Banca de DEFESA: SÂMIA JAMYLLE SANTOS DE AZEVEDO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SÂMIA JAMYLLE SANTOS DE AZEVEDO
DATE: 27/08/2025
TIME: 14:00
LOCAL: Sala de Reunião do Departamento de Saúde Coletiva
TITLE:

IMPROVEMENT CYCLE IN PRESSURE INJURY PREVENTION IN THE INTENSIVE CARE UNIT

KEY WORDS:

Pressure Injury; Critical Care; Patient Safety; Quality Improvement.

PAGES: 51
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: The occurrence of adverse events is still high, with Pressure Injury (PI) being one of the most prevalent in health services. Patients in Intensive Care Units (ICUs) are at an elevated risk of developing PIs compared to those in other hospital units. Therefore, a quality improvement cycle in the PI prevention process is highly relevant and essential for promoting safe and excellent patient care. Objective: To develop a quality improvement cycle for the prevention of PI in the adult ICU of a university hospital in northeastern Brazil. Methodology: This is a quantitative, quasi-experimental, before-and-after study without a control group, developed through the application of a quality improvement cycle, following the Standards for Quality Improvement Reporting Excellence 2.0 (SQUIRE) guidelines. The population consisted of 80 patients, with 40 assessed in the first stage (before the interventions) and 40 in the second stage (after the interventions). The study was conducted from January 2024 to June 2025. The improvement estimate between the initial assessment and the reassessment was calculated considering the absolute and relative improvements for each criterion. To verify the statistical significance of the improvement, a one-tailed hypothesis test was applied by calculating the Z-score, considering the null hypothesis as the absence of improvement, which was rejected when the p-value was less than 0.05. The research was approved by the Research Ethics Committee (REC) under protocol number 6.923.839. Results: During the reassessment, it was observed that all criteria showed an increase in the percentage of compliance when comparing the results of the assessments before and after the interventions. Criteria C1, C3, C4, C5, C6, and C7 were statistically significant, demonstrating the effectiveness of the implemented interventions. Criterion C2, however, did not show statistical significance, indicating that its improvement was not related to the interventions. Conclusions: It is concluded that the quality improvement cycle is an effective tool for qualifying health services, promoting patient safety and excellence in care. The interventions implemented in this study contributed to the enhancement of the team's practices in the ICU. To consolidate these advances and ensure sustainable results, the continuity of improvement actions, investment in continuing education, and adaptation of strategies to the particularities of the intensive care environment are fundamental.

COMMITTEE MEMBERS:
Presidente - ***.321.701-** - VIVIANE PEIXOTO DOS SANTOS PENNAFORT - UECE
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externa à Instituição - SUSANA CECAGNO - UFPel