Algorithms for the prevention and treatment of friction injury

For the construction of algorithms, an integrative literature review was conducted after searching SciELO, LILACS and MEDLINE databases. The algorithms were evaluated by 26 raters – 10 physicians and 16 nurses – using the Delphi technique. The results were analyzed by the Content Validity Index (CVI).

Results:

In the first evaluation cycle, the items of the algorithms were considered “inadequate” to “totally adequate” by the raters. After adjustments suggested by the raters, the algorithms were submitted to a second evaluation cycle, when all items were considered “adequate” or “totally adequate,” resulting in a content validity index of 1.0.

Conclusion:

The algorithms have valid content and can help health professionals in the evaluation, prevention and treatment of friction injuries.

Keywords
Skin; Friction; Wounds and injuries; Nursing assessment; Algorithms; Health education

#	Items evaluated	Inadequate		Partially adequate		Adequate		Fully adequate		CVI
		1st C	2nd C	1st C	2nd C	1st C	2nd C	1st C	2nd C	1st C	2nd C
		N	N	N	N	N	N	N	N	1st C	2nd C
1	Thematic content	0	0	0	0	10	10	16	16	0.932	1.00
2	Graphic presentation	0	0	1	0	6	6	19	20	0.962	1.00
3	Sequence of algorithms	0	0	3	0	6	6	17	20	0.885	1.00
4	Clarity and understanding	0	0	3	0	10	11	13	15	0.885	1.00
5	Definition of friction injury	0	0	1	0	5	5	20	21	0.962	1.00
6	Pre-dressing care	0	0	1	0	5	6	20	20	0.962	1.00
7	Definition of categories 1a and 1b	0	0	1	0	5	6	20	20	0.962	1.00
8	Types of coverage for injury 1a and 1b	0	0	1	0	6	6	19	20	0.962	1.00
9	Definition of categories 2a and 2b	0	0	0	0	4	4	22	22	0.944	1.00
10	Types of coverage for injury 2a and 2b	0	0	0	0	9	09	17	17	0.934	1.00
11	Definition of category 3	0	0	0	0	5	4	21	22	0.937	1.00
12	Types of coverage for injury 3	0	0	1	0	9	10	16	16	0.962	1.00
13	Risk factors	0	0	2	0	3	4	21	22	0.923	1.00
14	Preventive measure with the presence of risk factors	0	0	2	0	8	10	16	16	0.923	1.00
15	Preventive measure without risk factors	1	0	3	0	7	8	15	18	0.846	1.00

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author Geraldo Magela Salomé E-mail: salomereiki@univas.edu.br