Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

• DOI: 10.1590/1518-8345.2912.3261
• Publication Date: 2020-05-12T01:32:45Z
• Authors: Francisca Carolin...; Maria Cristina So...
• Keywords: Male; Medição de Risco; Cuidados de Enfermagem; Hospitals, Rehabilitation; Operative Time; RT1-120; Nursing; Risk Assessment; Patient Positioning; 03 medical and health sciences; Risk Factors; Perioperative Nursing; Posicionamento do Paciente; Humans; Longitudinal Studies; Intraoperative Complications; Atención de Enfermería; Ferimentos e Lesões; Seguridad del Paciente; Middle Aged; Segurança do Paciente; Posicionamiento del Paciente; 3. Good health; Enfermería Perioperatoria; Heridas y Lesiones; Wounds and Injuries; Nursing Care; Original Article; Female; Patient Safety; 0305 other medical science; Medición de Riesgo; Enfermagem Perioperatória

Objective: to validate the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning in the stratification of risk for injury development in perioperative patients at a rehabilitation hospital. Method: analytical, longitudinal and quantitative study. An instrument and the scale were used in the three perioperative phases in 106 patients. The data were analyzed using descriptive and inferential statistics. Results: most patients showed high risk for perioperative injuries, both in the scale score with estimated time and in the real-time score, with a mean of 19.97 (±3.02) and 19.96 (±3.12), respectively. Most participants did not show skin lesions (87.8%) or pain (92.5%). Inferential analysis enabled us to assert that the scale scores are associated with the appearance of injuries resulting from positioning, therefore, it can adequately predict that low-risk patients are unlikely to have injuries and those at high risk are more likely to develop injuries. Conclusion: the scale validation is shown by the association of scores with the appearance of injuries, therefore, it is a valid and useful tool, and it can guide the clinical practice of perioperative nurses in rehabilitation hospitals in order to reduce risk for injuries due to surgical positioning.