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Organizational culture: prevention, treatment, and risk management of pressure injury

Cultura organizacional: prevención, tratamiento y gestión de riesgos de la úlcera por presión

ABSTRACT

Objectives:

To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care.

Methods:

This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals.

Results:

Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians.

Conclusions:

We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.

Descriptors:
Risk Management; Patient Safety; Organizational Culture; Nursing Care; Pressure Injury

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