Beyond the Braden Scale: Effectiveness of a Small Group Educational Program on Neuro-Nurses' Braden Risk Assessment Scores and Number of Preventative Nursing Interventions

2.50
Hdl Handle:
http://hdl.handle.net/10755/335265
Category:
Full-text
Type:
Presentation
Title:
Beyond the Braden Scale: Effectiveness of a Small Group Educational Program on Neuro-Nurses' Braden Risk Assessment Scores and Number of Preventative Nursing Interventions
Author(s):
Henderson, Shakira
Lead Author STTI Affiliation:
Lambda Chi
Author Details:
Shakira Henderson, MS, MPH, RNC-NIC, IBCLC, ShakiraLH@baptisthealth.net
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: Hospital-acquired pressure ulcers remain an utmost healthcare concern because of the significant emotional and physical toll on the patient and the large financial impact on hospitals. With an incidence rate of 38% and a total annual cost of approximately $11 billion dollars in the United States, the Center for Medicare and Medicaid Service will not reimburse for these injuries. Neurological patients are even more susceptible to pressure ulcer formation than most patients. Consequently, neuro- nurses are charged with being implementation experts of preventative nursing interventions in response to their risk assessments. Yet research shows that there is a gap between risk assessment and application of nursing interventions. Nurses tend to either not apply preventative measures or are inconsistent despite having an 'at risk' patient. Research is needed to address this problem. The proposed study attempts to assist in bridging that gap by assessing the neuro-nurse's understanding of 'at risk' and evaluating the impact of an educational intervention on improving the neuro-nurse's knowledge of pressure ulcer risk assessment and subsequent preventative nursing interventions. Methods: A descriptive, quasi-experimental design with a one-group, pre-intervention survey, educational intervention, and post-intervention survey method will be used. Results: A paired t-test was conducted to evaluate the impact of the educational intervention on both Braden score choices and number of nursing interventions chosen by the nurse participants. There was no statistically significant difference in Braden scores post-education (M = 13.41, SD =5.38) vs. pre-education (M = 13.67, SD = 4.49), t (23) =, p <.465 (two-tailed). However, there was a statistically significant increase in number of nursing interventions post-education (M = 10.69, SD =2.38) vs. pre-education (M= 10.11, SD= 4.83), t(23) =, p<. 001 (two-tailed). Conclusion: Neuro-nurses are competent on assessing "risk" of pressure ulcers for nuero patients using the Braden Scale. However, there is variation on how to manage risk based on the Braden score assessed. Further research is needed to bridge the gap between risk assessment and nursing application of interventions. This gap may be a contributing factor to the incidence of pressure ulcers in the clinical setting.
Keywords:
educational intervention; research; pressure ulcer
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST149
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleBeyond the Braden Scale: Effectiveness of a Small Group Educational Program on Neuro-Nurses' Braden Risk Assessment Scores and Number of Preventative Nursing Interventionsen
dc.contributor.authorHenderson, Shakiraen
dc.contributor.departmentLambda Chien
dc.author.detailsShakira Henderson, MS, MPH, RNC-NIC, IBCLC, ShakiraLH@baptisthealth.neten
dc.identifier.urihttp://hdl.handle.net/10755/335265-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: Hospital-acquired pressure ulcers remain an utmost healthcare concern because of the significant emotional and physical toll on the patient and the large financial impact on hospitals. With an incidence rate of 38% and a total annual cost of approximately $11 billion dollars in the United States, the Center for Medicare and Medicaid Service will not reimburse for these injuries. Neurological patients are even more susceptible to pressure ulcer formation than most patients. Consequently, neuro- nurses are charged with being implementation experts of preventative nursing interventions in response to their risk assessments. Yet research shows that there is a gap between risk assessment and application of nursing interventions. Nurses tend to either not apply preventative measures or are inconsistent despite having an 'at risk' patient. Research is needed to address this problem. The proposed study attempts to assist in bridging that gap by assessing the neuro-nurse's understanding of 'at risk' and evaluating the impact of an educational intervention on improving the neuro-nurse's knowledge of pressure ulcer risk assessment and subsequent preventative nursing interventions. Methods: A descriptive, quasi-experimental design with a one-group, pre-intervention survey, educational intervention, and post-intervention survey method will be used. Results: A paired t-test was conducted to evaluate the impact of the educational intervention on both Braden score choices and number of nursing interventions chosen by the nurse participants. There was no statistically significant difference in Braden scores post-education (M = 13.41, SD =5.38) vs. pre-education (M = 13.67, SD = 4.49), t (23) =, p <.465 (two-tailed). However, there was a statistically significant increase in number of nursing interventions post-education (M = 10.69, SD =2.38) vs. pre-education (M= 10.11, SD= 4.83), t(23) =, p<. 001 (two-tailed). Conclusion: Neuro-nurses are competent on assessing "risk" of pressure ulcers for nuero patients using the Braden Scale. However, there is variation on how to manage risk based on the Braden score assessed. Further research is needed to bridge the gap between risk assessment and nursing application of interventions. This gap may be a contributing factor to the incidence of pressure ulcers in the clinical setting.en
dc.subjecteducational interventionen
dc.subjectresearchen
dc.subjectpressure ulceren
dc.date.available2014-11-17T13:48:20Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:48:20Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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