Banca de DEFESA: KAREN VALESSIA DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : KAREN VALESSIA DA SILVA
DATE: 10/03/2026
TIME: 09:00
LOCAL: Google Meet
TITLE:

IMPROVEMENT OF THE QUALITY OF CARE FOR OLDER ADULTS AT RISK OF PRESSURE INJURY IN AN INTENSIVE CARE UNIT

KEY WORDS:

Patient Safety; Pressure Injury; Older Adult; Quality Improvement; Nursing Care.

PAGES: 39
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: The increase in the elderly population in Brazil will result in greater demand for healthcare services. Pressure injury (PI) is considered one of the main preventable harms related to healthcare, arising from prolonged patient hospitalization and associated with risk factors and clinical conditions. Objective: To evaluate the effect of a quality improvement cycle on the effectiveness of care for older adults at risk of pressure injury in an intensive care unit. Methodology: This is a quasi-experimental before-and-after study, without a control group, using a quantitative-qualitative approach, through the implementation of a quality improvement cycle in an adult intensive care unit during the 2024/2025 biennium at a hospital in northeastern Brazil. The study was conducted following the Standards for Quality Improvement Reporting Excellence 2.0 (SQUIRE) guidelines. Seven quality criteria were defined to assess the structure and process of care for patients at risk of pressure injury. The population consisted of 60 participants, with 30 assessed before the interventions and 30 assessed after the interventions. Data collection was performed through medical records and bedside visits, using the Braden Scale to assess patient risk, checking the prescription of nursing care according to the assessed risk, and verifying the implementation of prescribed care. Ethical principles outlined in Resolution No. 510/16 were preserved. To verify the statistical significance of the improvement, a one-tailed hypothesis test was applied by calculating the Z value, considering the null hypothesis as the absence of improvement, rejected when p < 0.05. The study was approved by the Research Ethics Committee under opinion number 7,519,772. Results: During the reassessment, all process criteria C4, C5, C6, and C7 showed an increase in the compliance percentage when comparing pre- and post-intervention evaluations. These criteria were statistically significant, demonstrating the effectiveness of the implemented interventions. Conclusions: The quality improvement cycle proved to be an effective and tangible tool for enhancing healthcare quality, promoting patient safety, and pursuing excellence in care. The interventions developed and implemented in this study contributed to the advancement and improvement of the care practices of the ICU team. Continuity of improvement actions, the effectiveness of ongoing education, and data management are essential to consolidate these advances and ensure sustainable outcomes.

COMMITTEE MEMBERS:
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Externa à Instituição - SUSANA CECAGNO - UFPel
Presidente - 2374850 - THAIZA TEIXEIRA XAVIER NOBRE