The Relationship of Nursing Preventive Measures and Hospital-Acquired Complications in Elderly Trauma Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/303946
Category:
Full-text
Type:
Presentation
Title:
The Relationship of Nursing Preventive Measures and Hospital-Acquired Complications in Elderly Trauma Patients
Author(s):
Cutugno, Christine
Lead Author STTI Affiliation:
Alpha Zetz
Author Details:
Christine Cutugno, PhD, RN, NEA-BC, ccutugno@hunter.cuny.edu
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: '

The purpose of this research was to investigate the relationship between nursing preventive measures and hospital-acquired complications in elderly trauma patients. ''The elderly are hospitalized at rates twice that of younger adults with similar injuries.' Their length of stay is longer and utilization of expensive resources is greater.' The incidence of adverse outcomes is the highest in this group and many complications are considered preventable with early assessment and intervention.' Nursing's role in improving patient outcomes has been well documented but remains understudied in this group of patients.

Methods:

''''''' The health records of 179 trauma patients over 65 years of age discharged from a Level II trauma center were evaluated for nursing documentation of preventive measures, the incidence of hospital-acquired complications, and length of stay.' A monitoring tool was used to evaluate nursing documentation of preventive measures for mobility, respiratory and confusion assessment, skin integrity, fall prevention, hydration and incontinence management, urinary catheter care and pain control.' Presence of related complications (atelectasis, pneumonia, dehydration, falls with injuries, pressure ulcers, incontinence, urinary tract infection and confusion) were determined using standard ICD-9 complication codes.'

Results:

Data analysis indicated gaps in documentation of measures for respiratory and pain management, for the promotion of mobility, and for urinary catheter assessment and care.' Failure to document incontinence and urinary catheter assessments was associated with total complications and length of stay.

Conclusion:

The most notable finding was that the preventive measures with the lowest documentation compliance (coughing and deep breathing, incentive spirometry, out of bed, and pain reassessment, urinary catheter assessment and catheter care) were those not required as mandatory entries in the electronic documentation system used by the hospital.' These findings point to the importance of the relationship between nursing documentation requirements and the electronic system used for the expedient documentation of care.

Keywords:
Nursing Preventive Measures; Elderly Trauma; Hospital-Acquired Complications
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Relationship of Nursing Preventive Measures and Hospital-Acquired Complications in Elderly Trauma Patientsen
dc.contributor.authorCutugno, Christineen
dc.contributor.departmentAlpha Zetzen
dc.author.detailsChristine Cutugno, PhD, RN, NEA-BC, ccutugno@hunter.cuny.eduen
dc.identifier.urihttp://hdl.handle.net/10755/303946-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b>' <p>The purpose of this research was to investigate the relationship between nursing preventive measures and hospital-acquired complications in elderly trauma patients. ''The elderly are hospitalized at rates twice that of younger adults with similar injuries.' Their length of stay is longer and utilization of expensive resources is greater.' The incidence of adverse outcomes is the highest in this group and many complications are considered preventable with early assessment and intervention.' Nursing's role in improving patient outcomes has been well documented but remains understudied in this group of patients. <p><b>Methods: </b> <p>''''''' The health records of 179 trauma patients over 65 years of age discharged from a Level II trauma center were evaluated for nursing documentation of preventive measures, the incidence of hospital-acquired complications, and length of stay.' A monitoring tool was used to evaluate nursing documentation of preventive measures for mobility, respiratory and confusion assessment, skin integrity, fall prevention, hydration and incontinence management, urinary catheter care and pain control.' Presence of related complications (atelectasis, pneumonia, dehydration, falls with injuries, pressure ulcers, incontinence, urinary tract infection and confusion) were determined using standard ICD-9 complication codes.' <p><b>Results: </b> <p>Data analysis indicated gaps in documentation of measures for respiratory and pain management, for the promotion of mobility, and for urinary catheter assessment and care.' Failure to document incontinence and urinary catheter assessments was associated with total complications and length of stay. <p><b>Conclusion: </b> <p>The most notable finding was that the preventive measures with the lowest documentation compliance (coughing and deep breathing, incentive spirometry, out of bed, and pain reassessment, urinary catheter assessment and catheter care) were those not required as mandatory entries in the electronic documentation system used by the hospital.' These findings point to the importance of the relationship between nursing documentation requirements and the electronic system used for the expedient documentation of care.en
dc.subjectNursing Preventive Measuresen
dc.subjectElderly Traumaen
dc.subjectHospital-Acquired Complicationsen
dc.date.available2013-10-22T20:26:24Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:26:24Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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