary to have information systems that gather the appropriate information for a correct approach, as well as the existence of trained and sensitive professionals to work in this cause. Diagnosis: An analysis of the existing data extracted from the records made on the SClinico platform, in order to obtain a picture of the current population. In addition, a questionnaire was carried out with tissue viability specialist nurses who work in different professional contexts, in order to obtain a broader view of nurses' opinions on a variety of topics related to the care of the person with a wound. Consequently, it was possible to recognize that there is a deficit in the wound assessment documentation, a lack of homogenization of the records and also the absence or lack of quality of indicators sensitive to nursing care. Objective: To improve the standardization of wound assessments on the SClinico platform of a group of health centers in the northern region of the country. We set concrete goals, such as increasing the rate of wound assessment records and implementing indicators sensitive to nursing care in all health centers in the cluster. Action Strategy: Based on the health planning methodology, a digital training model was developed in order to train and raise nurses’ awareness to the standardization of wound assessments. In this model, essential topics for the standardization of records were addressed, providing interactive and easily accessible resources. In addition, monitoring and evaluation mechanisms were established to measure the impact of training on standardizing wound records. Evaluation: Key performance indicators were created in order to be applied when implementing the proposed training model. Conclusion: Specific evaluation indicators were created to measure the success of the implementation of the proposed training model. These indicators would be applied during implementation and analyzed to assess the progress made. It is expected that the standardization of wound assessment records will result in an improvement in the quality of care provided to patients and in obtaining a more comprehensive view of the needs of the population in this area.

Date of Award	4 Dec 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Paulo Alves (Supervisor)