ABSTRACT
BACKGROUND: Nursing checklists have been shown to improve communication, reduce the occurrence of adverse events, and promote safe, quality care in different care settings. However, to date, there is no validated patient care safety checklist for nurses caring for infants in Neonatal Intensive Care Units (NICU). AIM: To describe development and content validation of the "Safe Nursing Care Checklist for Infants Hospitalized in the Neonatal Intensive Care Unit". STUDY DESIGN: Online Survey. METHODS: Based upon an integrative literature review, we developed a checklist focused on safe nursing care for infants in the NICU. Nursing experts participated in three rounds of a content validation process where they rated the items online. An agreement level ≥0.90 was required for inclusion in the checklist. Forty- three expert nurses with experience working in the NICU and who were certified in neonatal nursing or had a master's or doctoratal degree in child health provided content validation of the patient care checklist. RESULTS: The final checklist contained 45 items with content validation index scores greater than 90%. The instrument was structured into six dimensions including patient identification, effective communication, medication safety, infection prevention, fall prevention, and pressure injuries/skin injuries prevention. CONCLUSION: Content validity was established for the "Safe Nursing Care Checklist for Infants Hospitalized in the Neonatal Intensive Care Unit" which can identify strengths and weaknesses in safe nursing care for infants in the NICU as well as direct educational interventions to promote nursing care based on scientific evidence. RELEVANCE TO CLINICAL PRACTICE: This checklist can potentially be used by bedside nurses to promote provision of safe care to infants in the NICU and to guide corrective strategies and encourage evidence-based decision-making. Validation in the clinical setting is needed.
Subject(s)
Checklist , Neonatal Nursing , Infant, Newborn , Infant , Child , Humans , Intensive Care Units, Neonatal , Surveys and Questionnaires , CommunicationABSTRACT
OBJECTIVE: to describe the main evidence available in the literature on safe practices in the prevention and care of skin lesions in newborns admitted to Neonatal Intensive Care Units. METHODS: integrative literature review in the PubMed, BDENF, LILACS, MEDLINE, SciELO and Cochrane Library databases between 2013 and 2018. We included primary articles on: lesion prevention and skin care in newborns in Portuguese, English or Spanish and excluded editorials, thesis, dissertations and duplicate articles. For the evidence level, we used the Melnyk and Fineout-Overholt classification, which classifies studies between weak to strong evidence. RESULTS: a total of 10 articles with moderate to weak evidence on thermoregulation, bathing, lesion prevention, use of patches and skin antisepsis. FINAL CONSIDERATIONS: there was a shortage of publications with high evidence, and it is necessary to invest in research that seeks to support safer skin care practices.
Subject(s)
Hospitalization , Patient Safety , Humans , Infant, Newborn , SkinABSTRACT
ABSTRACT Objective: to describe the main evidence available in the literature on safe practices in the prevention and care of skin lesions in newborns admitted to Neonatal Intensive Care Units. Methods: integrative literature review in the PubMed, BDENF, LILACS, MEDLINE, SciELO and Cochrane Library databases between 2013 and 2018. We included primary articles on: lesion prevention and skin care in newborns in Portuguese, English or Spanish and excluded editorials, thesis, dissertations and duplicate articles. For the evidence level, we used the Melnyk and Fineout-Overholt classification, which classifies studies between weak to strong evidence. Results: a total of 10 articles with moderate to weak evidence on thermoregulation, bathing, lesion prevention, use of patches and skin antisepsis. Final considerations: there was a shortage of publications with high evidence, and it is necessary to invest in research that seeks to support safer skin care practices.
RESUMEN Objetivo: describir la principal evidencia disponible en la literatura sobre prácticas seguras en la prevención y atención de lesiones cutáneas en recién nacidos ingresados en Unidades de Cuidados Intensivos Neonatales. Métodos: revisión integradora de la literatura en las bases de datos PubMed, BDENF, LILACS, MEDLINE, SciELO y Cochrane Library entre 2013 y 2018. Incluimos artículos primarios sobre: prevención de lesiones y cuidado de la piel en recién nacidos, en portugués, inglés o español y excluimos editoriales, tesis, disertaciones y artículos duplicados. Para el nivel de evidencia, utilizamos el modelo de Melnyk y Fineout-Overholt, que clasifica los estudios entre evidencia débil a fuerte. Resultados: inclusión de diez artículos con evidencia moderada a débil sobre termorregulación, baño, prevención de lesiones, uso de parches y antisepsia de la piel. Consideraciones finales: hubo una escasez de publicaciones con evidencia fuerte, y es necesario invertir en investigaciones que busquen apoyar prácticas más seguras para el cuidado de la piel.
RESUMO Objetivo: descrever as principais evidências disponíveis na literatura sobre as práticas seguras na prevenção e cuidado com as lesões cutâneas em recém-nascidos internados em Unidades de Terapia Intensiva Neonatal (UTIN). Método: revisão integrativa da literatura nas bases de dados PubMed, BDENF, LILACS, MEDLINE, SciELO e Cochrane Library, entre 2013 e 2018. Foram incluídos artigos primários sobre: prevenção de lesão e cuidados com a pele em recém-nascidos, em português, inglês ou espanhol e excluídos editoriais, teses, dissertações e artigos duplicados. Para o nível de evidência, foi utilizado o modelo de Melnyk e Fineout-Overholt, que classifica os estudos entre evidência fraca a forte. Resultados: inclusão de dez artigos com evidência moderada a fraca sobre a termorregulação, o banho, a prevenção de lesões, o uso de adesivos e antissepsia da pele. Considerações finais: foi observada escassez de publicações com evidência alta, sendo necessário investir em pesquisas que busquem subsidiar práticas mais seguras de cuidados com a pele.
ABSTRACT
ABSTRACT Objective: to describe the main evidence available in the literature on safe practices in the prevention and care of skin lesions in newborns admitted to Neonatal Intensive Care Units. Methods: integrative literature review in the PubMed, BDENF, LILACS, MEDLINE, SciELO and Cochrane Library databases between 2013 and 2018. We included primary articles on: lesion prevention and skin care in newborns in Portuguese, English or Spanish and excluded editorials, thesis, dissertations and duplicate articles. For the evidence level, we used the Melnyk and Fineout-Overholt classification, which classifies studies between weak to strong evidence. Results: a total of 10 articles with moderate to weak evidence on thermoregulation, bathing, lesion prevention, use of patches and skin antisepsis. Final considerations: there was a shortage of publications with high evidence, and it is necessary to invest in research that seeks to support safer skin care practices.
RESUMEN Objetivo: describir la principal evidencia disponible en la literatura sobre prácticas seguras en la prevención y atención de lesiones cutáneas en recién nacidos ingresados en Unidades de Cuidados Intensivos Neonatales. Métodos: revisión integradora de la literatura en las bases de datos PubMed, BDENF, LILACS, MEDLINE, SciELO y Cochrane Library entre 2013 y 2018. Incluimos artículos primarios sobre: prevención de lesiones y cuidado de la piel en recién nacidos, en portugués, inglés o español y excluimos editoriales, tesis, disertaciones y artículos duplicados. Para el nivel de evidencia, utilizamos el modelo de Melnyk y Fineout-Overholt, que clasifica los estudios entre evidencia débil a fuerte. Resultados: inclusión de diez artículos con evidencia moderada a débil sobre termorregulación, baño, prevención de lesiones, uso de parches y antisepsia de la piel. Consideraciones finales: hubo una escasez de publicaciones con evidencia fuerte, y es necesario invertir en investigaciones que busquen apoyar prácticas más seguras para el cuidado de la piel.
RESUMO Objetivo: descrever as principais evidências disponíveis na literatura sobre as práticas seguras na prevenção e cuidado com as lesões cutâneas em recém-nascidos internados em Unidades de Terapia Intensiva Neonatal (UTIN). Método: revisão integrativa da literatura nas bases de dados PubMed, BDENF, LILACS, MEDLINE, SciELO e Cochrane Library, entre 2013 e 2018. Foram incluídos artigos primários sobre: prevenção de lesão e cuidados com a pele em recém-nascidos, em português, inglês ou espanhol e excluídos editoriais, teses, dissertações e artigos duplicados. Para o nível de evidência, foi utilizado o modelo de Melnyk e Fineout-Overholt, que classifica os estudos entre evidência fraca a forte. Resultados: inclusão de dez artigos com evidência moderada a fraca sobre a termorregulação, o banho, a prevenção de lesões, o uso de adesivos e antissepsia da pele. Considerações finais: foi observada escassez de publicações com evidência alta, sendo necessário investir em pesquisas que busquem subsidiar práticas mais seguras de cuidados com a pele.
