Files and links (2)
Pressure injury prevention practices among medical surgical nurses in a tertiary hospital - An observational and chart audit study2.19 MB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Pressure injury prevention practices among medical surgical nurses in a tertiary hospital: An observational and chart audit study
International Wound Journal, Vol.19(5), pp.1165-1179
2022
PMID: 34729917
Abstract
Pressure injuries are frequently occurring adverse events in hospitals, negatively impacting patient safety and quality of care. Most pressure injuries are avoidable if effective prevention strategies are used. However, the extent to which various settings influence their use of prevention strategies is unknown. The aim of this study was to describe and compare pressure injury prevention strategies used by medical and surgical nurses in the Chinese context. In this observational study, we used semi-structured observations with chart audits to collect data in two medical and two surgical wards in a tertiary hospital from June to December 2020. Observations were patient-focused; any prevention practices the patient received were recorded, and a chart audit was used to identify documented prevention strategies. The frequency of each prevention strategy was reported, and differences between medical and surgical wards were analysed using independent t-test or χ2 test. A total of 577 patients (n = 294, 50.9% medical; n = 283, 49.1% surgical) were observed and their charts audited. Risk assessment was completed on admission for all patients. Repositioning was the most frequently used strategy, with about 84% (n = 486) patients being repositioned regularly. However, skin care, nutritional risk screening and the use of support surfaces were suboptimal. Patient education was not commonly observed but was documented in 75% (n = 433) of audited charts. More medical patients' skin was kept clean and hydrated, but more surgical patients received barrier creams, had a support surface and received more nutrition support and if a prone position was used, they were more likely to be turned after 2 hr and to be repositioned after sitting in a chair for an hour. Prevention strategies were more likely to be documented in surgical patients' charts. Despite pressure injury prevention guideline recommendations provided various prevention strategies for nurses to apply, the observed use of some strategies such as nutrition, skin care and support surfaces was not ideal. Nurses relied heavily on repositioning for pressure injury prevention. Most pressure injury prevention practices need improvement although surgical patients generally received better preventative care. These findings can facilitate clinicians and nurse managers when tailoring future pressure injury prevention work.
Details
- Title
- Pressure injury prevention practices among medical surgical nurses in a tertiary hospital: An observational and chart audit study
- Authors
- Zhaoyu Li (Corresponding Author) - Griffith UniversityAndrea P Marshall (Author) - Griffith UniversityFrances Lin (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyYanming Ding (Author) - Peking University First HospitalWendy Chaboyer (Author) - Griffith University
- Publication details
- International Wound Journal, Vol.19(5), pp.1165-1179
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2022
- DOI
- 10.1111/iwj.13712
- ISSN
- 1742-481X; 1742-4801
- PMID
- 34729917
- Copyright note
- This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.
- Grant note
- Griffith University Postgraduate Scholarships
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99586008902621
- Output Type
- Journal article
Metrics
15 File views/ downloads
74 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Dermatology
- Surgery
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites