Pressure injuries to the skin in a neonatal unit: Fact or fiction

August, Deanne; Edmonds, Liza; Brown, David K.; Murphy, Megan; Kandasamy, Yogavijayan

doi:10.1016/j.jnn.2013.08.006

Cited by 51 publications

(42 citation statements)

References 22 publications

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“…For example, August et al. () found that 14% of pressure injuries among premature infants in NICUs were due to the use of CPAP. More specifically, a meta‐study by Imbulana et al.…”

Section: Introductionmentioning

confidence: 99%

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Ali

Obeisat

Tarawneh

2019

International Nursing Review

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Aim This study evaluates the effectiveness of an educational intervention in the area of nursing knowledge and practice relating to neonatal respiratory distress syndrome. Background In Jordan, respiratory distress is the leading cause of death among neonates. Recent studies have revealed a knowledge deficit relating to respiratory distress among nurses in neonatal intensive care units, hence the need for advanced training and specialization in this area. Methods A quasi‐experimental, repeated‐measures, one‐group pre‐test–post‐test design was used to assess the effectiveness of the educational intervention. A convenience sample of 48 nurses was recruited from three hospitals in northern Jordan. A self‐reporting questionnaire was used to assess the respondents’ knowledge of respiratory distress and an observational checklist to assess their practice. The study intervention consisted of 12 two‐hour lecture‐based interactive teaching sessions lasting 4 weeks. A follow‐up assessment was conducted 1 month after the post‐test. Results The baseline assessment revealed that more than half of the nurses scored low on knowledge and the majority scored low on practice. One‐way repeated ANOVA showed that post‐test and follow‐up test scores on nursing knowledge and practice were significantly higher than the baseline scores. Conclusion The study findings show the efficacy of educational interventions in enhancing nursing knowledge and practice relating to the care of neonates with respiratory distress. Implications for nursing and health policy For neonatal nurses, periodic teaching and training interventions are essential to ensuring the quality nursing care required to reduce morbidity and mortality rates among neonates. Health policymakers should support nurses in pursuing educational opportunities aimed at enhancing their knowledge of advanced neonate care.

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“…For example, August et al. () found that 14% of pressure injuries among premature infants in NICUs were due to the use of CPAP. More specifically, a meta‐study by Imbulana et al.…”

Section: Introductionmentioning

confidence: 99%

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Ali

Obeisat

Tarawneh

2019

International Nursing Review

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“…The existence of these additional skin findings (signs) increase the risk of skin injury and must not be ignored in the assessment. In addition, age is an important factor because the skin of a term newborn matures between 14 and 21 days and the younger the postnatal age, the higher will be the risk of skin damage and iatrogenic injury (2,3,(6)(7)(8)(9). For this reason, the tool's validity and reliability were examined before the items were removed.…”

Section: Discussionmentioning

confidence: 99%

“…In the skin assessment of the neonate, it is recommended that a careful evaluation is made of every kind of cannula or probe that may require the application of adhesive tape to the infant's skin, including any existing edema, including pressure sores, which may increase the risk of skin injury, and every kind of cannula, drain, and phototherapy, which may increase subcutaneous fluid loss and disrupt skin integrity (2,3,(6)(7)(8)(9). The findings of the study show a high discrimination power in items NNS9, NNS6, NNS5, NNS7, signs, NNS4, NN3, and NSNS1.…”

Section: Discussionmentioning

confidence: 99%

Validity and Reliability of a Revised Northampton Neonatal Skin Assessment Tool in Turkish Language

Karakoç

Düzkaya

Temizsoy

et al. 2017

Iran Red Crescent Med J

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“…Overall, the incidence of PUs in the hospitalised neonatal population admitted to intensive care units is between 3.7% and 16% . In Spain, only 1 study addressed this outcome and reported a cumulative incidence of 31.7%…”

Section: Introductionmentioning

confidence: 99%

Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units

García-Molina

Balaguer-López

García-Fernández

et al. 2018

International Wound Journal

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Epidemiological studies on pressure ulcers (PUs) in hospitalised infants are scarce. Spain lacks comprehensive research studies providing data on the prevalence or incidence in this population. This work was developed to determine the incidence of PUs in hospitalised infants admitted to intensive and intermediate care units, along with relevant risk factors and preventive measures. A prospective study appraising the incidence of PUs in infants was performed. The risk factors and preventive measures were evaluated using a multivariate logistic regression model. A sample of 268 infants was included. The cumulative incidence of PUs was 12.70% (95% confidence interval, CI = [8.95%-17.28%]). The cumulative incidence in the intermediate care units was 1.90% (CI = [0.39%-5.45%]), while it was 28.18% (CI = [20.02%-37.56%]) in the intensive care units. The PUs were categorised as stage I, 57.10%; stage II, 31.70%; and stage III, 11.10%. The multivariate analysis found the following to be risk factors: low scores in the Spanish version of the Neonatal Skin Risk Assessment Scale (e-NSRAS) (Relative Risk (RR) 0.80; CI = [0.66-0.97]), the use of non-invasive mechanical ventilation (RR 12.24; CI = [4.02-37.32]), and the length of stay (RR 1.08; CI = [1.02-1.15]), suggesting a direct impact of these factors on PU development in infants. Kangaroo care influenced the prevention of PUs (RR 0.26; CI = [0.09-0.71]). The infants admitted in intermediate care units suffered PUs. In the case of intensive care units, the incidence is even higher. The risk increases with the length of stay, while the presence of medical devices, particularly non-invasive mechanical ventilation, is the main causal relationship. Kangaroo care has been shown to be an important preventive measure.

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Pressure injuries to the skin in a neonatal unit: Fact or fiction

Cited by 51 publications

References 22 publications

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Validity and Reliability of a Revised Northampton Neonatal Skin Assessment Tool in Turkish Language

Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units

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