Relations between pressure ulcer and patient skin integrity maintenance in intensive care: literature review

Authors

  • Dragica Emeđi
  • Brigita Skela-Savič Fakulteta za zdravstvo Jesenice Spodnji Plavž 3 SI-4270 Jesenice Slovenija

DOI:

https://doi.org/10.14528/snr.2015.49.4.65

Keywords:

environment factors, quality indicators, pressure ulcer, skin integrity, importance, quality of health care

Abstract

Introduction: The research aims to demonstrate the multidimensional needs and potential high-risk factors for developing pressure ulcer in adult patients in the intensive care. Methods: The analysis and synthesis of the evidence review from the EMERALD, CINAHL, PubMed, and ProQuest database were employed in the research. The search terms used were: "quality of care", "pressure ulcer", "prevention and treatment of pressure ulcers", "skin integrity critical care patients". The filtering search criteria were: the period from 2010 to 2013, full-text articles and articles in English. 280 search results met the initial criteria; 40 of those were reviewed and presented in accordance with the Cochrane Database of Systematic Reviews. The evidence quality was assessed according to the hierarchy of the research evidence. Results: 191 codes were identified and grouped into 11 content categories: intensive care setting – characteristics of some pressure ulcer development risk factors, duration of stay in the unit, vasoactive agents, gender, age, administrative diagnostic category, bed, mattress, Waterlow scale, pressure ulcer and the importance of stage I pressure ulcer. Discussion and conclusion: The research demonstrates the importance of introducing proactive measures to maintain the integrity of the skin of the patient. It focuses on the theoretical aspect of the tissue vitality and the promotion of the quality care. Further researches are needed for a deeper insight into the numerous other risks and efficient skin vitality programs.

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Author Biographies

Dragica Emeđi

Dragica Emeđi, dipl.m.s.

Brigita Skela-Savič, Fakulteta za zdravstvo Jesenice Spodnji Plavž 3 SI-4270 Jesenice Slovenija

izr. prof. dr. Brigita Skela Savič, viš. med. ses., univ. dipl. org.

References

Andriessen, A., 2013. Prevention, recognition and treatment of dry skin conditions. British Journal of Nursing, 22(1), pp. 26–30. http://dx.doi.org/10.12968/bjon.2013.22.1.26 PMid:23299208

Antonetti, R. & Pittman, D.L., 2012. Prevent pressure ulcers: is it possible? Long-term living, 4, pp. 8, 10, 11.

Arrais Sampaio Santos, F.A., Fortes Vitor, A., Ximenes Teixeira, I., Pereira de Melo, R. & Venícios de Oliveira Lopes, M., 2012. Skin inspection for evaluating the presence of risk indicators to developing pressure ulcers. Australian Journal of Advanced Nursing, 29(3), pp. 40–48.

Asimus, M., Li, P. & Kendall, H., 2011. Pressure ulcer prevention interventions for community nursing patients. Wound Practice & Research, 19(3), pp. 145–149.

Beeckman, D., Defloor, T., Schoonhoven, L. & Vanderwee, K., 2011. Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews on Evidence-Based Nursing, 8(3), pp. 166–176. http://dx.doi.org/10.1111/j.1741-6787.2011.00217.x PMid:21401859

Bosch, M., Halfens, R.J.G., van der Weijden, T., Wensing, M., Akkermans, R. & Grol, R., 2011. Organizational culture, team climate, and quality management in an important patient safety issue: nosocomial pressure ulcers. Worldviews on Evidence-Based Nursing, 8(1), pp. 4–14. http://dx.doi.org/10.1111/j.1741-6787.2010.00187.x PMid:20367807

Braun, J.P., Mende, H., Bause, H., Bloos, F., Geldner, G., Kastrup, M. et al., 2010. Quality indicators in intensive care medicine: why? Use or burden for the intensivist. German Medical Science, 8, pp. 1–20. http.//dx.doi.org/10.3205/000111 PMid:21063472; PMCID:PMC2975264

Chamanga, E., 2011. Improving pressure ulcer care. Journal of Community Nursing, 25(4), pp. 16, 18–21.

Courtney, M., O'Reilly, M., Edwards, H. & Hassall, S., 2011. Content validity of the ResCareQA: an Australian residential care quality assessment based on resident outcomes. Australian Journal of Advanced Nursing, 28(3), pp. 37–44.

Cox, J., 2011. Predictors of pressure ulcers in adult critical care patients. American Journal of Critical Care, 20(5), pp. 364–374. http://dx.doi.org/10.4037/ajcc2011934 PMid:21885457

Donabedian, A., 2005. Evaluating the quality of medical care. Milbank Quarterly, 83(4), pp. A691–A729. http://dx.doi.org/10.1111/j.1468-0009.2005.00397.x PMid:16279964; PMCid:PMC2690293

Elliott, J., 2011. Applying pressure ulcer prevention theory to practice. Nursing & Residential Care, 13(6), pp. 276–279. http://dx.doi.org/10.12968/nrec.2011.13.6.276

Estilo, M.E.L., Angeles, A., Perez, T., Hernandez, M. & Valdez, M., 2012. Pressure ulcers in the intensive care unit: new perspectives on an old problem. Critical Care Nurse, 32(3), pp. 65–70. http://dx.doi.org/10.4037/ccn2012637 PMid:22661161

Foster, S., 2012. Triangulating data to improve care. Nursing Management, 19(3), pp. 14–19.

http://dx.doi.org/10.7748/nm2012.06.19.3.14.c9118 PMid:22876503

Geraghty, J., 2011. Introducing a new skin-care regimen for the incontinent patient. British Journal of Nursing, 20(7), pp. 409-415. http://dx.doi.org/10.12968/bjon.2011.20.7.409 PMid:21537257

Grimshaw, J., Eccles, M., Thomas, R., MacLennan, G., Ramsay, C., Fraser, C., et al., 2006. Toward evidence-based quality improvement: evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966–1998. Journal of General Internal Medicine, 21, pp. s14–s20. http://dx.doi.org/10.1007/s11606-006-0269-7; http://dx.doi.org/10.1111/j.1525-1497.2006.00357.x PMid:16637955; PMCid:PMC2557130

Gross, S., Larsen, B.J., Mollo, J.A., Pilon, D. & Silfies, T., 2012. Back to basics: a medical-surgical orthopedic unit's quest to decrease pressure ulcers. Academy of Medical-Surgical Nurses, 21(1), pp. 16–91.

Gunningberg, L., Stotts, N.A. & Idvall, E., 2011. Hospital-acquired pressure ulcers in two Swedish County Councils: cross-sectional data as the foundation for future quality improvement. International Wound Journal, 8(5), pp. 465–473. http://dx.doi.org/10.1111/j.1742-481X.2011.00818.x PMid:21722316

Henneman, E.A., Gawlinski, A. & Giuliano, K.K., 2012. Surveillance: a strategy for improving patient safety in acute and critical care units. Critical Care Nurse, 32(2), pp. e9‒e18. http://dx.doi.org/10.4037/ccn2012166 PMid:22467622

Lloyd Jones, M., 2012. Prevention and treatment of superficial pressure damage. Nursing & Residential Care, 14(1), pp. 14–20. http://dx.doi.org/10.12968/nrec.2012.14.1.14

Maas Burhans, L. & Raile Alligood, M., 2010. Quality nursing care in the words of nurses. Journal of Advanced Nursing, 66(8), pp. 1689–1697. http://dx.doi.org/10.1111/j.1365-2648.2010.05344.x PMid:20557383

Matsui, Y., Furue, M., Sanada, H., Tachibana, T., Nakayama, T., Sugama, J., et al., 2011. Development of the DESIGN-R with an observational study: an absolute evaluation tool for monitoring pressure ulcer wound healing. Wound Repair and Regeneration, 19(3), pp. 309–315. http://dx.doi.org/10.1111/j.1524-475X.2011.00674.x PMid:21539648

Maylor, M.E., 2011. Hazard avoidance: more sensible than risk assessment? British Journal of Nursing, 20(15), p. s36. http://dx.doi.org/10.12968/bjon.2011.20.Sup8.S36 PMid:21841649

Moher, D., Liberati, A., Tetzlaff, J. & Altman, D.G., 2009. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Journal of Clinical Epidemiology, 62(10), pp. 1006–1012. http://dx.doi.org/10.1016/j.jclinepi.2009.06.005 PMid:19631508

O'Tuathail, C. & Taqi, R., 2011. Evaluation of three commonly used pressure ulcer risk assessment scales. British Journal of Nursing, 20(6), pp. s27-s28, s30, s32. PMid:21471902

Racco, M. & Phillips, B., 2010. Developing a protocol for intensive care patients at high risk for pressure ulcers. Critical Care Nurse, 30(3), pp. 77–80. http://dx.doi.org/10.4037/ccn2010501 PMid:20515886

Rafter, L., 2011. Evaluation of patient outcomes: pressure ulcer prevention mattresses. British Journal of Nursing, 20(11), pp. s32, s34–s38. PMid:21727848

Republika Slovenija, Ministrstvo za zdravje, 2011. Kazalniki kakovosti v zdravstvu – 2010. p. 5. Available at: http://www.mz.gov.si/si/delovna_podrocja/kakovost_in_varnost/kazalniki_kakovosti [14. 12. 2014].

Sammer, C.E., Lykens, K., Singh, K.P., Mains, D.A. & Lackan, N.A., 2010. What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, 42(2), pp. 156–165.http://dx.doi.org/10.1111/j.1547-5069.2009.01330.x PMid:20618600

Samuriwo, R., 2010. The impact of nurses' values on the prevention of pressure ulcers. British Journal of Nursing, 19(15), pp. s4, s6, s8. PMid:20852477

Sutton, D., 2011. Healing chronic venous ulcers in a multiply addicted patient. Kai Tiaki Nursing, 17(1), pp. 18–19.

Stephen-Haynes, J., 2011. Wound expo: the challenges of pressure area care. Wound Care, 16(Suppl. 3), pp. s6–s12. http://dx.doi.org/10.12968/bjcn.2011.16.sup3.s6

Tandler, I., 2010. Načrtovanje zdravstveno informacijskega sistema za ugotavljanje ogroženosti nastanka razjede zaradi pritiska: magistrsko delo. Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede, p. 18.

Thompson, M., 2011. Reducing pressure ulcers in hip fracture patients. British Journal of Nursing, 20(15), pp. s10, s12, s14–s18. PMid:21841645

Tschannen, D., Bates, O., Talsma, A. & Guo, Y., 2012. Patient-specific and surgical characteristics in the development of pressure ulcers. American Journal of Critical Care, 21(2), pp. 116–125. http://dx.doi.org/10.4037/ajcc2012716 PMid:22381988

Turjanica, M.A., Clark, L., Martini, C., Miller, P., Turner, B.L. & Jones, S., 2011. Incidence, correlates, and interventions used for pressure ulcers of the ear. Medsurg Nursing, 20(5), pp. 241–246. PMid:22165783

Walsh, T., Jairath, N., Paterson, M.A. & Grandjean, C., 2010. Quality and safety education for nurses clinical evaluation tool. Journal of Nursing Education, 49(9), pp. 517–522. http://dx.doi.org/10.3928/01484834-20100630-06 PMid:20672776

Wilczweski, P., Grimm, D., Gianakis, A., Gill, B., Sarver, W. & McNett, M., 2012. Risk factors associated with pressure ulcer development in critically ill traumatic spinal cord injury patients. Journal of Trauma Nursing, 19(1), pp. 5–10. http://dx.doi.org/10.1097/JTN.0b013e31823a4528 PMid:22415500

Zurc, J., 2011. Povezanost med gibalno aktivnostjo in pojavnostjo bolečine v križu na primeru zdravstvenega osebja: pregledna študija. In: Skela-Savič, B., Hvalič Touzery, S., Zurc, J. & Skinder Savić, K. eds. Na dokazih podprta zdravstvena obravnava - priložnosti za povezovanje zdravstvenih strok, potreb pacientov in znanj: zbornik predavanj z recenzijo. 4. mednarodna znanstvena konferenca s področja raziskovanja v zdravstveni negi in zdravstvu, Ljubljana, 9.‒10. junij 2011. Jesenice: Visoka šola za zdravstveno nego, pp. 351–360.

Published

2015-12-21

How to Cite

Emeđi, D., & Skela-Savič, B. (2015). Relations between pressure ulcer and patient skin integrity maintenance in intensive care: literature review. Slovenian Nursing Review, 49(4). https://doi.org/10.14528/snr.2015.49.4.65

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Review article

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