NURSING PROFESSIONALS TRAINING IN THE CLINICAL MANAGEMENT OF DIFFICULT-TO-HEAL WOUNDS
Wounds and Injuries; Healing; Permanent Education; Nursing.
Introduction: the assessment of people with chronic wounds, nowadays called complex or difficult to heal, requires a careful look from health professionals, especially from nursing, with a view to minimizing the repercussions. For this, it is essential to use educational, problematizing strategies that favor the safe and effective management of different types of wounds. Nurses and nursing technicians report having superficial knowledge on the subject, which implies broader healing processes, financial burden, lower bed turnover and greater risk of infection. Objective: to structure a training course for nursing professionals regarding the clinical management of difficult-to-heal wounds. Methodological path: this is a qualitative research of the case study type. The research took place at the University Hospital Onofre Lopes, in the year 2022, between the months of June and October. The study population consisted of nurses and nursing technicians who assist people with wounds in the inpatient units of the aforementioned hospital. Data were analyzed based on the precepts of content analysis, in the thematic modality, proposed by Laurence Bardin. Results: it was possible to identify strengths and weaknesses about nursing care for people with wounds, in addition to creating a proposal for a course for managing wounds that are difficult to heal. The variety of coverages and the autonomy and competence of the dressing committee were the main factors identified as facilitators in the care process. However, difficult points were also pointed out by the participants, such as fragmented continuing education, lack of knowledge about the inputs and their proper use, the reduced staff dimensioning combined with non-participatory management. Conclusion: the structuring of the course on managing difficult-to-heal wounds was carried out and, through content analysis, it was possible to identify several factors that impact nursing care in this context. With this, it is expected that the identified factors will be considered by management and professionals in the perspective of transforming the scenario of action, increasing the quality of care offered to people with wounds, optimizing processes and reducing costs.