在重症监护室实施可重复使用床单：对压力伤害、员工满意度和环境可持续性的影响

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care Pub Date : 2025-08-16 DOI:10.1016/j.aucc.2025.101311

Kylie Feely RN, GCCN , Stacey Matthews RN, MPH , Edward Quilas RN, GCCN , Forbes McGain MBBS, PhD , Eugene Kwek PGCert Data Science , Rochelle Wynne RN, PhD

{"title":"在重症监护室实施可重复使用床单：对压力伤害、员工满意度和环境可持续性的影响","authors":"Kylie Feely RN, GCCN , Stacey Matthews RN, MPH , Edward Quilas RN, GCCN , Forbes McGain MBBS, PhD , Eugene Kwek PGCert Data Science , Rochelle Wynne RN, PhD","doi":"10.1016/j.aucc.2025.101311","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries (PIs) remain a major concern in intensive care units (ICUs), leading to increased morbidity, healthcare costs, and extended hospital stays. While various prevention strategies exist, the impact of reusable linen on PI incidence and environmental sustainability remains underexplored.</div></div><div><h3>Objectives</h3><div>The effect of transitioning from disposable to reusable linen on PI incidence among ICU patients was evaluated while assessing environmental impact and staff acceptance.</div></div><div><h3>Methods</h3><div>A before–after study was conducted in a single major metropolitan ICU comparing patient outcomes before (April 2022–March 2023) and after (April 2023–March 2024) reusable linen implementation. Data from electronic medical records and an internal risk monitoring system (RiskMan®) were analysed to identify factors associated with PI development. A nursing staff satisfaction survey was conducted, and landfill waste reduction was quantified.</div></div><div><h3>Results</h3><div>In 2114 patients, the incidence of PIs was significantly reduced after reusable linen was implemented compared to that observed while using the disposable linen (<em>p</em> =< 0.05). Although a weak significant association was found between linen type and PI occurrence (χ<sup>2</sup> (1) = 4.23, <em>p</em> = 0.040, 95% confidence interval [CI]: 0.001–0.042), with a small effect size (Cramér's V = 0.0447), once adjusting for other factors, linen type was no longer a significant predictor. Acute Physiology and Chronic Health Evaluation III score (odds ratio [OR] = 1.011, 95% CI: 1.003–1.019), age (OR = 0.976, 95% CI: 0.963–0.989), sex (OR = 0.53, 95% CI: 0.340–0.823), diabetes status (OR = 1.29, 95% CI: 1.109–1.499), and ICU length of stay (OR = 1.23, 95% CI: 1.188–1.276) were significant predictors of PI development. Staff satisfaction with reusable linen was high (n = 22, 87.2%), with benefits including usability and sustainability. The transition to reusable linens eliminated 496 kg of landfill waste annually.</div></div><div><h3>Conclusions</h3><div>Reusable linen was not inferior to disposable linen for the prevention of PI and offered substantial environmental benefits. Strong staff support and reduced waste indicate reusable linen is a viable alternative in ICU settings. Further research is needed to explore long-term impacts.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 6","pages":"Article 101311"},"PeriodicalIF":2.7000,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementation of reusable linen in the intensive care unit: Impact on pressure injury, staff satisfaction, and environmental sustainability\",\"authors\":\"Kylie Feely RN, GCCN , Stacey Matthews RN, MPH , Edward Quilas RN, GCCN , Forbes McGain MBBS, PhD , Eugene Kwek PGCert Data Science , Rochelle Wynne RN, PhD\",\"doi\":\"10.1016/j.aucc.2025.101311\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Pressure injuries (PIs) remain a major concern in intensive care units (ICUs), leading to increased morbidity, healthcare costs, and extended hospital stays. While various prevention strategies exist, the impact of reusable linen on PI incidence and environmental sustainability remains underexplored.</div></div><div><h3>Objectives</h3><div>The effect of transitioning from disposable to reusable linen on PI incidence among ICU patients was evaluated while assessing environmental impact and staff acceptance.</div></div><div><h3>Methods</h3><div>A before–after study was conducted in a single major metropolitan ICU comparing patient outcomes before (April 2022–March 2023) and after (April 2023–March 2024) reusable linen implementation. Data from electronic medical records and an internal risk monitoring system (RiskMan®) were analysed to identify factors associated with PI development. A nursing staff satisfaction survey was conducted, and landfill waste reduction was quantified.</div></div><div><h3>Results</h3><div>In 2114 patients, the incidence of PIs was significantly reduced after reusable linen was implemented compared to that observed while using the disposable linen (<em>p</em> =< 0.05). Although a weak significant association was found between linen type and PI occurrence (χ<sup>2</sup> (1) = 4.23, <em>p</em> = 0.040, 95% confidence interval [CI]: 0.001–0.042), with a small effect size (Cramér's V = 0.0447), once adjusting for other factors, linen type was no longer a significant predictor. Acute Physiology and Chronic Health Evaluation III score (odds ratio [OR] = 1.011, 95% CI: 1.003–1.019), age (OR = 0.976, 95% CI: 0.963–0.989), sex (OR = 0.53, 95% CI: 0.340–0.823), diabetes status (OR = 1.29, 95% CI: 1.109–1.499), and ICU length of stay (OR = 1.23, 95% CI: 1.188–1.276) were significant predictors of PI development. Staff satisfaction with reusable linen was high (n = 22, 87.2%), with benefits including usability and sustainability. The transition to reusable linens eliminated 496 kg of landfill waste annually.</div></div><div><h3>Conclusions</h3><div>Reusable linen was not inferior to disposable linen for the prevention of PI and offered substantial environmental benefits. Strong staff support and reduced waste indicate reusable linen is a viable alternative in ICU settings. Further research is needed to explore long-term impacts.</div></div>\",\"PeriodicalId\":51239,\"journal\":{\"name\":\"Australian Critical Care\",\"volume\":\"38 6\",\"pages\":\"Article 101311\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-08-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australian Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1036731425001419\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Critical Care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1036731425001419","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

压力性损伤（pi）仍然是重症监护病房（icu）的一个主要问题，导致发病率增加、医疗费用增加和住院时间延长。虽然存在各种预防策略，但可重复使用亚麻对PI发生率和环境可持续性的影响仍未得到充分探讨。目的通过对环境影响和医护人员接受程度的评估，评价由一次性布草向可重复使用布草过渡对ICU患者PI发病率的影响。方法在单一大城市ICU进行前后对比研究，比较可重复使用亚麻制品实施前（2022年4月- 2023年3月）和实施后（204月- 2024年3月）患者的预后。分析来自电子病历和内部风险监测系统（RiskMan®）的数据，以确定与PI发展相关的因素。进行护理人员满意度调查，量化垃圾填埋减量。结果在2114例患者中，与使用一次性布草相比，使用可重复使用布草后的pi发生率显著降低(p =<；0.05)。尽管布草类型与PI发生之间存在弱显著相关（χ2 (1) = 4.23, p = 0.040, 95%可信区间[CI]: 0.001-0.042），且效应值较小（cram’s V = 0.0447），但一旦校正其他因素，布草类型不再是显著的预测因子。急性生理和慢性健康评估III评分（优势比[OR] = 1.011, 95% CI: 1.003-1.019）、年龄（OR = 0.976, 95% CI: 0.963-0.989）、性别（OR = 0.53, 95% CI: 0.340-0.823）、糖尿病状况（OR = 1.29, 95% CI: 1.109-1.499）和ICU住院时间（OR = 1.23, 95% CI: 1.188-1.276）是PI发展的重要预测因素。员工对可重复使用布草的满意度很高（n = 22, 87.2%），其优点包括可用性和可持续性。向可重复使用的亚麻布的过渡每年减少了496公斤的垃圾填埋。结论重复使用布草在预防PI方面的效果不逊于一次性布草，具有显著的环境效益。强有力的员工支持和减少的浪费表明可重复使用的亚麻是ICU设置的可行选择。需要进一步的研究来探索长期影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Implementation of reusable linen in the intensive care unit: Impact on pressure injury, staff satisfaction, and environmental sustainability

Background

Pressure injuries (PIs) remain a major concern in intensive care units (ICUs), leading to increased morbidity, healthcare costs, and extended hospital stays. While various prevention strategies exist, the impact of reusable linen on PI incidence and environmental sustainability remains underexplored.

Objectives

The effect of transitioning from disposable to reusable linen on PI incidence among ICU patients was evaluated while assessing environmental impact and staff acceptance.

Methods

A before–after study was conducted in a single major metropolitan ICU comparing patient outcomes before (April 2022–March 2023) and after (April 2023–March 2024) reusable linen implementation. Data from electronic medical records and an internal risk monitoring system (RiskMan®) were analysed to identify factors associated with PI development. A nursing staff satisfaction survey was conducted, and landfill waste reduction was quantified.

Results

In 2114 patients, the incidence of PIs was significantly reduced after reusable linen was implemented compared to that observed while using the disposable linen (p =< 0.05). Although a weak significant association was found between linen type and PI occurrence (χ² (1) = 4.23, p = 0.040, 95% confidence interval [CI]: 0.001–0.042), with a small effect size (Cramér's V = 0.0447), once adjusting for other factors, linen type was no longer a significant predictor. Acute Physiology and Chronic Health Evaluation III score (odds ratio [OR] = 1.011, 95% CI: 1.003–1.019), age (OR = 0.976, 95% CI: 0.963–0.989), sex (OR = 0.53, 95% CI: 0.340–0.823), diabetes status (OR = 1.29, 95% CI: 1.109–1.499), and ICU length of stay (OR = 1.23, 95% CI: 1.188–1.276) were significant predictors of PI development. Staff satisfaction with reusable linen was high (n = 22, 87.2%), with benefits including usability and sustainability. The transition to reusable linens eliminated 496 kg of landfill waste annually.

Conclusions

Reusable linen was not inferior to disposable linen for the prevention of PI and offered substantial environmental benefits. Strong staff support and reduced waste indicate reusable linen is a viable alternative in ICU settings. Further research is needed to explore long-term impacts.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.