Elisiane De Oliveira Machado
Hospital de Clínicas de Porto Alegre

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The Holistic Vision of Nursing in the Management of Friction Injuries Supported by the Nursing Interventions Classification Elisiane De Oliveira Machado; Gabriel Heinzmann Diniz; Juciane Aparecida Furlan Inchauspe; Marla Andrieli Carvalho Barbosa
Jurnal Vocational Nursing Sciences (VNUS) Vol 8 No 1 (2026): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v8i1.944

Abstract

The aging of the global population has led to an increasing incidence of skin tears (friction injuries) among hospitalized older adults, yet significant gaps in knowledge regarding prevention and holistic management of this condition persist among health professionals. This is a theoretical-reflective essay based on the academic and professional experiences of the authors, contextualized within the Brazilian nursing framework. No systematic inclusion/exclusion criteria were applied, and no delimited temporal scope was established, as the study draws upon theoretical foundations selected by the authors to address the topic comprehensively. The study identified three key risk factor domains for skin tears in older adults skin condition, mobility impairment, and general health status encompassing both intrinsic factors (age more than 60 years, polypharmacy, reduced skin turgor, impaired mobility) and extrinsic factors (inadequate bed linen, elevated headboard position, absence of a caregiver). A checklist tool was developed to enable systematic risk stratification (low, moderate, and high risk) and guide preventive nursing interventions aligned with the Nursing Interventions Classification (NIC) across four domains: basic physiological, complex physiological, behavioral, and safety. Holistic nursing care, grounded in structured assessment and evidence-based intervention, is essential to address skin tears in the elderly. The proposed checklist provides a simple, applicable tool to equip nurses, caregivers, and patients themselves for effective self-care and prevention of friction injuries in clinical and community settings.  
Contributions of Nursing to the Education and Promotion of Self-Care in Patients with Intestinal Ostomy: an Integrative Review Isadora Martins de Pereira; Taiane de Oliveira Vieira; Felipe Kohl Hemsing; Elisiane de Oliveira Machado; Rejane Silveira Campos; Tatiane Gomes da Rosa Coelho
Asy-Syifa : Journal of Science and Technology Nursing Vol. 4 No. 1 (2026): Asy-Syifa: Journal of Science and Technology Nursing
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/asyjstn.v4i1.988

Abstract

Purpose: To identify in the literature the contributions of nursing in the education and promotion of self-care for patients with intestinal ostomy. Methods: This study is an integrative literature review conducted between April and June 2025, using the following databases: Virtual Health Library (BVS) and PubMed. To refine the search for studies, the descriptors "ostomy", "nursing care", and "self-care" were used, combined with the Boolean operators AND and OR. The inclusion criteria were: articles related to primary studies, published between 2020 and 2025, available in national and international journals, and that addressed the guiding question. Duplicate articles, literature reviews, experience reports, editorials, articles requiring payment for open access, and studies not aligned with the aim of this review were excluded. The guiding question of the study was: What are the contributions of nursing professionals in the education and promotion of self-care for patients with intestinal ostomy? Results and Discussion: A total of 15 articles were included in this review. The studies showed that the education provided by nursing professionals in the pre- and post-operative periods has a positive impact on reducing complications, improving autonomy, and developing self-care. It was found that there are still deficiencies in providing nursing guidelines for patient preparation in the pre-operative period. The use of virtual technologies was highlighted as an important ally for continuity of care after discharge, as hospital stays are becoming increasingly shorter. Additionally, nursing care combined with psychological interventions helps in the physical, emotional, and social adaptation process for patients with intestinal ostomy. Conclusion: This study revealed that nursing plays a key role as the main facilitator of education and promotion of self-care for patients with intestinal ostomy. Nurses, by providing not only practical guidance but also psychological and emotional support, help patients adapt to their new health condition.