Knowledge translation for nursing care for patients with Risk of perioperative positioning injury: A case report

• Published in: International journal of nursing knowledge 2023-10, Vol.34 (4), p.247-253
• Main Authors: Bjorklund‐Lima, Luciana, Müller‐Staub, Maria, Rejane Rabelo‐Silva, Eneida
• Format: Article
• Language: English
• Subjects: Care plans; Case reports; Classification; Clinical medicine; Clinical nursing; Health care; Injuries; Intervention; Medical diagnosis; Nursing care; Patient positioning; Patients; Perioperative care; Positioning; Pressure ulcers; Professional practice; Professional training; Risk factors; Standardization; Surgery; Teams; Technicians; Translation
• ISSN: 2047-3087; 2047-3095
• DOI: 10.1111/2047-3095.12398

PurposeThe aim was to apply the Advanced Nursing Process and demonstrating procedures of surgical positioning, as well as to show the participating the Nursing Outcomes Classification findings in order to translate the knowledge on specific preventive perioperative positioning into practice, the review of clinical protocols and nursing care plan.MethodsThe methods used include case report about knowledge translation by applying training modalities, review and adaptation of clinical protocols and examination of nursing care plans.FindingsOne hundred and nine healthcare providers attended the training, including nurses and nursing technicians working in the surgical center and the outpatient surgical center of the hospital chosen for this study. The surgical positioning protocols were revised based on the evidence described in the literature and the main surgical guidelines. The review of care registered in the institution's electronic system for the nursing prescription stage of the diagnosis Risk of perioperative positioning injury was based on the review on evidence on risk factors, the main guidelines in the area and the interventions suggested by Nursing Intervention Classification. The electronic system had registered 14 cares for this diagnosis, and after the review, one care was excluded and eight new cares were included, totaling 21 cares.ConclusionNursing teams play a prominent role in positioning patients for surgery, protecting them in a moment of extreme vulnerability, thus making knowledge about the fundamental elements of surgical positioning essential. This emphasizes the importance of training, and of reviewing protocols and records of procedures that promote safety to patients and care teams.Implication for nursing practiceThe translation of knowledge about the Advanced Nursing Process in the perioperative area contributes to the refinement of classifications and standardization of language in this scenario, subsidizing an evidence‐based clinical practice.