Effect of a wearable patient sensor on care delivery for preventing pressure injuries in acutely ill adults: A pragmatic randomized clinical trial (LS-HAPI study)

Pickham, David; Berte, Nic; Pihulic, Mike; Valdez, Andre; Mayer, Barbara; Desai, Manisha

doi:10.1016/j.ijnurstu.2017.12.012

Cited by 77 publications

(73 citation statements)

References 17 publications

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“…Within the robotics category, two thirds of the studies and all RCTs focus on the robotic seal Paro, so this is one of the few technologies that is quite extensively researched; nevertheless most of the studies are rather small. In the monitoring/sensors category there are only four RCTs, of which only two report positive results on pressure ulcer prevention [112] and behaviour analysis for care decision support respectively [120]. Still there are several quasi-experimental studies, most of which yield positive results, which may point to promising future research areas.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of digital technologies to support nursing care: results of a scoping review

Hüter

Krick

Domhoff

et al. 2020

Preprint

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Background The field of digital technologies being developed or applied to support nursing care is very extensive. The aim of this scoping review is to provide an overview on technologies for which results on positive or negative effects on persons in need of care, caregivers or care institutions are available – and to appraise the reliability of these results. An additional focus is put on the question which care settings and target groups have been addressed by the research so far. Methods A scoping review design has been used to identify studies focussing on the effectiveness of digital technologies in nursing care for persons in need of care, caregivers or care institutions. The screening process included 19.510 scientific publications from 9 databases. Results A total of 123 single studies and 31 reviews were subjected to the analysis. The range of technologies that is researched to support nursing care is wide. The included technologies comprise nursing and health information technologies, such as assistive devices, information and communication technologies (including decision support systems, electronic health records, hospital and nursing home information systems), sensors and robotic technologies. The results show that there are many studies that demonstrate positive effects of the technologies, but the level of evidence is mostly low and study sizes are often small. Hardly any technology has been researched intensively enough to produce conclusive results. Studies on a high level of evidence (RCTs) lack for nearly all technological areas. Heterogeneous results in some areas indicate that effects may depend strongly on the mode and and specific context into which the technologies are introduced. Most studies are situated in inpatient care settings. Conclusion Due to the limited evidence on effectiveness of digital technologies in nursing care, it is not surprising that care institutions are reluctant to put innovative technologies into practice. The scoping review indicates technology areas that should be subject to future research with higher quality studies. Research on outpatient care settings, informal care arrangements and cross-sectoral care should be intensified to further exploit the potential of digital technologies to improve independence of care-recipients and unburden formal an informal carers.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of digital technologies to support nursing care: results of a scoping review

Hüter

Krick

Domhoff

et al. 2020

Preprint

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“…Inactive sensors did not provide feedback to the staff who relied on ‘usual’ care to determine when and how to reposition their patients. The research team3 decided, based on best available evidence, that turning should happen every 2 hours, the minimum turn angle should be 20° with at least 15 min of tissue depressurisation. The primary outcome was development of an HAPI.…”

Section: Methodsmentioning

confidence: 99%

“…Studies using different approaches have also been able to reduce HAPI incidence, for example, using turning teams, bedside consultations and rounding. Pickham et al 3 prefer their sensor method as they believe it has a greater chance of producing change in staff behaviour and is less resource intensive. The fact that the RCT was pragmatic means results are likely to be replicable in real life.…”

Section: Commentarymentioning

confidence: 99%

Body sensor providing feedback to bedside staff reduced the prevalence of pressure ulcers in patients with critical illness

Swift

2019

Evid Based Nurs

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“…Beberapa penelitian tentang Evidence-Based Practice(EBP) menunjukkan bahwa praktik berbasis bukti mampu meningkatkan kualitas pelayanan diberbagai tingkat layanan kesehatan yang ada.Reposisi pasien dengan risiko tekanan ulkus setiap tiga jam pada malam hari, menggunakan kemiringan 30°, mengurangi kejadian ulkus tekanan dibandingkan dengan perawatan biasa (Moore, Cowman, & Conroy, 2011). Penggunaan Sensor pasien pada perawatan pasien di unit perawatan intensif menunjukkan 1,6 % lebih efektif mencegah kejadian PI dibanding dengan pasien yang tidak menggunakan sensor pasien (Pickham et al, 2018). Penerapan pencegahan PI berbasis bukti mampu menurunkan kejadian dekubitus 12,5% -3,2% (Linda, 2011).…”

Section: Pendahuluanunclassified

Strategi Pencegahan Pressure Injuries (Pi) Berdasarkan Evidence-Based Practice (Ebp): A Systematic Review

Hidayat

2020

BIGES JUKES

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ABSTRAK Masih tingginya prevalensi kejadian Pressure Injuries (PI) di rumah sakit mengakibatkan budaya keselamatan pasien dalam meningkatkan kualitas pelayanan keperawatan belum optimal. Telah banyak publikasi penelitian yang memberikan pilihan dalam menangani dan mencegah terjadi luka dekubitus. Namun hanya sebagian perawat saja yang menerapkan praktik berbasis bukti dalam layanan kesehatan di rumah sakit. Tujuan penelitian ini adalah untuk mengetahui strategi pencegahan PI berdasarkan Evidence-Based Practice (EBP). Jenis penelitian ini merupakan penelitian systematic review dengan sumber pencarian literature dilakukan pada empat portal jurnal terindeks yaitu PubMed, Wiley, ProQuest, dan Google Schoolar. Hasil penelitian ini menunjukkan bahwa artikel yang teridentifikasi sebanyak 3427 penelitian, kemudian dilakukan screening dengan mengekslusi artikel yang double publikasi dan bukan 10 tahun terakhir. Selanjutnya, mengeklusi artikel yang bukan jurnal penelitian, tidak free full text, dan tidak sesuai dengan variabel, sehingga menyisakan 11 artikel yang diinklusi. Dapat disimpulkan bahwa pencegahan PI dapat ditingkatkan dengan memaksimalkan asuhan keperawatan berdasarkan EBP. Hasil-hasil penelitian memberikan pilihan intervensi yang dapatkan diintegrasikan dalam pemberian pelayanan keperawatan untuk meningkatkan kualitas asuhan. Pencegahan PI tidak dapat dilakukan hanya dengan melaksanakan satu intervensi pencegahan saja. Memaksimalkan seluruh intervensi yang ada, dapat menurunkan kejadian PI. Diharapkan kepada perawat untuk terus meningkatkan kemampuan dan keterampilan dalam mencari dan menemukan hasil-hasil penelitian yang dapat digunakan dalam pencegahan PI. Intervensi berdasarkan EBP merupakan sebuah inovasi yang perlu ditingkatkan bagi semua perawat. Kata Kunci : Perawat, Pressure Injuries, Evidence-Based Practice ABSTRACT The high prevalence of the incidence of Pressure Injuries (PI) in hospitals has resulted in a culture of patient safety in improving the quality of nursing services. There have been many research publications that provide options for managing and preventing pressure sores. However, only some nurses apply evidence-based practice in health services in hospitals. The aims of this study was to determine PI prevention strategies based on Evidence-Based Practice (EBP). This type of research is systematic review research with literature search sources conducted on four indexed journal portals, namely PubMed, Wiley, ProQuest, and Google Scholar. The results of this study indicate that 3427 research articles were identified, then screened by the exclusion of articles that were double publications and not the last 10 years. Furthermore, excluding articles that are not research journals, is not free full text, and does not fit into the variable, leaving 11 articles included. It can be concluded that PI prevention can be improved by maximizing nursing care based on EBP. The results of the study provide intervention options that are integrated into the delivery of nursing services to improve the quality of care. PI prevention cannot be carried out by implementing only one preventive intervention. Maximizing all existing interventions can reduce the incidence of PI. It is expected that nurses will continue to improve their abilities and skills in searching and finding research results that can be used in PI prevention. Interventions based on EBP are an innovation that needs to be improved for all nurses. Keywords : Nurse, Pressure Injuries, Evidence-Based Practice

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Effect of a wearable patient sensor on care delivery for preventing pressure injuries in acutely ill adults: A pragmatic randomized clinical trial (LS-HAPI study)

Cited by 77 publications

References 17 publications

Effectiveness of digital technologies to support nursing care: results of a scoping review

Effectiveness of digital technologies to support nursing care: results of a scoping review

Body sensor providing feedback to bedside staff reduced the prevalence of pressure ulcers in patients with critical illness

Strategi Pencegahan Pressure Injuries (Pi) Berdasarkan Evidence-Based Practice (Ebp): A Systematic Review

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