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Yilmazer T, Tuzer H. Effectiveness of a Pressure Injury Prevention Care Bundle; Prospective Interventional Study in Intensive Care Units. J Wound Ostomy Continence Nurs 2022; 49:226-232. [PMID: 35523237 DOI: 10.1097/won.0000000000000875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
PURPOSE The purpose of this study was to assess the effectiveness of a pressure injury prevention care bundle. DESIGN Prospective interventional study. SUBJECTS AND SETTING Participants were 13 nurses and 104 patients cared for in the intensive care unit for at least 24 hours in a university hospital in Ankara, Turkey. METHODS The study was conducted in 2 stages: the pre-care and post-care bundle stages. In the pre-care bundle stage, the pressure injury incidence of the patients was followed by the nurses. At the end of the third month, the researcher held a 1-day training program for the nurses about the care bundle use to promote correct implementation. In the post-care bundle stage, the nurses provided care according to the bundle. Compliance with the care bundle was assessed. Pressure injury incidence rates in the pre- and post-care bundle stages were compared. RESULTS The incidence of stage 1 pressure injury was 15.11 (1000 patient-days) in the pre-care bundle stage and 6.79 (1000 patient-days) in the post-care bundle stage; this reduction was not statistically significant. CONCLUSIONS A pressure injury prevention bundle was implemented in an intensive care unit, resulting in a decline in stage 1 pressure injuries.
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Affiliation(s)
- Tuba Yilmazer
- Tuba Yilmazer, PhD, RN , Department of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey
- Hilal Tuzer, PhD, RN, Department of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Hilal Tuzer
- Tuba Yilmazer, PhD, RN , Department of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey
- Hilal Tuzer, PhD, RN, Department of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey
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Powell LE, Winn E, Andersen ES, Pozez AL. Utilizing a Comprehensive Wound Care Team to Lower Hospital-Acquired Pressure Injuries in an Academic Public Hospital: A Retrospective Cohort Study. J Wound Ostomy Continence Nurs 2022; 49:34-50. [PMID: 35040814 DOI: 10.1097/won.0000000000000821] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
PURPOSE Hospital-acquired pressure injuries (HAPIs) have significant impacts on patient morbidity and mortality, with approximately 2.5 million patients treated for pressure-related injuries annually.1 This study aimed to describe the influence of a comprehensive wound care team on HAPIs over an 8-year period. DESIGN Retrospective cohort study. SUBJECTS AND SETTING All inpatients at an academic public hospital system with HAPIs during the study period from May 2012 to February 2020. METHODS Data on wound stage, location, infection, medical device location if applicable, and risk factors were recorded from medical records. A 1-way analysis of variance was performed to assess for significance of mean number of cases, National Pressure Injury Advisory Panel (NPIAP) stage on initial presentation, and mean number of medical device-related wounds by year. RESULTS A total of 957 cases were included. The median stage of pressure injury on assessment was 2, with the mean NPIAP stage declining from 2012 to 2020 (P = .003). Thirty-three percent of pressure injuries were attributed to medical devices, most commonly endotracheal tubing. The most common site of pressure injury was the sacrum (33.6%). CONCLUSION Creation of a comprehensive wound care team within our academic public hospital system demonstrated a significant decline in device-related and pressure injury cases over the past 8 years. The wound care team focused on frequent assessment, education, and evidence-based treatment to lower these HAPI events.
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Affiliation(s)
- Lauren E Powell
- Lauren E. Powell, MD, Division of Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis
- Elisa Winn, MSN, RN, RN-BC, CWON, Virginia Commonwealth University Health System, Richmond
- Emily S. Andersen, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
- Andrea L. Pozez, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
| | - Elisa Winn
- Lauren E. Powell, MD, Division of Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis
- Elisa Winn, MSN, RN, RN-BC, CWON, Virginia Commonwealth University Health System, Richmond
- Emily S. Andersen, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
- Andrea L. Pozez, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
| | - Emily S Andersen
- Lauren E. Powell, MD, Division of Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis
- Elisa Winn, MSN, RN, RN-BC, CWON, Virginia Commonwealth University Health System, Richmond
- Emily S. Andersen, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
- Andrea L. Pozez, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
| | - Andrea L Pozez
- Lauren E. Powell, MD, Division of Plastic and Reconstructive Surgery, University of Minnesota, Minneapolis
- Elisa Winn, MSN, RN, RN-BC, CWON, Virginia Commonwealth University Health System, Richmond
- Emily S. Andersen, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
- Andrea L. Pozez, MD, Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Health System, Richmond
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