Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic

Salomé, Geraldo Magela; Dutra, Rosimar Aparecida Alves

doi:10.1590/0034-7167-2020-1219

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Brasil

Revista Brasileira de Enfermagem

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Brasil

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 1) • 2021 • https://doi.org/10.1590/0034-7167-2020-1219 copy

Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic

Prevención de lesiones faciales causadas por equipos de protección individual durante la pandemia de Covid-19

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

Develop and validate a leaflet to guide health professionals in preventive measures related to injuries caused by the use of personal protective equipment during the COVID-19 pandemic.

Methods:

For the construction of the brochure, an integrative review was carried out in the main databases. The evaluation of the leaflet was made by 59 health professionals (nurses, physiotherapists, and doctors), using the Delphi technique.

Results:

In the first evaluation cycle, the items in the brochure were considered by the judges to be “inadequate” to “adequate”; the Content Validity Index was 0.80-1.0. After the adjustments suggested by the judges were implemented, the leaflet was sent back to the second evaluation cycle, in which all items were considered “adequate”, resulting in a Content Validity Index of 1.0.

Conclusion:

The developed brochure has content validity and can assist health professionals in preventing injuries caused by the use of personal protective equipment the developed brochure has content validity and can assist health professionals in preventing injuries caused by the use of personal protective equipment.

Descriptors:
COVID-19; Pressure Ulcer; Equipment and Supplies; Personal Protective Equipment; Pandemics

First evaluation	Inadequate		Partially adequate		Adequate		Total
Questions	n	%	n	%	n	%	n	%
Is the content suitable for the target audience?	01	01.70	14	23.70	44	74.60	59	100.00
Is the text sequence logical and coherent?	00	00.00	12	20.30	47	79.700	59	100.00
Does the content facilitate learning?	01	01.70	13	22.00	45	76.3	59	100.00
Is the vocabulary accessible?	00	00.00	25	42.40	34	57.60	59	100.00
Is the language easy to assimilate?	00	00.00	28	47.50	31	52.50	59	100.00
Does the content answer questions about the topic?	00	00.00	06	10.20	53	89.80	59	100.00
Graphical presentation	00	00.00	13	22.00	46	78.00	59	100.00
Risk sites for the professional responsible for the development of injuries caused by the inappropriate use of personal protective equipment.	00	00.00	09	15.30	50	84.70	59	100.00
Types of injuries caused by improper use of personal protective equipment	00	00.00	10	16.90	49	83.10	59	100.00
Skin care before and after using personal protective equipment	00	00.00	12	20.30	47	79.70	59	100.00
Materials that promote an interface between personal protective equipment and the patient's skin, avoiding shear, pressure, and friction	00	00.00	09	15.30	50	84.70	59	100.00
Guidelines for cleaning and moisturizing the skin	00	00.00	22	37.30	37	62.70	59	100.00
Therapeutic approach to treat skin lesions caused by personal protective equipment	01	01.70	19	32.20	39	66.10	59	100.00
Second evaluation	Inadequate		Adequate		Totally adequate		Total
Questions	n	%	n	%	n	%	n	%
Is the content suitable for the target audience?	00	00.00	11	18.60	48	81.40	59	100.00
Is the text sequence logical and coherent?	00	00.00	12	20.30	47	79.70	59	100.00
Does the content facilitate learning?	00	00.00	009	15.30	50	84.70	59	100.00
Is the vocabulary accessible?	00	00.00	25	42.40	34	57.60	59	100.00
Is the language easy to assimilate?	00	00.00	28	47.50	31	52.50	59	100.00
Does the content answer questions about the topic?	00	00.00	06	10.20	53	89.80	59	100.00
Graphical presentation	00	00.00	13	22.00	46	78.00	59	100.00
Risk sites for the professional who develop injuries caused by the inappropriate use of personal protective equipment	00	00.00	09	15.30	50	84.70	59	100.00
Types of injuries caused by improper use of personal protective equipment	00	00.00	10	16.90	49	83.10	59	100.00
Skin care before and after using personal protective equipment	00	00.00	12	20.30	47	79.70	59	100.00
Materials that promote an interface between personal protective equipment and the patient's skin, avoiding shear, pressure, and friction	00	00.00	09	15.30	50	84.70	59	100.00
Guidelines for cleaning and moisturizing the skin	00	00.00	22	37.30	37	62.70	59	100.00
Therapeutic approach to treat skin lesions caused by personal protective equipment	00	00.00	10	16.90	49	83.10	59	100.00

Questions	Content Validity Index
Questions	First evaluation	Second evaluation
Is the content suitable for the target audience?	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.926	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Is the text sequence logical and coherent?	^ Content Validity Index between 0.80 to 0.90 - good. 0.88	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Does the content facilitate learning?	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.00	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Is the vocabulary accessible?	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.92	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Is the language easy to assimilate?	^ Content Validity Index between 0.80 to 0.90 - good. 0.88	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Does the content answer questions about the topic?	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.96	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Graphical presentation	^ Content Validity Index between 0.80 to 0.90 - good. 0.85	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Descriptions of places of risk for the professional who develop injuries caused by the inappropriate use of personal protective equipment	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.96	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Descriptions of the types of injuries caused by the inappropriate use of personal protective equipment	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.92	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Description of skin care before and after using personal protective equipment	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.96	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Description of materials that promote interface between PPE and the patient's skin avoiding shear, pressure, and friction	^ Content Validity Index between 0.80 to 0.90 - good. 0.89	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Guidelines for cleaning and moisturizing the skin	^ Content Validity Index between 0.80 to 0.90 - good. 0.80	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Therapeutic approach to treat skin lesions caused by personal protective equipment	^ Content Validity Index between 0.80 to 0.90 - good. 0.85	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0
Overall Content Validity Index	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 0.923	^* * Content Validity Index between 0.91, at 1.0 - excellent/ 1.0

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