The first national pressure ulcer prevalence survey in county council and municipality settings in Sweden

Gunningberg, Lena; Hommel, Ami; Bååth, Carina; Idvall, Ewa

doi:10.1111/j.1365-2753.2012.01865.x

Cited by 86 publications

(92 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 2011, this survey included 35,058 persons and reported an overall prevalence of pressure ulcers of 16.6% in hospitals and 14.5% in nursing home residents. The highest levels (21.9%) were seen in shortterm care for the elderly (Gunningberg et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Preventing pressure ulcers by assessment of the microcirculation in tissue exposed to pressure

Bergstrand¹

2014

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Preventing pressure ulcers by assessment of the microcirculation in tissue exposed to pressure

Bergstrand¹

2014

View full text Add to dashboard Cite

“…Timely healing is also important for reducing health care costs, which, for pressure ulcer treatment, can be substantial (Gallagher, 2011). Pressure ulcers among older individuals in long-term care facilities are a global problem with prevalence ranging from 10% to 30% (Ahn, Cowan, Garvan, Lyon, & Stechmiller, 2016; Bours, Halfens, Abu-Saad, & Gro, 2002; Capon, Pavoni, Mastromattei, & Di Lallo, 2007; Gunningberg, Hommel, Baath, & Idvall, 2013; Lahmann, Halfens, & Dassen, 2005; Levinson, 2014; Tannen, Bours, Halfens, & Dassen, 2006). The overall prevalence of Stage 2 to 4 pressure ulcers at NH admission in the United States (U.S.) ranges between 5%-20% (Baumgarten et al, 2004; Harms et al, 2014), but among minority NH admissions in the U.S., the prevalence is nearly twice that of Whites (Baumgarten et al, 2004; Harms et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission

Gurvich

Savik

Eberly

et al. 2017

Archives of Gerontology and Geriatrics

View full text Add to dashboard Cite

Background Pressure ulcers increase the risk of costly hospitalization and mortality of nursing home residents, so timely healing is important. Disparities in healthcare have been identified in the nursing home population but little is known about disparities in the healing of pressure ulcers. Purpose To assess racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission. Multi-levels predictors, at the individual resident, nursing home, and community/Census tract level, were examined in three large data sets. Methods Minimum Data Set records of older individuals admitted to one of 439 nursing homes of a national, for-profit chain over three years with a stage 2–4 pressure ulcer (n=10,861) were searched to the 90-day assessment for the first record showing pressure ulcer healing. Predictors of pressure ulcer healing were analyzed for White admissions first using logistic regression. The Peters-Belson method was used to assess racial or ethnic disparities among minority group admissions. Results A significantly smaller proportion of Black nursing home admissions had their pressure ulcer heal than expected had they been part of the White group. There were no disparities in pressure ulcer healing disadvantaging other minority groups. Significant predictors of a nonhealing of pressure ulcer were greater deficits in activities of daily living and pressure ulcer severity. Conclusions Reducing disparities in pressure ulcer healing is needed for Blacks admitted to nursing homes. Knowledge of disparities in pressure ulcer healing can direct interventions aiming to achieve equity in healthcare for a growing number of minority nursing home admissions.

show abstract

“…[1][2][3] Despite this, PU prevalence rates in Europe remain unacceptably high (8.9%-18.1%), [4][5][6] with the prevalence rate in Sweden estimated to 14.9%. [7] Fundamentally, PU prevention is a nursing responsibility. Practicing nurses and students have access to widely disseminated national and international evidence based guidelines in which PU prevention is addressed.…”

Section: Introductionmentioning

confidence: 99%

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

Gunningberg

Pöder

Carli

2015

JNEP

Self Cite

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

The first national pressure ulcer prevalence survey in county council and municipality settings in Sweden

Cited by 86 publications

References 24 publications

Preventing pressure ulcers by assessment of the microcirculation in tissue exposed to pressure

Preventing pressure ulcers by assessment of the microcirculation in tissue exposed to pressure

Racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission

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

Contact Info

Product

Resources

About