Abstract:This methodological study aimed to evaluate the predictive validity of the Braden scale in critical care patients. The study was conducted in four intensive care units of a general private hospital. After approval of the project by the Hospital Ethics Committee, during six months, adult patients admitted to ICUs with a Braden score ≤18 and without PU were assessed upon admission and at 48-hours intervals as long as the patient remained at risk or until the development of PU, patients' discharge, death or trans… Show more
“…Similarly, the evaluation of these patients' nutritional status is important, as it determines the need for the validated intervention of Nutrition management, to maintain the organism with an adequate nutritional intake and thus facilitate its capacity to maintain skin integrity, in addition to promoting its regeneration and the process of healing (16,20) .…”
Section: The Interventions Bathing Vital Signs Monitoring Andmentioning
confidence: 99%
“…It is known that one of the determinants for PU is skin moisture, a condition which makes it more fragile and susceptible to friction and maceration. Moisture, whether from products or from physiological secretions or fluids, causes softening and maceration of the skin, with a reduction in its tensile strength, rendering it weaker to compression, friction and shear, in addition to fostering an increase in the growth of micro-organisms which impair its integrity (20) .…”
Section: The Intervention Urinary Elimination Managementmentioning
confidence: 99%
“…The changes, when identified, indicate the need for interventions such as those validated, as they prevent and/or treat the situations which foster the development of PU (12)(13)20) .…”
Section: The Intervention Urinary Elimination Managementmentioning
Objective: to validate the Nursing Intervention Classifications (NIC) for the diagnosis 'Risk of Impaired Skin Integrity' in patients at risk of pressure ulcers (PU). Method: the sample comprised 16 expert nurses. The data was collected with an instrument about the interventions and their definitions were scored on a Likert scale by the experts. The data was analyzed statistically, using the calculation of weighted averages (WA).
“…Similarly, the evaluation of these patients' nutritional status is important, as it determines the need for the validated intervention of Nutrition management, to maintain the organism with an adequate nutritional intake and thus facilitate its capacity to maintain skin integrity, in addition to promoting its regeneration and the process of healing (16,20) .…”
Section: The Interventions Bathing Vital Signs Monitoring Andmentioning
confidence: 99%
“…It is known that one of the determinants for PU is skin moisture, a condition which makes it more fragile and susceptible to friction and maceration. Moisture, whether from products or from physiological secretions or fluids, causes softening and maceration of the skin, with a reduction in its tensile strength, rendering it weaker to compression, friction and shear, in addition to fostering an increase in the growth of micro-organisms which impair its integrity (20) .…”
Section: The Intervention Urinary Elimination Managementmentioning
confidence: 99%
“…The changes, when identified, indicate the need for interventions such as those validated, as they prevent and/or treat the situations which foster the development of PU (12)(13)20) .…”
Section: The Intervention Urinary Elimination Managementmentioning
Objective: to validate the Nursing Intervention Classifications (NIC) for the diagnosis 'Risk of Impaired Skin Integrity' in patients at risk of pressure ulcers (PU). Method: the sample comprised 16 expert nurses. The data was collected with an instrument about the interventions and their definitions were scored on a Likert scale by the experts. The data was analyzed statistically, using the calculation of weighted averages (WA).
“…Táto identifikácia prebieha na základe implementácie škál na posúdenie rizika vzniku dekubitov. V súčasnosti existuje na svete takmer 40 škál na posúdenie rizika vzniku dekubitu (2,3). Napriek ich množstvu boli psychometrické vlastnosti testované len u niektorých (4).…”
unclassified
“…Najčastejšie psychometricky testovanými škálami na posúdenie rizika vzniku dekubitov v zahraničí sú škála Bradenovej, škála Nortonovej a škála Waterlowej (11, 14 ,15, 16). Výskumné štúdie v zahraničí sa zameriavajú na zisťovanie validity týchto škál (2,3,17). Dôležitým psychometrickým ukazovateľom použitia meracieho nástroja je však aj inter-rater reliabilita škály.…”
1Ústav ošetřovatelství a porodní asistence, Lékařská fakulta, Ostravská Univerzita v Ostravě, Česká republika 2 Ústav ošetrovateľstva, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Slovenská republika ABSTRAKT Východiská: V súčasnosti existuje na svete takmer 40 škál na posúdenie rizika vzniku dekubitu. Napriek ich množstvu boli psychometrické vlastnosti testované len u niektorých. Cieľ: Zistiť stupeň inter-rater reliability jednotlivých položiek vybraných škál na posúdenie rizika vzniku dekubitu (Bradenovej škály, Nortonovej škály a Waterlowej škály). Metódy: Zber dát prebiehal od apríla do augusta 2014 na oddelení s dlhodobou ošetrovateľskou starostlivosťou. Výskumný súbor tvorilo 32 pacientov. Pre vyhodnotenie inter-rater reliability boli použité štatistické metódy vnútrostredný koeficient korelácie (ICC). Výsledky: Zhoda medzi posudzovateľmi Bradenovej škály sa pohybuje v rozmedzí od ICC = 0,846 pre položku "aktivita" a ICC = 0,645 pre položku "výživa". Nortonovej škála dosiahla najvyššiu zhodu v položke "inkontinencia" (ICC = 0,931), najnižšiu v položke "fyzický stav" (ICC = 0,849). Najvyššia zhoda medzi posudzovateľmi Waterlowej škály je pozorovaná pri položkách "pohlavie" (ICC = 1), "vážna operácia alebo trauma" (ICC = 1). Najnižšiu zhodu dosiahla položka "skóre váhového úbytku" (ICC = 0,497). Závery: Najvyššiu zhodu medzi posudzovateľmi dosiahli položky Nortonovej škály, nasledujú položky Bradenovej škály. Najnižšiu zhodu medzi posudzovateľmi dosiahli položky Waterlowej škály. Odporúčame ďalšie testovanie škál na posúdenie rizika vzniku dekubitov v českom klinickom prostredí.
ABSTRACT Background:Worldwide, approximately 40 pressure ulcer risk assessment scales are available. Despite of this amount, the psychometric properties were tested only for some. Aim: To determine inter-rater reliability of items of selected pressure ulcer risk assessment scales (Braden Scale, Norton Scale and Waterlow Scale).
Methods:The data were collected from April to August 2014 in one long-term care department. The sample consisted of 32 patients. An intra-class correlation coefficient (ICC) was used to determine the inter-rater reliability.
Results:The inter-rater reliability of Braden Scale ranged between ICC = 0.846 for the item "activity" and ICC = 0.645 for the item "nutrition". The highest inter-rater reliability of Norton Scale reached for item "incontinence" (ICC = 0.931), the lowest for item "physical condition" (ICC = 0.849). The highest inter-rater reliability of Waterlow Scale is observed for items "sex" (ICC = 1), "surgery/trauma" (ICC = 1). The lowest inter-rater reliability reached item "weight loss score" (ICC = 0.497).
Conclusions:The highet inter-rater reliability reached items of Norton Scale, followed by items of Braden Scale. The lowest inter-rater reliability reached items of Waterlow Scale. We recommend further testing of pressure ulcer risk assessment scales in czech clinical settings.
KĽÚČOVÉ SLOVÁdekubit, inter-rater reliabilita, škála na posúdenie rizika vzniku dekubitov...
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