A clinimetric analysis of the Pressure Ulcer Risk Primary or Secondary Evaluation Tool: PURPOSE-T

Wynn, Matthew; Holloway, Samantha

doi:10.12968/bjon.2019.28.20.s4

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…To this end, the participants suggested that there is an urgent need for educational training on PU, as it would significantly improve the quality of care for patients at risk. Supporting the current study's findings, previous studies found that educational programmes are vital in bridging the knowledge gap regarding practices related to PU prevention and management (Ebi et al, 2019;Wynn & Holloway, 2019).…”

Section: Discussionsupporting

confidence: 86%

Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study

Tomas,

Mandume

2024

Nursing Open

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AimThe aim of the study was to explore nurses' barriers to the pressure ulcer risk assessment scales implementation.DesignA qualitative descriptive phenomenological study.MethodsThe research participants comprised of 10 nurses at various medical and surgical departments in a teaching hospital northeast of Namibia. Data were collected between August and September 2022 through in‐depth, semi‐structured face‐to‐face individual interviews and analysed using Colaizzi's 7‐step method.ResultsThe interviews with nurses, led to two major themes being discovered: (1) factors hindering the effective prevention of pressure ulcers; (2) suggestions for improvements in the utilization of risk assessment scales. The participants noted that they had inadequate knowledge of the formal risk assessment scales; there were inadequate resources and insufficient staff; there were no policies or guidelines regarding the management of pressure ulcers, all of which influenced their utilization of pressure risk assessment scales. Education and training, the provision of equipment, the hiring of new staff and the formulation of policies/guidelines would thus improve the nurses’ utilization of the scales.ConclusionThe findings of this study have uncovered three primary factors that have a detrimental impact on the utilization of risk assessment scales by nurses, that is their lack knowledge on pressure ulcer risk assessment scales; a shortage of staff and equipment; and an absence of policies/guidelines. The findings from this study provide valuable implications for guiding quality improvement initiatives aimed at enhancing the standard of care in Namibia and other resource‐limited settings.

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Section: Discussionsupporting

confidence: 86%

Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study

Tomas,

Mandume

2024

Nursing Open

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“…Likewise, the restriction of pressure ulcer risk assessment to intraoperative factors does not account for postoperative risk factors. Therefore, it is recommended that risk factors for pressure ulcers be continually evaluated over the entire hospitalization and recovery period [ 6 ].…”

Section: Results Analysismentioning

confidence: 99%

Munro Pressure Ulcer Risk Assessment Scale in Adult Patients Undergoing General Anesthesia in the Operating Room

Lei¹,

Zhou²,

Xu³

et al. 2022

Journal of Healthcare Engineering

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Pressure ulcers are a common complication of immobility and frequently occur in surgical patients. The occurrence of pressure ulcers is affected by many factors, such as operation time and position, anesthesia method, and postoperative nursing. The aim of this study was to investigate the Munro Pressure Ulcer Risk Assessment Scale’s value in predicting acute pressure ulcers in general anesthesia patients. This case-control study included patients who underwent more than 2 hours of general anesthesia in our hospital from January 2018 to December 2020. The case group comprised 42 patients who had pressure sores in surgical compression sites within 3 days after surgery. The control group consisted of 84 patients without acute pressure sores after surgery. Baseline patient data were compared between the two groups, and a logistic multivariate model was used to analyze potential risk factors for acute pressure ulcers. The Munro Pressure Ulcer Risk Assessment Scale scores and Braden scale scores were compared between the two groups during and after surgery. A receiver operating characteristic curve was used to evaluate the clinical value of the two scales (administered at the two time points) in predicting the occurrence of acute pressure ulcers after surgery. The operation and anesthesia times of patients in the case group were longer than those in the control group ( P < 0.05 ). The proportion of comatose patients and patients with diabetes were significantly higher in the case group. While the case group had higher Munro scores during and after surgery compared to the control group ( P < 0.05 ), Braden scores at the corresponding time points were lower ( P < 0.05 ). The following variables were identified as independent risk factors of acute pressure ulcers: prolonged operation time and anesthesia time, increase in Munro scores during and after operation, decrease in Braden scores during and after operation, and comatose status ( P < 0.05 ). The area under the receiver operating characteristic curve (AUC) of the postoperative Munro score for predicting postoperative pressure ulcer risk was 0.774; the sensitivity and specificity were 67.73% and 80.58%, respectively. The AUC of the intraoperative Braden score for predicting postoperative pressure ulcer risk was 0.836, with a sensitivity of 78.95% and specificity of 78.00%. The AUC of the postoperative Braden score for predicting postoperative pressure ulcer risk was 0.809, with a sensitivity of 73.58% and specificity of 64.26% ( P < 0.05 ). Our results indicate that the intraoperative Munro Pressure Ulcer Risk Assessment Scale is highly effective for predicting the risk of postoperative pressure ulcers in surgical patients who require general anesthesia.

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“…Basınç ülserleri, Avrupa Basınç Ülseri Tavsiye Paneli (EPUAP) sınıflamasına göre 4 evrede değerlendirilir (16) . Basınç ülserlerinin birinci evresinde akut inflamasyon tüm yumuşak dokuları tutmuştur.…”

Section: Discussionunclassified

Comparison between Traditional Dressing and Topical L-Proline Application on Pressure Ulcers in Palliative Care and Intensive Care Units

Şahiner¹,

Kendirci²

2020

jarss

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Basınç ülseri yoğun bakım ve palyatif bakım merkezlerinde sık karşılaşılan bir sorundur. Tedavi süreci uzun, zor ve büyük ölçüde maliyetlidir. Hasta, hasta yakını ve hekim için aşılması gereken bir sorun olan basınç ülseri tedavisinde yara bakımı önemlidir. Bu çalışmada, konvansiyonel yöntem ve L-prolin ile yapılan tedavilerinin etkinliği karşılaştırılmıştır. Yöntem: Haziran 2018-2019 tarihleri arasında anestezi ve cerrahi yoğun bakım, palyatif bakım ve kronik yara servisinde basınç ülseri tanısı almış, evre I-III yarası olan 96 hastanın verileri incelendi. Hastalar konvansiyonel pansuman (Grup 1, n=47) ve L-prolin topikal tedavisi uygulan (Grup 2, n=49) olarak ayrıldı. Hastaların demografik verileri, yandaş hastalıkları, yara yeri, ebatları, tedavisi için uygulanan yaklaşım, pansuman sayıları, tedavi süreleri, nihai yara durumları karşılaştırıldı. Bulgular: Gruplar arasında yara evresi, yeri, büyüklüğü ve pansuman sayısı açısından fark belirlenmedi (p>0.05). Hastanede yatış günleri karşılaştırıldığında, Grup 2'de anlamlı derecede düşük bulundu (p=0.002). Tam iyileşme açısından gruplar karşılaştırıldığında, Grup 2'de anlamlı derecede tam iyileşme sağladığı görüldü (p=0.017). Yara evresinde gerileme açısından karşılaştırmada, grup 2'de yaralarının evrelerinde gerileme olduğu görüldü (p=0.001). Yara boyutlarında küçülme açısından gruplar karşılaştırıldığında, Grup 2'de yara ebatlarında küçülme olduğu görüldü (p=0.001). Sonuç: L-prolin içeren topikal krem uygulamasının özellikle evre I ve II üzere basınç ülserinde güvenle ve etkili bir şekilde kullanılabileceği görüldü.

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A clinimetric analysis of the Pressure Ulcer Risk Primary or Secondary Evaluation Tool: PURPOSE-T

Cited by 4 publications

References 23 publications

Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study

Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study

Munro Pressure Ulcer Risk Assessment Scale in Adult Patients Undergoing General Anesthesia in the Operating Room

Comparison between Traditional Dressing and Topical L-Proline Application on Pressure Ulcers in Palliative Care and Intensive Care Units

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