Implementation of the Munro Scale for Perioperative Pressure Injury Risk Assessment
DOI:
https://doi.org/10.5327/Z1414-4425202227784Keywords:
Risk assessment, Perioperative nursing, Pressure ulcer, Electronic health recordsAbstract
Objective: To describe the implementation of the Munro scale in electronic medical records to assess the risk of pressure injury in patients in the perioperative period. Method: Experience report on the process of implementing the Munro scale electronic system in a large philanthropic hospital located in the city of São Paulo, with 40 nurses. Results: The Munro scale was implemented in the electronic medical record, with a quick view of its result in safety alerts on the surgical map panel. To use the technique, 40 nurses were trained in two stages: in the distance learning modality and in person, when they followed its application. Three of these professionals required one more day of follow-up and five had queries about the applicability criteria after training. Conclusion: The implementation of the Munro scale was completed in the proposed primary unit, and the systematic risk determination and implementation of preventive measures contributed to avoid perioperative pressure injuries. The electronic system provided agility for implementation, and the alerts and visualization on a surgical map improved communication with the team in the identification of risk; there were few queries about the process or any items of the scale.
References
Burlingame BL. Guideline implementation: positioning the patient. AORN J. 2017;106(3):227-37. http://doi.org/10.1016/j.aorn.2017.07.010
Peixoto CA, Ferreira MBG, Felix MMS, Pires PS, Barichello E, Barbosa MH. Risk assessment for perioperative pressure injuries. Rev Lat Am Enfermagem. 2019;27:e3117. http://doi.org/10.1590/1518-8345.2677-3117
Silva MEWB, Silva MLC, Nascimento YS, Silva AAS, Domingos DL, Lima ARM, et al. Lesões decorrentes do mal posicionamento cirúrgico do paciente: uma revisão integrativa. Braz J Health Review. 2021;4(5):20650-63. http://doi.org/10.34119/bjhrv4n5-173
Berwanger DC, Matos FGOA, Alves DCI, Oliveira JLC. Links between diagnostics, results and nursing interventions for patients in the transoperative period. Rev SOBECC. 2018;23(4):195-204. http://doi.org/10.5327/Z1414-4425201800040002
Munro CA. The development of a pressure ulcer risk-assessment scale for perioperative patients. AORN J. 2010;92(3):272-87. http://doi.org/10.1016/j.aorn.2009.09.035
Munro CA, Fawcett DL. Pressure ulcers in the OR: an update on the Munro Scale. [Internet] AORN Surgical Conference Expo 2014 [citado 09 Maio de 2022]. Disponível em: http://www.cmcgc.com/media/handouts/340329/0074_Update%20on%20Munro%20Scale.pdf
Tong L, Zhao M, Yang Y, Gao C, Wang Y, Yuan M, et al. Study on application of Munro adult operating room pressure ulcer risk assessment table in general anesthesia. Chongqing Medicine. 2018;(36):1336-9. http://doi.org/10.3969/j.issn.1671-8348.2018.10.011
Gül A, Sengul T, Yavuz HÖ. Assessment of the risk of pressure ulcer during the perioperative period: adaptation of the Munro scale to Turkish. J Tissue Viability. 2021;30(4):559-65. http://doi.org/10.1016/j.jtv.2021.06.009
Bruno R, Bertolino D, Garbarino E, Munro CA, Barisone M, Dal Molin A. Translation, cross-cultural adaptation, and validation of the Munro Scale in Italian. Wound Manag Prev. 2022;68(2):34-41. PMID: 35343919
Sousa CS. Tradução, adaptação cultural e validação da Munro scale para português do Brasil. REME Ver Min Enferm. 2021;25:e1404. http://doi.org/10.5935/1415-2762-20210052
Lei L, Zhou T, Xu X, Wang L. Munro pressure ulcer risk assessment scale in adult patients undergoing general anesthesia in the operating room. J Healthc Eng. 2022;2022:4157803. http://doi.org/10.1155/2022/4157803
Ferreira AMD, Oliveira JLC, Camillo NRS, Reis GAX, Évora YDM, Matsuda LM. Percepções dos profissionais de enfermagem acerca do uso da informatização para a segurança do paciente. Rev Gaúcha Enferm. 2019;40(spe):e20180140. http://doi.org/10.1590/1983-1447.2019.20180140
Aranha R, Horstmann B. O prontuário e o paciente digital. Rev Bras Geriatr Gerontol. 2019;22(3):e180151. http://dx.doi.org/10.1590/1981-22562019022.180221
Khong BPC, Goh BC, Phang LY, David T. Operating room nurses’ self-reported knowledge and attitude on perioperative pressure injury. Int Wound J. 2020;17(2):455-65. http://doi.org/10.1111/iwj.13295.
Aydın AK, Karadağ A, Gül Ş, Avşar P, Baykara ZG. Nurses' knowledge and practices related to pressure injury: a cross-sectional study. J Wound Ostomy Continence Nurs. 2019;46(2):117-23. http://doi.org/10.1097/WON.0000000000000517
Delmore B, Kent M. An educational implementation process staff survey: lessons learned. Adv Skin Wound Care. 2018;31(5):234-8. http://doi.org/10.1097/01.ASW.0000531353.31608.aa
The Joint Commission. National patient safety goals effective july 2020 for the Nursing Care Center Program. [Internet]. Goal 14 Prevent health care-associated pressure injuries. 2020 [citado em 09 de Maio de 2022]. Disponível em: https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2020/npsg_chapter_ncc_jul2020.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Cristina Silva Sousa, Andrea Alfaya Acunã
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.