The repositioning of hospitalized patients with reduced mobility: a prospective study

Latimer, Sharon; Chaboyer, Wendy; Gillespie, Brigid M.

doi:10.1002/nop2.20

Cited by 17 publications

(15 citation statements)

References 38 publications

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“…In the present study 36.2 % patients were kept in propped up position to ease their breathing and SPO2 monitoring was done among 12.41%. Likewise study conducted in Australia found elevation of the head of the bed (1-45°) was the most frequently adopted position [15]. Present study also identified catheter care(6.9%), chest physiotherapy (3.7%), ambulation (8.6%), nasogastric tube feeding (1.2%), preoperative care (2.1%) and diabetic foot care(0.3%) as important nursing care provided to the patient.…”

Section: Discussionsupporting

confidence: 50%

“…This led to the conclusion that repositioning and positions used in the prevention of pressure ulcers is important [14]. A research study found that, patients were repositioned frequently during the day and evening and least at night time [15]. Pressure ulcers can predispose to a variety of complications that include bacteremia, osteomyelitis, squamous cell carcinoma, and sinus tracts.…”

Section: Discussionmentioning

confidence: 99%

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Inpatients nursing care provided in a tertiary hospital of Nepal

Shrestha

Chaudhary

et al. 2018

BIBECHANA

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Introduction: Nursing care is necessary for every client seeking any type of healthcare such as health promotion, diagnosis, treatment and recovery. Despite these facts, nurses are given less importance and their works are even unrecognized. Objective: The objective of this study was to explore nursing care provided to inpatients of medical ward at B. P. Koirala Institute of Health Sciences, Dharan, Nepal. Methodology: Hospital based cross-sectional study was carried out in medical ward of B. P. Koirala Institute of Health Sciences, Dharan from Feb 2017 to Oct 2018. Data were retrieved from inpatient admission record book of medical ward of previous 15 months from the initiation of this research work. Admission record book was reviewed and checked for completeness of the record. A total of 290 patients having complete records were enrolled. Collected data were entered in Microsoft excel and analysed by SPSS software. Results: More than half patients (52.8%) were male and 44.8% belonged to Janajati ethnicity. The major age group was 15-25 years (17.9%) with mean and standard deviation of 49.4±20.6. About 28.6 % of the patients were admitted due to cardiovascular related problems and poisoning (13.1%). Most of the patients (67%) were admitted from emergency. Median duration of stay was 4 days. Every 8 out of 10 patients were recovered and discharged. General nursing care provided were maintenance of personal hygiene (91.03%), cannula site care (49.7%), providing psychological support (41%), ambulation (8.3%), back care (7.6%), catheter care(6.9%), passive exercise (2.4%), chest physiotherapy(3.7%), sponge bath(9.3%). Specific care provided were propped-up positioning (36.2%), 2 hourly position change (23.4%), random blood sugar monitoring (12.4%), SpO2monitoring (8.9%), watch for oxygen toxicity (9.3%), weight monitoring (3.1%) and pre CAG (coronary angiography) care(2.1%). Conclusion: Maintenance of personal hygiene, cannula site care, psychological support, two hourly positioning and oral care were the common practices performed.BIBECHANA 16 (2019) 204-212

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Inpatients nursing care provided in a tertiary hospital of Nepal

Shrestha

Chaudhary

et al. 2018

BIBECHANA

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“…Implementation of a repositioning schedule was the most predominant PIP strategy used across all subgroups. Previous researchers have also shown that repositioning and mobilisation are often the most frequently used PIP strategies in practice . Yet, the most recent Cochrane review examining empirical support of repositioning highlights that there is still uncertainty about the ideal frequency and positioning to help prevent PIs .…”

Section: Discussionmentioning

confidence: 99%

Adherence to evidence‐based pressure injury prevention guidelines in routine clinical practice: a longitudinal study

Chaboyer

Bucknall

Gillespie

et al. 2017

International Wound Journal

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The aim of this longitudinal study was to describe adherence to evidence-based pressure injury (PI) prevention guidelines in routine clinical practice in Australian hospitals. Data were analysed from four control sites of a larger-cluster randomised trial of a PI intervention. The sample of 799 included 220 (27·5%) Not at risk, 344 (43·1%) At risk and 110 (13·8%) At high risk patients. A total of 84 (10·5%) patients developed a PI during the study: 20 (9·0% of 220) in the Not at risk group, 45 (13·1% of 344) in the At risk group, 15 (13·6% of 110) in the At high risk group and 4 (3·2% of 125) patients who did not have a risk assessment completed. Of all patients, 165 (20·7%) received only one PI prevention strategy, and 494 (61·8%) received ≥2 strategies at some point during the study period. There was no statistical difference in the proportion of time the three risk groups received ≥1 and ≥2 strategies; on average, this was less than half the time they were in the study. Thus, patients were not receiving PI prevention strategies consistently throughout their hospital stay, although it is possible patients' risk changed over the study period.

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“…Patient-handling activities, including patient turning, repositioning, and maneuvering of limbs, are performed as frequently as every 2 hr per patient (Latimer, Chaboyer, & Gillespie, 2015). Log rolling a patient onto their side using a draw sheet (Baptiste, 2011) is often identified as a challenging patient handling task (e.g., Vieira, Kumar, Coury, & Narayan, 2006).…”

Section: Introductionmentioning

confidence: 99%

Can the Use of Turn-Assist Surfaces Reduce the Physical Burden on Caregivers When Performing Patient Turning?

2019

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Objective: To quantify differences in physical workload afforded by turn-assist surfaces relative to manual patient turns, and between nursing caregivers (turn-away vs. turn-toward) while performing partnered patient turning. Background: Nurse caregivers experience an increased risk of musculoskeletal injuries at the back or shoulders when performing patient-handling activities. Use of turn-assist surfaces can reduce the physical burden and risk on caregivers. Method: Whole-body motion capture and hand force measures were collected from 25 caregivers (17 female) while performing partnered manual and technology-facilitated turns. Shoulder and low back angles and L4/L5 joint contact forces were calculated at the instant of peak hand force application for both caregivers. Results: Hand force requirements for the turn-away caregiver were 93% of the estimated maximum acceptable force when performing a manual turn. Use of a turn-assist surface eliminated hand forces required to initiate the patient turn for the turn-away caregiver, where their role was reduced to inserting appropriate wedging behind the patient once the facilitated turn was complete. This reduced shoulder moments by 21.3 Nm for the turn-away caregiver, a reduction in exposure from 70% of maximum shoulder strength capacity to 15%. Spine compression exposures were reduced by 302.1 N for the turn-toward caregiver when using a turn-assist surface. Conclusion: Use of a turn-assist surface reduced peak hand force and shoulder-related exposures for turning away and reduced spine-related exposures for turning toward. Application: Turn-assist devices should be recommended to decrease the risk of musculoskeletal disorder hazards for both caregivers when performing a partnered patient turn.

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The repositioning of hospitalized patients with reduced mobility: a prospective study

Cited by 17 publications

References 38 publications

Inpatients nursing care provided in a tertiary hospital of Nepal

Inpatients nursing care provided in a tertiary hospital of Nepal

Adherence to evidence‐based pressure injury prevention guidelines in routine clinical practice: a longitudinal study

Can the Use of Turn-Assist Surfaces Reduce the Physical Burden on Caregivers When Performing Patient Turning?

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