Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial

Gunningberg, Lena; Sedin, Inga-Maj; Andersson, Sara; Pingel, Ronnie

doi:10.1016/j.ijnurstu.2017.04.007

Cited by 40 publications

(33 citation statements)

References 21 publications

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“…Nurses require a minimum level of nursing knowledge to comply with repositioning policy. [37][38][39] Studies present nursing knowledge as the level of information that nurses have regarding the need for repositioning policy compliance in pressure ulcer prevention.…”

Section: Nursing-related Factorsmentioning

confidence: 99%

Factors affecting repositioning policy compliance: an integrative review

Iblasi

Aungsuroch

Gunwan

2021

Frontiers of Nursing

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Objective To explore the factors affecting nurses’ compliance with repositioning policy. Methods An integrative review was conducted following the Whittemore and Knafl methodology to identify the problem related to repositioning policy compliance. We searched the following databases: Coherence Wounds Group Specialized Register (Jan 1997 to Jun 2019), Ovid MEDLINE (Jan 1997 to Jun 2019), EBSCO CINAHL (Jan 1997 to Jun 2019), and Clinical Key database (Jan 2014 to Oct 2018). Results The review revealed three factors that influence repositioning compliance: nurse-related factors, patient-related factors, and Environment-related factors. Conclusions These factors directly impact one another and, in turn, influence the compliance of nurses to the repositioning policy. However, there is no evidence currently available that explains the collective impact of these factors and how they interact to affect repositioning policy compliance. Nevertheless, all these factors are important and should be considered to enhance and further improve the quality of nursing care and adherence to the repositioning policy.

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Section: Nursing-related Factorsmentioning

confidence: 99%

Factors affecting repositioning policy compliance: an integrative review

Iblasi

Aungsuroch

Gunwan

2021

Frontiers of Nursing

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“…Studies demonstrated that pressure mats reduced hospital-acquired pressure injuries, 29 decreased the amount of time between patient turns 21,30 and promoted skin inspection of high-risk areas 30 while one study found no benefit. 31 Inertial sensors are adhered to an individual's chest or embedded into their clothing to wirelessly monitor a patient's position and movement. There are two brands of inertial sensors for pressure injury management that we are aware of: Leaf (Leaf Healthcare, Pleasanton, CA) and MovinSense (Kinematix, Porto, Portugal).…”

Section: Existing Repositioning Prompting Systemsmentioning

confidence: 99%

Toward mitigating pressure injuries: Detecting patient orientation from vertical bed reaction forces

Wong

Gabison

Dolatabadi

et al. 2020

Journal of Rehabilitation and Assistive Technologies Engineerin

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Introduction: Prolonged bed rest without repositioning can lead to pressure injuries. However, it can be challenging for caregivers and patients to adhere to repositioning schedules. A device that alerts caregivers when a patient has remained in the same orientation for too long may reduce the incidence and/or severity of pressure injuries. This paper proposes a method to detect a person's orientation in bed using data from load cells placed under the legs of a hospital grade bed. Methods: Twenty able-bodied individuals were positioned into one of three orientations (supine, left side-lying, or right side-lying) either with no support, a pillow, or a wedge, and the head of the bed either raised or lowered. Breathing pattern characteristics extracted from force data were used to train two machine learning classification systems (Logistic Regression and Feed Forward Neural Network) and then evaluate for their ability to identify each participant's orientation using a leave-one-participant-out cross-validation. Results: The Feed Forward Neural Network yielded the highest orientation prediction accuracy at 94.2%. Conclusions: The high accuracy of this non-invasive system's ability to a participant's position in bed shows potential for this algorithm to be useful in developing a pressure injury prevention tool.

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“…This new technology has not been evaluated in randomized controlled trials or in regular hospital wards (Walia et al., ). Therefore, we conducted a randomized controlled study, the pressure mapping to prevent pressure injury (PPP) study, to evaluate the effect of a CBPM system in a regular hospital ward (Gunningberg, Sedin, Andersson, & Pingel, ). The PPP study failed to demonstrate a beneficial effect on the prevalence and incidence of pressure injuries.…”

Section: Introductionmentioning

confidence: 99%

“…The PPP study failed to demonstrate a beneficial effect on the prevalence and incidence of pressure injuries. However, the study could indirectly have increased staff awareness of pressure injury prevention, as annual prevalence studies showed a decrease from 38.6% (2015) to 15.4% (2016) (Gunningberg et al., ). The findings from the PPP study revealed a prevalence of pressure injury ranging from 24.2% to 28.2% in the intervention group and from 18.2% to 23.8% in the control group.…”

Section: Introductionmentioning

confidence: 99%