Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland

Moore, Zena; Cowman, Seamus

doi:10.1111/j.1365-2702.2011.03749.x

Cited by 120 publications

(96 citation statements)

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“…et al (2008) found where 69.2% of all at risk patients had pressure relieving devices [18]. In Ireland, only 75% of them could identify which tool was being used, despite the fact that 95% of nurses were using an assessment tool [15]. This practice might not be directly concentrating on pressure ulcers alone, but it is obvious that is a good prevention measure [12], [29].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Alghamdi¹

2017

AJNS

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Prevention of pressure ulcers is an indicator of quality of care. Nursing care has a major effect on pressure ulcer development and prevention. Hence, many people believe that most pressure ulcers are preventable if the appropriate interventions are implemented. The study aimed to assess factors affecting nursing compliance in preventing pressure ulcer. Descriptive correlation design was used which is a type of non-experimental design to collect data from medical, surgical units and the critical cardiac unit at King Abdulaziz University Hospital in Jeddah city. Purposive sampling technique was carried out to select 113 nurses and 113 patients. Data were collected by three tools, tool 1 is a structured questionnaire divided into 2 parts, included demographic data and list of barriers facing nurses in preventing pressure ulcer, tool 2 is an observational checklist and tool 3 is the Waterlow pressure ulcer risk assessment tool. The study concluded that there is significant correlation between barriers and nursing compliance in prevention pressure ulcer. Heavy workload/staff shortage is considered as the most barriers facing nurses' compliance regarding prevention pressure ulcer. The study recommended that the managers should review nurses' workload which the findings of this study have shown to be a major barrier in the priority given to the prevention of pressure ulcers.

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Alghamdi¹

2017

AJNS

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“…Across Europe, the United States and Canada, 14 disseminated prevalence rates range from 9% to 27% (Lahmann et al, 2006, Capon et al, 2007, Keelaghan et al, 2008and Moore and Cowman, 2012. Furthermore, published incidence rates range from 1.8% to 20.4% .…”

Section: Introductionmentioning

confidence: 99%

“…A conclusive link between the risk of developing pressure ulcers and age progression has been proven (Moore andCowman, 2012 andNPUAP, EPUAP andPPPIA, 2014). With…”

Section: Introductionmentioning

confidence: 99%

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

Clarke¹,

Moore

Patton

et al. 2017

Br J Community Nurs

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Objective: To investigate the impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage. Method: A repeated measure design was employed to quantify the effectiveness of an educational intervention, consisting of one pre-test and two post-tests. Results: Education was provided to home support workers and this was followed by an assessment of their ability to correctly classify 20 photographs detailing varying stages of skin damage severity. At the baseline (pre-education), 58% of the photographs were classified correctly. At post-test 1, 55% of the photographs were classified correctly. In post-test 2 this increased to 58%, achieving the original baseline scores. There was a moderate negative relationship between pre-training and post-test 2 scores (r=-0.44; n=27; p=0.02). Conclusions: The educational intervention has been shown not to have a statistically significantly positive effect on home support workers' ability to detect early pressure ulcer damage. The moderate negative relationship between pre-training and post-test 2 scores concur with the aforementioned qualitative findings, and similarly indicate behaviour associated with individuals experiencing difficulty comprehending new health terms.

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“…To explore possible reasons for this, additional laboratory pressure tests were performed by the Institut für Textil-und Verfarenstechnik Denkendorf (Germany), on the used visco-elastic foam mattress and also on the same mattress in combination with the pressure relieving part of the multilayer system (MOS). 40 Figure 2 shows the pressure test results. This graph shows how many Newtons are required to achieve the same surface contact indentation (support surface area).…”

Section: Discussionmentioning

confidence: 99%

“…Moore et al (2011) found a low use of repositioning as well; it involved only 9% of elderly patients of Irish long term care facilities and no difference was found in the use of repositioning in patients with and without a PU. 40 Breimeyer et al (2013) found in Austrian nursing homes that about 40%…”

Section: Repositioning Yes or No?mentioning

confidence: 99%

Prevention of pressure ulcers in nursing homes, a big challenge

Leen¹

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any form or any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval without prior written permission from the author, or, when appropriate the publishers of the papers.Niets uit deze uitgave mag worden verveelvoudigd en/of openbaar gemaakt worden door middel van druk, fotokopie, microfilm of enige andere wijze, noch opgeslagen worden in een retrieval-systeem noch vertaald worden in welke taal dan ook, zonder schriftelijke toestemming van de auteur. ColofonCover design: Dirk Franssens, huisarts te Dordrecht Layout & production: Optima Grafische Communicatie ISBN / EAN: 978-94-92683-10-6 Prevention of pressure ulcers in nursing homes, a big challenge 81Chapter 7 General discussion 99 Chapter 8 Valorisation 117Summary 123 Samenvatting 131 Dankwoord 139 About the author 145List of publications and presentations 149 6Prevention of pressure ulcers in nursing homes, a big challenge 7Prevention of pressure ulcers in nursing homes, a big challenge Chapter 1 General Introduction 8Prevention of pressure ulcers in nursing homes, a big challenge 9Prevention of pressure ulcers in nursing homes, a big challenge which may contribute in the development of a PU will be explained below. General introduction 10Pressure and shear are the most mentioned direct causes of a pressure ulcer. 7,8,9,10 Pressure is defined as the amount of force/load applied perpendicular per unit area of application. 10 A force applied over a small area will produce a greater pressure than the same force over a larger area. Two aspects of pressure are important: intensity and duration. The intensity is defined as the amount of external pressure on the skin and the deeper tissue layers. Duration is the time that a certain pressure is exposed to a surface. A short period of high pressure or a longer period of a lower pressure may both result in a PU.Shear is often used to abbreviate the terms shear stress and shear force. Friction is no longer mentioned in the description of PU development in the last NPUAP/EPUAP/PPPIA guideline, but there is a close association with shear. Friction is defined as the force that resists the relative motion of two adjacent objects, like skin and support interface. Often friction potentiates shear stress. 12Prevention of pressure ulcers in nursing homes, a big challengeIf pressure and shear are applied to the skin, particularly over a bony prominence, it causes changes of the skin and the underlying tissue. This may result in tissue distortion, compression of blood vessels, stretching and narrowing of the capillary beds, disturbance of the cell metabolism and even cell death. A sufficient high level of shear stresses for a period of 4 hours will result in muscle death. The skin can resist the same type of stress for more than 12 hours. 12 This is one of the reasons why PUs may already have developed before skin breakdown is visible. Other Contributing factorsThe development of a PU cannot be fully explained by the effects of pressure and shear stress only. Another...

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Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland

Abstract: Pressure ulcers are common, costly and impact negatively on individuals. Current practices in prevention show several areas for improvement, namely, risk assessment, care planning and documentation.

Cited by 120 publications

References 58 publications

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

Prevention of pressure ulcers in nursing homes, a big challenge

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