Interrater Reliability of the Braden and Braden Q by Skin Champion Nurses

Riccioni, N; Berlanga, Rosa; Hagan, Joseph; Schier, Robin; Gordon, Mary

doi:10.1016/j.pedn.2018.09.014

Cited by 10 publications

(13 citation statements)

References 17 publications

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“…PU risk assessment tools (PURAT) are associated with no change in the incidence or severity of PU incidence, which may indicate a lack of clinimetric value in current PURAT or the methodology used to demonstrate their efficacy (Moore and Patton 2019). Notably, studies have indicated the poor inter-rater reliability of the Braden PURAT (Kottner and Dassen 2010, Wang et al 2014, Riccioni et al 2019. This suggests that trials evaluating the cost-effectiveness of PU prevention may include patients with an inaccurately calculated risk for PU leading to the inefficient use of resources and the limitation of conclusions drawn from data associated with them.…”

Section: Healthcare Policy and Government Prioritiesmentioning

confidence: 99%

Patient expectations of pressure ulcer prevention in the NHS, healthcare demands and national policy: a critical commentary

Wynn

2020

Br J Nurs

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Preventive care was recently identified as a Government priority, which is likely to affect pressure ulcer (PU) preventive care in the NHS. Contemporary economic analyses of PU prevention interventions are undermined by factors including methodological challenges and poor inter-rater reliability of PU risk assessment tools. Healthcare demands on the NHS created by PU prevention remain unclear, although the burden is high, with litigation costs rising continuously. The poorly understood economics of PU prevention may create variation in practice. Patient expectations of PU prevention may be influenced by mainstream media, national awareness campaigns and the varied information and advice offered by professionals. Patient expectations and low levels of functional health literacy may create confusion and unrealistic expectations. This article critically examines the impact of recent changes in Government priorities related to PU prevention, considering the effects of healthcare demand, economics and patient expectations.

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Section: Healthcare Policy and Government Prioritiesmentioning

confidence: 99%

Patient expectations of pressure ulcer prevention in the NHS, healthcare demands and national policy: a critical commentary

Wynn

2020

Br J Nurs

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“…Todavia, estes itens são determinados por uma pontuação que resultam em um total, denominado de score, o qual varia de 6 a 23 pontos e a classificação pode ser: risco muito alto -escore ≤ 9, risco alto -10 a 12, risco moderado -13 a 14, risco baixo -15 a 18 e sem risco -19 a 23 (Bergstrom, et al, 1987). Neste contexto, esta torna-se uma importante ferramenta, pois apresenta maior especificidade e sensibilidade para mensuração, confiança para identificar pacientes de alto risco que necessitam de cuidados adicionais para evitar eventos prejudiciais (Riccioni, et al, 2019).…”

Section: Discussionunclassified

Atuação do enfermeiro no cuidado a prevenção e tratamento de lesões por pressão

Botelho

Arboit

Freitag

2020

RSD

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Objective: to know the role of nurses in the prevention and treatment of pressure injuries in the hospital environment. Methodology: a qualitative study of the descriptive and exploratory type. Twelve nurses from a hospital in the interior of Rio Grande do Sul participated in the study. Data collection took place in September 2018, through the semi-structured interview, with the data analyzed by Thematic Content Analysis. Results: there is evidence of the use of care strategies with a focus on prevention: skin assessment, measures to reduce pressure on bone prominences and hygienic care. Regarding the treatment, the following stand out: use of specific coverings according to the characteristics of the lesion, hydration and nutritional support, combined with pressing education meetings. Conclusion: the role of nurses in caring for patients with injuries is based on prevention and treatment, using innovative care technologies, providing safe care, reducing hospital stay and enabling an improvement in the patient's quality of life and health.

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“…On the same line, Sabaq &Amer [29] in the study about the effect of preventive bundle guidelines on reducing iratogenic pressure injury among critically ill neonates and found that, there was a positive correlation between nurses knowledge and their compliance after bundle implementation (r=.657, P<0.001). Moreover, Riccioni et al, [30] stated that pressure ulcer prevention continues to be a hot topic in pediatric hospitals. Pressure ulcer considered to be a nursingsensitive indicator because the occurrence and outcome are most affected by nursing care.…”

Section: Discussionmentioning

confidence: 99%

Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit

Mohamed¹,

Elaziz²,

Elaasar³

2019

AJNS

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Pressure ulcers are a common and highly relevant professional care issues in pediatric intensive care units. The aim of this study was to evaluate the effect of preventive bundle guidelines on nurses' knowledge and compliance regarding pressure ulcer among critically ill children at Pediatric intensive care unit. Research design: A quasi-experimental design was used. Settings: This study was conducted at the pediatric intensive care unit in Benha Specialized Pediatric Hospital. Sample: A Convenient sample of nurses (n=43) and purposive sample of critically ill children (n=70) were included from the above mentioned setting. Those children were divided equally into two groups (study and control). Tools of data collection: Three tools were used namely; a structured interviewing questionnaire format, pressure ulcer preventive bundle compliance checklist and Braden Q Risk Assessment Scale. Results: Most children in the study group were not at risk of pressure ulcer in the first and second week of admission as well as before discharge than children in the control group. Moreover, the results revealed that there was significant improvement in nurses' knowledge regarding pressure ulcer as well as their compliance with preventive bundle guideline after bundle implementation. Conclusion: The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impact on the incidence of pressure ulcer among critically ill children. Recommendation: Preventive bundle guidelines should be implemented in pediatric intensive care units to reduce the harm associated with hospital-acquired pressure ulcer.

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Interrater Reliability of the Braden and Braden Q by Skin Champion Nurses

Cited by 10 publications

References 17 publications

Patient expectations of pressure ulcer prevention in the NHS, healthcare demands and national policy: a critical commentary

Patient expectations of pressure ulcer prevention in the NHS, healthcare demands and national policy: a critical commentary

Atuação do enfermeiro no cuidado a prevenção e tratamento de lesões por pressão

Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit

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