Limitações na aplicação da Escala de Braden em pacientes adultos hospitalizados: o cenário vivenciado por enfermeiros no Brasil

Abstract

The Braden Scale (EB) was adapted and validated for Brazilian culture in 1999 and, since then, its use has been recommended. However, this is not what is observed in most hospital clinical practice. The present research is justified in view of the high number of LP, occurred during hospitalization and the important public health problem that is constituted. This study aims to: identify limitations in the implementation and application of EB in adult hospitalized patients; state the importance and predictive capacity of EB; present comparisons or associations between EB and other scales and / or other technological artifacts; present the facilitating factors for the implementation and application of EB. It is an integrative review, with the search performed in the SCOPUS ELSEVIER Databases and in the Virtual Health Library Brazil (VHL): in the LILACS, MEDLINE and BDENF databases. This study made it possible to know that Braden is the most studied scale and used in Brazilian clinical practice, having the ability to assess and predict risk with a good balance between sensitivity and specificity. And that other types of scales and technological artifacts combined with EB enrich an assessment of the risk of LP formation. Some studies claim it does not require much expense, it is easy to operate and understand. Being hampered by not considering all the important causal factors in the appearance of the injury and in the lack of a good qualification of nurses in the analysis and interpretation of the scale and its subscales. Key-words: Braden Scale; Pressure Ulcer; Nurses; Nursing