Open Access Open Access  Restricted Access Subscription or Fee Access

Level of practice of braden scale on prevention of pressure ulcers amongcritical care, post-operative And orthopedic nurses at pesimsr hospital, kuppam, andhrapradesh

Dr. Metilda, Dr. A. Jaganath

Abstract


Background: Patients in intensive care units are at greater risk for the development of pressure ulcers than other patients. In order to prevent pressure ulcers from developing in intensive care patients, the risk of developing ulcers should be carefully evaluated. Maintaining the integrity of the skin is an important task for nurses. Nurses should use consistent planned observation and skin care to prevent subsequent bruises and tissue breakdown. Impaired skin integrity is not a problem for healthy people but it is dangerous for older patients who have limited mobility or chronic illness.The Braden scale has been tested in a variety of areas, such as intensive care units, nursing homes, and nursing homes in tertiary institutions. However, few validation studies have been performed on patients in the ICU, where the challenges of preventing pressure ulcers are enormous.

Methods and Materials: This is a cross-sectional study by design. A total of 90 eligible nurses participated in the study and data were collected through observational checklist which included the nurses’ practice of assessing the risk of pressure ulcers among vulnerable patients by using Braden scale, measures that were practiced to reduce risk of pressure ulcer and prompt documentation relevant to their actions.

Results:Majority of the participants were 26-30 years old, female gender, had 3-7 years of working experience, graduate nurses and not attended previous training on Braden scale use.The level of practice of Braden scale was found good among majority of the critical care nurses, moderate among post-operative ward and orthopaedic ward nurses.The mean level of practice was comparatively high among critical care nurses than post-operative ward and orthopaedic ward nurses’ mean level of practice Braden scale.

Conclusion:The patients in post-operative and orthopedic ward should be given equal importance while assessing the risk of pressure ulcers. Hence, nurses in post-operative and orthopedic ward also should be provided with adequate training sessions as the critical care nurses received.


Full Text:

PDF

References


Gebhardt KS. Causes of Pressure Ulcers. Nurs Times. 2011; 1(16): 98–104p.

Afroza Banu, Natenapha Khupantavee. Evaluation of the Braden Scale Implementation by Nurses: A Case Study in a Specialized Hospital in the Dhaka City. Bangladesh J Med Sci. 2014;

(4): 411–414p.

Dorner B, Posthauer ME, et al. National Pressure Ulcer Advisory Panel. The Role of Critical Care Nurse in Pressure Ulcer Prevention and Treatment: National Pressure Ulcer Advisory Panel White

Paper. Adv Skin Wound Care. 2005; 22(1): 212–221p.

Allman RM. Pressure Ulcer Prevalence, Incidence, Risk Factors, and Impact. Clin Geriatr Med. 2007; 1(13): 421–436p.

Kim E, Lee S, et al. Comparison of the Predictive Validity among Pressure Ulcer Risk Assessment Scales for Surgical ICU Patients. Austr J Adv Nurs. 2018; 26(4): 87–94p.

Graves N, Birrell F, et al. Effect of Pressure Ulcers on Length of Hospital Stay. Infect Control

Hosp Epidemiol. 2015; 26(1): 293–297p.

Lyder CH. Pressure Ulcer Prevention and Management. JAMA. 2013; 28(9): 223–226p.

Onigbinde AT, Olafimihan K, et al. Management of Decubitus Ulcer Using Gentamycin Sulphateiontophoresis: A Case Study. Int J Allied Health Sci. 2011; 9(1): 1540–1580p.

Allman RM, Goode PS, et al. Pressure Ulcer Risk Factors among Hospitalized Patients with Activity Limitations. JAMA. 2017; 27(3): 65–70p.

Shahin E, Dassen T, et al. Pressure Ulcer Prevalence and Incidence in Intensive Care Patients: A

Literature Review. Nurs Crit Care. 2018; 13(2): 71–79p.

Bergstrom N, Braden B, et al. Predicting Pressure Ulcer Risk: A Multisite Study of the Predictive Validity of the Braden Scale. Nurs Res. 2004; 47(5): 261–269p.

Bergstrom N, Braden B, et al. The Braden Scale for Predicting Pressure Sore Risk. Nurs Res.2002; 36(4): 205–210p.

Abebe Dilie, Daniel Mengistu. Assessment of Nurses’ Knowledge, Attitude, and Perceived

Barriers to Expressed Pressure Ulcer Prevention Practice in Addis Ababa Government Hospitals, Addis Ababa, Ethiopia. Advances in Nursing. 2015. https://doi.org/10.1155/2015/796927

Abebe Dilie, Daniel Mengistu. Assessment --. Advances in Nursing. 2015

Iranmnaesh S, Abbas Abdoli Tafti. Orthopaedic Nurses' Knowledge about Pressure Ulcers in Iran: A Cross-Sectional Study. J Wound Care. 2013; 22(3): 138–143p




DOI: https://doi.org/10.37628/ijorn.v7i1.1741

Refbacks

  • There are currently no refbacks.