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Con esta publicación empezamos un ciclo de entrevistas a personas que nos pueden ilustrar sobre los avances existentes en cuidados de la piel en la población pediátrica y neonatal.
Nos hace mucha ilusión poder mostraros la primera de ellas realizada a una diseñadora, cuyo dispositivo no os dejará indiferentes.
Eva Díaz Mecchia, Ingeniera en Diseño Industrial, diseñó Nido! cuando era todavía estudiante de Grado. Haciendo equipo con Miguel García, por entonces coordinador de enfermería del área de investigación, y María José Troyanos, coordinadora de la Unidad Neonatal del Hospital San Joan de Dèu de Barcelona.
Desde hace ya un par de años, la Sociedad Española de Enfermería Neonatal, el grupo científico UPPpediatria, junto la propia diseñadora, colaboran para poder medir la efectividad de Nido! a nivel clínico. Y que mejor forma de hacerlo que en colaboración con nuestras compañeras, las enfermeras neonatales Mari Carmen Rodriguez y María Carmen Barberá del Hospital Clínico Universitario de Valencia. Pero bueno, tras ponerlo todo en contexto, os dejamos la entrevista, esperando que sea de vuestro interés y que nos dejéis vuestras preguntas y apreciaciones en los comentarios al final de la misma.
¿Cómo surgió la idea de crear Nido!?
La idea surgió en 2016, yo estaba en cuarto curso del grado en Ingeniería en Diseño industrial y tenía que desarrollar mi proyecto final de carrera. Elegí el sector salud, ya que quería terminar mis estudios desarrollando un proyecto “mas social”. A través de la universidad (Elisava, Escuela Superior de Diseño e Ingeniería de Barcelona), pude contactar con el Hospital Sant Joan de Déu, para poder hablar con ellos y descubrir en qué áreas del Hospital podían necesitar apoyo en diseño y desarrollo de producto. Tras hablar con varios profesionales, conocí a Miguel García, profesional en el área neonatal del Hospital. Miguel no solo me trasmitió que en neonatos había temas interesantes en los que trabajar, como la creación de un producto tipo nido, para lo prematuros de las Unidades de Cuidados intensivos Neonatales (UCIN), sino que supo comunicarme y emocionarme desde el minuto uno con la inmensidad del mundo del prematuro. Dicho esto, y a partir de investigación y muchas reuniones en el Hospital con Miguel, empecéa hacer los primeros bocetos con la intención de desarrollar un nido mejorado, basando su diseño en solucionar las problemáticas que me trasmitían las enfermeras y que tenían que afrontar cada día: el desarrollo manual de nidos de contención y de piezas de posicionamiento para el correcto desarrollo de los prematuros, sumado a todos los problemas que conlleva ser un bebé prematuro.
Al entrar por primera vez en una UCI neonatal, sentí que el proyecto no se podía quedar en un trabajo fin de grado (TFG), en una propuesta gráfica o bien en un prototipo casero y que tenía que ir un poco mas allá. Por ello decidí sacar el proyecto de la Universidad y llevarlo a mundo real, fabricándolo para poder probarlo en diferentes UCIN, de diferentes hospitales y escuchar realmente qué opinaban los profesionales y como podía ayudarles para crear un buen producto para ellos y para los neonatos.
¿Cuál es la principal función de Nido!?
Proporcionar un contención, un correcto posicionamiento y control postural al prematuro, facilitando el trabajo del equipo profesional y reduciendo los tiempos de trabajo. El proyecto deNido Innovano solo busca crear un buen producto, que mejore lo comentado anteriormente, sino que busca ser un sistema que una las diferentes metodologías de trabajo de los profesionales a través un producto.
¿Han aparecido otras funcionalidades tras su creación?
Sí, han ido apareciendo otras funcionalidades, entre las últimas: el producto es totalmente desmontable y esto mejora: el acceso al bebé y su manipulación, la rapidez en casos de urgencias y la limpieza del producto. Otra funcionalidad reciente, consiste en que se puede ajustar la dimensión del nido, consiguiendo en el mismo producto diferentes tallas.
Desde el grupo científico Uppediatría estamos comprometidos con el cuidado de la piel de la población pediátrica. ¿Puede Nido! mejorar el cuidado de la piel de los neonatos?
Sí, podría mejorar. Esto es posible gracias a la calidad de los materiales que se han empleado para la fabricación de Nido!: textiles y espumas viscoelásticas de la empresa CQF, que disponen de una gama de productos sanitarios destinados a la prevención de úlceras por presión.
Eva Díaz a la derecha mostrando NIDO Innova.
¿Revisasteis otros productos parecidos que ya estuviesen en el mercado o que se estuviesen usando en unidades neonatales?
Sí, se hizo un estudio de marcado de los productos que intentaban imitar los nidos convencionales de toallas y sábanas que se hacen actualmente en las UCI neonatales, pero por diversos motivos, actualmente no se utilizan en los hospitales españoles. Este ha sido uno de los factores que desde le principio del proyecto ha hecho que se le diera mucha importancia a que se involucrasen los profesionales sanitarios en la fase del diseño del producto.
¿Cómo ha sido el proceso previo de elaboración de NIDO!, diseño, materiales, manejabilidad, etc.?
Ha sido un proceso largo e intenso. Se han hecho muchas pruebas de diseño, se han rediseñado las formas, la modularidad y el sistema de manipulación a través de muchos prototipos para validar la ergonomía del producto, el acceso al neonato y la correcta selección de los materiales. Siempre teniendo en cuenta que nos encontramos en un espacio delicado: las UCI neonatales y las incubadoras, un entorno donde la manipulación se ve dificultada y las situaciones pueden ser estresantes y complicadas. Todo este proceso de pruebas y rediseño ha llevado al producto a evolucionar de una forma muy práctica y finalmente satisfactoria.
En este proceso, ¿con qué profesionales sanitarios os asesorasteis? ¿Seguís con el proceso de asesoramiento?
En el proyecto han participado profesionales de diversas áreas de conocimiento: Enfermeros expertos en el área neonatal, médicos, profesionales del mundo del diseño e la ingeniería, fabricantes de productos de descanso y sanitario, especialistas en confección y patronaje, expertos en materiales, empresarios y especialistas en innovación. Seguimos con el proceso de asesoramiento para cerrar lo mejor posible el ciclo del proyecto. Un especial gracias a los expertos en neonatología del Hospital Sant Joan de Déu de Barcelona, los cuales han sido la base del proyecto de Nido Innova y su producto final Nido!.
¿Lo habéis probado ya en unidades neonatales?
Nido! se ha probado en diferentes hospitales de Barcelona, entre ellos: El Hospital Sant Joan de Déu, el Hospital General Universitari de Catalunya y en la maternidad del hospital Clínic. En estos hospitales se desarrollaron estudios observacionales y se recogió un feedback importante que hizo que el proyecto evolucionara y llegara a tener el aspecto que presenta actualmente. Todo ello para próximamente ejecutar, con la última versión del Nido!, las pruebas del ensayo clínico que se ha diseñado en la Facultat de enfermería y Podología de la Universitat de València y en el Hospital Universitari de València. Estoy tremendamente agradecida por el interés y el compromiso por parte del equipo que está llevando a cabo el estudio y las pruebas en Valencia.
¿Cómo ha sido la acogida entre los profesionales sanitarios a los que va dirigido?
Siempre hay opiniones diversas, más si cabe, en un tema donde se emplean diferentes metodologías de trabajo, pero creo que supimos absorber bien las críticas de los primeros prototipos, hechas por los profesionales sanitarios, buscando trasformar los comentarios en mejoras interesantes, y consiguiendo que las opiniones de la última versión de Nido! hayan sido muy positivas.
¿Tenéis previsto algún método de feedback para posibles mejoras o conocer la satisfacción del usuario de NIDO Innova?
¿Habéis podido presentar ya la creación? ¿La divulgación de NIDO! está siendo fácil?
Nido! se ha presentado en diferentes ocasiones, sobre todo en temas de Innovación, ya que ha sido patentado a nivel europeo. La divulgación, hasta ahora, no ha sido muy complicada, gracias a que es un producto que suele impactar. Pero tenemos previsto ampliar la divulgación cuando se finalicen las últimas pruebas.
¿NIDO! puede ser utilizado en las unidades neonatales en este periodo de pandemia?
Sí, podría ser utilizado. Es un producto que se puede desinfectar fácilmente e incluso esterilizar si fuera necesario.
¿Qué próximos pasos vais a realizar en NIDO Innova?
Nuestro objetivo a corto plazo es finalizar los estudios clínicos para llegar a cerrar el ciclo del producto y poder validar con garantías el proyecto.
Si quieres saber más sobre NIDO Innova (Superficie Especial del Manejo de la Presión) te recomendamos visites su página de facebook o en esta entrevista que también le hicieron.
Entrevista realizada por José Antonio León Mangado y Pablo García Molinapara UPPpediatría
Protocolos de investigación
