Educação permanente em saúde no cuidado ao cliente com lesão por pressão e dermatite associada à incontinência

Abstract

Introduction: The permanent education in health is understood as a teaching-learning practice in the work, in the daily life of the institutions. This education seeks to concretize the ideology of the SUS regarding undivided attention to the health care of the population with improvements in the practices of health care provided. In addition, this education is based on dialogue and problematization of educational processes, with the aim of reflecting on the actions developed by the actors. For the prevention of skin lesions and reduction of their incidence, the team should be part of educational processes based on scientific evidence. Among the most prevalent lesions in the hospital facility, pressure ulcer, and incontinence-associated dermatitis stand out, as well as, these lesions have a correlation with each other, hence if one of them is not properly treated it can aggravate the other. The National Patient Safety Policy considers the occurrence of pressure ulcer as an adverse event to health care and regulates that all institutions implement strategies to prevent such injury to clients. Objective: Developing permanent health education for the nursing teams of the Medical Clinic of a University Hospital in Dourados - MS regarding health care related to pressure ulcer and incontinence-associated dermatitis. Methods: This consisted of an intervention study developed in two stages. In the first stage, an observational study was developed with a quantitative approach, and an educational intervention with a qualitative approach was carried out. The subjects of the study were the nursing staff of the Medical Clinic of HU-UFGD/ Ebserh, with fifty participants in the first stage and eight in the second stage. In the educational meetings, diverse teaching strategies were adopted, being used as a reference for the implementation of these in the Methodology of Problematization with the Maguerez’s Arch proposed by Berbel. The meetings were also based on the theoretical assumptions of Paulo Freire and the National Policy on Permanent Health Education. Subsequently, the statements, evaluative writings, and notes of the field diaries were categorized according to Bardin and analyzed according to the Paulo Freire’s benchmark. Finally, as a result of the educational process conducted, a technical educational production was elaborated with the title – An educational handbook for the health care of the adult client with pressure ulcer and incontinence-associated dermatitis: subsidies for educational activities, built according to Elizabeth Teixeira’s reference. Results: In the face of the whole course of the study, it can be seen that the educational meetings developed were successful, since, through the analysis of the findings, there was an active participation of the subjects during the meetings, a fruitful dialogue on the actions taken up to the moment and reflection on the care practices provided to clients. Final considerations: The educational process implemented reached its objectives, where the participants reported the understanding of the information on pressure ulcer and incontinence-associated dermatitis, as well as, showed interest in deepening knowledge about these lesions. The meetings were permeated by dialogue and reflection on actions. Furthermore, it was noticed that the group mobilized to improve the assistance provided, where new information was put into practice soon after the meetings. The constructed educational technology aims to promote educational processes on pressure injury and incontinence-associated dermatitis, as well as contribute to the improvement of health services since this material can be used to consult professionals about these injuries.