Organizational culture: prevention, treatment, and risk management of pressure injury

OBJECTIVES: To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care. METHODS: This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals. RESULTS: Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians. CONCLUSIONS: We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.