Prevention of pressure ulcer: interaction of body characteristics and different mattresses

Moysidis, Theodoros; Niebel, W.; Bartsch, Katharina; Maier, Irene; Lehmann, Nils; Nonnemacher, Michael; Kroeger, Knut

doi:10.1111/j.1742-481x.2011.00814.x

Cited by 24 publications

(16 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results seem to support the observation that different body constitutions affect pressure points in a "one size fits all" bed frame. [22] A further finding was that, RNs, ANs and SNs had similar attitude scores regarding pressure ulcer prevention. [12] However, the average knowledge score for SN6 was 53.6% and for SN2 59.2%.…”

Section: Pu Knowledge and Attitudesmentioning

confidence: 81%

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Gunningberg

Pöder

Carli

2015

JNEP

View full text Add to dashboard Cite

Background: Reduction of pressure and shear is recognised as the single most important intervention in order to prevent pressure ulcers (PU). Recently, an objective way to measure and receive feedback about the amount of pressure at the body-mattress interface has become available. Using such feedback in a simulated scenario in which there is a hypothetical risk for pressure ulcer development may prepare students in a safe and controlled environment for clinical placements. The aim of the study was to assess whether student nurses' learning about optimal repositioning could be facilitated by real-time feedback in a simulated PU prevention scenario. Methods: A quantitative study was performed in the Clinical Training Center using a descriptive, comparative design. Student nurses from the second (n = 24) and last (n = 32) semesters worked in pairs. Their task was to place two volunteers (69 and 70 years) in the best pressure-reducing position (lateral and supine), initially without access to the pressure mapping monitor and then again after feedback. In total 232 positionings were conducted. Results: Despite the controlled environment, there was considerable variation in peak-pressure readings between student pairs Mean peak pressures were consistently higher in the lateral position compared with the supine, both before and after feedback. After feedback from the pressure mapping monitor, most peak pressure readings were significantly reduced and the number of preventive interventions and patients' comfort had increased. Conclusions: Including simulation of PU prevention in the nursing curriculum provides the possibility for students to train repositioning in a safe environment. The immediate feedback from the pressure monitoring system may strengthen students' confidence and competence on clinical placements.

show abstract

Section: Pu Knowledge and Attitudesmentioning

confidence: 81%

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Gunningberg

Pöder

Carli

2015

JNEP

View full text Add to dashboard Cite

show abstract

“…The highest recorded pressure before feedback from the CBPM monitor was 95 mm Hg for male 1 with a normal body mass index (BMI) and 76 mm Hg for female 2 with a low BMI. It seems important to be aware of different body constitutions and how they affect pressure points .…”

Section: Discussionmentioning

confidence: 99%

Reduced pressure for fewer pressure ulcers: can real‐time feedback of interface pressure optimise repositioning in bed?

Gunningberg

Carli

2014

International Wound Journal

View full text Add to dashboard Cite

The aim of this study was to (i) describe registered nurses' and assistant nurses' repositioning skills with regard to their existing attitudes to and theoretical knowledge of pressure ulcer (PU) prevention, and (ii) evaluate if the continuous bedside pressure mapping (CBPM) system provides staff with a pedagogic tool to optimise repositioning. A quantitative study was performed using a descriptive, comparative design. Registered nurses (n = 19) and assistant nurses (n = 33) worked in pairs, and were instructed to place two volunteers (aged over 70 years) in the best pressure-reducing position (lateral and supine), first without viewing the CBPM monitor and then again after feedback. In total, 240 positionings were conducted. The results show that for the same person with the same available pressure-reducing equipment, the peak pressure varied considerably between nursing pairs. Reducing pressure in the lateral position appeared to be the most challenging. Peak pressures were significantly reduced, based on visual feedback from the CBPM monitor. The number of preventive interventions also increased, as well as patients' comfort. For the nurses as a group, the knowledge score was 59·7% and the attitude score was 88·8%. Real-time visual feedback of pressure points appears to provide another dimension to complement decision making with respect to PU prevention.

show abstract

“…8 Envelopment and immersion are possible with a static air mattress overlay. 4,11,12 The static air mattress overlay is compact and low in weight. It consists of several compartments; the air moves over a large area when a person lies on the mattress.…”

Section: Introductionmentioning

confidence: 99%

Prevention of pressure ulcers with a static air support surface: A systematic review

Serraes

Leen

Schols

et al. 2018

International Wound Journal

View full text Add to dashboard Cite

The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static air mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static air mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static air mattress overlay. Three studies reported a statistical (P < .1) lower incidence compared with a standard hospital mattress (10 cm thick, density 35 kg/m ), a foam mattress (15 cm thick), and a viscoelastic foam mattress (15 cm thick). No significant difference in incidence, purchase costs, and patient comfort was found compared with dynamic air mattresses. This review focused on the effectiveness of static air mattress overlays to prevent pressure ulcers. There are indications that these mattress overlays are more effective in preventing pressure ulcers compared with the use of a standard mattress or a pressure-reducing foam mattress in nursing homes and intensive care settings. However, interpretation of the evidence should be performed with caution due to the wide variety of methodological and/or reporting quality levels of the included studies.

show abstract

Prevention of pressure ulcer: interaction of body characteristics and different mattresses

Cited by 24 publications

References 14 publications

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Reduced pressure for fewer pressure ulcers: can real‐time feedback of interface pressure optimise repositioning in bed?

Prevention of pressure ulcers with a static air support surface: A systematic review

Contact Info

Product

Resources

About