Prescription of pressure injury preventative interventions following risk assessment: An exploratory, descriptive study.

Autor: Lovegrove J; School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Banyo, Queensland, Australia.; Nursing Research and Practice Development Centre, The Prince Charles Hospital, Chermside, Queensland, Australia., Fulbrook P; School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Banyo, Queensland, Australia.; Nursing Research and Practice Development Centre, The Prince Charles Hospital, Chermside, Queensland, Australia.; Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.; World Federation of Critical Care Nurses, Brisbane, Queensland, Australia., Miles S; School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Banyo, Queensland, Australia.; Nursing Research and Practice Development Centre, The Prince Charles Hospital, Chermside, Queensland, Australia.
Jazyk: angličtina
Zdroj: International wound journal [Int Wound J] 2018 Dec; Vol. 15 (6), pp. 985-992. Date of Electronic Publication: 2018 Aug 02.
DOI: 10.1111/iwj.12965
Abstrakt: This exploratory, descriptive study aimed to identify and describe the pressure injury preventative interventions prescribed by nurses following the assessment of a patient's pressure injury risk and to compare the prescribed interventions relative to the assessed risk level. A total of 200 inpatients in a tertiary Australian hospital were included. Patients' charts were audited within 24 hours of admission. Data collected included patient characteristics, pressure injury risk assessment score and level, and preventative interventions prescribed. Most patients were assessed as not being at risk, with the largest group of at-risk patients assessed as being at high risk. Some not-at-risk patients were prescribed interventions intended for those at risk, while prescription rates of preventative interventions recommended for those at any level of risk were variable (6%-64%). Significant associations were found between assessed pressure injury risk and preventative intervention prescription. Preventative intervention prescription was inadequate, potentially exposing some patients to pressure injury. However, the association between intervention prescription and risk level suggests that nurses are prescribing interventions relative to risk. A more structured approach to intervention prescription according to risk level, such as a care bundle, may help to improve nurses' preventative intervention prescription and ensure that all at-risk patients receive appropriate preventative interventions.
(© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: