Nursing process in patients with chronic wound in primary and secondary care: scoping review
DOI:
https://doi.org/10.33233/eb.v22i3.5423Keywords:
ambulatory care, primary health care, wounds and injuries, nursing processAbstract
Objective: To identify the implementation of the nursing process in the care of patients with wounds in primary and secondary health care. Methods: Scoping review whose studies were selected in databases: Lilacs, BDENF, IBECS, CUMED, CINAHL, Medline (via Pubmed), EMBASE, Scopus y Science Direct. Results: Nine studies were analyzed, 66.7% in primary healthcare and 33.3% in secondary healthcare settings. The nursing process was not fully implemented in these services, and no study described the five steps. Five studies reported that care and execution of dressings were carried by nursing technicians. The nursing process documentation and record were not described in the studies. Conclusion: Fragmentation and empirical, uncoordinated execution of the nursing process were evident in the selected studies. Knowing the scenario of nursing care regarding procedures carried out in patients with wounds is essential for reflection and changes in practices oriented toward improving care quality.
References
Ribeiro GC, Padoveze MC. Nursing Care Systematization in a basic health unit: perception of the nursing team. Rev Esc Enferm USP. 2018;52(e03375):1-7. doi: 10.1590/S1980-220X2017028803375
Wanzeler KM, Bastos LBR, Cruz AB, Silva NP, Souza SPC, Bastos DAS. Sistematização da Assistência de Enfermagem (SAE) na atenção primária à saúde. Revista Eletrônica Acervo Saúde. 2019;35(e1486):1-7. doi: 10.25248/reas.e1486.2019
Russel D, Dowsett C, Fatoye F, Gardner S, Green J, Manu C, et al. Using a modified Delphi methodology to gain consensus on the use of dressings in chronic wounds management. J Wound Care. 2018;27(3):156-65. doi: 10.12968/ jowc.2018.27.3.156
Vendruscolo C, Ferraz F, Tesser CD, Trindade LL. Family health support center: an intersection between primary and secondary health care. Texto Contexto Enferm. 2019;28:e20170560. doi: 10.1590/1980-265X-TCE-2017-0560
Paixão LSS, Mendonça RP. Challenges of nurses in front of the applicability of nursing care systematization: integrative review. Saúde Coletiva. 2021;67(11):6877-82. doi: 10.36489/saudecoletiva.2021v11i67p6877-6888
Moreira RC, Silva MA, Freitas JLC, Oliveira MM, Andrade SN, Rodrigues RN. Nursing and the prevention of pressure injuries in primary care: an integrative literature review. Rev Enferm Atual In Derme. 2021;95(33):e-021021. doi: 10.31011/reaid-2021-v.95-n.33-art.784
Azevedo OA, Cruz DALM. Quality indicators of the nursing process documentation in clinical practice. Rev Bras Enferm. 2021;74(3):e20201355. doi: 10.1590/0034-7167-2020-1355
Costa AS, Dias RBF, Cerqueira JCO, Peixoto RCBO. The nursing process in the primary attention of a municipality of Alagoas, Brazil. Rev Enferm Atenção Saúde. 2018;7(1):143-51. doi: 10.18554/reas.v7i1.1678
Fermo VC, Alves TF, Boell JE, Tourinho FSV. Nursing consultation in coping with COVID-19: experiences in primary health care. Rev Eletr Enferm. 2021;23(65893):1-7. doi: 10.5216/ree.v23.65893
JBI. The Joanna Briggs Institute. Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews. [Internet], 2015 [citado 2022 out 20]. Disponível em: https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/Scoping-.pdf
Santos IV, Andrade LNV, Lopes MP. Aspects related to the structure of the primary care for Treatment of patients with wounds. Recife: Rev Enferm UFPE on line. 2012;6(10):2433-40. doi: 10.5205/reuol.3111-24934-1-LE.0610201214
Reis DB, Peres GA, Zuffi FB, Ferreira LA, Poggetto MTD. Cuidados as pessoas com Úlcera venosa: percepção dos enfermeiros da Estratégia de Saúde da Família. Rev Min Enferm. 2013;17(1):101-6. doi: 10.5935/1415-2762.20130009
Santos ICRV, Souza MAO, Andrade LNV, Lopes MP, Silva MFAB, Santiago RT. Caracterização do atendimento de pacientes com feridas na Atenção Primária. Rev Rene. 2014;15(4):613-20. doi: 10.15253/2175-6783.2014000400008
Rodrigues CT, Camacho ACLF. Nursing record of dressings of venous ulcers in the basic attention. Rev Enferm UFPE on line. 2015;9(2):526-32. doi: 10.5205/reuol.7028-60723-1-SM.0902201506
Oliveira FP, Oliveira BGRB, Santana RF, Silva BP, Candido JSC. Nursing interventions and outcomes classifications in patients with wounds: cross-mapping. Rev Gaúcha Enferm. 2016;37(2):e55033. doi: 10.1590/1983-1447.2016.02.55033
Oliveira FP, Santana RF, Silva BP, Candido JSC, Tosin MHS, Oliveira BGRB. Nursing diagnoses in ambulatory care for wound patients: cross-mapping. Rev Enferm UERJ. 2017;25:e20028. doi: 10.12957/reuerj.2017.20028
Ribeiro DFS. Gestão do cuidado a usuários com feridas crônicas na Atenção Básica. REAID [Internet]. 2019 [citado 2021 jun 21];90(28):1-7. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/503/569
Tristão FR, Girondi JBR, Hammerschmidt AKS, Zamprogna KM, Soares CF, Evaristo SM, et al. Nursing care practices in primary health care: elderly people’s skin care management. Cogitare Enferm. 2020;25:e65223. doi: 10.5380/ce.v25i0.65223
Souza E, Rodrigues NH, Silva LGA, Silva DM, Oliveira SG, Souza LM. Evaluation and treatment of pressure ulcers in the family health strategy. Rev Enferm UFPE on line. 2020;14:e243522. doi: 10.5205/1981-8963.2020.243522
Santos GL, Santana RF, Sousa AR, Valadares GV. Sistematização da assistência de enfermagem: compreensão à luz de seus pilares e elementos constituintes. Enferm Foco. 2021;12(1):168-73. doi: 10.21675/2357-707X.2021.v12.n1.3993
Gray TA, Rhodes S, Atkinson RA, Rothwell K, Wilson P, Dumville JC, et al. Opportunities for better value wound care: a multiservice, cross-sectional survey of complex wounds and their care in a UK Community population. BMJ Open. 2018; 8:e019440. doi: 10.1136/ bmjopen-2017-019440
Sehnem GD, Busanello J, Silva FM, Poll MA, Borges TAP, Rocha EN. Difficulties faced by nurses in nursing care for individuals with wounds. Cienc Cuid Saúde. 2015;14(1):839-46. doi: 10.4025/cienccuidsaude.v14i1.20949
Solongo KC, Duro KLM, Paz PO, Ferla AA, Duarte ERM, Kaiser DE. Performance de enfermeiras alicerçada no trabalho colaborativo e em redes de atenção no cuidado de pessoas com lesão de pele. Saúde Redes. 2020;6(2):53-66. doi: 10.18310/244648132020v6n2.2400g512
Christie J, Gray TA, Dumville JC, Cullum NA. Do systematic reviews address Community healthcare professionals' wound care uncertainties. Results from evidence mapping in wound care. PLoS One. 2018;13(1):e0190045. doi: 10.1371/journal.pone.0190045
Monaro S, Pinkova J, Ko N, Stromsmoe N, Gullick J. Chronic wound care delivery in wound clinics, community nursing and residential aged care settings: A qualitative analysis using Levine’s Conservation Model. J Clin Nurs. 2021;30:1295-1311. doi: 10.1111/jocn.15674
Dufour E, Duhoux A, Contandriopoulos D. Measurement and validation of primary care nursing indicators based on a wound care tracer condition. J Nurs Care Qual. 2019;35(1):63-9. doi: 10.1097/NCQ.0000000000000403
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