Pressure Ulcer Prevention: Effects of Disposable Underpads vs. Washable Underpads

2.50
Hdl Handle:
http://hdl.handle.net/10755/157691
Type:
Presentation
Title:
Pressure Ulcer Prevention: Effects of Disposable Underpads vs. Washable Underpads
Abstract:
Pressure Ulcer Prevention: Effects of Disposable Underpads vs. Washable Underpads
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Chun, Nicolle M., MS, RN, CCRN
P.I. Institution Name:The Queen's Medical Center, Medical Intensive Care Unit
Title:Primary Investigator
Contact Address:1301 Punchbowl St., Honolulu, HI, 96813, USA
Contact Telephone:808-387-5252
Co-Authors:Paulette Williams, DrPH, MSN, RN, Co-Investigator
Research objective: To determine if the use of disposable underpads decreases the incidence of hospital-acquired pressure ulcers in the ICU. Theoretical framework: Brown's (1995) Perineal dermatitis conceptual framework guides the study.  It is based on the Braden Scale and incorporates the Institute of Healthcare Improvement's prevention of pressure ulcer guidelines.  Research Method, Design, Study Sample and instruments: A two-group comparison experimental design compares the use of washable underpads to disposable underpads on the prevention of pressure ulcers in the Medical Intensive Care Unit (MICU). The following data are collected during MICU day 1 thru MICU day 5:  Age, Daily Braden Scale Score, daily moisture score from Braden Scale Score, daily turning compliance, Day 1 and Day 5 Prealbumin level, and the Sequential Organ Failure Assessment score (SOFA) Score. Data Analysis Procedure: The data is being analyzed using univariate statistics to describe the sample and bivariate statistics to determine if there was a significance difference in the prevention of pressure ulcers with the use of disposable underpads. Results: As of June 30, 2008, 13 patients (10 males and 3 females) enrolled in Group 1 (washable underpads) and 11 patients (7 males and 4 females) enrolled in Group 2 (disposable underpads).  There are no significant difference between the two groups for the independent variables of age, Braden Scores, moisture scores, and prealbumin level.  Group 1 had a higher turning compliance by nurses and higher SOFA Score (more severely ill). Group 1 has 4 occurrences of pressure ulcers compared to Group 2 with no occurrence.  Current data support research hypothesis: Disposable underpad will decrease the incidence of hospital-acquired pressure ulcers. Data collection continues until November 2009. Discussion and implications for nursing: Hospital acquired pressure ulcer incidence is dependent on many factors, many of which are nurse sensitive. By using disposable underpads to minimize moisture and folds under patients in one strategy to decrease the incidence of hospital-acquired pressure ulcers.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePressure Ulcer Prevention: Effects of Disposable Underpads vs. Washable Underpadsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157691-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pressure Ulcer Prevention: Effects of Disposable Underpads vs. Washable Underpads</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chun, Nicolle M., MS, RN, CCRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Queen's Medical Center, Medical Intensive Care Unit</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Primary Investigator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1301 Punchbowl St., Honolulu, HI, 96813, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">808-387-5252</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nchun@hawaii.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Paulette Williams, DrPH, MSN, RN, Co-Investigator</td></tr><tr><td colspan="2" class="item-abstract">Research objective: To determine if the use of disposable underpads decreases the incidence of hospital-acquired pressure ulcers in the ICU. Theoretical framework:&nbsp;Brown's (1995) Perineal dermatitis conceptual framework guides the study.&nbsp; It is based on the Braden Scale and incorporates the Institute of Healthcare Improvement's prevention of pressure ulcer guidelines.&nbsp; Research Method, Design, Study Sample and instruments:&nbsp;A two-group comparison experimental design compares the use of washable underpads to disposable underpads on the prevention of pressure ulcers in the Medical Intensive Care Unit (MICU). The following data are collected during MICU day 1 thru MICU day 5:&nbsp; Age, Daily Braden Scale Score, daily moisture score from Braden Scale Score, daily turning compliance, Day 1 and Day 5 Prealbumin level, and the Sequential Organ Failure Assessment score (SOFA) Score. Data Analysis Procedure:&nbsp;The data is being analyzed using univariate statistics to describe the sample and bivariate statistics to determine if there was a significance difference in the prevention of pressure ulcers with the use of disposable underpads. Results:&nbsp;As of June 30, 2008, 13 patients (10 males and 3 females) enrolled in Group 1 (washable underpads) and 11 patients (7 males and 4 females) enrolled in Group 2 (disposable underpads).&nbsp; There are no significant difference between the two groups for the independent variables of age, Braden Scores, moisture scores, and prealbumin level.&nbsp; Group 1 had a higher turning compliance by nurses and higher SOFA Score (more severely ill). Group 1 has 4 occurrences of pressure ulcers compared to Group 2 with no occurrence.&nbsp; Current data support research hypothesis: Disposable underpad will decrease the incidence of hospital-acquired pressure ulcers. Data collection continues until November 2009. Discussion and implications for nursing: Hospital acquired pressure ulcer incidence is dependent on many factors, many of which are nurse sensitive. By using disposable underpads to minimize moisture and folds under patients in one strategy to decrease the incidence of hospital-acquired pressure ulcers.</td></tr></table>en_GB
dc.date.available2011-10-26T20:06:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:06:45Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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