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Use of the Diffusion of Innovation Model in venous ulcers by specialized professionals.

OBJECTIVE:: To analyze the influence of the evidence and of the opinion of peers on the decisions of specialists regarding the agreement with recommendations for prevention and treatment of venous ulcer.

METHODS:: This is a quasi-experimental study with two interventions: provision of studies with the evidence of the recommendations and provision of the opinion of peers, with sample of 73 specialized doctors and nurses. Delphi technique was used in the search for agreement, with three rounds.

RESULTS:: The participants evaluated 82 recommendations organized into eight domains: evaluation of patient and wound; documentation of clinical findings; care with the wound and surrounding skin; indication of dressing; use of antibiotics; improvement of venous return and prevention of recurrence; referrals of patients; and professional training. The interventions resulted in statistically significant changes in four domains.

CONCLUSION:: The interventions were able to change the opinion of participants, leading them to agreement regarding the recommendations, regardless of the level of evidence.

OBJETIVO:: Analisar a influência das evidências e da opinião dos pares sobre as decisões dos especialistas quanto à concordância com recomendações para prevenção e tratamento de úlcera venosa.

MÉTODO:: Estudo quase-experimental com duas intervenções: fornecimento de estudos com as evidências das recomendações e opinião dos pares, com amostra de 73 especialistas médicos e enfermeiros. Utilizou-se a técnica Delphi na busca de concordância, com 3 rodadas.

RESULTADOS:: Os participantes avaliaram 82 recomendações organizadas em 8 domínios: avaliação do paciente e de sua lesão; documentação dos achados clínicos; cuidado com a lesão e pele ao redor; indicação da cobertura; uso de antibiótico; melhoria do retorno venoso e prevenção de recidiva; encaminhamentos dos pacientes; e capacitação profissional. As intervenções resultaram em mudanças estatisticamente signifi cativas em 4 domínios.

CONCLUSÃO:: As intervenções foram capazes de modificar a posição dos participantes, levando-os para a posição de concordância a respeito das recomendações, independentemente do nível de evidência.

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