Abstract
Objective: To verify interobserver agreement on wound evaluation using the TIME tool. Methods: Exploratory, nonexperimental study with cross-sectional design and quantitative approach. The population consisted of undergraduate students from the eighth, ninth and tenth periods of the baccalaureate nursing course, enrolled in the second semester of 2018. An expositive-dialogued class about the TIME tool was prepared and presented to the participants. The students were directed to the teaching hospital for socialization of clinical cases and individual evaluation of ten skin lesions with different clinical characteristics in the hospitalized patient, using the TIME tool. To identify the agreement between the students, when using the TIME tool, the Kappa agreement coefficient was used. Results: The number of undergraduates who were attending the ninth period of the course (80%), female (80%), and average age (23.2 years) prevailed. Considering the Kappa classification, there was excellence (K = 1.0) in interobserver agreement in all stages of the TIME tool. Conclusion: It is inferred that the TIME tool ensures agreement in the evaluation of wounds among nursing undergraduates who are attending the last course periods, and may contribute to improving the quality of nursing care.
Highlights
The nursing care to the client with a wound integrates the daily routine of the team in all levels of health care, in the public or private network, demanding from the professional nurse scientific knowledge and ability in face of the most diverse aspects related to prevention, evaluation and treatment of an injury
The number of undergraduates that were attending the ninth period of the nursing course (80%), female (80%) and average age of 23.2 years prevailed
A cross-sectional study conducted with a universe of 1.8 million nursing professionals, whose objective was to draw the profile of the nursing team in Brazil, showed that, in the whole country, 86.2% (357,551) of nursing professionals belong to the female sex
Summary
The nursing care to the client with a wound integrates the daily routine of the team in all levels of health care, in the public or private network, demanding from the professional nurse scientific knowledge and ability in face of the most diverse aspects related to prevention, evaluation and treatment of an injury. In order to determine the proper conduct, a reliable evaluation of the wound is necessary, with the aim of raising as many factors as possible that may interfere in the healing process and, in the client’s recovery.Recently,the Brazilian Federal Council of Nursing approved the Resolution 567/2018, which regulates the nursing team’s performance in the care of patients with wounds, expanding the performance of this professional in the area in question[2,3,4]. A study carried out in a hospital in Paraíba showed that nurses have limitations in knowledge and practical fragilities to evaluate the lesions and the patient, and indicate the coverage and type of dressing to be used in the control of signs and symptoms of lesions[5]
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