Under pressure: preventing pressure ulcers in critically ill infants. J Spec Pediatr Nurs 2013 Oct;18(4):329-41
Date
10/08/2013Pubmed ID
24094128DOI
10.1111/jspn.12043Scopus ID
2-s2.0-84885079483 (requires institutional sign-in at Scopus site) 35 CitationsAbstract
PURPOSE: To determine whether a pressure ulcer prevention bundle was associated with a significant reduction in pressure ulcer development in infants in the pediatric intensive care unit.
DESIGN AND METHODS: Quasi-experimental design involving 399 infants 0 to 3 months of age at a large tertiary care medical center.
RESULTS: The implementation of the care bundle was associated with a significant drop in pressure ulcer incidence from 18.8 to 6.8%.
PRACTICE IMPLICATIONS: Pressure ulcers can be prevented in the most vulnerable patients with the consistent implementation of evidence-based interventions and system supports to assist nurses with the change in practice.
Author List
Schindler CA, Mikhailov TA, Cashin SE, Malin S, Christensen M, Winters JMAuthors
Theresa A. Mikhailov MD, PhD Professor in the Pediatrics department at Medical College of WisconsinChristine Schindler Ph.D., RN, CPNP, AC/PC Nurse Practitioner in the Nursing department at Marquette University
MESH terms used to index this publication - Major topics in bold
Academic Medical CentersCase-Control Studies
Critical Illness
Female
Humans
Infant
Infant, Newborn
Intensive Care Units, Pediatric
Length of Stay
Male
Nurse's Role
Patient Care Team
Patient Positioning
Pressure Ulcer
Primary Prevention
Program Evaluation
Reference Values
Risk Assessment
Severity of Illness Index
Skin Care
Treatment Outcome