Skin injury care in newborns: nursing team actions

Authors

  • Julia Góes de Souza Universidade Federal de Santa Catarina image/svg+xml , Universidade Federal de Santa Catarina – Florianópolis (SC), Brazil.
  • Simone Vidal Santos Universidade Federal de Santa Catarina image/svg+xml , Universidade Federal de Santa Catarina – Florianópolis (SC), Brazil.
  • Débora Evelin Felix Quirino de Almeida Universidade Federal de Santa Catarina image/svg+xml , Universidade Federal de Santa Catarina – Florianópolis (SC), Brazil.
  • Tauane dos Santos Firminio Universidade Federal de Santa Catarina image/svg+xml , Universidade Federal de Santa Catarina – Florianópolis (SC), Brazil.
  • Roberta Costa Universidade Federal de Santa Catarina image/svg+xml , Universidade Federal de Santa Catarina – Florianópolis (SC), Brazil.

DOI:

https://doi.org/10.30886/

Abstract

Objective: To identify nursing care actions for the prevention and treatment of skin injuries in newborns carried out by the nursing team of a neonatal unit. Method: Exploratory descriptive qualitative research involving 12 professionals who had worked for at least six months in a neonatal unit of a hospital in southern Brazil. Data were collected in March and April 2023 through audio-recorded interviews, which were later transcribed into a Microsoft Word® document. The data were analyzed using Bardin’s content analysis. Results: The results showed the actions developed by the team to prevent skin injuries; the most common injuries in hospitalized newborns from the nursing team’s perspective; and the actions developed to treat skin injuries. Conclusion: Professionals use practices based on the scientific literature to prevent and treat skin injuries in newborns; however, scales or strategies to predict injury risk are not used, despite their potential to help prevent injuries and reduce neonatal morbidity and mortality.

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References

1. Bajaj N, Kumar RK, Inamadar A, Bhandari A, Kumar R, Uttam KG, et al. Indian Academy of pediatrics (neonatology chapter) recommendations for evidence-based neonatal skincare and protocols for hospitalized neonates. Front Pediatr. 2025;13:1667273. https://doi.org/10.3389/fped.2025.1667273

2. Prazeres LEN, Ferreira MNGP, Ribeiro MA, Barros BTD, Barros RLM, Ramos CS, et al. Nurse’s performance in care in Neonatal Intensive Care Units: Integrative literature review. Res Soc Dev. 2021;10(6):e1910614588. https://doi.org/10.33448/rsd-v10i6.14588

3. Duarte A, Ferreira L, Cunha M. Nursing care in the prevention of medical adhesive–related skin injuries: a scoping review. Millenium. 2021;2(9e):101-12. https://doi.org/10.29352/mill029e.24981

4. Strunk T, Steer J, Currie A. Neonatal skin: barrier, immunity and infection prevention in the NICU. Semin Fetal Neonatal Med. 2025;30(4):101681. https://doi.org/10.1016/j.siny.2025.101681

5. Gomes MI, Barreira SMC, Paula RC, Fontenele FC, Nascimento L, Moreira TMM, et al. Lesões de pele em recém-nascidos durante internação em unidade neonatal. Rev Enferm Atual In Derme. 2023;97(4):e023234. https://doi.org/10.31011/reaid-2023-v.97-n.4-art.2046

6. Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. https://doi.org/10.37689/acta-ape/2021AO02631

7. Rahimi S, Khatooni M. Saturation in qualitative research: an evolutionary concept analysis. Int J Nurs Stud Adv. 2024;6:100174. https://doi.org/10.1016/j.ijnsa.2024.100174

8. Bardin, Laurence. Análise de Conteúdo São Paulo: Edições 70; 2016.

9. Sociedade Brasileira de Pediatria. Guia Prático de Atualização sobre Cuidados com a pele e anexos do recém-nascido: da higienização e hidratação ao tratamento. Rio de Janeiro: Sociedade Brasileira de Pediatria; 2024.

10. Wichbold C, Bottene DZA, Brock HM, Amorim A, Oliveira JB, Nunes ES. Vérnix caseoso em recém-nascido a termo: revisão integrativa da literatura. Rev Foco. 2025;18(2):e7870. https://doi.org/10.54751/revistafoco.v18n2-148

11. Severo EAAR, Sousa FCA, Silva WC, Melo KC, Soares NA, Silva CO, et al. Análise das condutas de enfermagem na prevenção de lesões por pressão em recém-nascidos. Rev Enferm Atual In Derme. 2020;94(32):e-020085. https://doi.org/10.31011/reaid-2020-v.94-n.32-art.702

12. Boyar V, Visscher M, Lund C, Narendran V. Seeing beyond the obvious: pragmatic skin care guidance for infants 22–24 weeks gestational age. J Perinatol. 2025. https://doi.org/10.1038/s41372-025-02375-1

13. Cleminson J, McGuire W. Topical emollient for preventing infection in preterm infants. Cochrane Database Syst Rev. 2021;5:CD001150. https://doi.org/10.1002/14651858.CD001150.pub4

14. Getaneh FB, Asmare A, Abayneh B, Birre E, Mohammed A, Muche A, et al. Infection in preterm infants receiving topical emollient oil massage: a systematic review and meta-analysis of randomised control trials. BMJ Paediatr Open. 2024;8(1):e002364. https://doi.org/10.1136/bmjpo-2023-002364

15. Domingos JEP, Tavares ARBS, Silva VMGN, Magalhães BC, Maia GS, Chaves EMC. Prevention of non-invasive ventilation injuries in preterm infants: a systematic review. Rev Gaúcha Enferm. 2025;46:e20240262. https://doi.org/10.1590/1983-1447.2025.20240262.en

16. Sahin B, Buyuk ET, Uzsen H, Koyun M, Karal FI. Effect of different materials used in the removal of orogastric catheter adhesive on the skin in premature babies in Turkey. J Pediatr Nurs. 2024;78:e117-23. https://doi.org/10.1016/j.pedn.2024.06.026

17. Boyar V. Pressure injuries of the nose and columella in preterm neonates receiving noninvasive ventilation via a specialized nasal cannula: a retrospective comparison cohort study. J Wound Ostomy Continence Nurs. 2020;47(2):111-6. https://doi.org/10.1097/WON.0000000000000616

18. Viero CM, Alves PJP, Munhoz OL, Cabral TS, Galvão CM, Costa VZ, et al. Prophylactic dressings for preventing nasal pressure ulcer in premature newborns: an effectiveness review. Rev Esc Enferm USP. 2025;59:e20250099. https://doi.org/10.1590/1980-220X-REEUSP-2025-0099en

19. Mulinda C, Suhail S, Sutherland B, Lauren CT, Hunt RD. Pre-procedural topical antisepsis in the neonate: a systematic review evaluating risk factors for skin injury. Pediatr Dermatol. 2025;42(1):31-40. https://doi.org/10.1111/pde.15773

20. Castellanos JLL, Muñuzuri AP, Campillo CWR, López ES, Fernández IB, Redondo MDS, et al. Recommendations for the care of the umbilical cord in the newborn. An Pediatr (Engl Ed). 2019;90(6):401.e1-401.e5. https://doi.org/10.1016/j.anpede.2019.01.019

21. Rocha ABO, Frutuoso DS, Souza TJ, Oliveira DF, Silva JN, Silva AF. Conhecimento da enfermagem na prevenção de lesões em prematuros. Revista Recien. 2022;12(37):34-44. https://doi.org/10.24276/rrecien2022.12.37.34-44

22. Steen EH, Wang X, Boochoon KS, Ewing DC, Strang HE, Kaul A, et al. Wound healing and wound care in neonates: current therapies and novel options. Adv Skin Wound Care. 2020;33(6):294-300. https://doi.org/10.1097/01.ASW.0000661804.09496.8c

23. Schardosim JM, Ruschel LM, Motta GCP, Cunha MLC. Adaptação transcultural e validação clínica da Neonatal Skin Condition Score para o português do Brasil. Rev Latino-Am Enfermagem. 2014;22:834-41. https://doi.org/10.1590/0104-1169.3456.2487

24. Santos SV, Silveira JR, Costa R, Batalha LMC, Velho MB. Cross-cultural adaption and validation of the Braden QD Scale for use with neonates in Brazil. Texto Contexto Enferm. 2022;31:e20220044. https://doi.org/10.1590/1980-265X-TCE-2022-0044en

25. Santos SV, Ramos FRS, Costa R, Batalha LMC. Assessment of the quality of a software application for the prevention of skin lesions in newborns. Rev Lat Am Enfermagem. 2020;28:e3352. https://doi.org/10.1590/1518-8345.3711.3352

Published

2026-09-03

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Section

Original article

How to Cite

1.
Skin injury care in newborns: nursing team actions. ESTIMA [Internet]. 2026 Sep. 3 [cited 2026 Sep. 4];24. Available from: https://www.revistaestima.com.br/estima/article/view/1807

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