Developing the Baptist Health Injury Risk Assessment Phase 1: Exploring Risk Factors.

IF 1.8 4区医学 Q2 NURSING

Journal of Nursing Administration Pub Date : 2023-09-01 DOI:10.1097/NNA.0000000000001313

C Preston Lewis, Reece Schenkenfelder, Claire C Davies, Martha Monroe, Deanna Acton, Tracy Phillips

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引用次数: 0

Abstract

Objectives: The aim of this study was to explore risk factors for developing hospital-acquired pressure injuries (HAPIs) among critically ill adult inpatients.

Background: Hospital-acquired pressure injuries remain a priority quality focus for Magnet ® organizations. Recent studies cite medical devices as a primary cause, yet published risk assessments lack inclusion of those threats.

Methods: Nurses at a 434-bed, 4-time Magnet ® -designated hospital led a retrospective study acros 9 American Nurses Credentialing Center-designated facilities. Using a chart review tool, data were collected within 48 hours of a confirmed HAPI.

Results: Of 207 HAPIs reported, 54% (n = 113) involved deep tissue pressure injuries and 50.2% (n = 104) involved 19 medical devices. Individuals with a HAPI also used 1 or more of 7 distinct types of mobility-limiting medical equipment.

Conclusions: Study findings support the development of a critical care risk assessment with inclusion of a medical device and mobility-limiting medical equipment as risk factors. A secondary study is underway for specificity and sensitivity testing of this assessment.

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发展浸信会健康伤害风险评估第一阶段:探索风险因素。

目的:本研究旨在探讨危重成人住院患者发生医院获得性压力损伤(HAPIs)的危险因素。背景:医院获得性压力伤害仍然是Magnet®组织优先关注的质量问题。最近的研究将医疗设备列为主要原因，但已发表的风险评估缺乏将这些威胁包括在内。方法:一家拥有434张床位、4次获得Magnet®认证的医院的护士在9家美国护士资格认证中心指定的机构中领导了一项回顾性研究。使用图表审查工具，在确认HAPI后48小时内收集数据。结果:在报告的207例HAPIs中，54% (n = 113)涉及深部组织压力损伤，50.2% (n = 104)涉及19种医疗器械。患有HAPI的人还使用了7种不同类型的限制行动的医疗设备中的一种或多种。结论:研究结果支持重症监护风险评估的发展，其中包括医疗器械和限制行动的医疗设备作为风险因素。另一项研究正在进行特异性和敏感性测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Administration 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.