Aims and Scope
Recent Articles
Nurses’ Views on the Use, Quality, and Satisfaction with Electronic Medical Record in the Outpatient Department at a Tertiary Hospital
Mohammad J. Jaber, Ahmad M. Al-Bashaireh, Ola M. Alqudah, Omar M. Khraisat, Khaldoun M. Hamdan, Hind M. AlTmaizy, Diana S. Lalithabai and Rabia S. Allari
The Open Nursing Journal, 2021; 15: 254.
Electronic Publication Date: November 25, 2021
Health-Related Quality of Life and Undergraduate Nursing Students: A Narrative Review
Markus Wübbeler, Sebastian Geis, Björn Teigelake and Sabine Schoening
The Open Nursing Journal, 2021; 15: 244.
Electronic Publication Date: November 17, 2021Information needs for Inclusion in a Post-Discharge Guideline Booklet for Mothers with Prematurely born Babies in a Low-Resource Setting in South Africa
Malmsey L.M. Sengane, Carin Maree and Louise René van Niekerk
The Open Nursing Journal, 2021; 15: 236.
Electronic Publication Date: November 17, 2021Patients’ Satisfaction with Services Offered by Nurses at a Selected Ideal Clinic in Ehlanzeni District, Mpumalanga Province, South Africa
Nompumelelo P. Nkabinde, Mamare A. Bopape, Tebogo M. Mothiba and Peter M. Mphekgwana
The Open Nursing Journal, 2021; 15: 229.
Electronic Publication Date: November 10, 2021
Factors Hampering the Participation of Nursing Staff in the Continuing Education Activities of Hospitals Centers in the Casablanca-Settat Region
Amina Lhbibani, Abderrahmane Lamiri, Said Lotfi, Malika Tridane and Said Belaaouad
The Open Nursing Journal, 2021; 15: 218.
Electronic Publication Date: November 10, 2021
Editor's Choice
The Effectiveness of Care Bundles Including the Braden Scale for Preventing Hospital Acquired Pressure Ulcers in Older Adults Hospitalized in ICUs: A Systematic Review
Natalie A. Floyd, Karen A. Dominguez-Cancino, Linda G. Butler, Oriana Rivera-Lozada, Juan M. Leyva-Moral, Patrick A. Palmieri
Background:
Despite technological and scientific advances, Hospital Acquired Pressure Ulcers (HAPUs) remain a common, expensive, but preventable adverse event. The global prevalence ranges from 9% to 53% while three million people develop HAPUs in the United States and 60,000 people die from associated complications. HAPU prevalence is reported as high as 42% in ICUs (ICU) costing on average $48,000 to clinically manage.
Objective:
The purpose of this systematic review was to evaluate the effectiveness of multi-component interventions (care bundles), incorporating the Braden scale for assessment, in reducing the prevalence of HAPUs in older adults hospitalized in ICUs.
Methods:
This was a systematic review of the literature using the Cochrane method. A systematic search was performed in six databases (CINAHL, Cochrane Library, Google Scholar, JBI Evidence-Based Practice Database, PubMed, and ProQuest) from January 2012 until December 2018. Bias was assessed with the Critical Appraisal Skills Programme Checklist, and the quality of evidence was evaluated with the American Association of Critical-Care Nurses Levels of Evidence.
Results:
The search identified 453 studies for evaluation; 9 studies were reviewed. From the analysis, pressure ulcer prevention programs incorporated three strategies: 1) Evidence-based care bundles with risk assessments upon admission to the ICU; 2) Unit-based skincare expertise; and 3) Staff education with auditing feedback. Common clinical management processes included in the care bundles were frequent risk reassessments, daily skin inspections, moisture removal treatments, nutritional and hydration support, offloading pressure techniques, and protective surface protocols. The Braden scale was an effective risk assessment for the ICU. Through early risk identification and preventative strategies, HAPU programs resulted in prevalence reduction, less severe ulcers, and reduced care costs.
Conclusion:
Older adults hospitalized in the ICU are most vulnerable to developing HAPUs. Early and accurate identification of risk factors for pressure is essential for prevention. Care bundles with three to five evidence-based interventions, and risk assessment with the Braden scale, were effective in preventing HAPUs in older adults hospitalized in intensive care settings. Higher quality evidence is essential to better understanding the impact of HAPU prevention programs using care bundles with risk assessments on patient outcomes and financial results.
April 20, 2021
Other Post
- June 18, 2020
Night-time Noise Levels and Patients’ Sleep Experiences in a Medical Assessment Unit in Northern England
February 28, 2019
Revisiting The Meaning of A Good Nurse
January 31, 2019
m-Health in the Surgical Context: Prospecting, Review and Analysis of Mobile Applications
April 24, 2018
Evaluating Pictures of Nature and Soft Music on Anxiety and Well-Being During Elective Surgery
January 22, 2018
Shared Decision-Making for Nursing Practice: An Integrative Review
November 30, 2017
A Systematic Review and Comprehensive Critical Analysis Examining the Use of Prednisolone for the Treatment of Mild to Moderate Croup
