#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Pres­sure lesion monitoring –  data set validation after second pilot data col­lection


Authors: A. Pokorná 1;  J. Mužík 1;  P. Búřilová 1;  S. Saibertová 1;  L. Kubátová T. Kelbich 2 3;  E. Koblihová 2;  N. Müllerová 4;  P. Camprová 5;  D. Svobodová 6
Authors place of work: Katedra ošetřovatelství, LF MU, Brno 1;  Chirurgická klinika ÚVN – VFN Praha 2;  Oddělení řízení kvality zdravotní péče, ÚVN – VFN Praha 3;  Centrum řízení kvality, FN Plzeň 4;  I. chirurgická klinika VFN Praha 5;  Úsek pro nelékařská zdravotnická povolání, VFN Praha 6
Published in the journal: Cesk Slov Neurol N 2018; 81(Suplementum 1): 6-12
Category: Původní práce
doi: https://doi.org/10.14735/amcsnn2018S6

Summary

Aim:

To present the validation process of the data standard for the col­lection of data on pres­sure ulcers and, in particular, to identify the neces­sary and un­neces­sary items that should be monitored at the local level of the health service providers. On the contrary, the aim is not to compare the number of records of pres­sure ulcers and occur­rence of pres­sure ulcers, but to as­sess the pos­sibility of data col­lection in clinical practice and to as­sess their usability in relation to the measures neces­sary for the provision of care.

Methodology:

Second pilot validation of the dataset was car­ried out in three participat­­ing university hospitals (centres) in the Czech Republic for a period of 6 months (2nd half of 2017). The first pre-pilot validation was organised in the previous 6 months. Statistical analysis of data was performed in SPSS (IBM Corp., Armonk, NY, USA) at a significance level of 0.05.

Results:

In total, data from 320 records of patients were submitted from all three centres, with 310 completed history records and 498 records of pres­sure ulcers. There were no statistical­ly significant dif­ferences in data availability and completion of the standardized data set in the required structure (p > 0.05). Based on an as­ses­sment of the administrative burden and the clinical benefit of the data, changes were made to the final data standard.

Conclusion:

The prepared technical description of the standardized and validated dataset together with the technical description of the software will al­low simple implementation at national level to unify the special dataset for monitor­­ing of pres­sure ulcers.

Key words:

pressure ulcers monitoring –⁠ uniform assessment –⁠ nursing education –⁠ data collection –⁠ validaton

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


Zdroje

1. Col­lier M. Pres­sure ulcer incidence: the development and benefits of 10 year’s-experience with an electronic monitor­­ing tool (PUNT) in a UK Hospital Trust. EWMA Journal 2015; 15(2): 15 –⁠ 20.

2. Pokorná A, Benešová K, Mužík J et al. Sledování dekubitálních lézí u pa­cientů s neurologickým onemocněním –⁠ analýza Národního registru hospitalizovaných. Cesk Slov Neurol N 2016; 79/ 111 (Suppl 1): S8 –⁠ S14. doi: 10.14735/ amcsn­n2016S8.

3. Pokorná A, Saibertová S, Vasmanská S et al. Registers of pres­sure ulcers in an international context. Cent Eur J Nurs Midwifery 2016; 7(2): 444 –⁠ 452. doi: 10.15452/ CEJNM.2016.07.0013.

4. Pokorná A, Benešová K, Jarkovský J et al. Pres­sure injuries in inpatient care facilities in the Czech Republic. J Wound Ostomy Continence Nurs 2017; 44(4): 331 –⁠ 335. doi: 10.1097/ WON.0000000000000344.

5. Gun­ningberg L, Hom­mel A, Bååth C et al. The first national PU prevalence survey in county council and municipality settings in Sweden. J Eval Clin Pract 2013; 19(5): 862 –⁠ 867. doi: 10.1111/ j.1365-2753.2012.01865.x.

6. Demar­ré L, Van Lancker A, Van Hecke A et al. The cost of prevention and treatment of pres­sure ulcers: a systematic review. Int J Nurs Stud 2015; 52(11): 1754 –⁠ 1774. doi: 10.1016/ j.ijnurstu.2015.06.006.

7. Demar­ré L, Verhaeghe S, An­nemans L et al. The cost of pres­sure ulcer prevention and treatment in hospitals and nurs­­ing homes in Flanders: a cost-of-il­lness study. Int J Nurs Stud 2015; 52(7): 1166 –⁠ 1179. doi: 10.1016/ j.ijnurstu.2015.03.005.

8. Pokorná A, Jarkovský J, Mužík J et al. A new online software tool for pres­sure ulcer monitor­­ing as an educational instrument for unified nurs­­ing as­ses­s­ment in clinical settings. MEFANET Journal 2016; 4(1): 26 –⁠ 32.

9. Alhaug J, Gay CL, Henriksen C et al. Pres­sure ulcer is as­sociated with malnutrition as as­ses­sed by Nutritional Risk Screen­­ing (NRS 2002) in a mixed hospital population. Food Nutr Res 2017; 61(1): 1324230. doi: 10.1080/ 16546628.2017.1324230.

10. Jeong M K, Hyunjeong L, Taehoon H et al. Perioperative factors as­sociated with pres­sure ulcer development after major surgery. Korean J Anesthesiol 2018; 71(1): 48 –⁠ 56. doi: 10.4097/ kjae.2018.71.1.48.

11. Hong-Lin Ch, Xiao-Yan C, Juan W. The incidence of pres­sure ulcers in surgical patients of the last 5 years: a systematic review. Wounds 2012; 24(9): 234 –⁠ 241.

12. Schoonhoven L, Defloor T, Grypdonck MH. Incidence of pres­sure ulcers due to surgery. J Clin Nurs 2002; 11(4): 479 –⁠ 487.

13. Kottner J, Balzer K. Do pres­sure ulcer risk as­ses­sment scales improve clinical practice? J Multidiscip Healthc 2010; 3(3): 103 –⁠ 111. doi: 10.2147/ JMDH.S9286.

14. Mitchell I, Schuster A, Smith K et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after ‚To Err is Human‘. BMJ Qual Saf 2016; 25(2): 92 –⁠ 99. doi: 10.1136/ bmjqs-2015-004405.

15. Stavropoulou C, Doherty C, Tosey P. How ef­fective are incident-report­­ing systems for improv­­ing patient safety? A systematic literature review. Milbank Q 2015; 93(4): 826 –⁠ 866. doi: 10.1111/ 1468-0009.12166.

16. De Veer AJ, Franke AL. Attitudes of nurs­­ing staff towards electronic patient records: a question­naire survey. Int J Nurs Stud 2010; 47(7): 846 –⁠ 854. doi: 10.1016/ j.ijnurstu.2009.11.016.

17. Stevenson JE, Nils­son GC, Peterson GI et al. Nurses experience of us­­ing electronic patient records in everyday practice in acute/ inpatient ward settings: a literature review. Health Informatics J 2010; 16(1): 63 –⁠ 72. doi: 10.1177/ 1460458209345901.

18. Li J, Westbrook J, Cal­len, J et al. The role of ICT in support­­ing the disruptive in­novation: a multisite qualitative study of nurse practitioners in emergency departments. BMC Med Inform Decis Mak 2012; 12 : 27. doi: 10.1186/ 1472-6947-12-27.

Štítky
Dětská neurologie Neurochirurgie Neurologie

Článek vyšel v časopise

Česká a slovenská neurologie a neurochirurgie

Číslo Suplementum 1

2018 Číslo Suplementum 1
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Mepolizumab v reálné klinické praxi kurz
Mepolizumab v reálné klinické praxi
nový kurz
Autoři: MUDr. Eva Voláková, Ph.D.

BONE ACADEMY 2025
Autoři: prof. MUDr. Pavel Horák, CSc., doc. MUDr. Ludmila Brunerová, Ph.D., doc. MUDr. Václav Vyskočil, Ph.D., prim. MUDr. Richard Pikner, Ph.D., MUDr. Olga Růžičková, MUDr. Jan Rosa, prof. MUDr. Vladimír Palička, CSc., Dr.h.c.

Cesta pacienta nejen s SMA do nervosvalového centra
Autoři: MUDr. Jana Junkerová, MUDr. Lenka Juříková

Svět praktické medicíny 2/2025 (znalostní test z časopisu)

Eozinofilní zánět a remodelace
Autoři: MUDr. Lucie Heribanová

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#