Prevention of corneal injuries in critically ill patients: a proposal for standardizing nursing care in the Intensive Care Unit.
Intensive care unit; Nursing; Corneal injury; Prevention; Patient safety.
Intensive Care Unit (ICU) patients are at high risk of developing corneal injuries, mainly due to ocular exposure associated with sedation, mechanical ventilation, and neurological impairment. Such complications may cause irreversible damage, compromising patients’ quality of life after hospital discharge. This study aims to develop and implement an improvement plan to standardize nursing eye care in the ICU, aiming to prevent corneal injuries and promote critical patient safety. This is an action research study, with a qualitative approach, to be carried out in the adult ICU of the University Hospital Alcides Carneiro (HUAC), involving nursing professionals and critically ill patients as indirect participants. Structured forms, direct observation of nursing practice, and medical record analysis will be used to identify risks, interventions, and gaps in ophthalmic care. With the implementation of protocols and staff training, it is expected to reduce the incidence of corneal injuries, strengthen standardized nursing practices, optimize patient safety, and contribute to the preservation of visual acuity.