Aims and objectives
To compare the reliability and predictive validity of the Braden and Jackson/Cubbin PI risk assessment scales in intensive care unit patients.
Background
Risk assessment with a standardised tool is the usual intervention for preventing pressure injury. Therefore, tools used to assess pressure injury risk should be valid and reliable for the designated patient population.
Design
A prospective and cross‐sectional study adheres to the STARD guideline.
Methods
This study was conducted between November 2017–April 2018 in the intensive care units of a tertiary level university hospital in Turkey. The study sample consisted of 176 patients admitted to three intensive care units. Risk assessment was performed once daily with the Braden scale, followed immediately with the Jackson/Cubbin scale. Risk assessment was terminated on the day of pressure injury development or upon patient discharge from the intensive care unit. Each patient's final risk assessment was considered in the data analysis.
Results
The Cronbach's alpha coefficient of the Jackson/Cubbin and Braden scales was .78 and .85, respectively. The predictive validity of the Jackson/Cubbin scale was confirmed by a sensitivity of .87, specificity of .84, positive predictive value of .47 and negative predictive value of .97. These values for the Braden scale were .95, .75, .38 and .99, respectively.
Conclusion
Both the Jackson/Cubbin and Braden scales are reliable and valid scales for pressure injury risk assessment in intensive care unit patients. However, the predictive ability to determine patients at risk and not at risk for pressure injury was better for the Jackson/Cubbin scale than for the Braden scale.
Relevance to clinical practice
Both scales are reliable and valid scales for pressure injury risk assessment. Jackson/Cubbin scale's discriminative ability (between the patients at pressure injury risk and not at pressure injury risk) was better.
Basınç yaraları hasta güvenliğini tehdit eden önlenebilir sağlık bakım sorunlarındandır. Basınç yaralarıyla ilişkili komplikasyonlar nedeniyle hastaların hastanede yatış süresi uzamakta, bakım-tedavi maliyeti, sağlık personelinin iş yükü ve mortalite artmaktadır. Bu nedenlerle basınç yaralarının gelişmeden önlenmesi önemlidir. Basınç yaralarını önlemek için ilk adım risk değerlendirmedir. Risk değerlendirmede hasta grubuna uygun, geçerli, güvenilir risk değerlendirme araçları ile yapılmalıdır. Böylece hastada basınç yarasına neden olabilecek risk faktörleri belirlenebilir ve bunları önlemeye yönelik girişimler planlanabilir. Bu derlemede yetişkin hastalarda kullanılan risk değerlendirme araçları, bu araçların kullanım alanları, geçerlik ve güvenirliklerinin paylaşılması amaçlanmıştır.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.