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Barakat-Johnson, Barnett, C., Wand, T., & White, K. (2017). Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia. Journal of Tissue Viability, 26(4), 246–253. https://doi.org/10.1016/j.jtv.2017.09.008

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Highlights

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MDRPI accounted for over a quarter of patients reviewed.

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Nurses had a lack of awareness about the importance of strategies to prevent MDRPI.

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MDRPI is more likely to occur in patients in intensive care services.

Abstract

Aim

To examine and explore medical device-related pressure injuries in an 800-bed tertiary hospital.

Materials and methods

An exploratory descriptive study design was employed. A prospective review of all data on reported hospital-acquired pressure injuries was conducted on a weekly basis from July 2015 to August 2016. This included a patient assessment and medical record review as well as brief semi-structured interviews with nurses.

Results

The overall incidence of medical device-related pressure injuries was 27.9% (50/179) with the majority (68%, 34/50) occurring in intensive care. The most common cause of a medical device-related pressure injury was oxygen tubing behind ears (n = 21) and endotracheal tubes (n = 13). Nurses were unaware of the implications of medical devices in contact with the skin and patient medical records did not present a valuable source of information in relation to pressure injury prevention.

Conclusion

Medical device-related pressure injuries were represented in 27.9% of our entire patient cohort; primarily occurring on the ear from oxygen tubing and on the mouth from endotracheal tubes in patients in intensive care. Additional support, education and monitoring for nurses at a local level on the prevention of medical device-related pressure injuries is necessary to prevent their occurrence. Furthermore, consensus on the classification and reporting of medical device-related pressure injuries is still in development, making reporting and monitoring challenging. Medical device-related pressure injuries are a continuing clinical issue that require further exploration.

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Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia

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MDRPI accounted for over a quarter of patients reviewed. * Nurses had a lack of awareness about the importance of strategies to prevent MDRPI. * MDRPI is more likely to occur in patients in intensive care services. To examine and explore medical device-related pressure injuries in an 800-bed tertiary hospital.

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Abstract

Background

As many as 30-60% of individuals living with spinal cord injury/disease (SCI/D) experience at least one pressure injury (PI) in their lifetime. Best practice guidelines in SCI/D rehabilitation emphasize the importance of providing education regarding PI prevention and management for individuals living with SCI/D. Mobile educational applications can be used for PI education however there is limited research on the user-experiences of mobile educational applications about PIs for individuals living with SCI/D.

Objectives

The purpose of this study was to explore the experiences of individuals living with SCI/D on the use of Pressure Ulcer Target (PUT), a mobile educational app for PI prevention and management.

Methods/Overview

Nine participants living with SCI/D used PUT over two weeks. Individual semi-structured interviews were conducted to explore the participants' perceptions regarding the utility, aesthetics and ease of use of PUT and suggested modifications. A conventional content analysis was used to identify themes and categories from the data.

Results

User-experiences with PUT fell into four themes: (1) Strengths and weakness; (2) Target population; (3) Key concepts and messages; and (4) Recommendations for improvement.

Conclusions

PUT serves as a review of previously acquired PI knowledge and should be introduced early in rehabilitation to motivate users to prevent PIs. Future studies exploring healthcare professionals' perspectives of PUT are warranted.

Implications for rehabilitation

PUT aids individuals living with SCI/D in the community to review PI prevention and management strategies that they learned as inpatients.

The use of pictures to deliver patient education regarding PI prevention and management through a mHealth app is recommended.

PUT should be introduced early in rehabilitation to motivate users to prevent PIs.

Acknowledgements

We would like to acknowledge Erin Warkentin for the development of Pressure Ulcer Target and the illustrations embedded in Pressure Ulcer Target while completing her MScBMC at the University of Toronto. We would also like to acknowledge Ms. Warkentin's committee members Nick Woolridge, Shelley Wall, Molly Verrier and Sharon Gabison. This study was partially supported by the Hallisey Postdoctoral Fellowship In Technology for Family Caregivers (Sharon Gabison).

Disclosure statement

The author Sharon Gabison owns the intellectual property of Pressure Ulcer Target.

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The use of a mobile educational tool on pressure injury education for individuals living with spinal cord injury/disease: a qualitative research study

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Abstract As many as 30-60% of individuals living with spinal cord injury/disease (SCI/D) experience at least one pressure injury (PI) in their lifetime. Best practice guidelines in SCI/D rehabilitation emphasize the importance of providing education regarding PI prevention and management for individuals living with SCI/D.

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Nurses’ knowledge on pressure injury prevention: a systematic re | CCID

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Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool Sahar Dalvand,1 Abbas Ebadi,2 Reza Ghanei Gheshlagh3,4 1Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sci…